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071-480-009
Robert Gan& NIS Lumpkin Rd.,app.7/10 mi.E.of Big Ridge Rd.(7635 Lumpkin Rd.) Permit #3555-81P,E(util:,M i) ELEC. 7- 22 47 2o�AZoA GAS 7 -22 -BZ Non/E SUPPORT STRUCTURE REQ. le COMPACTION TBST REQ. /R --O _ Permit 1#1157-8 Enewsingle r%family) N 1�7/ %QMT GAN 2297 Lumpkin Rd PErmit#116-88A(Agricultural Bldg Exemp hors_ e_stally,sty, Q feed) Permit#4016-88B,P,E, -- - - .__._ (�+�single family Permit 67 9M(swamp cooler) /,0—/ 5 l ml-4so-moi y. • �i Robert Gan& NIS Lumpkin Rd.,app.7/10 mi.E.of Big Ridge Rd.(7635 Lumpkin Rd.) Permit #3555-81P,E(util:,M i) ELEC. 7- 22 47 2o�AZoA GAS 7 -22 -BZ Non/E SUPPORT STRUCTURE REQ. le COMPACTION TBST REQ. /R --O _ Permit 1#1157-8 Enewsingle r%family) N 1�7/ %QMT GAN 2297 Lumpkin Rd PErmit#116-88A(Agricultural Bldg Exemp hors_ e_stally,sty, Q feed) Permit#4016-88B,P,E, -- - - .__._ (�+�single family Permit 67 9M(swamp cooler) /,0—/ 5 l ml-4so-moi y. 1 PERMIT NO. 3555-8 P,E i PERMIT EXPIRES 7 } ; OWNER Robert -.Gann CONTR. owner ASSESSOR PARCEL 71-05—$$ LOCATION NIS Lumpkin'Rd.,app.7/10 mi.E.of �' yy Big Ridge Rd.,(7635 Lumpkin Rd:) f i 4t A 4t ' Temp. Power Pole Y, Called PG&E _ t Temp. Elec. Service- - °Called PG&E •n Temp. Gas Service Called PG&E 1 JOB FiNALED (Date) i. {+ Signature ' �t :.0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive=-,Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. -J' .`ter 1 c' ASSESSOR PARCEL NUMBER J'' C!S - `d ZONING .-,� ;.: t7 �!➢%., BUILDING P PERMIT OWNER l�G t1.�6'h-. / �r /�l� f / �/ TELEPHONE ',af ;.: BUILDING SO. FT. OCC. BUI OWNER'S MAILING ADDRESS ,. 13 Tri9,� a..'C&L D CONTRACTOR'S NAME (1 Gt✓ti` � k_ TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace 4—$_ I otal Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee /.t �(� ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS U,,C'/( j#A# /� �t} �p� '%�� �(,��� : PLUMBING PERMIT Filing Fee 10.00 j Each Trap 2.00 Repair drainage or vent piping 5.00 „++j�/ �i/t(i1 Water piping LOT NO; SUBDIVISION NAME PARRCEL MAP r .' '? 3 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑6/Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ` Installation❑ Other ❑ Describe work: Permit Fee $ri'GU Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 .7-_U NEW CONST. (DWELLING OCCUP.y\ 2Q S(�ft OR ADDNS. 1 ACC. BLDGS. / CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification © I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON•RESID R. BRANCH ciRCTI r3 2.50 ea NEw CONSTR. (POWER APPARATUS S) NON RES D. \SINGLE OUTLET CIR. e0 @ zea Ex. Occup(OUTLETS OR FIXTURES BAL@1 FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 �t ! V P Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. O 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 enfequpon the above-mentioned property for inspection purposes. 1 also agreeoto save, indemnify and keep harmless the County of Butte against all liabilit`es,./judgmgnil, costs, and expenses which may in any way accrue against said ,County 6consequence of the granting of this permit. X ? T/Y. 0V / f 7 -” Date ' f Signature of Applicant - Owne'r l Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 11-31 t� 0CCUP. GROUP TYPE OF CONST. PAR EL PD �,�` r HD - SSU This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS �7} By 'e'� __i iL,, �.• . Date PERMIT EXPIRES Date (/) Receipt No. � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT VALUATION J = OK . O = Not OK - = Not Applicable * .= Not Ready MOBILEHOMES T MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s . Zoning Requirements -Setbacks -Easements _ ' Date DECKS, -COVERS, CARPORTS, ETC. (Plans) OK except #'s 1."Zoning. Requirements -Setbacks -Easements go -*Toils; Special MH Support -Sketch - 2. Footings; Size -Depth -Spacing -Connectors 4PSewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ater; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts- Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-60'0 Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures L" ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors Clearance 7. Elec. Card -BI / ate C BI ate --;-;X," Z_ Card -BI Date Card -BI Date Card-BI4,____--Date/.)--.1-I— Yf Card -BI Date Card -BI Date Card -BI Date Date 'MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to.Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK O = Not OK w , _ti - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab 50. 51. 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggets Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date. '' Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. O.W.V.; Test-Fttngs & Anchors -Nail Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrrit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec, Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except H's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - --- Card -BI Date Card -BI Date Card -BI __Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing _41. 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 —: 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. OIWAC447' 111MCuf 'OK., DA) o I � ♦ 3}�.%l�jf Inspector ALIVI Date 4 ♦ Y PERMIT NO. 4016-88B,PE,M Q PERMIT EXPIRES v OWNER ROBERT GAN CONTR. owner ASSESSOR PARCEL 71-05-88 LOCATION 2297 Lumpk•in Rd, Oroville -c " 1 t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) 4 Signature f / a wn'-`.�:�,"�.-:�_�-,r�t3'r:y.:5��:y�.•'..,:..,cys.tC-�...�..+4'+�'4••.^t"'�r�...; , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE T A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,�oKneed additional explanation, please contact this office immediately. ., .. ♦ A (Pab— Inspector Date [ �q — iA i, COUN�TYY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road,- Paradise — Phone: 872-6307 i CORRECTION NOTICE �n �► 404 W - OWNER PERMIT NO. t A routine inspection indicates that the following violations of County Ordinance n exist at the above address and should be corrected. Please notify this office K when correction of work is completed. If you have any question pertaining to this y matter, or need additional explanation, please contact this office immediately. �wqqq ti x, 4— r j D � It I Inspector t Date �7►r'FP7"v'."f�'a%c'�tS�T".'���•'y�-�.�•. "Y'�>'{=�. Y�; �.�-;.i:•i ? X� y �� .. i�: ti�•..:�7 Si COUNTY OF BUTTE V i DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ry . 4tr; INER PERMIT NO., 5.. 5 v A routine Inspection indicates that the following violations of County Ordinance s_ exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional ,explanation, please contact this office immediately. ;5 (� iz `R } Inspector Gam' Date �� ry . 4tr; / �J g: t� Q; � r$ a .1 'a Inspector Gam' Date �� 3, ... , :: ... w' � - .fir • - � � � ' �•��.L LAND OF NATURAL WEALTH AND BEAUT [DEPARTMENT OF,PUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 T•I•v^awe: (916) 53454) wILLIAM (Bill) CHEF November 16, 1989 Directc Robert Gan RE: Building 2297 Lumpkin Road g Permit NO . Q/G - .Oroville, CA 95966{Fires_ �2 — Z Dear Mr. Gan: With reference to the above subject, our records indicate that your Building - Permit will expire on the above date. Building r and should construction be star o permits are valid for one year ted but not completed by the expiration date Of - the permit, the permit shall be renewed for 1/2 the original Fee (plus a $10.00 "Pilin Fee"newal Building Permit - Permit for an additional year from the original pexpiration extend the Building ate., _Shouldyou not renew your permit in a timely manner, it cannot be renewed and all worms. must cease until a new building permit is issued.. If your construction is completed or�sh.ould you have any question concerning ' this matter,'please' contact the o - - nrwi 1 1 P - office.. :. For your convenience, we are enclosing a renewal application form and anowner- builder form to be completed and signed by you where indicated. and returned to ..this office together with the fee shown. Please return all copies of -the application form. Thank you for your prompt attention concerning this matter. Yours very truly, William Cheff Director of Public Works 1. JFG:aj - F. Glander Attachments: Chief Building Ins *ector Perm -t Application P Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Est. 57 Owner: Permit No. ENERGY C._ERTIF ICA,T ION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass batts Thickness(inches) 3 5/8" Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) R13 CEILING Batt or Blanket Type Fiberglass batts Brand Name Owens-Corning Thickness(inches) Thermal Resistance(R Value) Loose Fill Type Fibe_rglasb" Brand Name Ow ns-rnrning Minimum Thicknes (Inches) Number of Bags_ Wt. per bag 515 Area covered (ft.l.)lb. 1660 Thermal Resistance(R Value) RJU FLOOR, ELEVATED Material,i,b-Ro 4:SS $AT%s /O Thickness(i ches) FLOOR, SLAB Material Thickness(inches) Width (inches)" FOUNDATION WALL Material Thickness(inches) Brand Name o wew s - ey 2'Vi �t/9 Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name. Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requdrements. Loerke Insulation Co. 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. SIGNATURE OF IN TALLA.TION APPLICATOR July 21, 1989 DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. 1,e y"-kvlMW l as n t) S�TPE-80NCi S A-- SIGMA OF Q,.NE ONTRACTOR OWNER D&E THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 = OK 0.= Not OK = Not Readyiable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Datg DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #7. 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel •3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 1 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P' ft. / /"Nat. or/ P'L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards -Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ' Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date r 1 K = OK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UND RFLOOR (Plans) OK except #'s 3 �g-Setbacks;-Easements-Flood-Slope Ft ,Main; Soils-Steel-EV.d.-/ Ftg. De Date , Garage; Soils -Steel-/ /" tg. Depth F ., Porches & Decks; Soil -Steel-/ /"Ftg. Del �2 f emwalls, Main; Steel -Bloc kouts-Wrapped mwalls, Garage; Ste -Blockouts-Wrapped Slab; Steel -Wrapped 8.Kers-Fireplace Ftg.-Steel Lf D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. 's Pipe; Size -Anchors . Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. p6nums & Ducts; Clearance- Material -Su pprt-Ins. . pdders-Sills-Anchor Bolts -Joists -Vents -Cripples Insulation Card -81 (%,r, DatEQ gCard-B1 Date Card -B1 AT Date --/ Card -61 Date Date PLUMBING (Permit) OK except #'s 6. Water Ht. Vent -Access -Combustion Air- Baffle Water Pipe; Test & Anchors -Nail Protection nlj. D.W.V.; Test-Fttngs & Anchors -Nail Protection t.3T"$hower Pan; Test, First Floor -Tub Access Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors Card -131 Dateb ::�ard-B1 Date I Card -81 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors L247Size Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. . Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water ircuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. E,%uip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Liqht-Shower Liqht-Spa Liqht Card -131 f+ Date and -131 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. C ndensate Drain & Overflow; Size & Grade �2 f . Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -61 Date and -61 Date Card -81 Co Date /y�/_g rd -131 Date Date - R ING (Plans) OK except #'s X36.. Sills, Proper Material & Anchors "419',Walls Studs -Nailing, Spacing & Bracing—Plates-Sound v • earing Walls over Girders & Floor Nailing t Stop in Walls (rat ire Stops; Furred Ceili 4• Header & Beam -Size & irs-Chases-Tub Date FRAMING (Continued) 4 a ers-Post Caps- ectors g. Joist-Rftr. Tie -P rlin - Shthng.-Rfng. Fireplace Ties or Type ue-Firep ace Throat Clearance 148-'Kttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles C4916drm. Windows or Exiting Doors- ill Hgt. & Dime ' ns Garage Fire Protection Framing 51 rty Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 59. Stairs, room -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers fflWiclin ailing Veneer Screed -Fd. Vents-Underflr. Access tTrGlazing Area -Glass Protection -Skylights -Plastic ailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal is-Wndws Card -131 Date and-B1Date Card -B1 Dat and -B1 Date Date FI AL (Plans) OK except #'s 1,61.fizxt. Steps -Door & Sidelight Protection -Landings 2. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air-Connector- In,Garage; Above Floor-Ducts-Mech. Protection paC Bedroom Exiting 46$. G.F . & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Siz -L be irs & Rails fireplace or Stove; Clearances -Hearth 9. ped. Outlets at Wood Panel; Int. & Ext. it. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance c. Outlets & Receptacles at Kit. Counter , t-j,j,Y+"7�(arage Fire Door; Swinq-LandinrrZ`Cl�e `> l Z Wtr. Htr.; Vents -Clearance -Comb. Air-Connecto S In Garage; Above Floor-Mech. Protection 5. Plb , Elec. & Mech. Equip. Listed for L ation ec. Receptacles in Garage; G. .. Romex Protec. --4.4"t,is"n-Foam-Looked in Attic ❑ Yes v78. qVard Rails & Deck Gonstruction-Post Gaps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive - es ❑ No; Walks ❑ Yes a44C Planters ❑ Yes o A.C. Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. ter Well; Disconnect, Elec 'cal, Plumbing xterior Elec. Trim; eceptacle-Underground L88 -Ventilation throughou ouse L.&? --Glass Protection rrections from Previous Inpections Gas Test -Meters Tagged; Gas -Electric W r & Sewer Connected -C/O to Grade -HD Approval /y/ - nergy Compliance Certificate -Other Certificates ' ` ate Card -81 Date and -131 Date Card -81 Date _ and -B1 Date Card -131 Date Card -131 Date Comments at Final: r (NOTE: An entry must be made each time you visit job site) J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillet California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 1PER7 _O j1 AS 5 °- P�jtL^ Z°',IN BUILDING PERMIT I R Ah T ° w S0. FT. OCC. BUILDING VALUATION op O I ILIN ADDR SS CO CACTOR'S NAME TELE O CONTRACTOR'S MAILING ADDRESS Fireplace CONS R CTIONLENDER Ile- UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1(] .00 Permit Fee $ ARCHJTVCT OR ENGINEER LICENSE NO. Plan Checking Fee $ \ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permlt fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP 7 (—L R3 Water piping 5.00 Each qas water heater or vent 5,00 p USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 " Q Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New Addition ❑ Remodel ❑ Uti 'tie ❑ Installation ❑ Other ❑ YX Describe work: Permit Fee .1170, $ZV Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS N 100 AMP OR LES 10.00 Main service EA. ADD'L 100 AMP 50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP , OR ADDNS. ACC. BLDGS. sq ft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 200300 eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ r 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 rd 4 in Cooling g Hood 3.00 Ventilation Permit Fee LSAL $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all iabjA+tAes, judgments, c ts, and expenses which may in any way accrue again s to uence of the granting of this permit. X Date f 2 %�� �� Signat re of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. o Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.T c JSCm00L I FLOo JP7L I PD ND seu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By `� T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date y Z, 2 2—� /Z— ZZ Receipt No. WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR GPE DEN ROS -APPLICANT' -^ Y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ,J�--rt+ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICIATION DATA SHEET A 1 61 Permit No. OWNER Proposed Building Use A. P. No.� 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. Sta , nt of Intent for Non -Heated and AC Buildings .............. TEn'tgin "eyed 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. Parkfees pa'd..................................................... 2. �pa S . ool Distr' t fees paid ................ . 13. Sanitation approval from �' t!� 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. 18. Driveway permit (construction approval required prior to occupancy) .. . Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ........ --.,23CKcorded copy of Agricultural Acknowledgment Statement ............ 24. Letter,,of signature authorization ..................................... 25. 26. When, you issue the permit, process as follows: Mail to owner. Telephone �_CI--E110and hold for pickup at office. Other Mail to contractor. _Deliver w/inspector. Applicant 17KA411 Dates �T Q Copy of plans sent Health Dept., Fire Dept., -Other-Date The following data must be submitted prior to permit issuance 1, Index permit for above items No. 2. Additional items required: (Circle new item not checked abovvie). Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by_phone_mall_coywer by date Plans checked Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW Date X TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance _�4- 3,)-L Owner. Location AP# Plan Approved for: Sewage Disposal _ Water Supply WPI% Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for --l_ bedroom mobilee. Other NOTE *** Sanitarian Date COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville, California 95965 Dear Sir: October 19, 1981 �ih,T -,Y 6SS" -B' We are presently in the process of getting cost and plans for a 2000 square foot home, to be constructed on APN-71 05,-88. Due to present interest rates and cost, we may have-, o settle for a large mobile or modular home. We have applied for permits to use our 24 ft. traVVel..trailer-t-o be used during construction and or installation. die-'mailerri. for a temporary use and will not be used for a fu1l� ime"residence. Thank you for your consideration. V 1. ili/ f R gar s, RESIDENTIAL PLAN .CHECKING GUIDE (S.F., DUPLE&*MISC. ONLY) Bldg. Permit # OWNER A.P. # GENERAL 1/ oning requirements: (sideyards and number of permitted living units).. /Valuation. Ie- Plans signed by designer. 4G/Energy Design and Compliance. 5,,,,""Existing violations on property. PLOT PLAN '/ Complete parcel size and dimensions. 2!l'*"Setbacks, sideyards, easements, etc. Other buildings or structures. 4(-,"' Grading, fills, drainage. 3,/Flood hazard. 6�! Special conditions on creation.map or compliance document 7/85 FLOOR PLAN 1�Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). 4----S-kyiights (Chapter 34 & Sec. 5207) . 5,1 --Human impact glass (Sec. 5406). 6 -.'--Required room sizes, ceiling heights (Sec. 1207). ��-Inght F.C.I.'s in baths, garage and exterior outlets (Article 210-8). fixtures, switches, receptacles, and exterior receptacles for.maintenance of /mechanical equipment. 9! Locations of water.heater, heating and cooling equipment, other electrical or gas quipment, and plumbing fixtures. 1 Garage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (Sec. 3304(e)). 12,,r -'Fireplace and wood stove location. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 1�! Foundation plan complete enough:to construct building. 2,. ----Floor construction details complete enough:to construct building. 3. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. <5-71-re-ptace construction details and calcs if necessary. 6 -'--Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Y /Exposure I plywood on exposed locations and overhangs. Y Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 3,."*'- Guardrail details (Sec. 1711 & 3306(j)). Brrek or stone veneer (Chapter 30). —5 --Exterior plaster. - weep screeds (Sec. 4706). :�.�-Iafter roper roof pitch for roof covering (Chapter 32). ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISC LANEOUS ITEMS TO.LOOK OUT FOR (CONT'D) Garage door or porch header sizes. 9, --Adequate bracing. 3 -0 -.—Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1=1—. -Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). .1�Attic access and ventilation (Sec. 3205). 1Q-"' Underfloor access and ventilation (Sec. 2516). 14" --Wood stoves, clearances, alcoves & 1 -hour shafts. lb�Combustion air for fuel burning appliances. 4-6—. No-is,e requirements on duplexes. -4=-7--.--A37obe soils - special foundation design. 1S: --Retaining walls requiring design. --Utnusual shape, size or split level house requiring lateral design. f �aSs fS bw� 5f I <V < V aJ/ {^L 'QC- 15 e.--. ? 7/85 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Or APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NU - % -� Z01 ,)6 BUILDING PERMIT OWNER � C6 TELEPHONESO. siq -6` )o FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS / �+ , COrJ7R 70R'�S }N AME ✓VV�- ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee$ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 dU Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Z�1 �i9�L Dj,(PACk SPECI VY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S 1 G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Redel Utilities ❑ Installation❑ Other, Describe work: �!/ - QL Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 a 6- 00V OR Main service 10000 AMP ORSLESS 10.00 Main service EA. AOD'L 100 AMP 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 BuslnesS and Professions Code and my license is in full force and effect. License No. Classification I`X''Ic'I 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.N S. , h¢sgft New AMULTI-OUTLET CDONSTR� NO ESI. .BRA CH CIRC TS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES 200500 p eAL(9 So FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 ' Q D(1 --� Cooling k &= Hood 3.00 Ventilation V3 permit Fee $ Contracto p 5EE9 7.0 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 agai t'said Coun y in consequenc of the granting of this permit. , � G� X Date n Signature of Applicant Owner(S Contractor ❑ Agent ❑ An OSHA permit is uired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home e $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCuP, CONST.T77 SCHOOL I FLOOD PARCEL PO ND seOE This permit is hereby issued under sions of the Butte County Code and/of,resolutions work I ed above r which DI OF PU B PERMIT EXPIRES Date the applicable provi- to do have been paid. 1 ORKS (70 Date ro hy Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT a COtNTY OF BUTTE - Department of .Public .Works 7 County Center Drive; Otoville., 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'. I personally plan to provide the major labor and mater'als for construction of the proposed property improvement (yes ,or no) �2. I (have/have not) signed an ap ication fora 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 �S ig ned : \ Prope Sociz 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. P COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASESSOR PARCEL NUMBER ...`- ..... __...-.._.. .......... _-.. ZONING .._.. ........... — D -BUILDING owEE 'D ITE /D �OWNER'SNML G ADD £SS ��y±� C / CON CTOR'S NA'MEE .... ,_. _ ... PERMIT SO. FT. OCC. BUILDING VALUATION 4 lelr TELEPHONE CONTRACTOR'S MAILING ADDRESS C07 R TION LENDER UNKNOWN e le Fireplace Total Valuation $ LENDER'S MAILING ADDRESS ARC IT T OR ENGINEER LICENSE NO. Filing Fee $ 10•� Permit Fee Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee $ Penalty Permit fee $ ' $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NQ. / SUBDIVISION NAME PAR/CEL MAP / —�3 Water piping 5•00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFX Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Des rib e work: � -90' � Cf/Q/� � Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 9 Main service ; 000V OR 0 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification i, as the owner, Of my employees with Wages as their SOie 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 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.6i OR ADDNS. (DWELLING BLOGS. , /zCsgft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 101930! e ALO 30 Ex. OCCU FIXED APPLES. OR P• OUTLETS (RESI O.