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HomeMy WebLinkAbout071-460-029_ NELSON GEORGE5 •67 Canyon Creek Rd Berry Creek ` Permit#2314-89p,E(util ELEC.) r,AS- 3898-90B,P,E,M GEORGE, Ne1sqj 4D 67 Canyon yr�,� 7' (new sf) `� �7] 0 162-90 GEORGE, Nelson 67 Canyon Creek Rd, Berry Creek _A� Exemotion Permit (barn, store hay, horses, farm implm) r 071-460-029 06-0309 ' MARK / DAVIS, JENNIFER /JERRY 67 CANYON CREEK DRQ BERRY CREEK Cont: , AG BUILDING B08-1016 071460-029 ry MISCELLANEOUS Electric Panel ELECTRICAL SERVICE FOR WELL & 67 CANYON CREEK RD DAVIS MARK T & JENNI, k k t - - 4 ----ej '4 14 I I, f ,I ro*ft Lrm I I�e I (��l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2.140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds 71 PROJECT INFORMATION Site Address: 67 CANYON CREEK RD Owner: Permit NO: B08-1016 APN: 071-460-029 DAVIS MARK T & JENNI, Issued Date: 06/02/2008 By TMP Permit type: MISCELLANEOUS P O BOX 355 Subtype: Electric Panel BERRY CREEK, CA 95916 Expiration Date: 06/02/2009 Description: ELECTRICAL SERVICE FOR WEL (530) 774-6598 Occupancy: Zoning: U SH Contractor Applicant: Square Footage: DAVIS MARK T & JENNI, Building Garage RemdUAddn P O BOX 355 BERRY CREEK, CA 95916 Other Porch/Patio Total (530)774-6598 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B7534 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 06/02/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ISA I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE to COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or ess. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ,--1 tvt I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS lL! ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers'X 06/02/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. h X 06/02/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. tryl0.Ck �y 5 06/02/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ, code) Owner Contractor OR. ElAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip 4Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). 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. D OR NO) 2. I (HAV 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 THE 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 Description: ELECTRICAL SERVICE FOR WELL & AG WATER Reference Number: B08-1016 Applicant Name: DAVIS MARK T & JENNI, Owner's Name: DAVIS MARK T & JENNI, AP # : 071-460-029 MP Signature of Property Owner: ��ud Date: 4�— 2" F00 g BUTTE COUNTY o�u1 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION" ° ° OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o `=rte o A FEE WILL BE REQUIRED AT TIME OF A PPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY "When Fled, this applic tion and all supporting material becomes subject to the California Public Records Act. All related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name Q0.0 ks First Name pn O 1 Mailing Address �0 ZOX -3 S 5 City 3�C� C�CeCk StateC,q Zp r6 Phone53c>77 `/- 6 5 9 8 Fax E-mail dv�i fS, e .v5 CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENG/NEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT NO. ,&J�-lio (to PROJECT LOCATION AP# O ?/_ Property Address City 0 BIN # WORKER'S COMPENSATION Policy Number Carrier N hiring anyone other than license contractors, a certificate of worker's compensation must be shown attire time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Let- Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Ooc. Type Const BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 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 horticultural 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. ZONING OWNER PHONE NO: OWNER, 'S-ADDR SS 7v 6 ��� J LOCATION OF UILDIN 0"'4) USE OF BUILDING c SIZE OF STRUCTURE J I I a!S 'X'= SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME X STEEL CONCRETE OTHER (Specify) TYPE OF SIPING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ 00 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT M"a n fr) rnlrU rni�✓► -�0 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 about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Q —q— 0(�o Permit F e-$109.9 Receipt No. U Signature of White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date 2'64!:�> - BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. CU . O Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural 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. ZONING -71 — o — OWNER ... PHONE NO: q o - y OWNER'S ADDRESS -- � �59 LOCATION OF UILDING >� USE OF BUILDING SIZE OF STRUCTURE J !�� ' 'X 3�'=� so. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE r ESTIMATED COST OF CONSTRUCTION $ 1. 000 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: '• m,n►�d�7 nl/I! r►^un'1 ' FRONT �t0 rYl ��^�/j SIDES - REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. ev 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 I declare under penalty of perjury that the building will bei used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that.time and before occupancy. •ti Date -� q — 0 1.6Signature of Owner�,e-M.MC� 20aAL-(--Q Permit Fee-$109.98 The above described AG Building is exempt from a building permit. Receipt No.. Ll L-�" _ tet 3R4- FL OD PAS.CEL P.D. - ROOFING ISSUE Manager Building Division ✓ �(` I )_ By IlaDate White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant D BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 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 horticultural 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. ZONING L4In_ - nQCi OWNER mnrv� PHONE NO. OWNER'S ADDRESS _ Gr-" �- LOCATION OF . UILDING' tOr d) (91 ('a ni) USE OF BUILDING J %� I -I 1 i i 1 i r C %t ( i it Y- 4. r> SIZE OF STRUCTURE X 7 - _750 SO. FT. ' TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING tr' P (in r ROOF COVERING I�- FLOOR TYPE ESTIMATED COST OF CONSTRUCTION g -7 (-, W AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT=LQ- SIDES %� M�n,�ui+t IrnoJ �ni;�'►'1 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 about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date q w Permit Fee -$109.9 Receipt No. u'� Signature of The above described AG Bui White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant from a building permit. Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT N0. 16Z 0 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. ZONING OWNER PHONE NO. OWNER'S DRESS O LOCATION OF BUILDING ti N ri ecl USE OF BUILDING ,eN z f/o z- e _ _ J SIZE OF STRUCTURE "so 'X '30 - /'00 SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME y STEEL CONCRETE OTHER (Specify) TYPE OF SIDING g#A "D. &Ae'6. ROOF COVERING - FLOOR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follo :, -5 e -'-w � I e'r � 13 FRONT 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 // — — lO Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt ffm Building permit. FLOODPARCE P.D ROOFINCy ISSUE Receipt No. (K 7C'5/)_-2 Director of Public Works By Date �' White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant ��i CA eoutd*. of, J OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT; Nelson George ADDRESS: 1150 Olive St. CITY & STATE: Chico, CA 95928 IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: February 26, 1992 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT " Owner has decided not to do work. Permit #3898-90B,P,E,M, AP#71-01-125, Receipt #84271, dated 11/8/90 & #93990, dated 6/11/91. Total Permit Fees Paid ----------------------------------- $747.95 LRetain Plan Checking Fee ----------------------- $180.50 I _ iRetain Energy Plan Checking Fee---------------- 15.00 Retain Building Permit Filing Fee-------------- 10.00 j Retain Plumbing Permit Filing Fee -------------- Retain -Electrical Permit Filing Fee------------ 10.00 - Retain Mechanical Permit Filing Fee ----------- 10.00 Total Permit Fees Retained------------------------------- 235.50 TOTAL REFUND DUE ----------------------------------------- I I i I • I TOTAL $512 45 I, the undersigned, leclare under penalty of perjury that the services or articles claimed have been performed or delivere a that this claim is true and correct as stated.ZZA �j Dated this de o[`L! + 19 / Z et �/ uil�. f1 Calif. ........... y ..... ....... ... .......... ..... S elaim lairn I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation U or Specific Board Approval (Check one) for�thesan>e.Dated this,,,,,,,,2nd,,,,,,,,,,,,,,,,,,, day of arc1892 atOroville,Cauf. Heed or Authorized Dep­u*fy�, I Dept. 440-002 Exp. 421USUU uonsj/ rermiLs Code............................................ Code ................................................PAYABLE FROM .................r........................................................................ FUND — A NLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. • F, 41, ,W11Z x.6%4;,7 6-""4 vj-, //s� O/•rr� S�, C��G U • l pv- 0 Mcniorandum TO Building Inspectors Building Department Bulletins p.4TE: The following Building Department Bulletins may be eliminated (#32 dated, all others have now been incorporated into the code); is out - BULLETIN # SUBJECT jS �� Q7�Y C//!if ►4 d -er (tel G. %fir- PG c. (e }< 60 h H CG 1 d r -S e"q • G' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovil le, California 95965 - Telephone: 916/538-7541 APPLICATION ,AND PERMIT ASSESSOR PARCEL NUMBER 71-01-125 ZONIN U IrS-H BUILDING PERMIT OWNER Nelson Go TELEPHONE ext 4896 SO. FT. PCC. BUILDING VALUATION R p 67,400 OWNER'S MAILereAING DO. ESS P.O. Box 163 Berry Creek 95916 60 Cov 600 CONTRACTOR'S NAME Owner TELEPHONE 55 Open 275 CONTRACTOR'S MAILING ADDRESS Fireplace "A11 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 9,355 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $Aa .360 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1�1 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ...15.00 BUILDING ADDRESS 67 Canyon Creek Rd Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Berry Creek Each Trap 9 2.00 18.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each -qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF x❑ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 5.00 Mobile Home _FSTG W 10.00e TYPE OF WORK New J1 Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 3 BR _ Permit Fee $ 48.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCgF"7 OR ADONS. C ACC. BLDGS. 2'/zQsgft' NEW CONSTR. MULTI -OUTLET 2,50 ea 4.5 NON -R I -SID BRANCH CIRC ITS POWER APPARATUS &) OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@00¢ SAL@30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESI0.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 1Virin 15.00 9 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. 1 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 FiIingFee 10.00 Heating 1 6,00 Dual Pak lin Cooling 6.00 Hood 3.00 3.00 Ventilation permit Fee $ 2 5.00 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'L all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse nce of the granting of this permit. Date O X �y / Signature D Applicant - O nerContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition o t ion of structures over 3 storie n eight. Mobile Home Installation Fee $ Energy Inspection Fee ,q $ 30.00 o CONSTPE p TOTAL E I HAz c-- I CUA I PARK I SCH YP( HD ISSUE This permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees qi 9� D E OR� PUBLIC BY i` PERMIT EXPIRES ate the applicable provi - resolutions to do have been paid. WORKS Date Receipt No. 84271 - 56.50// WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT WPM Re"I'MIRR"111 COUNTY OF BUTTE - DEPART ,IIENZ;OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -OR }VILLEyCALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 0 /� A. P. No. Proposed BuildingUses) / Building Inspector 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. �t-- /r _410. Fees of $ 7 �-_- C5.. .i('f.......... 11. Chico Urban Area fees paid ....................................... 12. Park es paid ...................................... �13. > r�'`� fL— S hoof Distri fees paid .............. 14. Sanitation approval from LEE Health Department &-/1- 9 C) 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 ... Certificate of Workmans Compensation Insurance .................. (��4.. Owner-Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Lette of sign ture qythorization . ......... ............. 27. - h @+�K'. oelu 1" When you issue the permit, process as follows: N61 to owner. Mail contractor. Telephone — Y"i 9'61 and hold for pickup at 0 40 office. Deliver w/inspector. Other Applicant Date a Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. _Other__.,_.l , ; DateR By The following data mustjbep6bmitted prior to permit ' suance: ( it le ne item not c e ked above). 1. Index permyf f(orlabove items No. 2. Addition-, items required: 1y/1J� Contractor, designer, owner, was advised of above required data by_phone---nail—counter byz�s_ ..date Contractor, designer, owner, was advised of above required data by—phone —Mai l—counter by date Plans checked by Date //_ 1K Plans approved by " Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 6 C14 -W Y6 Al � - 7/-0/ Owner L cation AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply 7inal clearance O.R. for: Water 'Supply clearance for � bedroom M§WiZ �hom NOTE Date Sanitarian BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ( One' Form per Building) A. P''. Number Building De "� �" f g P .� .•;' artment No. t % s School District (Ir� (l1 r(�I..City County ® Jurisdicti.on Property Owner Nil l5h yi�F (a I�Q— Project Location/Address �� C G M l001M t�FF k r r - Subdivision Lot Number ,�. 'Residential Development: / Q.f�j ® a Sq. Footage �!� t ,/ of Living MHI Addition (Group R7). Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) h A? .:x Building Department Representative Date' (Floor Plans reviewed by School District Personnel) District Id No. % +O L J J School District certifies that (Ap licant Name) (Phone Number) �p% NMLr (Street Address)' J P-0 ( City) ' ( State) (Zip -Code) ) has complied with the requirements of Resolution No. fr ' by the payment of $ o<, �.�,� Y� representing i/��� square feet. School`District Representative /Date PAID BY CHECK NO. � BANK NO r PAID BY CASH REMARKS:i white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) a COUNTY OF BUTTE - Department of Public Works 7 County Centei 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. y 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) 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 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: THIS C*G. SPARED F TOP CHOPO 2X5 F•IR-LAHL-i . f [ GOT CHORD2X4 FIR -LARCH I: WEL'S, 2X4- -LARCH STANDARD CONNECTOR PLATES h0. T. BE INSTALLED IN ACCORDANCE WITH REOUIRE.MENTS OF I.C. .0. RESEARCH PEPOR7 12949. J ALL PLATS ARE TO BE C TEREU ON Tl -SE JOINT. LEFT TO RIGHT AND TOP 00 BOTTOM. EXCEPT N LOCATED BY CIRCLE OR OIHENSIL�l. SEE DRAWING 130 F0= "PLA LOCATiGrx� ON TYPICAL JOINTS.* TOR CHORD SHALL BE LATERALL 6RsCEG Kiri PROPERLY CONNECTED PUTRINS SPACEI AT A MAXIK.N 24" O.C. NOTE: 2X4 13 i-EM-FIP. OR BETTER O TINUOUS LATERAL BOTTOM C,10RO BRACING @ 72 MAX. O.C. REG REG. AT?ACH MITH 2-iod NAILS . BRACING IS NOT6i:1 IF A AMID CEILING IS ATTACHED LIRECTLY TO BOTTOM "+irjRO. BRACING MATERIAL TO BE SUPPLIED ANO ATTAr-1,E[) AT SG EN • TO -A SU:TA$LE i SLPPORT BY ERCT?GN CONTRACTOR. 7X6 f2 2.5X4 PU E,i IW -f (LOACS S O[MENSIONS) SUBMjTT=C BY iFLSS 4F TC X -:-O-- L -R: .0.29 7.70 15.07 18.50 21.53 28.71 BC X -1,01C L -R: 0:29 7.70 15.15 16.50 21.85 28.71 SINGLE CUT WEB 0-2 ENDS: 1. 3.5. 