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Home My WebLink About071-460-015n• , _ �� - 1 ' McDONOUGH 'fit a Ridge Rd, 5 mCS Canyon Cre( :ovil ip..&, ser.,Chi.co---. COMPLAINT TO INSPECTOR Permit#807-86P, E 1, MH) IELEC 5'doo4 Ol, Nloq GAS L Q6 �� • c✓o SUPPORT STRUCTURE RE A!b //a�_ COMPACTION TEST RE ene Schmitt'. Per t#808-86MHI' - isued_- -.74 2262_=90B';P- E,M' - MCDONOUGH,° Lester 434''Little Ridge R1. d= B ~'ek ' y g A erry- Cre 1 (new. single Permit#3241-91B i (lst_ren--al/2262-90) MCDONOUGH, Lester 92-3961B 434 Little Ridte Rd, Berry_ Creek 2nd renewal/90-2262 93-3625 MDCONOUGH, LESTER 434 LITTLE RIDGE RD, BERRY.CREEK 3RD RENEWAL/90-2262-- r,a, Permit#15-90 Ag Exemp Permit .(tractor storage, tree. -farm equip.) ' r 4 1 O, PERMIT NO 53-86P E MH PERMIT EXPIRES -./,;, p OWNER LESTER MCDONOUGH CONTR. M &M Equip Ser, Chico ' a ASSESSOR PARCEL 71-01-48 LOCATION W/S Little Ridge Rd approx mi S I -lf� OFFICE COPY i Address Temp. Power GA Meter By DateAZ7 Called P' ELECTRIC Meter By Date /27 7 Temp. Elec. Called PG&E Temp. Gas Service Cal led PG JOB FINALEI Signature J= OK t 0 = Not OK — = Not Applicable MOBI1EHOMES = Not Ready MISCELLANEOUS Date MOBIL OME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 4,1'2oning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements ,j'Sp.petlal MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors e L tion—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails at , Location—Test—Easement Needed (Sketch 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing lec icily; Location—Clearances—Grnd.—,5?(ffVAmp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Location—Test—Wrap:/ /"L"ft./ /"Nat.orV&/ L"ft./ LPG 6. Carports; Windows—Doors Utility Clearance 0;0 /? Z.C) LCA 7. Elec. --- 9_4"ate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBIL_PHOME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1 oning Requirements—Setbacks—Easements 1, Setbacks—Easements ZeC<ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; 'Distances=GF1 5 fain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. W er; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 71A.ater and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8 G s and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9 �ts; Insp.—Sketch 10'.' --Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test xf ZZ Card B -I Date/4-7-6Card-BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 6) 'r a ' 5 j = 'OK t 0 = Not OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) = Date UNDERFLOOR (Plans) OK except H's 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. 1 _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI FRAMING (Continued) Date Card -BI Date Card -BI Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. Water Ht.: Vent -Access -Combustion Air _15.- Water.Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection _ 17. Pan; Test, First Floor -Tub Access 18. _Shower Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date ]Date ELECTRICAL (Perrr,it) OK except H's 20. _Fixture & Transformer Clearance -Ins. Protection _ 21. Elec. Receptacles Spacing -Lights -&,Switches at Doors _ 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed_Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral f ;Yes :J No _ 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I Date Card -BI Date Card B -I _ _ Date Card -BI Date Date MECHANICAL (Permit) OK except H's 31. A.C. Ducts: Insulation & Support 32. - - - Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow: Size & Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent_ -_115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Date FRAMING (Continued) 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protect ion-Sky light$-Plast ic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection II 59. Bedroom Exiting II 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !sole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills: Proper Material & Anch_o_rs 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub _ 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Slop -Ins. Battles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) Card -BI Date Card -BI Date Card -BI Date i MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0.' Address or location of mobilehome Owner's name -,J Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOB�.EHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. tj to n tn 0 00 IV CON cV °O ;Z£ I N: p IP C,j rn cn 00 CN\i c) VOW-' `371117 to - . % co In C) C\l ct to 16' U" Jr 10 At cr) 41.1 co t3 In Co Qu cj - L LZ to 116 C\j C\j ;o �9Ysl �! N C0,996 C\j to cp te u om N kip ct CO a), t6 kc) W Ch I Of I IF 0 k.; Voo z C\j v".11 q \z aD 41 "I ko w66'C\j n QDIII r * an Z .0, (N 30 kj, co ig 0. v cn Zo'q u tj 9g,cgo M —NOD (6( toCOT)) 7 p". Ch I QD oe COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT j PERM I N Q ASSE Z PARCEL NU ER ZONIN BUILDING PERMIT ow Eg & _ TELEPHO SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONT R TOR'S AME4 0TE da 14 I y i MPH N CON CTOR'S AIL A DRESS Fireplace CONSTRUCT N LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f r ///` Permit fee $ S� PLUMBING PERMIT FIIing Fee 10.00 Each Trap1 2.00 CSolar or heat pump water heater 20.00 LOT NO. SUBDIVISION 14AME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE rorororoffff SF F-1 Duplex[] Mobilehome Other SPECIFY � Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home If S G 0.00 ea Q TYPE OF WORK New❑ Addition❑I Rzdel Utilities Installation❑ Other❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LE LESS10.00 Main service EA. ADD'L 100 AMP 2.50 S CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Profess l0 s ode and my license Is In full force and effect. License No. Classification //1' ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SI OR ADONS. ( ACC. SLOGS. , /Zdsgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50t eALO 30 FIXED Ex. Occup. OUTLETS (RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ` Misc. Viring 15.00 v ,Q Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against alPa biIit' judgme s, costs, and expenses which may in any way accrue agt sa Cou onse$uenc of the granting of this pe mit. X Date Sira of Applicant — Owner ❑ Contractor Agent❑ AHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ msn Occup. CONST.TYPEJ I Fri PARCE• PD ND Iss E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date,—�� = �` Receipt No. /)N WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF-PUELLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILL"E, CXL�F'ORN A 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. 0 le t/• C 0900U A. P. No. �- 0/� Proposed Building Use Permit Fee Based Unon: Complete Contract Price DPW Valuation Building Inspector uate ii z c.� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. SII items.have been submitted..— . . . . . . . . . . . _99lot plans in duplicat(� replicate. . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. .. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . L 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Require(".'Pre-Inspec. request to (Dare) .