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiliQFee Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of struc!ures over_3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE ,S O TOTAL FEE $ s- ---� SH, HAZ CUA PARK FLD I PAR PD HD ISSUE permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date I --7. 7— Cn Receipt No. WHITE-O.r.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUIL DING EXEMPTION PERMIT P RMIT NQ 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 Po to e- r+ (2� 0, 'J PHONE NO. OWNER'S ADDRESS 9-3-5'7 '"4 1CL1v f0 V; LOCATION OF BUILDING ifA/ USE OF BUILDING D 2 -5 tiC Sf �. � � r G e 'e • SIZE OF STRUCTURE Z/ ' X 3 /- n SO. FT. = �— TYPE OF CONSTRUCTION: WOOD FRAME v STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE waod �- ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as foiloa�v i FRONT MS? SIDES f�� REAR 0 r 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 occupa Date �%2 — Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. 0015 Director of Public Works By. Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMENT,OFP.UBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIt"AT'N DATA SHEET r Permit No. OWNER Proposed Building Use Hca 11,,'/d,i. A. P. No. i ld i ng Inspector 4,15 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 talcs, 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 paid ..................................................... 12. School" District fees paid ................. 13. Sanitation approval from 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. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re Ulred .. , , Pre-Inspec. request to p q ' • Building Inspector (Date) ,. 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance ..................... 22. Owner -Builder Verification (Given to owner 0, Mail to owner a) ........ { ` 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: _v"�Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other /--? /7 /? Applicant Date /2 — 7 R8' Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW r. < 1157-82B,P,E,M ~PERMIT NO. PERMIT EXPIRES_ i. OWNER Robert Gann f CONTR. owner ASSESSOR PARCEL 71-05-88 LOCATION N/8 Lumpkin Rd.,7/10 mi.E.of Big Ridge Rd., Feather Falls h s Temp. Power Pole Called PG&E Temp. Elec. Service { Called PG&E Y Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature i. �1. J OK 0 = Not OK - Not Applicable MOBILEHOMES = Not Ready MISCELLANEO' " Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) Ot•. jxcept N' 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.--Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL, (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab52. 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Blackouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground ' 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails -- 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Ramex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size -. 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing - 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32._ Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ ___33. _ 34. Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date -------- - - Card -BI Card -BI ____Date - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. 38. 39. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Root Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45.Attic 46. Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. _ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) J COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORMX PERMIT N0. 7 County Center Drive - Oroville, Cdlifornia•95965 - Telephone 916/ 4-4541 " APPLICATION AND PERMIT AR ASSESSOR PARCEL NUMB R ZONING O fag BUILDING PERMIT °W a� ����� ��J T�L'� H��7 SQ. FT. OCC. BUILDING VALUATION OWN ER' MAIILING ADDRESS Q t/�] 2� r // �OAJ/ e4/ 1 �/34 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER f UNKNOWN Fireplace Total Valuation is Filing Fee $• 10.00 LENDER'S MAILING ADDR SS Permit Fee $ ARCHITECT OR ENGINE L,(' LICENSE NO. Plan Checking Fee r $ O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BU L I G ADD SS /� G> W 911) F -P 19RA '71Q IVILE PLUMBING PERMIT Filing Fee 10.00 RIP E �,�, Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP %/— 7,3 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[41�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK - New ❑ Addition ❑ Remodel ❑ -, Utilities iii' Installation ❑ Other ❑ Describe work: Permit Fee $ ,(J Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 fJ Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.N) OR ADDNS. ACC. BLOGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 NON -RESIT R BRANCH cTLETITS 2.50 ea NEw CONSTR. ( POWER APPARATUS S) NON-RESID. SINGLE OUTLET CIR. �. 50@250 Ex. Occup oUTLETe OR FIXTURES BAL�1 FIXED APP LNS, OR Ex. Occup.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �Qv Misc. Wiring 7.50 _F,� Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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 Y� 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. Heating Cooling Hood 3.00 Ventilation [Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building nstruction, and hereby authorize representatives of the County of Butte to a upon the above-mentioned property for inspection purposes. I alsoree o ve, indemnify and keep harmless the County of Butte against all Iii iliti S d c and expenses which may in any way accrue agai t s 'd u on nce of the granting of this permit. X Date 9 �� - 8� Signature of Applicant — Owner R. Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 star ie in hei t. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ / sd OCCUP, GROUP I TYPE OF CONST. I JP7L PD HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF P By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT CLAIMANT: eaud* of ougie OROVILLE, CALIFORNIA GENERAL CLAIM. Robert Gan - ADDRESS: 38732 Farwell Drive CITY & STATE: Fremont, CA 94536 DATE OF CLAIM: July 1, 1982 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR IMPORTANT. SEE INSTRUCTIONS ON REVERSE SIDE SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner decided not to build on this parcel. (Bldg. Permit Appin. #1157-82B,P,E,M - Receipt #61840 dated 5/5/82) A.P. #71-05-88 Building permit fee paid -------------------- Retain plan checking fee -----$135.00 Ketai i ing fee ------------10.00 Amount retained --------- 145 00 ------- $145.00 Refunddue ---------------------------------------------- $270.00 Plumbing permit fee paid --------------------$ 48.00 Retain filing fee --------------------------- 10.00 Refunddue ---------------------------------------------- 38.00 Electrical permit fee paid ------------------ 83.50 Retain filing fee --------------------------- 10.00 Refunddue ----------------------------------------------$ 73.50 Mechanical permit fee paid ------------------ 3.00 Retain filing fee --------------------------- 10.00 Amount of refund due ------------------------------------ 13.00 ---------------------------------------- . Less Preinspection Fee ---------------.-----$ 10.00 TOTAL 384 50 . I, the undersigned, declare under penalty of perjury that the services or articles claimed have bopeod ered, that this claim is true and correct as stated.//tt,, �)/��'Dated this/1................:.�........ day ofx...W. ��1......... 1 �Zat � MYKW(f..... Cslif. ii.........m ant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have een erformed or de- livered and that there is a Budget AppropiLation❑ or Specific Board A�pprov-alb❑ (Checkone) for the same Dated this day of .:�.6/.. ... ...... 19(,lt .............`��-!....... .Calif. ..... p ......... .. ........... . . ... .................... D ertment Head or Au onzed x Dept. Exp. - Code ............................................ Code ...... :......................................... PAYABLE FROl11 FUND DO NOT WRITE BELOW THIS- LINE - AUDITOR'S USE ONLY VENDOR .CODE DEPT. & SUB. PROD SUB. OB.I.. CLAIM NO. INVOICE NO. INVOICE DATE DISC GROSS AMOUNT ENCUMB. SUB -DIST. COUNTY OF BUTTE - DFPARTMENT OF PUBLIC WORKS P AMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 1 • 7kPPLICATION ANY PERMIT ASSES R?Y.R CNUMBER Z G I BUILDING PERM OW R TELE HONE SQ. FT. OCC. BUILDING VALUATION O OWE AILADDRES 17. r M CONTRACTOR'S NAME GAJ IA1 ,�� TEL PHONE 96 •' V CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Cp Penalty . $ ARCHITECT OR ENGINEER'S MAILIING ADDRESS Permit fee $ ,Qa BUILDI ADDR SS JIMf PLUMBING PERMIT Filing Fee 10.00 _ Each Trap 2.00 , drainage or vent piping 5.00 6Repair Water piping K^0D LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5,00 pD Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFYFT Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Uti Iities ❑ Instal lation ❑ Other ❑ Describe work: Permit Fee $ lop Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 0V 01 LE 100 AMP ORSLESS 00 JDAD Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OR ADONS. ACC. BLD ` CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NNEW ON-RESID R BRANCH CIRCUITS 2.50 ea NEW CONSTR / POWER APPARATUS e) NON-RESID. SINGLE OUTLET CIR. 00 a 25¢ Ex. OCCUp OUTLETS OR FIXTURES BAL@1 00 IXED APPLNS, OR Ex. QCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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 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 suchZvl provisions or this permit shall be deemed revoked. Heating Cooling V r Hood 3.00 Ventilation permit Fee S 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 a ter.upon the above-mentioned property for inspection purposes. I also a e t s ne, ' dem ify and keep harmless the County of Butte against all Iia Ili e j g en s c ts, and expenses which. may in any way accrue again t s ) t in uence of the granting of this permit.All X ` Date sl s, �/ L Signature of Applicant - Own.,g Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over -3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occ P. GROUP TYPE OF CONST. PARC PD HD `/ ISSUE This permit is hereby issued under sions the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By P IT EXPIRES Date the applicable provi- of resolutions to do fees have been paid. WORKS Date.��l 3-r? 2— l .7- Receipt No. , f R _qb 6 RWNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J i COUNTY OF-BDTTE - Department of Public Works 7 County Center'Drive, Oroville, CA.. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner:. Phone: 916-534-4541 An ".owner -builder" building permit has been applied for in your name'and bearing your signature. Please complete and return this information in.the envelope provided at your - earliest opportunity to avoid unnecessary.delay in.processing.and issuing your:build- ing.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) LIK 2. I (have/have-not) 114 k-1,45 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 S igr, 1 NOTE: This Owner -Builder Verification is sent to you as required by Sectiorts 19831 . and 19832 of the California Health .and Safety Code., • This verification must be completed and returned to our office before we are permitted to issue.the permit. ..y..a.� -,.....airy-`.— .-�. ^. .. • , ,':r _ - .t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 a _ PERMIT, APPLICATION DATA SHEET Permit No. r OWNER �..M A. P. No. Proposed Building Use % Permit Fee Based Upon: Complete Contract Price DPW Valuation ther (explain) Building Inspector I Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or 'ss ance: DATE RECEIVED APPROVED _,M)Il items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •. . Pre-Inspec. request to 17. Pre-Inspectio for Required. Building In ctor (Dote) 8..._. Other _ � //r When you issue the permit, process as follows: &1Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other n /I Applicant Date's Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required da by Telephone Mail Other 7 By Date Plans checked by Date Plans approved by V 4114L Date Other: Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. 95965 Robert Gan 38732 Farwell Drive Fremont, CA 94536 With reference to the above subject: / / Attached -is: Application for permit Building Plans En_gr. Calcs Labor Code Information PHONE: 916-534-4541 r DATE. May 11, 1982 RE: Building Permit Application #1157-82 A.P. # 71-05-88 Mobilehome Util ities Installation Sheet P:obiiehor e. Installation Information Shee Typical Plan Sheet List of Codes Enforced OTHER /X We need the following information: Permit application signed and completed where indicated with all copies returned. XXX Fees of $ 12,00 payable to Butte County Treasurer'. _, Certificate of Workmen's Compensation Insurance or check exemption.statement. Contractors License Law information or check exemption statement. Letter authorizing signature of Complete plans in including plot plans. Plot plans in XXX Structural details in _ « i a p Complete plans in prepared by registered civil engineer .or architect. XXX Engr. talcs. sets of plans in .=ccordance with the changes marked in red. Sanitation approval from BL: -,___e County Health Department at: 196 MLe_forial Way, Chico 7 County Center Dr., Oroville Skr.7ay & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Copy of recorded parcel declaration. Recorded copy of deed showing )�U OTHER Structural details and engineered talcs for vaulted ceiling construction fami:l room Fees, clerical error (decks not included) and duct work for districution of heat. y Location of propane gas water heater. Should you have any questions concerning the above, please contact this office. JFG:dd Yours very truly, Clay Castleberry Director of Publil Works r^ Clan er Chief Building Inspector' Return to 'DPW �= AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT >BliiTf; i'•.: ...:C}fZha 1~ sf. FOR RESIDENTIAL'DEVELOPMENT R.:�t1'"..: 0 8),. , Section 26-8.1of the Butte County Code requires this acknowledgemW 44 149 P4�9 be recorded prior to issuance of a building permit. CiA RK A The property described herein is adjacent to land or included 3 OR1'CR. within an area zoned for agricultural purposes, and residents of 62 FEF' this property may be subject to inconveniences or discomfort arising from the use of agricultural.chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally 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 County of Butte, State of California, described as follows: kl- 16 V"s co. tom- S/£ , /6, 4 Date: State of ) SS. County of Mh'VIld & ) OFFICIAL SEAL LINDA A WEST NOTARY PUBLIC - CALIFORNIA SANTA CLARA COUNTY My comm. expires NOV 27, 1984 Present A.P. NO. On this the f q before me, the undersigned Not appearedfes f' 19,a4v vc"v laa4l-) ary Public, personally Q/y2O� known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the'same for the purposes therein co ained.n IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public of 0 H12 rn . COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville, California 95965 Dear Sir: L October 19, 1981. We are presently in the process of getting cost and plans for a 2000 square foot home, to be constructed on APN-71-05-88. Due to present interest rates and cost, we may have to settle for large mobile or modular home. we have applied for permits to use our 24 ft. travel trailer to be used during construction and or. installation. The trailer is for a temporary use and will not be used for a full time residence. Thank you for your consideration. R gards, r r mil M OF DOCUM Certificate of Compliance: Residential Climate Zone 11 projert Title r Project Address Documentation Author Telephone Buildin it # Checked By/ Date/ Date Etforarnent Agency Use Onlv BUILDING DATA Glass Area 95,Gtagv-.� . North " /40 Conditioned Floor Area 1978,Number of Stories East � - . , r Slab/Used Floor Number of _Units South i!7;� [mingle Family Detached (SFD) [ ] Addition Alone West 71 [ ] Single Family Attached (SFA) [ ] Existing Building Skylight p O [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total , BUILDING SHELL INSULATION Component Insulation Location/Comments 1 Type R -Value (attic, to garage, typical, etc.) b -f -FC_ COON TY Wall ..............— ( � Wall ............. - .30 BUILbrNG pip gRrME N� Roof ............. � � ,� Floor ............. �� ® 1 Floor..... .... c Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single. double) (FoUa blind etc.) (shadescreen, etc) (yes/no) (metal/wood) North () 3 0 , M T L North East ( ) East South Sou th ( ) t West ( ) West (.) - Skylight.....