7.9 (U) BOTTOM CHORD CHECKED FOR 10 PSF LIVE LOAD - (A) IX4 OAD.(A)1X4 A3 H`M-FIR OR 8ETTE--3 CONTINUOUS LATE oRACTNC TO 3E EGUAL1Y SPACS-D. ATTACH W?TH (2I od ILS. GRACING MATERIAL TO BE SUPPLIED AND ATTACHEBOTH ENCS D TO A SUITCBLE SUPRORT 8Y ERECTION CONTR GF. CON'NcCTOR BATES CESIGNED FOR G LLWYE;; PER NOS BASLE 8 18. 5,.4 3X8 5X4 A) 1 1 .5X/15-0-0 '� 3X1, 1 .5X4 .3X6 r3x4 t 7-0-0 OVER 2 SUPPOR475 Fr -9931 x- 3.50 - S2 4X4 8.00 2x4 X_ 12-0 4-9934 K= 3.5'J' t7 c! VY 37.1 .Ni ry 1v m 0 ru w 0 v v ' PLT. TYP.-ALPINE SE:tie4--- 5478 Ftg*fISFi A COPY CF THIS DESI6N TO EPECTION CWTPACTOR REV\ 5.1.2 Sr -ALE = 0.1875 " •PIK..aMEPEP P-wout' et v.lsm -Eamma Q"NEVE o" DESIGN cni ` UBC AEF R427--4065 a 0 0 o a cm qct; WOFtt ANT autL c c rcvasmt Fm ARN I NG m wo-mr. m=,- am 15.0 PSF UAIE 10/10/09 0 0 o o p 0 0 =7 �,.. „� ,.�,�,,we a . gym. "as � b.. CA=fC a ft" T.E r� in Ca. W cr,6 sm a..-�.. � � .sem 0.0,,.,.. ao .g1.aOtr.O& . " . UM TC LL - l�.l PM-- TC OL 10.0 1 � % T7 O O O O In'= PC to masolm cow T M. Aunce f,6 ®t9M fW tai W"L C= o p o ..F w.cs—a ae• 70 Q"xx SoLmmo wo s� .e,r s.acc .mmea� .cam wo"31 � CA EC DL t!!) 5-0 P5F CX-EWC Pi ii�T l p QPW=.M loll winma QRS w dsm "" aam 1 ...� � Ta DO-= FdMS .. � �,r .m L=a or 9CMY av as0 som E �•o••,Y !.m .ra...�, ar.� �.� �,,..� TaT 31 _0 PSF QUA LES€_ 29-0-0 C= C' o Z�. S Q 90M..pAMOC urns A* s- ol..c VML0% aacc.� 2CW c�a, -M ms v�+r .nw �..a�ai rv.sao.s � o00 Vrtu � MUM a srcoc .s =ri® s rrsa. m "w me mn -LD- D�.FAC. f . — � 0 o p o 0 oSPACING r. ..aa an xm . 2. resm..2" sac +comm" .maces cams. >r�ICiTLD, •a mm 24.0' TYPE SPEC-- •—vc - TRl6 AAK 1.67fLE .® —�a~L ave RESIDENTIAL, PLAN CHECKING GUIDE 5/89 (S.F.; DUPLEX & MISC. ONLY) Bldg. Permit a �0 OWNER A. P. # _d GENERAL V_ Zoning requirements: (sideyards and number of' permitted living units).. p Valuation. Plans signed by designer. 4. Energy Design and Compliance. ". isting violations on property. s 6. Items on data sheet. PLOT PLAN _ Complete parcel size and dimensions. Setbacks, sideyards, easements,. etc.- Other buildings or structures. Grading, fills, drainage... - Flood hazard. Special conditions on creation map or-compliance.documear. - FAU & FAS road. setback.. FLOOR PLAN i 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) Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207) GFCIs in baths, garage, and exterior -outlets (Article 210-8). :.Light_:fixtures,:switches,_..receptacles, and.exter.ior receptacles,for:'maintenance of:. mechanical.' equipment::'.. Locations of water heater, heating and cooling equipment, other electrical or - .gas equipment, and plumbing fixtures.. Garage 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. 13. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS A:`.' Foundation plan complete enough to construct building. ,2,. loor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details. and calcs,if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head*.. clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). - Brick._ or --,.stone veneer _(Chapter 30) . 5/89 j RESIDENTIAL PLAN CHEGRING GUIDE ---_ MISCELLANEOUS ITEMS TO LOOK OUT FT'OR (COND) wee " screeds (Sec. 4706). Exterior plaster P g ter 32). Proper roof pitch for. roof covering (Chapter Roof covering type - (fire hazard) of ter ties or- bearing ridge beam. Garage door. or porch header sizes.. , Adequate bracing. lete 1 -hour separation -. required' on. garage side Living area over garage -camp _ - including supporting walls and posts, etc. . Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). nderfloor access and ventilation (l6). Combustion air, for fuel burning appliances _ Noise requirements on duplexes. dobe soils -special foundation design.. ,; .. uirin design.. ..Retaining walls req g Unusual shape, size, or split le"vel. house requiring lateral design.: enings. Tashi at all exterior- ops _. r 9l-00568 Retufti to DPW ,AGRICULTURAL STATMENT OF ACIGiOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT S&tion,26-8.1 of the Butte County ,Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein.is adjacent to land or included within, -an' :.r aea zoned within,Cash 91-000568 Rec Fee 9 00 for agricultural purposes, and - residents • 9-:: Q0 .- of this property may be subject to incon=- Recorded � veniences or discomfort arising from the Dfficial•Records ' --., use of agricultural chemicals, including, County o_ f but 'not limited to herbicides, pesticides, Butte - and fertilizers; and from the pursuit Candace J. Grubbs '« -of agricultural operations including, Recorder ; but not limited to cultivation, plowing, 9 c 25am 4 -Jan -91 XX.. ` :3 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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 discomfort from normal, necessary farm operations. All 'that real :property:' -situate in the follows: Date: 1,-2-_ Q0 County of Butte, State of California, described as PROPERTY OWNERS: State of (:�,q, ) On this thea day of -1T)a"MZe1 - , 19 0 , before me, the ) SS. undersigned Notary Public, personally appeared County of Zwlk ) n Z / OFFICIAL SEAL KATHLEEN TAl Personally known to me. ❑ Proved to me on the basis NOTARY PUBLIC -CALIFORNIA of satisfactory evidence. E s BUTTE COUNTY to be the person(` whose name06 ,pppM My Comm. Expires Feb. 16, 1991 subscribed to th within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. % { -(J►.� J %pfV Nota Public 3� A '�O�COJe-/C �r41 o r�,ei t� 9:f "00568 8 8-Z 1 2 3 �. EXHIBIT "A" The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 2, as shown on that certain Parcel Map filed in the Office of the Recorder, County of Butte,'State..of California,'on February 26, 1986, in Book 102 of Maps, at pages 92 and 93. PARCEL B: All that real property situated in the Southwest one quarter of Section 8, Township 20 North, Range 5 East, M.D.M., Butte'County, CA., and being a non-exclusive easement for road and public utility purposes on, over and under a strip of ground 60 feet in width lying 30 feet on each side of the following 'described centerline: BEGINNING at a point in the centerline of that certain road easement described in deed from Gerald F. Miller et al to John C. Stanhope et al dated March 27, 1984 and recorded April 4, 1985 under Butte. County Recorder's Serial Number 85-9523, Official Records of Butte County, from which the most north-easterly corner of Lot 2 as shown on that certainIParcel Map recorded February.26, 1986 in Book 10.2 of Haps, at pages 92 and 93, Butte County Recorder's Office, bears North 73° 33' 20" East, 171.39 feet; thence along said centerline the following courses: 1) North 020 52' 01" East, 239.79 feet; 2) North 20° 55' 15" West, `.40.62 feet; 3) South 61° 58' 28" West; 35.46 feet; 4) South 49° 32' 45" West, 20.99. feet; 5) South 65° 28' 26" West, 17.02 feet; 61 South 70° 001 24" vies t, 226.46 feet; 7) North 72° W-521 West, 39 -feet more or less to the centerline of Oro -Quincy Ilighway and the end'of this description. TOGETHER WITIi an easement for road and,public utility purposes more particularly described as follows: BEGINNING at a point in the centerline ofthe above mentioned road easement from which the Westerly terminus of course number 5 above bears North 70° 00' 24".East,;60.00 feet; thence leaving said center- line South 160 feet more or less to the North line of said Lot 2. PARCEL C: An easement for road and public utility purposes on, over and under the Northerly sixty (60) feet of the following described property: ade0c-Ig The Northwest quarter of the NortWest;\.quarter of Section 17, Township 20 North, Range 5 East, M... M:,,.,,lying Easterly of the Orouille=Quincy Highway as deeded to.the`County of Butte recorded March 6, 1969 in Book 1557 of Official.Reco,rds, at page 102 and recorded August 22, 19.73,.in Book 1857 -'of Official Records, at page 650. END QF DOCUMENT 1 r r • * . The Northwest quarter of