� pBuilding Inspector ec dylt al Acknow ed ment Stat menta i �onstructlon approval requgred* pr or to occupancy When you issue the x9elI�rrmit,�groce s as follows: Mail` Telephone C� T.�` 7o�a and hold for pickup at _ Other 60A-CWs Conv of nlans sent iwner. Mail to contractor. �Q_ office. Deliver w/inspector. Date During the plan checking process, the following data mu t be submitted prior to permit issuance: (For required items not checked above at t m of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Plans checked by. Plans approved by Other Copy—DPW Date Date Date Other �dl To: Building Department From: vironmental Health Subject: Sanitation C ' arance 4, 4t oaf Owner Plan Approved for: Hold final for: Final clearance O.K. for: Clearance for beds mobile me. Other V, Sewage disposal water supply NOTE Sanitarian water supply water supply Date Y t., urni'W AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. R4-20o1s. Rn ��YY The property described herein is adjacent to land or included �y� �;, within an area zoned for agricultural purposes, a'nd residents of this ., property may be subject to inconveniences or discomfort arising from ,,GTI;�l;�1� � dual: . the use of agricultural chemicals, including, but not limited to herbicides, pestYc s. and fertilizers; and from the pursuit of agricultural operations including,ibut not limit to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of•California, described as follows: Date: S " 31-F PROPERTY OWNERS: State of 8gX1e1i()/1_)L ) On this the 31'A1_— day of y 19 $y, before 1 ) SS. me, the undersigned Notary Public, personally appeared County of . 1jG 7-rfi ) ZES-ITZ 11')(��iQotiQU6;� Personally known to me. 0' Proved to me on the basis ®eae®ee�eeoueeeasooueoao�eieaeeaooc�eoeeo�meoaoio�eoeitea® ' . of satisfactory evidence. . _ OFFICIAL SEAL o to be the person(s) whose names) /S subscribed to MELISSA M.NIXON the within instrument and acknowledged that .�� NOTARY PUBLIC . CALIFORNIA .� COUNTY OF BUTTE executed the same for the purposes therein contained. My Commission Expires April 12, >eas a IN WITNESS WHEREOF, I hereunto set my hand and official seal �1�oai�Ylcenan®ensaoee®acaoaeeeeoueecoeaeecee�eseaeoaoa000® Notary Public Present A.P. No. .7 / —d�� -- .... �. ....v 1 L,3, t 1 DESCRIPTION: to All that certair real property situate in the County of Butte, State of California, described as follows: The Southwest quarter of the Northeast quarter of Section 8, Township 20 North, Range S East, M. D. B. $ M. TOGETHER WITH a right of way for road 'purposes over the Westerly 60 feet of the. Southeast quarter and the Northerly 60 feet of the South half of the Southeast quarter lvine Westerly of the existin¢ road describe Parcel 3 in the Deed to :dor Val Lnterprises recorded February 26, 9%1, in Book 1360, of ')fficiai Records, at page 674, and the South 60 feet of the Southeast quarter of the Northwest nuarter of Section S, Township 20 North, Range S East, M. D. 4. lyine Fast of the East line of the 6ro- Ouircv MRhwav and the West 60 feet of the South 60 feet of the South- west quarter of the Northeast quarter of Section 5, Township 20 North, Rar-ge S East, ar-d the West 60 feet of the North half of the Northeast quarter of Sect:.on 8; Township 20 North, Range S East, M. D. B. F V. ALSO TOGETHER WITH a right of way for road purposes over the North 60 feet of the Southeast quarter of the Northeast quarter of said Section 8, lyirg hest of Parcel 3, described in the Deed to Nor Val Enterprise, recorded February 26, 1965, in Book 1360, of Official Records, page 673. .ALSO TOGETHER WITH a right of way for road purposes over a strip of land 60 feet in width, the centerline of which is described as follows: + COMMENCING at the So.utheast corner of Section 8, Towndip 20 North, Range S East, M. D. B. & M.; thence North 84° 20' 40" West, ISS8.20 feet to the true point of beginnirq for said centerline; thence North r 31° 21' 26" East 384.74 feet; thence North 06° OS' 42" West 421.71 feet; thence North 12° 59' 33" East 233.52 feet; thence North 34° 23' 03" East >e 333.32 feet; thence North 20 09' 42" West 227.02 feet; thence North 200 ;t 14' 18" East 295.70 feet; thence North 151 10' 03" 'East 289.05 feet; ; thence North "" 29' 03" East 396.43 feet; thence North 22° 17' 57" West 461.52 feet; thence North 1.0 34' 12" West 520.66 feet; thence North 28° t 28' 42" West, 714.41 feet; thence North 23° 20' 03" Fast, 448.52 feet; thence North SO° OS' SS" East, 462.31 feet; thence North S9° 10' S5" iY East, 120.79 feet; thence North 280 13' 17" East 220.70 feet; thence i North 09° 47' 47" East 182.33 feet; thence North 43° 37' 28" West 403.99 ° feet; thence 'North 19 59' 47" East, 190.61 feet; thence North 20 ZS' 13" West 265.76 feet; thence North 19° 28' 43" West, 260.24 feet; thence el, Worth 20 09' 13" West 260.94 feet; thence !North 70 OS' 17" East 223.28 c feet; thence North 1° 41' 13" Wtst, 227.61 feet; thence North 10 02' 47" Fast 325.30 feet; thence North 28° 59' 43" Nest 113.06 feet; thence !North 1S1 13' 32" Fast 123.28 feet; thence North 0° S9' S9" 1•;est,. 386.76 C? feet; thence North 160 27' 02 East, 231.62 feet; thence North 15° 32' �= S8" i,:est 163.29 feet; thence North 19° 31' 02" East 278.44 feet; thence a �} North 164 49' 02" Bast 192.77 feet to a point in Ponderosa Way and the end of said centerline. EXCEPTING THEREFROM all that portion lying within the boundaries of the (C a'_nvc described parcel ALSO 1•.:X;.FTI;JG ,11L-RErR0:1 all that portion lying within the boundaries of the i Southeast quarter of said Section 8,and ir. the Southeast quarter of the "'orthenst quarter and the Northeast quarter of the Southeast quarter of said Scction S. F.XC:EPT1N'G THERIiFRn\1 all mineral i ights. AP OWNER G Ig s-n'D�lti 8 �e� PERMiT �k 8Fi 7 �C7 MH UTIL.CLEARANCE DATE r INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . lervice lize. Other Load -Type Pipe Size Length YES NO YES N0. V - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND FERMIT PERMIT NO. 6 u E AS ES OR PA CEL '— 7 zO"' G BUILDING PERMIT OWNIfR C?Mou TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C TRACTOR'S M TELEPHONE — / CORAC,- OR'S AILING A DR SS ' (�j) U `1Qq Fireplace CON T UCTION END UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER 0 yl LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS t Permit fee $ S�nn PLUMBING PERMIT FiIingFee 10.00 Q G Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome(% Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W\ 10.00 ea TYPE OF WORK New ❑ Addition[l Remode ❑ Uti lities (-] Insert/al lationu[g Other ❑ Describe work:I Ov f i l N 7J e _ Permit Fee i $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 n „ Main service 100V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 3! i 3 3 Classification C-Wl/ ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM '/zQsgft OR ADDNS. ACC. SLOGS. / NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) / EX. OCCUp\OUTLETS OR FIXTURES 20050t eAL030 EX. OCCUp. OUTLETS FIXED P(RESID )LNS '�EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. tl.d' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Buttelto enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments,("o ts, BAd expenses which may in any way accrue against sai ounty in con a uen ofth granting of this permit. X Date e%-'�� 8' So Signature of Applicant — Owner ❑ Contractor E]AgentF1work An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPC I V& I Ftil PARCE PD D ISSUE This permit is hereby issued under sions of the Butunty Code and/or te Co indicated above for which DIREC OR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 8 Receipt No. WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I� •,x• , _ ,+ r..e' ,y ..