-.'. Q —� THERMAL MASS Type/Covering Area. Thickness (slab/exposed, tile, etc.) (SO (inches) Location/Description (kitcheru bath etc.) � .t%D�Jic HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value Manufacturer / Model # LmYS7 Maximum Furnace Heating Output: -YS Btuh - ' HOT WATER SYSTEMS Tank Manufacturer/Model # tem SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Featu Mandatory Measures Checklist: Residential . MF -1R NOTE: I rtwriu residential huikfinvs anhirrt to tM Cnndarrlr mme rnnneim rM.t m"., .r...Q,r tu.v nr rlu tr!!�p!ia�!!Y approach used Items marked wild an asterisk (•) may be superseded bymore mrrn svin�l compliance requueernts listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRIPTION 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 -I 1 weighted average (does tot apply to exterior mass walls). 62.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 penrtlutch. §2.5311: Insulation specified or installed meets Califomia Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: lnfiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2.5351 mats CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a Tight fitting, closeable metal or glass dos b. Outside au intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 62-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. 02-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. 12.5314(c): Gas-fired space beating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipe closest to tank insulated (R-3 or greater). §2.5312(Excep6on p: Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d): Swimming Pool Heating I. System has: a. on/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 12-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications neededto comply with Title 24. Chapter 2-53 and Title 20, ChapterZ Subchapter4. Article l 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 purchaser of the building. Designer . Narita: Tideffiw. r Address: t Telephone: s Lie. 0: (signature) (date) Building O/: er Namcz r k/Fimt Address: //v p Telephone: 5 (signature) Documentation Author Enforcement Agency ' Nance: Name: ` TitkJFirm ) Aeertry: Address Telephone (date) u' I. Ceiling Insulation 2. Wall Insulation Single- Number of stories Number of stories R -value One Two Three R-0 -103 -49 32 R-19 -8 -0 -2 R-30 -2 -1 -1 R-38 0 0 0 1.1 -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 Insulation in Floor Single- Single - Number of stories R -value Family Family 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 -144 -70 -46 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 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor Controlled Ventilation Crawispace -4 Number of stories Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 4. Slab Edge Insulation 37 -26 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace -4 3 -1 Number of stories -1 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 37 -26 -14 Number of Stories 35 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 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. Infiltration (Air Leakage) Spedfication Points Standard 0 6. Glass Heat Loss Total -14 -12 -48 -42 -69 ' -59 -64 -55 U -value Percent -10 -8 -35 -29 .51 to .41 to .31 to 0.3 Glass Single Double .60 .50 .40 le 50 -121 -53 -39 -24 -10 40 -90 37 -26 -14 3 l 35 -75 -29 -19 -9 1 1 30 -61 -21 -13 -4 4 1 29 -58 -20 -12 -3 5 1 28 .55 -18 -10 -2 5 1 27 -52 -17 -9 -2 6 1 26 -49 -15 -8 -1 7 1 25 -46 -14 -7 0 7 1 24 -43 -12 -5 1 8 1 23 40 -11 -4 2 8 1 22 -37 -9 -3 3 9 1 21 -34 -7 -2 4 10 1 20 31 -6 0 5 10 1 19 -29 -4 1 6 11 1 18 -26 -3 2 7 12 1 .17 -23 -1 3 8 12 1 16 -20 0 4 9 13 1 15 -17 1 6 10 14 1 14 -14 3 7 10 14 1 13 -12 4 8 11 15 1 12 -9 6 9 12 15 1 11 -6 7 10 13 16 1 10 3 9 11 14 17 1 9 -1 10 13 15 17 2 8 2 12 14 16 18 2 7. Shading (Shade Open) Effective Percent Glass (percent glass x SC) or is l I 0. 2 2 3 3 4 4 4 5 5 5 6 6 6 7 7 7 8 6 9 9 9 0 0 Effective %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 4 2 3 4 0 33 3 0 1 3 0 2 0 0 1 1 0 3 1 -1 -1 -1 2 o `T -2 -a -2 0 na = not allowed t3. Shading (Shade Closed) Effective Pereatt Glass (percent glass x SC) %GWu Norf1 Eag SoA West SkAht 18 16 -14 -12 -48 -42 -69 ' -59 -64 -55 na na 14 12 - -10 -8 -35 -29 -50 -40 -46 -37 na na 11 10 9 -7 -6 -5 -26 -23 -20 -36 31 -27 -33 -29 -25 na -74 -65 8 7 -5 -4 -17 -14 -23 -19 -21. -18 -56 -47 6 5 3 -2 -11 -9 -15 -11 -14 -10 -38 -30 4 3 2 -1 0 1 -6 -8 4;g;P 5 1 -7 4 1 -23 16 9 1t7 0 0 1 3 1 4 3 0 0 -3 -1 1 1 2 9. Interior Thermal Mass Interior Single- Slab Floor Sum of 1-6 Raised Floor Mass Family Stories Mass Detached Stories Fame /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 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 Atiad)ed Fame 0.00 0 0 0 0.20 0.40 3 5 2 4 1 3 0.60 8 6 4 0.80 1.00 10 13 8 10 5 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 200 10 11 13 1 11. Heating System SE or HSPF (assumes ducts In stile) 12. Cooling System SEER (assume: ducts In attic) Sum of 7-10 25 or -24 to -tato -410 Sum of 1-6 16 or SEER less -15 -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 20 17 14 Efrective SE or HSPF 9 6 (SE or HSPF x duct efTiciency) Effective SEER Effective -25 or -24 to -14 b -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 1L 9 7 0.80 7.33 25 22 19 6 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 1199 Zonal Control Adjustment 6 4 System Type 0 0 0 0 0 or Resistance 10 9 7 6 4 3 Other 9 6 5 4 3 2 2 12. Cooling System SEER (assume: ducts In attic) Sum of 7-10 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 .1 Single -Family Detached and Attached 25 or -24 to -tato -410 +6 to 16 or SEER less -15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -0 -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 ,f7 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 -1 -1 Effective SEER 0 HWR (SEER x dud efficiency) -12 -9 -7 Sum of 7-10 WSB Effective -25 or -24 to. -14 to -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 10.0 22 19 16 13 . -• 10 7 11.0 26 23 19 15 -12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10. ' Credit or b to t , Type Zonal Control Adjustment` lass 1199 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 .1 Single -Family Detached and Attached Interior Mass/CFA \ TTVC 7 MASS , It.TautK•..7( \ TYPE I MASS WIxC • 4.2, ie: ex osed'slab) ' (carpeted slab) OY. 5% 1095 15% 20%. 25% 30% 35% 40% 45% 50% 55% 60% 659. 70% 759E-80% 85%,.90% 95% 100% 105% 11011. 115% 120% 125` OY. 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 S 53 to*. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 .1.8 2 2.2 2.4 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 28 3 3.2 . 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.3 5.6 5 8 407. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 5011. 0.9 1.1 1.3 1.5 1.7 1.9 2.1 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9- 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 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 5.8 6 62 6095 1 1.2 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 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 36 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 1.2;1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6. 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 , 1.5 1.7 1.9 2.1 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 a". 1.4 1.61.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 5.6 5.8 6 62 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 52 64 5.6 59 6.1 63. 65 67 WY. 1.5 1.7 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 53 55 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 33 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 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 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 110Y. 1.9 2.12.3 2.5 2.7 2.9 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 72 120% 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 S8 6 6.2 6.5 6.7 6.9 7.1 73 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD' 1. , Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Unit Size (sQ S. Water 6. 