the NortWest;\.quarter of Section 17, Township 20 North, Range 5 East, M... M:,,.,,lying Easterly of the Orouille=Quincy Highway as deeded to.the`County of Butte recorded March 6, 1969 in Book 1557 of Official.Reco,rds, at page 102 and recorded August 22, 19.73,.in Book 1857 -'of Official Records, at page 650. END QF DOCUMENT Oroville Union High School 2211 Washington Ave Oroville CA 95966 Reguarding Mr. George's permit to build a new single family at 67 Canyon Creek Road, Berry Creek, A.P. #71-01-125. Mr. George applied today for a refund on his permit #3898-90, no work has been done, no inspections have been made. We are accepting his claim and refunding appropriate amount of permit fees. If you have any questions please call 538-7541. Thank you i�� suite Count L A N D O F NATURAL WEALTH A N D B E A U T Y 'rte DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE # OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. McELROY Deputy Director Oroville Union High School 2211 Washington Ave Oroville CA 95966 Reguarding Mr. George's permit to build a new single family at 67 Canyon Creek Road, Berry Creek, A.P. #71-01-125. Mr. George applied today for a refund on his permit #3898-90, no work has been done, no inspections have been made. We are accepting his claim and refunding appropriate amount of permit fees. If you have any questions please call 538-7541. Thank you i�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 959Q,$ - Telephone: 916/538-7541 APPLICATION AND PMIT ,raj" e/0 - ASSESSOR PARCEL NUMBER - --BUILDING ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER' AILING D RESS o CONT ACTOR'S AME - TELEPHO E CONTRACTOR'S MAILING ADDRESS Q G z y Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS aqvllali 672 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 UCTURE SF❑ Duplex Mobilehome Other Gas pi.giing system 1 - 5 outlets 5.00 Bui):ding sewer 5.00 6bile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation �OthePermit Describe work: 13 45 I< HSPECIFY Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 A ain service 600V OR LESS 100 AMP OR LESS 10.00 M n service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 o the Business and Profess i G de and license is in full f ce effect. License No. Classification ii ❑ 6, as the owner, or my employees with wages as heir sole compen- sation, will do the work,and the structure is not Intended or offered for sale. (Sec. 7044) ❑ as te (Sea. owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NECONST. DWELLING OCCUP.ad , OR A DNS. ACC. BLOGS. /20sgft NEW C ST R. U T.I.OUTLET 2.50 ea NON.RE D .BRA C CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUpf OUTLETS OR FIXTURES eA 030 FIXED A Ex. Occup. OUTLETS P(RESID.)REA.) 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): ❑ T 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that 1 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 nter upon the above-mentioned property for inspection purposes. a o agree to save, ndemnify and keep har ss the County of Butte against I liabilities, judgme ts, costs, and expenses �iIch may in any way accrue a st s id Cou�ionsequence of the grant' g` f this permit. j� X ` Date Signa re Of App cant — Owner ❑ Contractor ❑ Agent An SHA perm' is required for excavations over 5'0" deep and demolition or construct- ion f structur s oveerr 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ v OCCUP. CONST.TYPCJ ISCHOOL FLOOD PARCEL PD / ND S9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date R ceipt No. 1 z) WNITE-O.P.W., YELLOW-ASBESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - [DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION -7 COUNTY CENTER DRIV],-OROVILLE„CALIPORNV 95 - TELEPHONE: 916/536-7541 PERMIT APPLICATION DATA SHEET rPermit No. OWNER , A. P. No. Proposed Building Use _44, Building Inspector 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 N� Health Department 15. City of Chico plumbing permit............ 16. Plot plan and business license approval from City ofd (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, Classification) ... 22. Certificate of Workmans Compensation Insurance ........... �..... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) �.... 2 . Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of signature authorizati .. .................. EjV2 27. �" W en you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 0911 and hold for pickup at office. Deliver w/inspector. Other — 4 _:!f2 Appl ican Date /4 -,!;2 V Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit isstlanc�: Circl n w item not checked above). 1. Index permit for above items No. 2. Additional items required: a designer, owner, was advised of above required data by_phone--jnail—counter by j2n date GJ c , designer, owner, was advised of above required data by—phone _mail 'cougter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date �p r/Icrhnrials £� ��Gt'S�ms+rt-hi�r�tice� and `� ^fir -n the pre�cr: ti °.t•1U';. (;odes an n t t Es iv1•��I�y;►ica 660 O ill - LEECH F I ELD 17-1-4 - '7Is or V. y r BUTTE COL1IdyY DEPANTMFVr OF M.111I1C WORKS 7_County Center nrivei0roville CA — PHONE: 534-4541 MOBILEHOME INSTALLATION SIiEFr 1.. Owner's Name: 2. Installer's Name: - 3. Is the Bite currently under permit? Yes N�� �L (If yes, furnish permit number ------ -_-- - --- -- OR Is the site an existing site? Yesl (If yes. furnish two plot plans,') 4 Will the mobilehome be located at least 5 ft, away from Sep pt ank and leach fields and clear of 311 setbacks and easemenLs? yes. No F-1 (If no, clarify What is the mobilehome electrical rating? --------------- Ampa °�• What is the mobilehome site service rating? -------------- ------ Amps i. What is the mobilehome site circuit breaker rating? ----_ , Amps 6. Ie there any other electric load to be served by the mobilehome eiLe service? ----------- -----•-------------------- Yes No FT (If yes. ident•ify .the load and size: "7'� -..-----( Load) �� (Amps) 5, What is the mobilehome site gas pike Jize? ------------ tD. What is the type of gas service? -------- ]/ ----------- Natural a LPG ,1, What is the gas pipe length from meter or tank to the mobilehome? ---- ------ 7 (f t.) t2• What, is the mobilehome gas demand? -----_ �(T-hia information not required if pile length less nOtugal gas or less than 50 ft, on LPe:• ) ..Q0 � --'''-- ^If oMu� d�xn x ��{c i, H�4i8ebomm Mfr. �uco��h Secuy Mode��r. yc'q . Width .} Box Length Aft') Iugalo`le. o. Ex|`aodo S.tzL. ft, X[` 0u all m"��lebpmam waouf^ctucud after October ?, 1973, furniu\` mzn«nao�u�a��urer"u � � ll 1»" manual and structural setup sheets (if not on file with the County of Butte), , . (check one) d-pre000re treated 01:fom`datjoil 8rade, 2, Other (a�ecj' SUPPORTS (check one) ' Concrete block. 2. Other (op' ify) ---- -' Pier Footing Si/es and Imc�cionu �Nl:!-E -Wym Ulu _2 ^ . ~^�^neTag -� ` --------------___-_______ -----'-----------------'------�-.-L��_ x/ n�. ' ^^ y� z..',u"- --.------' '^.^ o^. of v,on/�pFrom ----Kax_ ----' ^, (o"u°r m=,i"u v"u v~i/)-------' m"°'xu..------ ' Sp" i"n:h4v'......... From wu°-Ka"........ 0. 1. . r'= Enda-max ----------- .^^.'.= ------------- .' ' -__-__- Location (Froo front) ';C Six -Min ------------- o='m"--_------- ur=^"*'m=.......... s,"�/"`+*,'--�-____ Frano"a"+*s --^-- J . ---'---- . IlIne- --.-. .