+zc,.y - r., .1. ,14, H�. ,..s'•re.r M. PR. 7 '•1 -vv- j -,('I ."I ••, y�; ?..;. 'l;"'. _ _ .ate .i•"ice. i�YS . , - COUNTY OF BUTTE - DEPARTMEAT tit=tPUBLIC WORKS -BUILDING DIVISION / -7 COUNTY CENTER DRIVE - OROVILLE, CAL4,Fg8,NhA,95965 - TELEPHONE: 916/534-454,1 7 PERMIT APPLICATION DATA SHEET J Permit No. L/ OWNER LC S �E C �Ou 9� i A. P. No. / —�y / k Proposed Building Use Permit Fee Based Upon: Complete Contract Price Building Inspector At time of mit application, I was advised the following data must be submitted prior to permit processing and./or I !n c' DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. .'\. 5. Plans with Energy Design Compliance Statement. 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Insp17. Pre -Inspection for Required- Building I . request to p q Building Inspector DPW Valuation ate) 18. RecoOther �c Xpf j, ltCC nstruction approvalmrequired. prior to occupancy) 19. Other ll Whe you issue thea it, s as follows: Mail wner. Mail to contractor. Telephone "�r � and hold for pickup at office. Deliver w/inspector. Other � nA Applicant to `/ `7' S� Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other Copy—DPW Telephone Mail Date Date Date Other BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville. CA. ' PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: o 0LN 2. Installer's name: \1 (',e yg g n/I't1h, 3. Is the site currently under permit? Yes / / No (if yes, furnish permit number ) OR. Is -the site.an existing.site? Yes / / No (If yes, furnish two (2) plot plans.) 4: Will the mobilehome be located at least 51t. away from septic tank and leach fields and clear of. all setbacks.and easements? Yes. No (If no, clarify ) S. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- © 49 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- d'O Amps; 8. Is there any other electric.load to be,served by the mobilehome Yee /r/ No �. siteservice? --------------------------------------------------- (If .yes, identify the load and size: PL4,44P (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------- ------ 10. What is the type of gas service? ---------------------- ----- Natural 7-7 LPG / 11. What is the gas pipe length from meter or tank to the mobilehome? A10� ®� (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU)' (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT , APPROVED MOBILEHOME SUPPORT DATA *If other than single wide, Mobilehome Mfr. C/jA/'r,41Ok/ furnish Setup Model No. Year l 6� Width /O (ft.) Box LengthS_40 _(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Singlef LY -l'. Wood either pressure treated or A A foundation grade. x (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supvorts (check one) (in.) Concrete: block. [:]..2i Other,. (specify) ((fftt.,)(min.) (in.) (in.) (in.) (in.) U (in.) (in.) (in.) (in.) *If center piers*are 'other than drawn above, "draw in •locations, spacing, and dimensions. ragalong or Expando,' show support details. '' x3.0'1 -- Typical Support (in.) (in.) Footing Size '� -- Max. Pier Spacing or _ ,i� -- Max. Overhang (ft.)(in.) U f, <i i A setback of 5 t. from the c /� f o"p0�' property lines and a setback V)E� ; of 50ft. from the road My B i L centerline shall be clear of v X Q 5ge- structures or equipment except for a 2 ft. eave overhang. f� i 13 ov _All Materials & Workmanship Shall 50 to ante with Recognized Good Practices and. . prescribed for -the Specified u e in the iality P plumbing & Machanical es. and i Building, tioMal [ectca ril Code• TlAs sef 0 plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alteration's on some without Written permission from the Department of Public Word's, Coupty of Butte. kEpcv Utility, connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the mobilehome. BUT BUILDIN COUNTY DEPARTMENT APPROVED /I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 r Telephone: 916/538-7541 _ APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER 71-01-48 ZON'i N� G.. U BUILDING PERMIT --J OWNER Lester McDonough TEL HONE 589-4748 S0. FT. OCC. BUILDING VALUATION 1440 R 57,600 OWNER'S MAILING ADDRESS 434 Little Ridge Rd. Berry Creek 95916 1440 un—fi . 43,200 CONTRACTOR'S NAME owner TELEPHONE / CONTRACTOR'S MAILING ADDRESS Fireplace A 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ loy/b T OVV IV— Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee 438.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee dQ 2 19.00 Energy Plan Checking Fee 15-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 434 Little Ride Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Berry Creek Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or ve 5.00 USE OF STRUCTURE SF [X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outl is 5.00 Building sewer 5.00 QQ Mobile Home S I G I W . 10.00e TYPE OF WORK Newts{ Addition[] Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: IBR to replace a xi G i ng MH _ Permit Fee $ 40 nn Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 2 50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW .6 CONST. DWELLING OCCUP OR ADDNS. ( ACC. BLDGS. 2h4sgft NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2AL@ eLe30 FIXED APPLNS. OR EX. DCCUp. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. +fi—eT I shall not employ any person in any manner so as to become subject 22'1, to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating propane F.A. split system 6.00 12.00 Cooling Swam Cooler 1 10.00 Hood 3.00 3.00 Ventilation Permit Fee $ 35.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againsysaid County' consequence f the granting of this permit. QQ i Date / '3 f U Sig ature of Applicant — Own Contractor El Agent �3 p OSHA permit is required For excavations ove 5'0" ep a demolition iw- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspect 'on Fee $no Dc I CONST TYP TOTAL FEE $ f HAZ CUA I ._.. PARK —" I SCHL FLoJ PA PD 1171 1 This permit is nereby issued under sions of the Butte County Code and/or ork indicated abo a for which fees D E OR F PUBLIC By PEWIT EXPIRE Date / © 2 the applicable provi- resolutions to do have been paid. WORKS D to Receipt No. 6779)�(9116//4��j—jj��2jj7JJ4. 00// '7y/ p'3 �'�7 , 9® i 5 00 WHITE-D.P.W.. YELLCJr_1SGkJJ%dR. PINK -INSPECTOR, GOLDENROD -APPLICANT a f � t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI �,E, CAIFO�RIVIA 95965 -TELEPHONE: 916/538-7541 PERM IflP LI&A'T' rM DATA SHEET '` Permit No. 6Z, OWNER IZ5VA Mr �%ndugh A. P. No. 0071-010 -6+6 Proposed Building Use bedAaomi Building Inspector / (.1 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... r 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. ' 4. Complete engineered plans and calcs, with wet signature on .plans 5. Hazardous Material Form ............ :....................... ........ . 6. Energy Design Compliance and supporting�tocumentation ......... 7. Statement of Intent for Non -Heated and AC Buildings f ` 8. Engineered truss details arnd,Iayout in duplicate (required prior to plan check) e,d 9. Mobilehome installation data including manufacturer's installation instruction. �1 -A� Fees of $'.. I . 7,r�C/.............. �.� -2Z-Pd 11. Chico Urban Area fees paid ....................................... ,. 12. Park fees paid ............................................. 3 0/70, 0A)16 A) H.5 • School Distridt fees paid .............. /0 ` LZr 14. Sanitation approval from oleo Health Department 15. City of Chico plumbing permit ...............................'...... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 0- Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Namd Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) ..... 2` 6k: 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization .... APO.lCi�e: jn. i'rz tel � r r. rl�41 . �� on t� .-Pana Uc rn le 27y - ans When you issue the permit, process as follows: —Mai l to owner. Mail to contractor. Telephone and hold for pickup at d12Q office. Deliver w/inspector. t Other Applicant--. 2 /* Date Copy of Haz-Mat form sent Health Dept. Fire Dept; Air Pollution Date �— Copy of plans sent Health Dept. Fire Dept.�; 4 Other Date Byi The following data must be submitted prior to I `it` a (C' cl he ite cke 1 • Index permit for above items No. ri -- 2. Additional items required: Contractor, designer owner was advised of above required data by ✓hone__rnail—counter byJ..date Contractor, designer, owner, was advised of above required data by_phone —mal l—counter by date Plans checked by Date (� land r�otied by Date �� Sets of plans oh hold in 4(r;.?,C e - ARfd der Copy—DPW ' TO Buildina DePc. tm9_' 3t FROM: Environmental Health SUBjEC.: Sanitation Clearance 71. -BYO - V -..�— tisane Location IJIAli# Plan Aper®vc�c�. for: Sewace Disposal Water Supply ._... :fold final fora ... Water Supply. Final clearance O.K. for: Water Supply ::...Clearance for _/_ bedroom mobi] home. Other NOTE -71 Date Sanitarian Ute::}� 6r0 Pfau - . /0( COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovi+le, California 95965 - Telephone: 916/538-7541 OPLICA110N AND PERMIT �. ASSESSOR PARCEL NUMBER 0-7t– 6 /D — 6 ZONING u BUILDING PERMIT OWNER MCI pOYlou TELEPHONE 5 8°I-4748 SO. FT. OCC. BUILDING VALUATION s� &06.06 OWNER'S MAILING ADDRESS �Q Qd �d/� 434 Lr7tCe e i 200,— CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace (9 � 1600, CONSTRUCTION LENDER UNKNOWN Total Valuation $ O Filing Fee O o. $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .. 21 ob Energy Plan Checking Fee $ 15 6D ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS kO 43`t' tXle Permit fee $ (q(32.� PLUMBING PERMIT Filing Fee 10.00 Each Trap 5 2.00 10,6b Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 jzf USE OF STRUCTURE SF1�1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 qM Mobile Home S I G I W 10.00e TYPE OF WORK New,® Addition ❑ Remodel ❑ Utilities ❑ Installatiort❑ Other ❑ Describe work:•�iPn�QCP1111/1CC.(T/.Y1�1 _ n2(c ��9� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 10.00 100 AMP OR LESS /Da� Main service EA. ADO'L 100 AM �'.LLrh, \R 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.s OR ADONS. ( ACC. BLDGS. 120sgft NEW CONSTR. MULTI -OUTLET NON.RESI0 BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIS. 30 Ex. Occup(OUTLETS OR FIXTURES 120 0 BA03FIXED APPLNS. Ex. Occup. OUTLETS iRESIO.)REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee s 4.51 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating b1Q2a1y F -A - j 5,01 r� 4 2 6-60 Cooling/ O,W Hood 3.00 -db Ventilation au permit Fee S ' S Contractor j I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes.TOTAL I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Con Tactor ❑ Agent ❑ An OSHA permit is required for excavatio ve '0" deep and demolition or construct- ion of structures over 3 stories in height. �ReceiptNo. 2 Mobile Home Installation Fee $ Energy Inspection Fee S 30 ao occ CONST TYPE FEE $ 88I r S0 n ALSCHE HAz CUA PARK PAR PO HO ISSUE Th's permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 'O`Fx &0 /3 X ( 6 43-3 S. 438 •b BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One, -Form per Bia.ilding) ;+ A.P. Number 071-61G-04-8 Building Department No. School DistrictQQd, 0u10rJ Jq,5, City n County Q Jurisdiction Property Owner Le5Tet_ Mc Da»oagh Project Location/Address �Q Ll �Q I2iGt �i� Road, GL" Subdivision Lot Number 14 Residential Development: L pr/a1 WSq. Fo • tage /446 # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New, Addition (Including Exterior Roofed Areas) Building partment epr"sentive atDate a (Floor Plans reviewed by'School District Personnel) i { r trict Id No.,� T /�Di'll.Cl1J School District certifies- that d !rC (Applicant Name) (Phone.Number): (Stre _"t Oddress) (Cis y )• ( State) „ L ( ip , Code ) has complied with the .requirements ofR so w ' on leo. by the payment of $ rep e enting square feet. Sdhool District Reprsentative Date PAID BY CHECK NO. REMARKS BANK NO a PAID BY CASH white -applicant, yellow -building departme� t, piyn��hoo district�� . j SCHOOL.FEE (8/88) COUNTY 01;' BUTTE V&partment of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541. An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. / 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) f 2. I (havelh-av�u—� h1A U G' signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address _ City Phone Contractors License No. 4. •I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone _.Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Ow Social Se.cu ity umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be'completed and returned to our office before we are per- mitted to issue the permit_. 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S. F. . , ' DUPLEX & -MISC. ONLY) Bldg. Permit # as � a - w OWNER `" A.P. # 7 l - - f42 GENERAL 4. Zoning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Energy Design and Compliance. Existing violations on property. Items on data sheet. PLOT PLAN PF omplete parcel size and dimensions. etbacks, sideyards, easements, etc. ther buildings or structures. rading, fills, drainage. lood hazard. pecial conditions on creation map or compliance document. AU & FAS road setback. FLOOR PLAN a • Complete to scale plan with dimensions- • Required windows for light and.ventilation (Sec. 1205). • Required windows for second exit (Sec. 1204). • Skylights (Chapter 34 & Sec. 5207). man impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). FCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. �. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. arage firewall, door size, and closer (Sec. 503(d)(3)). . 1 - 3'0" exterior exit door`(Sec. 3304(e)). . Fireplace and wood stove location, alcoves, and ,clearance. . Smoke detectors .(Sec. 1210). STRUCTURAL DETAILS . oundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details completle enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR airway details: landings, rise and run, head clearance, handrails Guardrail details (Sec. 1711 & 3306(j)). rick or stone veneer (Chapter 30). building. (Sec. 3306). 