1199 1200 1700 2200 2700 Heater Credit or 10 to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0•. 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 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10 -8 PQU -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 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 Multi -Family (individual units) Unit Size (sq Water 699 700 1200 1700 2200 Heater Credit or b to to or Type Type lass 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 I .2 Solar 6 3 2 1 1 POU 1 0 ^-15 0 0 0 IE None -30 -10 -8 -6 Solar 18 9 6 4 4 POU -4 3 .2 -2 Interior Mass/CFA \ TTVC 7 MASS , It.TautK•..7( \ TYPE I MASS WIxC • 4.2, ie: ex osed'slab) ' (carpeted slab) OY. 5% 1095 15% 20%. 25% 30% 35% 40% 45% 50% 55% 60% 659. 70% 759E-80% 85%,.90% 95% 100% 105% 11011. 115% 120% 125` OY. 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 S 53 to*. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 .1.8 2 2.2 2.4 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 28 3 3.2 . 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.3 5.6 5 8 407. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 5011. 0.9 1.1 1.3 1.5 1.7 1.9 2.1 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9- 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 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 5.8 6 62 6095 1 1.2 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 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 36 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 1.2;1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6. 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 , 1.5 1.7 1.9 2.1 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 a". 1.4 1.61.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 5.6 5.8 6 62 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 52 64 5.6 59 6.1 63. 65 67 WY. 1.5 1.7 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 53 55 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 33 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 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 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 110Y. 1.9 2.12.3 2.5 2.7 2.9 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 72 120% 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 S8 6 6.2 6.5 6.7 6.9 7.1 73 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD' 1. , Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) 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 Klass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures or 7 -7_ R -value 1381 U -value [0.030] lIor R-valu Y I J U -value [0.098] II or Sum 7.10 R-value[191 U -value [0.037] Or R -value (0] F3 factor[0.77] Standard Type [double] U -value [0.65] % Total Glass (16) % Glass SC Eff. % Glass 10k X -Z 31io ��r X 317 x = et T % Glass SC Eff. % Glass X ,&6 X _ 2•� .70 X TYPE 1 MASS AREA $ InteriorNnss COND. FLOOR AREA /CFA TYPE 2.MASS AREA = 8 tenor Wall Mass COND. L OR AREA E x ` Point Scores �3 0 + a� Sum 1-6 -7-z- x - 7 -7_ SE or HSPF Duct Efficiency [0.78] [0.72/6.6] Effective SE or HSPF [0.5615.15] X SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] C�- Sum 7.10 Type [SG] Credit [none] -� tv 0 + a� Sum 1-6 Point Total: "4o**[ Sum 7.10 -� tv Point Total: "4o**[ J - Certificate of Compliance: Residential Climate Zone 11 :!9016 — Bu' ding Permit # 1. Ch ed By/Date Enforcement Agency Use Onlv BUILDING DATAGlass North Area % Glass .7/_ GLAZING -__ ._ Shading Devices Conditioned Floor Area /$ Number of Stories �_ East —340_ /• (yestno) (metallwood) Slab/Raised Floor s to Number of -Units South 940__ East ( )_ [t>1ingle Family Detached (SFD) [ ] Addition Alone West 70 2.7 [ ] Single Family Attached (SFA) . [ ] Existing Building Skylight - j�_. o West ( ) [ ] Multi-Family(MF) [ l Existing -Plus -Addition Total 12G / 3• Q i (slab/euosed, cite, etc.) (sf) (inches) L ocation/DCscription (kitchenk bath, etc.) f�DNti^ ' HVAC SYSTEMS Minimum Duct BUILDING SHELL INSULATION conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) FAeW"`,C 72 /VOwp- (2014197 Component Insulation . -- Location/Comments Maximum Furnace Heating Output: &al S% Btuh Tie_ R -Value (attic to garage, typical, etc.) System Type (storage gas, etc.) Capacity (or approved equal) Special B��,-�.� �.%PI�TY Wall.............. (K ti _ Wall. .............. — Roof............. BUILDtNG DEPARTMENT Roof .............V V Floor ............. .Floor.......... Slab Edge ..... -- GLAZING -__ ._ Shading Devices - Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation - - (sf) (single. double) (roller blind. etc.) (shadescreen, etc.) (yestno) (metallwood) North ( ) --7/ North ( ) East ( )_ . East ( ) South South ( ) West ( ) -7p_ West ( ) Skylight....... --d 7. THERMAL MASS . Type/Covering Area Thickness (slab/euosed, cite, etc.) (sf) (inches) L ocation/DCscription (kitchenk bath, etc.) f�DNti^ ' HVAC SYSTEMS Minimum Duct Type (fumace, air Efficiency Location r Duct Output Manufacturer /Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) FAeW"`,C 72 /VOwp- (2014197 Maximum Furnace Heating Output: &al S% Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures ChPrklist: Residential MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these Teastues regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more'stnngent eompliartee requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permitilocuments, the features noted shall be considered by all panics as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRJPrION DESIGNER ENFORCEMENT Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation • water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 permlinch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zona 14 and 16 only. §2.5317: Infiltration/Exfratration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit ar leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and seakd. 02.5352(0): Special infdtration barrier installed to comply with 12-5351 meets CEC quality Standards , §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built ftreplices have:' a. Tight fitting. closeable metal or glass door b- Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 62-5352(g) and 2.5303: Space conditioning equipment sizing: attach talcudadons. §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-fired space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC. §2.5352(1): water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R.16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). 62.5312(Exception 1): Pipe insulation on steam and steam condensate return At recirculating piping. §2-5319(d): Swimming Pool Heating 1. System has: a. Ortroff switch on heater. b. weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet , Lighting and Appliance Measures 62-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 12.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators. refrigeraor-freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2. 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 purchaser of the building. Designer Nater• rttkJFirm: Address: Telephone: L.ic. 0: (si6rtattre) Documentation Author Name: Tide/Firm: Address: (date) Building Owner Name: ritleffmt - Address: Tekphonc (signature) (date) Enforcement Agency Name: Agency: Tekpho= 1. Ceiling Insulation 2. Wall Insulation -14 Number of stories Effective R -value One Two Three R-0 -103 � -32 R-19 -8 Family R-0 R-30 - -2 -1 1 -1 R38 0 0 R-13 U -value 2 1 R-19 0.50 -176 -84 -54 0.30 -102 -49 732 0.10 -26 -13 -8 0.08 -18 -9 - 0.06 -11 -24 -4 0.04 -4 _2 -1 0.02 4 2 1 3 0.00 11 5 0.04 2. Wall Insulation -14 -48 Effective Single- Single -70 -46 Family Family 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 0.06 -6 -3 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 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Ytaised Floor Insulation -8 _ Insulation in Floor - 25 .46 Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -14 -48 Effective --_.._0.60. 