---` '-_---- ----'' ' ------------------------------- ' �����mp --� ___ � ��G�,p~"~' «~_ m--' / ' DOUBLE WIDE PIERING WORKSHEET MODEL: 3�I�1— 3B _ PSF ROOF LOAD PLANT* �d . c SEE NOTE SEE PERIMETER PIERING f ✓�) _ ��,� REQUIREMENTS TABLE SEE MATING LINE PIERING TABLE FRONT OF _ SEE PERIMETER , UNIT PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN DRAWING IN INSTALLATION MANUAL FOR REQUIREMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TABLE* , RIDGE BEAM POST LOCATIONS INITIAL POST AT FRONT 1ST INTERIOR POST 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR STH INTERIOR REAR WALL POST POST POST POST POST PIER LOAD rAPACITY IN LBS. IWO goo Z FOONIMUM a • 3601 - 1A NG SIZE 7� ��� ZD" Pbb't`S FQ.W'N iz v, NOTE: Footing sizes based on 1000PSF soil bearing value. If soil conditions differ seethe piering plan drawing or the,Home Technical Installation Manual for method of calculation. PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED DOORSIDE WALL* ROADSIDE WALL* ' JAMB STUDS AT DOOR OPENINGS 1Z �—>OM AND OVER 24` MASONRY FACED FIREPLACES IN OVERHANG OF FLOOR PORCH POSTS AT RE. CESSED S/WALL WHEN POSTS EXCEED 42` HEAVY APPLIANCES IN OVERHANG OF FLOOR v DIMENSIONS ARE FROM FRONT OF UNIT. r^t x -s-179- lise - ....- I w..r..... AP # ZZ OWNER PERMIT MH UTIL. CLEARANCE DATE Zl INSPECTOR ELECTRIC GAS Support Compaction - Struc. ITest_Req. Service Siz/e% -Other Load Type Pipe Size Len th YES NO YES NO 4/0 t I 4 PERMIT NO. 2314-89P,E(MH) PERMIT EXPIRES�/L�0 NELSON G ORG OWNER Owner CONTR. I . 71-01 �s ASSESSOR PARCEL LOCATION .67 Canyon, Rd, Berry Creek I r I r Temp. Power Pole J Called PG&E I Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature �/. Ir . I 4 PERMIT NO. 2314-89P,E(MH) PERMIT EXPIRES�/L�0 NELSON G ORG OWNER Owner CONTR. I . 71-01 �s ASSESSOR PARCEL LOCATION .67 Canyon, Rd, Berry Creek I r I r Temp. Power Pole J Called PG&E I Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature �/. = OK 0 = Not OK = Not Readiyable MOBILE HOM&S If- Date MO E HOME UTILITIES (Plans) OK except #'s Zo equirements-Setbacks-Easements Special MH Support-Sketch Sewe =''-ation-Test-Fall-C/O-Concrete r; Location-Test-Easement Needed (SkQtch) 0!52ctricity; Location -Cl earan ces-Grnd.,�UfAmp-Cc AO'Gas; Location-Test-Wrap:/ P L" ft. / /"Nat. or/FdPV ftJ/"LPG 7. Utility Clearance Card-Blj= Dates / Card -B1 Date Card -B J �,� 2Dat�j� and -B1 Date Date MOBILEHOME IIS ALLATION (Plans) OK except #'s ' 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to. Grade -HD Approval + 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -B1 Card -B1 MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Card -B7 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date - Card -B1 Date 9. Health Department Approval c 10. Plumb.; Cir. Test -Water Supply Test 0 ICard -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date ` VK = Not OK -RESIDENTIAL (Single and Duplex) = Not Applicable = Not Ready y Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52, Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -Bt Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 66. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -B1 Date 67. Stairs & Rails Card -131 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive -DYes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date 92. Roofing Certificate Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -131 Date 39. Sills, Proper Material & Anchors Card -B1 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) 71 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS JEBMIT NO/� 7 County Center -Drive - Oroville. California 95965 - Telephone: 916/538-7541 S.APOLICATiON AND PERMIT / ASSESSOR PARCEL NUMBEX7I C5 ZO I G BUILDING PERMIT OWNER .QJ TEL ONESO. FT. OCC. BUILDING V LUATI N OWNER'S MAILING ADDRESS a , 1,(, CONTRACTOR'S NAME h TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ki Each Trap 2.00 Solar or heat pump water heater 20.00 LO al SUBDIVISION NAME PARCEL MAP 1 Water piping t Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehometi�ll Other J"'( SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 4S G 0.00e t Jv TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesyInstallation❑ Other ❑ Describe work: ����dY7fi _tea a" / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS too 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 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) ❑ 1, 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.a ,/=2sgft OR ACDNS. ACC. SLOGS. NEW RES'D . U I.OUTLET '2,50 ea _NO ESID .BRA CH CIRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 2ALO 30 eALa90 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities15.60 .per 21- Misc. �yirin 9 0Q 1015.00 1A n 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. 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 Heating Cooling g 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 aid Cp1inty in con nce of the granting of this permit. QQ X Date �'��%�-1 Signature of Applicant - wne Contractor ❑ Agent ❑ An OSHA permit is require For exc ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.110) Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ na Occup. CONST,TYPIJ SCHOOL Ft PARCE %PJND 35UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above. for which DIRECTOR OF PUBLIC �- BY PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��-17 /-0- 1-7 � L� Receipt No. I 1 WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .,'COUNTY OF BUTTE - DEPARTMENTOF PUBLIC WORKS - BUILDING DIVISION 4 s 7 COUNTY CENTER DRIVE- t OVIL•LE,CALIFORNIA 95965 - TELEPHONE: 916/538-7541 .� PERMIT APPLICATION DATA SHEET g Permit No. OWNER. orn A. P. No. �— Proposed Building. U"s"e Building Inspector 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered, truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees,Pa'd............................or ........ 12. — School Distrjct fees paid ................. 3. Sanitation approval from 040„ Health Department ... 14. City of Chico plumbing permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 8. Driveway permit (construction approval required prior to occupancy) ... 9. Pre -Inspection for required . B� lding Inspector tort tO (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. U 23. Recorded copy of Agricultural Acknowledgment Statement ............ iN-24. Letter of signature authprization ......... /..................... . . . x!/25. (n I /II1 lel;- CQZot- •— C'A?-61A AL& 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant ��� _ Date —7—1,7— Copy 7-1,7—Copy of plans sent Health Dept., Fire Dept., Other - Date The following data must be submitted prior to per .t issyance: ircle 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 —ma II—counter by date Plans checked by Date Plans approved by _Date 7= Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance G -,p ow—c-\ e Owner Loc tion AP# Plan Approved .tor:. Sewage Disposal. Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroomobile ome. Other NOTE Sanitarian Date COUNTY ,G-' BUTTE - _ D.epartment * 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) &=. 2. I (have/have not) bay✓e, 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: 011 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 nd .provide the major work: Name Address VCity 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 Security Number - , IF Date gq 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 7 County Center Drive,.Oroville, CA 95965 PHONE: 916-538-7541 DATE1OZ16/89 Nelson George RE:Building Permit #2314-89 PO Box 163 Berry Creek, CA 95916 A.P. #71-l-'125 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / x/ We need the following information: Permit application signed and completed where indicated with all copies returned ... Fees of $ payable to Butte County Treasurer. Certificate of Workmen -'s Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in Structural details in Compfete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan.approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. _ x Sanitation approval from Butte County Health Department,at: 196 Memorial Way, Chico -- - X 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise - Planning approval from Butte County Planning .Department, .7 County Center Drive, Oroville-, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. X/ OTHE R _ A11 wP nPPrt o issue you your permit is sanitation clearance Should you have any questions concerning the above, please contact of this office. Yours very truly., . William Cheff Director of Public Works j .F.. Glander JFG/aj Chief Building Inspector All that 'real property situate in the County of Butte, State of California, described. as follows: Date: PROPERTY -OWNER xL2 State of (o i ni ) On this the a� day of Cor, Pb:rur'.w-to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT f 8.:9 3`7 .4 '` FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code - - requires this acknowledgement be recorded _ prior to issuance of a building permit. ' Fee' 9._00 037444 Rec. ' : • . � g , 00 • • .., g9— �� Check,i. ; The property described herein is adjacent . , • to land or included within an area zoned .Recorded _ for agricultural purposes,. and residents, •,Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte�� use of agricultural chemicals, including, ;-Candace J'. • Grubbs •�'..: but not limited to herbicides, pesticides, Recorder a.