5/89 RESIDENTIAL•PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) .4/ Exterior plaster - weep screeds (Sec. 4706). Z3. Proper roof pitch for roof covering (Chapter 32). oof covering type - (fire hazard). Rafter ties or bearing ridge beam. I rage door or porch header sizes. equate bracing.ving area over garage- complete 1 -hour separ cluding supporting walls and posts, etc. o exits on three-story dwellings (Sec. 3303 & tic access and ventilation (Sec. 3205). derfloor access and ventilation (Sec. 2516). mbustion air for fuel burning appliances. ise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. Unusual shape, size, or split level house requi lashing at all exterior openings. see Mezannines ___VP 1 -6&- _V_X� ei�l� '11e� - lla� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS (^� PER T 0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916,`538-7541 /� APPLICUTIONIND PERMIT / cj / ASSESSOR PARCEL NUMBER 071-010-043 ZONIN BUILDING PERMIT OWNER LESTER I'�CDONOUGH TELEPHONE 589-4748 SO. FT. OCC. BUILDING VALUATION t , OWNER'S MAILING ADDRESS 434 LITTLE RIDGE RD, BERRY CREEK 95916 CONTRACTOR'S NAME 014NER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee t T $ ARCHITECT OR ENGINEER99 77TLICENSE No. Plan Checking Fee -nn $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 434 LITTLE RIDGE RD BERRY CREEK Permit fee $ 239.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 9X Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G I W @ 15.00 TYPE OF WORK Newr" Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 2NT) RENEMAT, OF BP# 6 —9n —(IST/3241-91) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 118.50 Main service 20CATO 1000AI _ CONTRACTORS LICENSE LAW I declare under pens ty of perjurycheck one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness and Professions Code and my license Is In full force and effect. ` License No. Classification [�► I, as the owner,'or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code f this reason NEW CONST. ( DWELLING OCCUP.&� OR ADDNS. ACC, BLOGS. _37.50 3.60 sq.ft. NEW CONSTR ULT'.OUTLET NON-RES'BRANCH CIRC ITS @ 5.00 POWER APPARATUS IN) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. Occup. OUTLETS (RESID )FIXED APLNS.REA.) ' 3.001. Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ . F WORKMEN'S COMPENSATION INSURANCE I declare under p arty of perjury (chick one): ❑ The permit is for $100.00 (va ua Ion or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I� Ishall not employ any person in any manner so as to become subject �•�J to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue gal �C'said County ' consequenc of the granting of this permit. X Date 00 Ow Signature of Applicant — r � Contractor El ❑ rn OSHA permis req eep a lition or construct - Jrk of structurest Iover 3 stories/�in/�height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P OCC CONST TYPE TOTAL FEES 239.00 HAZ 1 11 111S I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the cions of the Butte County Code and/or indicated above for which fees DI ECTOR OF PUBLIC By PER T EXPIRES Date IU--ZZ--93 applicable provi- resolutions to do have been paid. WORKS Date11-1_� Receipt No. ��I'O`7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT `COUNTY OF BUTTE - D_1partment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your, signature. Please-complete_and'.return this informatio m.at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building :permit will be issued until this verification 'is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) &;/' 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person -(firm) tQ provide the proposed construction: Name Address City Phone Contractors License No. 4'. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: . Name _Address. City Phone_ Contractors License. No.. 5. I will. provide some of the work but I have contracted (hired) the following persons tb provide the'work indicated: Name Address Phone Type of Work Signed: �— Property Own.e-r-�" -" Social Security Number Date�-- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code.. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 021,010,648 ZONING 0 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. �/�-�B}�UILDIN�G�,�`V��ALUATION VD Rj�lLl/,t(j1E& OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace • CONSTRUCTION LENDER EM UNKNOWN I Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00. Permit Fee $OMA ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fees` - $ - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 434 in= Rx". RD M 1iRt C =4 Permit fee $ 239s0. PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF IKI[Duplex❑ Mobilehome❑ Other SPEC) FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobi le Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Mt Describe work: _2111) MUM OP 2202262-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ` License No. Classification f I. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW T. CONSDWELLING OCCUP.tk 3.64 sq.ft. OR ADONS. ( ACC. SLOGS. NEW CONS MULTI -OUTLET @ 5 00 NON -REST BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 7611 EX. Occup. OUT LETS �R ESID 1LNS.REA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �. F -]I shall not employ any person in any manner so as to become subjeet to the W. C. laws of California.(� _ - Notice to Applicant: If after making this statement, should you me subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating CoOlin'r g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ElAgent Elsions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 40 HAZ 1 DFEES IMP FLOOD cDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do Work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 10-22-nte PERMIT EXPIRES Date Receipt No. WHITE-O.P.W.. YELLOW-ASBC330R, PINK -INSPECTOR, GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF DEVE1OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND. PERMIT 93-3625 ASSESSORPARCEL NUMBER 1-010-048 ZONING U BUILDING PERMIT fig OWNER TESTER mcnoNnimm I TELEPHONE 589-4748 SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS THIRD RENEW L CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee @D 2 PRICE $ 994 On ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 434 LITTLE RIDGE RD BERRY CREEK PERMIT FEE $ 244.0121 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF QJ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describework: 3RD RENEWAL/90-2262 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (2ND RENEWAL/92-3961 Main Service ( 101 LISS 00A0 LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLDS. ) 3.50 FSTO.. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ I.50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.I EA. ) 5•�� Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseggjueennc of the granting of this permit. t X- . / V / l SCJ )C' Date `�' �f ' S J Signature of Applicant - 0- Own r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE S 244.0 HAZ- I D. FEES I IMP I FLOOD I COF PARCEL PD HD Iss This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ind' ate above or which fees have been paid. I /ECTOR OF PUBLIC WORKS B W� Date PERMIT EXPIRES ON 6 IDere) ReceiptNo.153478 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - Deparrment;of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) G'J ~ 2. I (have/have not) signed an application for a building permit for the proposed work.'