444 -70 -46 0.50 -120 -58 38 0.40 -95 -46' 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace 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 - Number of Stories R -value One Two Three R-0 0 0 2 R-5 8 5 R-7 8 6 3 F2 factor 0.90 4 3 -1 0.80 -1 .1 0 0.70 2 2 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification , Points standard 0 6. Glass Heat Loss Total -14 -48 Effective percent Glass U -value 16 Percent -42 Effective ' %Glass North .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 .121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 .46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 . -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 ; 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 j 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 3 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) -14 -48 Effective percent Glass na 16 (patient slaw x SC) -42 Effective ' %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 0 3.0 1 4 16. Shading (Shade Closed) Effective Pei cent Glasa (Percent Slant x SC) %GIm Nor11 East South Wall %y%hl 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 10 35 � -46 na 12 -8 -29 -5 37 a 11 .7 -26 36 -33 na -1 0 0 . 0.3 -7 -4 9 5 -20 27 -25 55 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 1 -2 1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 9. Interior Thermal Mass Interior Single- Slab Floor Unit Size (sQ Raised Floor Fam4 Mass Multi Stories Detached Attached Stories 0.00 0.20 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 •8 -5 3 -1 0 0 . 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 22 3.41 -45 -39 -34 -29 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 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 1 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 - Unit Size (sQ Wall Fam4 Family Multi Mass Detached Attached Fame 0.00 0.20 0 3 0 2 0 1 0.40 0.60 5 8 4 6 3 4 0.80 1.00 10 13 8 10 5 7 1.20 1.40 13 12 12 13 8 9 1.60 1.80 10 10 13 t2 1 11. .I 200 10 11 13 11. Heating System System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SE or HSPF SEER Unit Size (sQ R -value 1381 (assumes ducts In attic) `1199 (assumes ducts in attle) Sum of 14 _ 2700 Sum of 7-10 _ 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 2 0 2 0 1 0.75 0.80 6.88 3 3 3 7.33 8 7 6 5 4 3 0.85 0.90 7.79 13 11 10 8 8.25 17 15 13 11 7 9 5 -7 0.95 8.71 _ 20 18 '--. 15 13 11 8 -7 -6 -4 -4 Effective SE or HSPF -2 3 -2 (SE or HSPF x duct efficiency) -4 3 .3 Effective -25 or -24 to -1413 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 1 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 SEER Zonal Control Adjustment -15 -6 +5 System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System i Zonal Control Adjustment 10 8 7 6 4 3 1 No Cooling System Installed I Stories One -5 4 4 2 2 2 Two +. 3 3 2 2 2 1 Single-Famlly Detached and Attached SC SEER Unit Size (sQ R -value 1381 Water `1199 (assumes ducts in attle) 1700 2200 2700 Sum of 7-10 Credit or { lo to 25 or -24 to -14 ic A lo +6 to 16 or SEER less .15 .6 +5 +15 more 8.0 14 12 -10 .8 .6 -4 -_. 8.5 8.9 -9 -5 -7 -6 -4 -4 5 .3 -2 3 -2 9.0 -4 3 .3 .2 .2 0 -1 0 9.5 10.0 0 4 0 0 3 3 0 2 2 1 10.5 7 6 5 4 3 2 11.0 --. 12.0 10 15 9 7 13 11 6 9 4 7 3 5 X13.0 _20 17 14 _. 12 9 6 -1 -1 Effective SEER 0 0 2S%. (SEER x dud efficiency) -18 -12 -9 Sum of 7-10 -6 Effective-25or -24 to -1410 -4 lo +6 Io 16 or SEER less -15 -6 +5 +15 more 5.0 30 -25 -21 -17 43 -9 6.0 -12 A 1. .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 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 i Zonal Control Adjustment 10 8 7 6 4 3 1 No Cooling System Installed I Stories One -5 4 4 2 2 2 Two +. 3 3 2 2 2 1 Single-Famlly Detached and Attached Interior Mass/CFA TTP6 2 PUSS t 1.7.V114•..t( SC Eff. % Glass Unit Size (sQ R -value 1381 Water `1199 or 1200 1700 2200 2700 Heater Credit or { lo to to or Type Type less_ 1699 2199 2699 more SG None 0 `0 0.. 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 40% POU 8 5 4 3 _ 3 SE None 37 -24 -18 -15 .12 125` Solar -1 -1 .1 0 0 2S%. HWR -18 -12 -9 -7 -6 WSB . -25 -116 -12 -10' -8 POU -1$ _-12 -9 __7_ -6 IG None 15 -3 -2 -2 2 Solar 7- 5 .4 3 2 POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 '0y. Solar 8 5 4 3 3 1.1 POU -10 - 5 -5 d -3 . 2.9 3.1 Multi -Family (individual units) 8.1 3.9 4.1 4.3 Unit Size (s 4.8 Water 5.2 699 700 1200 1700 2200 Heater Credit or b to to or Type Type less 11199 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 1.7 Solar 2 1 1 0 0 32 HWR .23 -12 -8 -6 '-5 4.6 WSB .25 -13 .8 -6 5 6.1 eQU .23 -12 •8 _-6 -5 IG None -8 -4 -3 -2 1 -2 3.5 Solar 6 3 2 1 a 1 4.9 _ POU 1_0 5.6 0 0_ 0_ IE None 30 -15 -10 -8 Solar 18 9 6 4 4 POU -8 -4 -3 -2 .2 Interior Mass/CFA TTP6 2 PUSS t 1.7.V114•..t( SC Eff. % Glass or R -value 1381 U -value [0.030] - [ t or R -value [111 UTYPE I MASS (UIKC & 4.2. le: exposed slab) // • or R-value[191 -- U -value [0.037] 00-�.._ or R -value [01 F2 factor [0.771 (c.n.t.d .l.bl SC Eff. % Glass 3, g x f. 4_ = _2-_MS /. !s X = SGtx L. i DS -(P- X = 3.!b6 .7 x = -A-yy7 6 X = d TYPE 1 MASS AREA __ $ COND. FLOOR AREA Interior Nvss/CFA TYPE 2 MASS AREA � $ Exurior Wall Mass ND. FLOOR AREA 40% 45% 50% 55% W% 66% 70% 75% 80% 657'• 90% 95% 100% 105% 110Y. 115% 120% 125` 0% S% 10'h 15% 20% 2S%. 30% 35% 0.4 01 0.8 3.5 3.7 48 4.2 4.4 4.6 4.8 S8 5.2 5.3 5.4 '0y. 0.2 0.2 06 06 1.2 1.1 1.8 1.8 Ll 22 23 24 25 27 2.7 29 2.9 3.1 3.18 3.3 3.3 3.S 8.1 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 20% 0.3 0.6 0.8 1 1.2 1.4 1.4 1.6 1.6 1.8 1.8 2 2 22 24 28 2.8 3 3.2 3.5 3.7 3.9 4.1 43 4.5 4.7 4.9 5.1 5.3 5.6 5.8 30% 0.5 0.7 0.9 1.1 3.8 6C% 0 0.9 11 1.3 1S 1.7 19 21 23 2S 21 38 32 3.4 3.6 3.8 4 42 46 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 SS% .0.9 1.j 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 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 98 53 5.5 5.7 59 6.1 64 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.6 2.8 9.2 3.4 3.S 3.6 3.7 3.8 3.9 4 4.1 13 4.3 4.5 4.6 4.7 4.8 49 5 5.1 5.2 5.4 5.6 58 6 6.2 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 21 2.9 3.1 3.3 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 S.S 5.7 5.9 6.1 6.3 6.5 75% 1.3 15 1.7 1.9 21 2.3 25 21 3 3.2 80%. 14 11 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 4.9 55.2 5.1 5.4 5 4 5.6 5.6 5.8 5.9 6 6.1 6.2 6.3 64 65 66 67 65% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 3.6 4 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5.1 S 3 5.54 5.7 S.9 6.2 6.4 6.6 6.91 WY. 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 4.1 5.6 100% 1.7 1.9 21 2.3 25 28 39 3.2 3.4 3.8 3.8 49 4.2 4 SS t 46 4.9 5.1 53 5.7 5.9 Ell 6.3 6.5 6.7 I9 '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 5.2 5.4 5.4 5.6 5.7 5.8 6.9 6 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 7 7.1 110Y. 1.9 21 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.1 4.2 4.3 4.4 4.S 4.6 4.7 4.8 4.9 S 5.1 S.3 S.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 125% 3.4 3.8 9.8 49 4.2 4.4 4.6 49 5.1 S.3 SS 5.7 59 6.1 6.3 6.5 6.7 79 7.2 7.4 21 2.3 25 2.8 39 3.2 Point System Summary: Climate Gone ju SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4.� Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures SC Eff. % Glass or R -value 1381 U -value [0.030] - [ t or R -value [111 _ U•value- [0.098) // • or R-value[191 -- U -value [0.037] 00-�.._ or R -value [01 F2 factor [0.771 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 ) Standard Type [double] U -value [0.65] % Total Glass [ 161 Point Scores % Glass SC Eff. % Glass 3.9 X -- - ?.4z e. 1.L X _ /.zsz 4.9 X = 3. eaq(V 3, y x- a x = O % Glass SC Eff. % Glass 3, g x f. 4_ = _2-_MS /. !s X = SGtx L. i DS -(P- X = 3.!b6 .7 x = -A-yy7 6 X = d TYPE 1 MASS AREA __ $ COND. FLOOR AREA Interior Nvss/CFA TYPE 2 MASS AREA � $ Exurior Wall Mass ND. FLOOR AREA X��._._ S or HSPF Duct Efficiency [0.781 Effective SE or [0.7716.61 HSPF [0.56/5.15] 12. Cooling System X Zonal Control? ( Y / N) SEER [9.51 -Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating Type (SG] Credit (none] +1 +11Q -Z ,,��SS.urn 77.10 .3 a Point Total. 'f i �,, i�r 1 a .,',� a a y � i' a �� i' 4 j