�s r BG 3 and fertilizers; and from the pursuit 10:12am 28 -Sep -89 t.._ of agricultural operations including, '4 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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: PROPERTY -OWNER xL2 State of (o i ni ) On this the a� day of Cor, o_rV_%_ 19�, before me, SS. County of �) the undersigned Notary Pub 'n personall ppeared �� �(Yb_/�', ® Personally known to me.' M Proved to me on the basis of satisfactory evidence. TARA J. H® L1. o be the person(s) whose name(s) NOTARY PUBLIGCJILIFORNil1 Jubscribed to the within instrument and acknowledged that . ; Butte County i ecuted the same for the purposes therein contained. IN WITNESS' My C*wdsdon Eome Menh 8,1s..I�EREOF, I hereunto set my hand and official seal. Present A.P. No. N Itary Public r, 8. 4A 88-11.283 EXHIBIT "A" The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 2, as shown on that certain Parcel Map filed in the Office of the Recorder, County of Butte,'State.of California,'on February 26, 1986, in Book 102 of Maps, at pages 92 and 93. S PARCEL B: All that real property situated in the Southwest one quarter of Section 8, Township 20 North, Range 5 East, M.D.M., Butte'Coenty, CA., and being a non-exclusive easement for road pnd public utility purposes on, over and under a strip of ground 60 feet in width lying 30 feet on each side of the following described centerline: BEGINNING at a point in 'the centerline of that certain road easement �^ described in deed from Gerald F. Miller et al to John C. Stanhope et al. dated March 27, 1984 and recorded April 4, 1985 under Butte County Recorder's Serial Number 85-9523, Official Records of Butte County, ' from which the moat north-easterly corner of Lot 2 as shown on that certain Parcel Map recorded February 26, 1996 in Book 102 of Maps, at ! pages 92 and 93, Butte County Recorder's Office, bears North 73° 33' 20" East, 171.39 feed thence along said centerline the following 5 courses: i 1) Borth 020 52' 01" East; 239.79 feet; 2) North 20° 55' 15" {-lest, A40.62 feed 3) South 61° 58' 28" West; 35.46 feet! 4) South 49° 32' 45" 14est, 20.99 feet; s�L 5) South 65° 28' 26" West, 17.02 feet! +�. 6) South 70° 00' 24" West, 226.46 feet; 7) North 72° 48!•52" West, 39 -feet more or less to the centerline of Oro -Quincy highway and the end of this descripticn. TOGETHER WITH an easement for road and public utility purposes more particularly described as follows: u:rT :KING at a point in the centerline of the above mentioned road easement from which the Westerly terminus of course number 5 above bears North 70° 00' 24" East, 60.00 feet; thence leaving said center- line South 160 feet more or less to the North line of. said Lot 2. PARCEL C: An easement for road and public utility purposes on, over and under the Northerly sixty (60) feet of the following described property: :tri , �{ { l i s. S J n e', ✓,�. Ct , i t. �J t The Northwest quarter of the Northwest quarter of Section 17, Township 20 North, Range 5 East, M.D.M., lying Easterly of the f. Oroville-Quincy Highway as deeded to the County of Butte recorded March 6, 1969 in Book 1557 of Official Records, at page 102 and recorded August 22, 1973, in Book 1857 of Official Records, at c page 650. END OF DOCUMEW END OF DOCUMENT BUTTE COUNTY DEPARTMENT OF PU811C WORDS 7_County Center Drive, Oroville CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHT;ET ' ' L . Owner's Name: 2.1 Installer's Name: 3. Is the site currently under permit? (If yes, furnish permit number Is the site an existing site? . Yes Yes I� (If yes, furnish two plot plans.) 4. Mill the mobilehome be located at least 5 ft, away from septic ank and leach fields and clear of all setbacks and easements?1 Y e s No L_l {If no, clarify ,t What is the mobilehome electrical rating? --------------- Amps 6< What is .tha mobilehome site service rating? -----.- ------ ` - Amps 7. What is the mobilehome site circuit breaker rating? ----_ �� Amps b< Ia users any other electric load to be served by the mobilehome site service? ----------------- ----------- ------------.----- Yes No ❑ .. (If Yes, identify the load and size: . (Amps).. 9, What i8 the mobilehome site gas pipe size? --------_ (in.) W. What is the type of gas service? -------- ----------- Natural � LI'G %1. What is- the gas pipe length from meter or tank to the mobilehome? > •+.L`<What., is the mobilehome gas demand? -----__--- • .' .------------ (BTU) • (T-hia information not required if pi'pc length less than 6 ft, on natural gas or less than 50 ft, on LPG.) } 1�'IOl3t.l.lillO1�!': l:L'I"(. KJ: Jf othoi: than ♦,iJIq L'e! 1:• Nobilehome Mfr. -elev'0010�7 iurnish Setup Model PIo. Zn/° Year Width (ft.) Box Length_ (f.t.)' 'Tagalong or Fxpando Size ft, x ft On all mob lehomes manufactured after October %, 1973, furnish manufacturer's utanual and structural setup heets (if not on file with the County of Butte)-. F'OO'TINGS (check one)ffil . ood-pressure treated or foundation grade.0 2. SUPPORTS (check one). Concrete block.�2. Other (Specify) 1ne i Plats; Pier Footing Sizes and Locations S1Nr.LE-N1Ue (,jne 1 ¢` FIIII.T1_NIDP. Line_1 �- -• Na,_Iii Beans LIU _2 tn.. 2 Tag or Triply I Siae-Min. -- Op�✓✓//Y�S .2y// Spacing -Max.......... Fcnm Endo -Mas. ----._ . i.n9tallatiou Other (spec.i.f, Llnc_ 1_ UscninU: . ti1r.n-Nln. Each Side of oppniugo I Wlth Width ovor--------- Site-Min - -------- Line plera: (Under Uuaring Wall Un1y) Sise-Min---------:.._ 77// ..X Siac-Min- ___ 3Pat Ing -Kau . Ce, /+ l.x • �• - J - i0 '• .' S qac lu !li„c. From Enda-Man........ Froze Endo -max .------------- 1na loado - Size -Min. -----------' O' I'x Loc at Bon (Free Front)11x n x n Fie o: ._-^"._- - - •- :.-.:...� �- --- ..._ _ llec S_I'7c[n; (Under Ucnring 'A-11- 6,77 S1ac-HSa.------------ ..x .. Size•Min..-- ----•- r Spuc Ing -Max. -- From Enda-Mea. -.-._ -- �_ - Fran Enda-Max-------------- rg Sfne-Sine-Min ------------- Min----•-------- -- -'—......-- --- -- - -- -- -a x x Location (From Front) _...