^� 3. I have contracted with the following person (firm) to provide the proposed construction: Name' Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work i Signed: Prope <8ae+e Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. g 'v COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 Proposed Building Use 1. 2. 3, .4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 34. PERMIT APPLICATION DATA SHEET Building Inspector t1application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted......................................... Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. Hazardous Material Form . ............................................. . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). . . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit. ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about '(A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .......... re . Pro4napectionuiesr Pre-inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ) ............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. . . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... ; .................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan chock -list. n. , .._. .0 ............... . When you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other _ Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept., Air Pollution Diate Copy of plans sent Health Dept. Fire Dept. ',�- Other Date By The following data must be submitted prior to: permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION ANb PERMIT ASSESSOR PARCEL NUMBER O✓ /-� ZONING BUILDING PERMIT OWNER �i //J /' �l/O A/�-7' / /�� Y//� a••- l/�� v v l//^ TELEPHONE SO FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS l2� I v( / CONTRACTOR'S 7E jn /v e TELE ONE -I& CONTRACTOR KMAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 30 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS o-6 CEJ l% PERMIT FEE $ C K PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFX Duplex ElMobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other �j �%� �{'� / � 1 Describe o(k.: ` /V (/ � 4 �� F� Z v _ `f') AJ/)7„ !, t • 9 �2 — 3 S� / PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ( '"OR LE Main Service SS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCP. OR ADONS. ( 8 ACC. BLDS.CU) SD 3.50 FT., CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) A SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ +.DD BAL. .so Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ .0cc CONST. TYPE TOTAL FEE $ r 0 " HAZ. I D. FEES IMP FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON --,?Z—� !Date/ Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1� Lester McDonough 434 Little .Ridge Rd. Berry Creek, CA 95916 Dear Mr. McDonough: - . -': -� ': - \! A - ; : , % '_ � , : - 4 : , � - V BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 October 27, 1993 RE: Building Permit # 92-3961 Expiration Date 10/22/93 A. P. # 071-010-048 For: 2nd Renewal of New Home With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: , ❑ Permit work started, but not completed. Permit may be renewed for z the original building permit fee (plus a $ZO.00 filing fee). The renewal permit will extend the building permit for an additional year .from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where .the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Orov;llP office. Thank you for your prompt attention concerning this matter. JFG:hla cc: Building Inspector Attachments: ❑ Renewal.Application ❑ Owner -Builder Information ❑ Owner -Builder Verification Yours very'truly, j' J.F. Glander Manager, Building Inspection Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307 r.. 17-1 ., .. ._ ..— .s ,..� Lvy' �„idlwa..:.L.-+`s..0 �i�J.'S�r.'. w �. 1 � �..r. ��.r� •��••••y .. NOHOO ,.�,✓ t, I•11.w.t.......L..:_.-S�'S.�tl2��;«... f /V r /�� ••• - O C•• �Q VV TL {J(/ '•••...••• Of CA1.��. -kI�__....'��npLPf� r Ui Y t C7^ � 2 �-} / .4L K. � � JAY i . �r7 .. �: � �� w+ l818t t4.eft ,..., / , - _ ... _4..: $r3S{�k'}•�� #ter' � 4 AUUING WRgk Ift Alp P 0 v. ... � � ^" � `y.� +., `�. � � �MIJG'� --1 Iii �'+� �.•� Y// //p .. �. F CIO 114L IP-1 1 �%1-�' , . v G7 070 n r<�_ ! LJ + F.L.Q©tom ' : -/,A,!; .r'TLi 'Ftp TZ. N _ d r N � � -NCS 117 \ �C (v O :r- 09 C'� INC \� �� /�3/�0� ,,��yh�� arm / � �� 1 COUNTY OF BUTTE - WPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OR67 11_1E, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO� Q e� ZONING OWNER PHONE NO OWNER'S DDRESS 4�<_E Irfl6C- A, �� LOCATION OF BUILDINb M' USE OF BUILDING ��d��S'-A 6E SIZE OF STRUCTURE SQ. FT. X = TYPE OF CONSTRUCTION: WOODFRAME_STEEL CONCRETE OTHER (Specify) TYPE OF SIDING Ul?= ROOF COVERING 14,;-- (j 4S_S FLOO TYPE ESTIMATED COST OF CONSTRUCTION io-) a $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: 4 �r FRONT ..a ,4— - SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date �C U Signature of Owner - AG Building is exempt from a building permit. Permit Fee - $25.00 The above descr�be Z; Receipt No., Ra q� FLOOD ARCEL P.D. ROOFING ISSUE Director of Public Works By Date ;z- -I White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTM OkPr 0 -LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOFJNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET c Permit No. OWNER A. . No. f OI" G Proposed Building Use — —kms Building In Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Z AW e you issue the permit, process as follows: Mail to owners Mail to contractor. M Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant, Date -ot SO r Copy.�ofsp(a s sent Health Dept., Fire Dept., Other Date ...-"� The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-naiI—counter by• .date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in —File cabinet AP folder Date r -------------------------- COUNTY OF RUTTI - 05-PARTMFNT OR PUBLIC WORKS 7 County Center Drive o Orovllle, California 05055 a Telephone: 918/538.7541 APPLICATION-ANCITERMIT PERMIT �`0 ASSESSOR RC E - NUMBER 71-01-48 ZONING U BUILDING PERMIT DWNMSTER McDONOUGH T -E H;6RT 589-4748 SO FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS Berry Creek 9 CONTRACT434 OR'S N Mpidse owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee g C $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 994-00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 434 Little Ride Rd Berry Creek Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑X)buplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities`❑ Installation[—Other T'ne1,TA1 /22612—QQ Describe work: 1 et ? Permit Fee Contractor $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, I, as the owner, or my employees with wages as shelf sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTDWELLING OC CUP.