—�_�—-----_'�-__x_--- --•..x —. x DOUBLE WIDE PIERING WORKSHEET MODEL:- 3�1�1- 3b =�h PSF ROOF LOAD PLANT��_ SEE NOTE SEE PERIMETER PIERING REQUIREMENTS TABLE —SEE MATING LINE PIERING TABLE— _' _,46 —FIEONT OF SEE PERIMETERLIN- IT PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN DRAWING IN INSTALLATION MANUAL FOR REQUIREMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TABLE* , +IDLE BEAM INITIAL POST IST INTERIOR 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR STH INTERIOR REAR WALL GST LOCATIONS AT FRONT POST POST POST POST POST POST ,IER LOAD M 'APACITY IN LOS. Z7w aIITlNG SIZE X a,C • lA 4 M ZD Pabimw F' t NOTE: Fo=Nlloizmese based on I OOOPSF soil bearing value. if soil conditions differ zee the piering plan drawing ry or Technical Installation Manual for method of calculation. PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED DOORSIDE WALL* ROADSIDE WALL* ' JAMS STUDS AT ^DOOROPENINGS OVER 24' AIVQ ,� S —D 3�! (p•' /ANO � b L&" OVER E;IsASONRY FACED FIREPLACES IN OVERHANG OF FLOOR PORCH POSTS AT RE- CESSED S/WALL WHEN POSTS EXCEED 42" HEAVY APPLIANCES iN OVERHANG OF FLOOR DIMENMONS ARE FROM FRONT OF UNIT. 5 .129' ties .Certificate of Compliance: Residential Climate Zone 11 �t P - ry Protect Tide % Duct �Q ��d /�• (9 Type (furnace. air Efficiency Building Permit M 4—S y-p�5 Project Address Output 1 ;7 Pei�- etc.) Checked By / Date Documentation Author Telephone GLAZING Enforcement Agency Use Only Glazing Area Glass Type Interior Exterior Overhang Framing Type BUILDING DATA ���,p� Floor Area Number of Stories 1p, (metal/wood) North East Glass Area % Glass 5 3, Jr =c� 7q. Z5 . Gegdi�ioned 1 East - r J Maximum Furnace Heating Output: Slab/Raised Floor 17- Number of •Units 4— South '12,1 Single Family Detached (SFD) [ ] Addition Alone West ( ) y (] Single Family Attached (SFA) [ I Existing Building Skylighta O ., [ ] Multi -Family (MFS ( ] Existing=Plus-Addition Total 11,6 : BUILDING SHELL INSULATION. Component Insulation Locaffon/Commerlts Type R -Value (attic, .ter garage's ripia8l. etc.) Wall .............. /3 WaU .............. : Roof .............. HVAC SYSTEMS Minimum Duct Roof ............. Type (furnace. air Efficiency _ Floor ............. Duct Output Floor ............. conditioner. heat pump) (SE. SEER.HSPF) etc.) Slab Edge..... . . (or approved equal) GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (singles double) (Zoller blinds etc.) (shadescreen. etc.) (yeshto) (metal/wood) North ( ) , 5 d tClQ North ( ) East Maximum Furnace Heating Output: -East ( ) Btuh South ( ) '. Z .r HOT WATER SYSTEMS Tank Manufacturer/Model # SOU th ( ) West ( ) y West ( ) 'Skylight ....... O • r ., THERMAL MASS Type/Covering Area Thickness (slab/exposed. tiles etc.) (SO (inches) Locati_o-n/DCScripdon (kitchen. bath. etc.) s 190 - + SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF lR NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the complies= approach used. Items marked with an asterisk (-) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features toted shall be considered by all parties as binding minimum component performance specifications for Use mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DFSCRJPrION 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(ky Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed mocts California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Loners 14 and 16 only. §2.5317: Infiltration/Exfiltation Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit air leakage. b. Doors and windows certified. c. Doors and windows weathcrsrrippcd: all joints and penetrations caulked and sealed. §2.5352(e): Special infiltration barrier installed to comply with §2-5351 moets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a Tight fitting. closeable metal or glass door b. Outside au intake with damper and coned e. Flue damper and control 2. No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2.5314(c): Gas -fund space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters, showerheads and fauces citified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior insulation (R-16 or grater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-53 18(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. ' 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/wart 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 This certificate of compliance lists the building feattim and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Qupt�cx2. Subchapter 4. 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 transmit the certificate to any subsequent purduwr of the building. Designer Building Owner Name: Names Tuk/FrmL Z';�n,,, Address: Address: Tekp%onc Telephone: Lic. 4: (signature) ' (date) (signature),,...- Documentation si6nattue) Documentation Author- Enforcement Agency Name: Tidc/Furn: Agency. Address: TeL HVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location Duct Output Manufacturer / Model # conditioner. heat pump) (SE. SEER.HSPF) etc.) R -Value (Btuh) (or approved equal) �(attic, Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # s 190 - + SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF lR NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the complies= approach used. Items marked with an asterisk (-) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features toted shall be considered by all parties as binding minimum component performance specifications for Use mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DFSCRJPrION 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(ky Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed mocts California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Loners 14 and 16 only. §2.5317: Infiltration/Exfiltation Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit air leakage. b. Doors and windows certified. c. Doors and windows weathcrsrrippcd: all joints and penetrations caulked and sealed. §2.5352(e): Special infiltration barrier installed to comply with §2-5351 moets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a Tight fitting. closeable metal or glass door b. Outside au intake with damper and coned e. Flue damper and control 2. No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2.5314(c): Gas -fund space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters, showerheads and fauces citified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior insulation (R-16 or grater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-53 18(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. ' 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/wart 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 This certificate of compliance lists the building feattim and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Qupt�cx2. Subchapter 4. 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 transmit the certificate to any subsequent purduwr of the building. Designer Building Owner Name: Names Tuk/FrmL Z';�n,,, Address: Address: Tekp%onc Telephone: Lic. 4: (signature) ' (date) (signature),,...- Documentation si6nattue) Documentation Author- Enforcement Agency Name: Tidc/Furn: Agency. Address: TeL 1. Ceiling Insulation r Single- Number of stories Number of stories R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -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-11 R-19 R-30 U -value - ..0.60 . 0.50 0.40 0.30 0.20 0.10 0.08 0.06 0.04 0.02 0.00 Insulation in.Floor Single- Single- Number of stories -58 Famiy Famity Multi - R -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 0.08 4 3 2 0.06 9 7 5 -55 14 11 7 j I0.04 0.02 19 '14 10 0.00 24 18 12 3. Raised Floor Insulation R -value R-0 R-11 R-19 R-30 U -value - ..0.60 . 0.50 0.40 0.30 0.20 0.10 0.08 0.06 0.04 0.02 0.00 Insulation in.Floor -70 -46 Number of stories -58 One Two Three -17 -8 -5 -3 -2 -1 0 0 0 3 1 1 -144 -70 -46 -120 -58 -38 -95 -46 30 -69 -34 -22 -13 -21 .-14 -17 -8 -5 -11 -6 -4 -6 -3 -2 -1 0 0 4 2 1 10, 5 3 Controlled Ventilation Crawlspace 4. Slab Edge Insulation -69 Number of stories --' ' R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation -69 -64 --' ' 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 5. Inriltration (Air Leakage) Specification:.` Points Standard 6. Glass Heat Loss Total -69 -64 na -42 U -value East 'Percent .West Skylight .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 I 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 i 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) ---ERectire Percent Glass (percent glass x sC) Effective ' -69 -64 na -42 %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 7 7 8 3.0 fB. Shading (Shade Closed) Effective Perteat Glass (percent glass x SC) Effective %Gleam North 18 -14 16 -12 14 -10 12 -8 11 -7 10 -6 9 -5 8 -5 7 -4 6 -3 5 -2 4 -1 3 0 2 1 1 1 0 2 na • rat allowed Est South WWI SlAht -48 -69 -64 na -42 -59 -55 na -35 -50 -46 na -29 -40 -37 na -26 -36 -33 na -23 -31 -29 -74 -20 -27 -25 -65 -17 -23 -21•. -56 -14 -19 -18 -47 -11 -15 -14 -38 --9 • -11 -10 -30 -6 -8 -7 -23 -4. -5 • -4 -16 -1 z -1 -9 1 1 1 -4 3 4 3 0 9. Interior Thermal Mass Interior Single- Slab Floc' Sum of 1-6 Raised Floor . Mass Family Staie's Q Stories Attached /CFA One `Two $ Three:; One :•• Two Three . 0.0 -8 -5 d -2 „-1 s b 1 0.1 �. _ ..-8-5 10 12 3 1 0 - =0f, 0.3 - "4 .-4, -2 • 0 1 1 0.5 -6 -3 �-1 1-1 5 2 0.7 -5 -2 -1 1:, 2� ' i ,2 .: 0.9 -5 -1 0 2 3 3. 1.1 -4 -1 1 _ 3 ,' . 4 4 1.3 -3 0 2 3 4 x5 1.5 -3 1 2 4 5 5 2.0 -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 - Sum of 1-6 Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20. 0.40 3 5 2 4 1 3 0.60.-' 0.80 8 10 6 8 4 5 1.00 1.20 13 13 10 12 7 8 1.40 1.60 12 10 13 13 9 11....: 1.80 10 12 12 200 10 11 13 11. Heating System SE or RSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m SEER (assume) ducts In attic) Still of 7-10 -25 or .24 to 04 to -4 Io Sum of 1-6 16 or SEER less -15 l .6 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -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 6 3 Effective SE or HSPF WSB (SE or HSPF x duct efficiency) 3 2 Effective -25 or -24 to 41a" -4 to +610 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 (assume) ducts In attic) Still of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 -25 or .24 to 04 to -4 Io +6 to 16 or SEER less -15 l .6 +5 +15 more 8.0 -14 -12 :_ -10 -8 46 -4 8.5 -9 -7 -6 -5 -4 • -3 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 =- 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 3 3 WSB 5 3 3 2 ERedive SEER POU 8 (SEER xauct efficiency) 4 3 •3 1,1::n of 7-10 None -37 Effective -25 or -24 to -1410 -410 +6 to 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11, -9 -7 -6 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 POU 10.0 2219 16 13 10 7 None 11.0 26 23 19 15 12 8 Solar 12.0 30 26 22 18 14 9 POU 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 Interior Mass/CFA . tl. �.ulwC•..2) t TYPE 1 LUSS (01MC 4.2, ie: exposed slab) warpetsd slab) -� 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 6954 70% 75% 80% 85% 9076 95% 100% 105% 1109: 115% 120% 125` 0% 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 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 23 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 1.8 2 2.2 24 27 29 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 22 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 58 40Y. 0.7 0.9 1.1 1.3 1.5 - 1.7 1.9 2.2 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 50% 0.9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.6 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 5.6 5.8 6 6.2 W% 11.2 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 63 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 55 5.7 5.9 6.1 64 709: 1.2 1.4 1.6 1.8 2 22 2.5 21 2.9 3.1 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 15 1.7 1.9 21 2.3 25 2.7 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 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 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 90Y.' 1.5 1.7 2 2.2 2.4 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 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 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 55 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 7 110% 1.9 2.1 2.3 2.5 27 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 69 7.1 115% 2 2.2 2.4 2.6 2.8 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 25 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 Measures 1. CeilingInsulation ,E 30 or. R -v ue [38] . U -value [0.030] 2. Wall Insulation or -va ue 111) U -value [0.098] 3. Raised Floor Insulation or R-value[19) U -value [0.037] 4. No Cooling System Installed S. ;-Stories • 6. Glass Heat Loss 7. Shading (Shade Open) ,q, O a. North One -5 -4 A -3 -2 -2 Two +. 3 3 :: 2 2 2 1 Single -Family Detached and Attached % Glass SC Unit Size (SO X Water ;199 1200' '1700 2200 2700 Heater Credit or 10 to to , or Type Type less'!1699 2199 2699 more SG None 0 1t 0 0.. 0 0 1 or Solar 12 " 8 6 5 , 4 HP - -HWR' 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 5 4 3 •3 SE None -37 -24 -18 -15 -12 "i Solar -1 -1 -1 '0 0 HWR -18 -12 -9 -7 -6 WSB... -25 -16 -12 -10 -8 1 POU -18 _.=12 -9 7_ -6 IG None -5 -3 -2 -2 -2 Solar 7: - 5 -4 3 2 POU .3.- 2 1) 1 1 IE None -28 -19 -141 '-11 -9 Solar 8 5 4• 3 3 POU -10 -6 -5 A -3 Multi -Family (Individual units) ' Urtit Size (b Water 699 700 1200 1700 2200 Heater Credit or to to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 Solar 2 1 1 0 0 HWR --23 -12 -8 -6 '-5 WSB -25 -13 -8 -6 -5 _PQU__23 -12 -8 -6 -5 IG None -8 -4 -3 -2 ; -2 Solar 6 3 2 1 l 1 - _ POU 1 ` 0 0 0 0 IE None ---30 15 -10 ' -8 - 6 Solar 18 9 6 4 4 POU -8 A -3 :2 -2 Interior Mass/CFA . tl. �.ulwC•..2) t TYPE 1 LUSS (01MC 4.2, ie: exposed slab) warpetsd slab) -� 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 6954 70% 75% 80% 85% 9076 95% 100% 105% 1109: 115% 120% 125` 0% 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 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 23 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 1.8 2 2.2 24 27 29 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 22 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 58 40Y. 0.7 0.9 1.1 1.3 1.5 - 1.7 1.9 2.2 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 50% 0.9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.6 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 5.6 5.8 6 6.2 W% 11.2 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 63 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 55 5.7 5.9 6.1 64 709: 1.2 1.4 1.6 1.8 2 22 2.5 21 2.9 3.1 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 15 1.7 1.9 21 2.3 25 2.7 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 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 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 90Y.' 1.5 1.7 2 2.2 2.4 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 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 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 55 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 7 110% 1.9 2.1 2.3 2.5 27 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 69 7.1 115% 2 2.2 2.4 2.6 2.8 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 25 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 Measures 1. CeilingInsulation ,E 30 or. R -v ue [38] . U -value [0.030] 2. Wall Insulation or -va ue 111) U -value [0.098] 3. Raised Floor Insulation or R-value[19) U -value [0.037] 4. Slab Edge Insulation S. Infiltration • 6. Glass Heat Loss 7. Shading (Shade Open) ,q, O a. North = b. East �. c. South = d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Point Scores PL - or R -value [0] F2 factor [0.77] Standard 0 Type doubt U -value [0.65] Bio Total Glass [ 161 Sum 1.6 % Glass SC Eff. % Glass a" / X . 27_ ,q, O x = 3 -C)r �. X = ' FS O > X = U -a % Glass SC Eff. % Glass X �G = - 0 X = oZ X 3,5 X X = O TYPE 1 MASS AREA % Interior NrtssICFA COND. FLOOR AREA TYPE 2 MASS AREA B Exterior Wall Mass ND . L OR AREA - 01- X SE or HSPF � Duct Efficiency [0.78) Effective SE or [0.72/6.6 HSPF 10.56/5.151 p/ X 0 SEER [9.5] Duct Efficiency [0.74] Effective SEER 7.03] Type [SG] Credit [none) :LL D Point Total. � . t N , S �PTIC TAN K � I_r_..__.__ »____1 , I 3 1 CREEK ---- ig ,CiRs..i!� ,CT , practice, ri nd cc C�Q yv celon rr 4r ip ;?may k it a a eui.o3N AF'1pgovet) � s BLOOMER MT. PRODUCE 3bo� � A, P. 71-01-125 NELSON GEORGE (916) 895--4896 P,O.00X 163 =BRR CCA. s