&)OR ACDNS. /ACC. BLDGS. '/22sgft NEW MULTI -OUTLET NO N.RESIESIDD. BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 2ALO 30 eLo FIXED APPLES. OR Ex. DCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. FUI I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County in equence of th granting of this permit. Date �/ Signatu,re of Applicant — Owner Contractor ❑ Agent ❑ �1.r1 OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HALcuA PARK CHL FLD c�F PAR Po j HD. ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abo for which fees have been paid. D E OR P LIC WORKS By � Date 9/11/91 /) % -J PERMIT EXPIRE Date / D a w_ �! Receipt No. 100763 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 c APPLICATION AND PERMIT ASSESSOR PARCIEL NUMBIZER 7/� _ L/� ZONING (�. BUILDING PERMIT OWNERe O TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ,p e13y 2_,-/e fit. 9� V Ips//' C2ee% 859/6 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENOER J6 UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .2Z -'/- <3 d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11 59 �1 Permit fee $ 23 S/. Oo PLUMBING PERMIT Filing Fee 10.00 6err CCee Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water pining 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I I 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: i sr RPNeWA op 8? Z762-96 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST.// DWELLING OCCUP.. OR ADONS. l ACC. SLOGS. , /20sgft NEW CONSTR ULTI.OUT LET NO N•R ESID 9RANCH CIRC' ITS (POWER APPARATUS e) l SINGLE OUTLET CIR. 12.50 ea I I ( EX. Occup\OUTLETS OR FIXTURES 12037011 eAL7soa Ex. Occup. OUTLO TS PIRESIO )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 l Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnityand keepharmless the Count of Butte against g y g all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ,on of structures over 3/stories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES HAL CUA I NARK I SCHL FLD GDF -AR PO HD • • ,iSUE i I iI I This permit is hereby issued unser sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC 8y PERMIT EXPIRES Date the applicable provl- resolutions to do have been paid. WORKS Date aeceipt No. L 6670- �Z3� s� .'.NITE-O.P.W.. YELLOW- •36C3500. PINK -INSPECTOR. 30LOENR00-APPLICANr COUNTY OF BUTTE - Depd tment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER•VERIFICATION Attention Property Owner: _ An 'owner -builder" building permit has been applied for in your name and bearing your signature. y Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) w signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Securi� Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we' are per- mitted to issue the permit. Certificate of Compliance: Residential Climate Zone 11 r ? Project Title iy2 0k. 2�a 90 ._ y Budding PermitM - .. Project Address r e., 5 G— 3! Checked By/ Date Documentation Author Tek hone Worcement Agency Use Only BUILDING DATA Glass Area % Glass North 3a a • a Condit; ea //110 Number of Stories East —za -5-- SlabA&isedNumber of .Units South [y'SingleFamily Detached (SFD) [ ] Addition Alone West // aJ [ ] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi -Family (MF) [) Existing -Plus -Addition Tom Q 3 V • S BUILDING SHELL INSULATION. Component Insulation Locaffon/Commerllts Type R -Value (attic, .to garage, r'Tical, etc.) Wall Wall .............._ Roof ............. Roof ............. Floor ............. Floor ............. r f Slab Edge ..... GLAZING Shading Devices Glazing Area Glass.Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) (roller blind etc.) (shadescreem etc.) ( North 719ckness ( ) 3 North ( ) East ( )5 East ( ) South South ( ) West ( )� West ( ) Skylight....... THERMAL MASS Type/CoveringArea a Type (furnace, air Efficiency Location Duct Output conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) A5 11AM 114 V) U9� Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Manufacturer / Model # ``p EO a• Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these treasures regardless oliar?ee .► approach used. Items marked with an asterisk (•) may be superseded by more suinuga compli-noe regwremetiln Hsied nn the rrnifiratr of rnrnrliarrr Whnn ihk rhecklist is inconvratcd into the pS rm„ t dpcumcnts,thq futures noted shall be considered by all parties as binding minimum component performance speciti a ions for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIMON DESIGNER ENFORCEMENT Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. ' §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 permlinch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/ExfiltrationControls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weathers[ripped: all joints and penetrations caulked and sealed §2.5352(e): Special infiltration barrier installed to comply with 02.5351 meets CEC quality standards. :r 1 §2-5352(d): Installation of Fireplaces , r 1. Masonry and factory -built fireplaces have a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control i e. Flue damper and contra 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2.5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback themiosta: on all applicable heating systems. t • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. 62-5314(c): Gas-fired space heating -equipment has intermittent ignition devices. j §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/cxte for insulation (R-16 or greater); fust 5 feet of pips closest to tank insulated (R-3 or greater). §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate return & recirculating t piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off;witch on heater. b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 1 3. Pool cover. 4. Time clock. 5. Directional water inlcL Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT I This certificate of compliance lists tic. Wding feawret and performance specifications needed to comply with 1 Title 24, Chapter 2-53 and Title 20, Chaptri 2. Subchapter4, Article 1 of the California Administrative code- This. certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and trammit the certificate to any subsequent purchaser of the building. Designer Building Own r._-_ t Narne: Name: / v` Male/Firm: Ti Address: Address: I , Tekphonc Telephone Lk. A: (signature) (date) (signature) (date) Documentation Author Enforcement Agency Name: Name: Tttk/Fum: Agewy= Address: Telephone. f. 1. Ceiling Insulation 2. Wall Insulation - Number of stories -120 R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R730 -2 - -1 -1 R-38 0( 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation R -value R-0 R-1 t R-19 R-30 U -value 0.50 0.40 0.30 0.20 0.10 0.08 0.06 0.04 0.02 0.00 Insulation In Floor Number of stories One Two Three -17 -8 -5 .3 -2 -1 0 0 0 3 1 1 -1144 Single- Single - -120 -58 Family Family Multi - Fl -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 1 10 5 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 i 0.08 4 3 2 -3 9 7 5 0.04 14 11 7 I0.06 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation R -value R-0 R-1 t R-19 R-30 U -value 0.50 0.40 0.30 0.20 0.10 0.08 0.06 0.04 0.02 0.00 Insulation In Floor Number of stories One Two Three -17 -8 -5 .3 -2 -1 0 0 0 3 1 1 -1144 -70 -46 -120 -58 38 -95 -46 30 -69 -34 -22 -43 -21 A4 -17 -8 -5 -11 3 .,_4 -6 -3 -2 .1 0 0 4 2 1 10 5 3 Controlled Ventilation Crawlspace 4. Slab Edge Insulation -14 Number of stories -- - - R -value One Two Three R-0 -11 -7-5 0 R-5 -4 .4 3 R-11 -2 -2 -2 R-19 - -1 -2 -2 4. Slab Edge Insulation -14 -48 -- - - �- Number of Stories U -value R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -39 .24 .10 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points Stendatd 0 6. Glass Heat Loss Total -14 -48 -69 -64 U -value %Glass Percent East South .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 .24 .10 4 40 -90 37 -26 .14 .3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 -2-6 13 26 49 -15 •8 .1 7-) 14 25 46 -14 -7 0 7 14 24 43 -12 .5 1 8 14 23 -40 -11 4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 _ 2 12 14 16 _ 18 20 7..Shading (Shade Open) Eft'ectlre Percent Glass (percent stass x SC) Effective -14 -48 -69 -64 na %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na - 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3' 5 1 2 4 2 3, 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 18. Shading (Shade Closed) Effectlye Pes c Class (percent ttass x SC) Effective %Glesa North East South West Sky%hi 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not ak wed 9. Interior Thermal Mass Interior Single- Single - Slab Floor Raised Floor Mass mutt Stories Detached Attached Family Stories 0 0 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 4 -2 0 1 1 0.5 -6 .3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Wall Family Family mutt Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 t 1.40 12 13 9 1.60 10 13 11...... ... 1.80 10 12 12 2.00 10 11 13 11. Heating System 8.5 -9 SE or 13.SPF -6 .5 (assumes ducts In attic) -3 m . 8.9 Sum of 1-6 _ -4 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less AS- -5 +5 " +15 more 0.72 .6.60 0 0 0 0 0 0 0.75 :6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 1 Effective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 b 4to +6 l0 16 or SE HSPF less .15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m SEER (atm me; ducts In attic) Stm of 7-10 . nve z wits -25 or ,24 to r14 b -4 b +6 to 116 or SEER less -15 I -6 +5 +15 more 8.0 .14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 .5 -4 -3 m . 8.9 -5 .4 -4 -3 -2 .2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 _13.0 20 17 14 12 9 6 45% 50% Effective SEER 60% 61f. 70% 75% (SEER xduet eMcIency) 85% 90% 95% Sinn of 7-10 0Y. 0 Effective -25 or -24 to -1410 -410 +6 b 16 or SEER less -15 -5 +S +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 3 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 0.8 10.0 22 19 16 13 10 7 24 11.0 26 23 19 15 12 8 4.1 12.0 30 26 22 18 14 9 30% 13.0 33 29 24 20 15 10 2 2.2 Zonal Control Adjustment 2.8 3 3.2 3.5 3.7 10 8 7 6 4 3 5.1 5.3 No Cooling System Installed 0.7 0.9 -Stories 1.3 1.5 1.7 1.9 22 24 One -5 -4 -4 -3 -2 -2 Two +_ 3 3 2 2 2 1 Single -Family Detached and Attached 5.7 5.9 'i zUnit Size (sQ 1.1 Water 15 1199 12 M '1700 2200 2700 Healer C(edit or b to to :or Type Type less .1699 2199 2699 more 5.7 SG None 0' 11 0 0.. 0 0 1.8 V1 Solar 12 , 8 6 5 4 ' 3.5 1 HP -HWR 8 '5 4 3 3 5.1 WSB 5 3 3 2 2 1 POU 6 5 _24-118-15 4 3 •3 SE None -37 3.1 3.3 3.5 -12 '1 Solar -1 -1 -1 0 0 5.4 HWR -18 -12 -9 . -7 -6 1.3 WSB.. -25 -16 -12 -10" -8 2.8 POU -18 ___-12 3.4 -9 .-7 -6 IG None --5 -3 -2 -2 -2 5.7 Solar 7 5 4 3 2 1.6 POU .3- 2 1 1 1 IE None -28 -19 .14 -11 .9 4.6 Solar 8 5 4 3 3 6 POU -10 -6 -5 -4 -3 -•1.9 Multi -Family (individual units) 25 27 3 3.2 Unit Size (s 3.6 3.8 Water Heater (kedit 699 700 1200 1700 2200 TYPO v TYPO or, less b 1199 to 1699 to 2199 a more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 5.8 WSB 9 4 3 2 2 1.7 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 4.6 Solar 2 1 1 0 0 6.1 HWR --23 -12 -8 -6 '.5 2 WSB -25 -13 -8 -6 -5 3.4 eQU_=23 3.8 -12 -8 -6 -5 IG None • -8 -4 -3 -2 { --2 6.4 Solar 6 3 2 1 1 22 POU_ 1 0 0 0 p IE None 30 -15 -10 R 8 -6- 5.2 Solar 18 9 6 4 4 6.7 POU -8 _4 I -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures or R -value [38] R 19 or R -value [ 11 or R -value [ 19 U -value [0.030] t,,.. , J .o.,.� or R -value [0] F2 factor [0.77] ' � Type double] U -value [0.65] % Total Glass (16] Point Scores % Glass SC Eff. % Glass a. North oP - --k x = b. Eastg • 3 x _ c. Southx = _ I • ��_ �''- d. West -r• n x = . Uo e. Skylight 0 x i-- _ -0 8. Shading (Shade Closed) 0 0 5 Sum 1-6 % Gloms Sc Eff. % Glass a. North oZt x _J..4 b. East - x c. South X - -3-"'• %S --- �- d. West Z x = k' I e. Skylight x 9. Interior Thermal Mass TYPE 1 MASS AREA _ InteriorW-ss/CFA COND. FLOOR AREA / 10. Exterior Wall Mass TYPE 2 MASS AREA 8 Exterior Wall Mass ND. L OR AREA Sum 7- 0 11. Heating System x _ �'- Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or % [0.72/6.6] HSPF [0.56/5.15] 12. Cooling System k)010.x = Zonal Control? ( Y / N) EER [9.51 Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating ' - Type [SG] Credit [none] Point Total: `' Interior MasslCFA . nve z wits fi Jetea`:%`a Ie.rveted .1_b) t TYPE 1 MJ\SS A/.,... (ft4 b ,'Ct4, le: exposed slab) , 0% 6% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 61f. 70% 75% 80% 85% 90% 95% 100% 105% 1101. 115% 120% 125', 0Y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.6 2 2.2 24 21 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 so 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3. 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50Y. 0.9 1.1 1.3 15 1.7 1.9 21 23 2-5.,2.7 3 3.2 3.4 3.8 3.8 4 42 4.4 4.6 4.8. 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 X3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 -•1.9 21 2.3 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1, 6.3 6.5 80% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3:7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 63 6S 67 9D%: 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.8 1.8 2 22 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.6 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 SS 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 1 ift. 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 1.1 115% 2 2.2 2.4 2.62.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures or R -value [38] R 19 or R -value [ 11 or R -value [ 19 U -value [0.030] t,,.. , J .o.,.� or R -value [0] F2 factor [0.77] ' � Type double] U -value [0.65] % Total Glass (16] Point Scores % Glass SC Eff. % Glass a. North oP - --k x = b. Eastg • 3 x _ c. Southx = _ I • ��_ �''- d. West -r• n x = . Uo e. Skylight 0 x i-- _ -0 8. Shading (Shade Closed) 0 0 5 Sum 1-6 % Gloms Sc Eff. % Glass a. North oZt x _J..4 b. East - x c. South X - -3-"'• %S --- �- d. West Z x = k' I e. Skylight x 9. Interior Thermal Mass TYPE 1 MASS AREA _ InteriorW-ss/CFA COND. FLOOR AREA / 10. Exterior Wall Mass TYPE 2 MASS AREA 8 Exterior Wall Mass ND. L OR AREA Sum 7- 0 11. Heating System x _ �'- Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or % [0.72/6.6] HSPF [0.56/5.15] 12. Cooling System k)010.x = Zonal Control? ( Y / N) EER [9.51 Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating ' - Type [SG] Credit [none] Point Total: `'