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072-190-008
072=19-0-008 93-1896`BPEM KRIENS, S.M too FORBESTOWN RD, OROVILLE NEW SFN' , IN .� 'RESIDENTIAL . 072-19-0-008 1 93-1896 BPEM KRIENS, S.M. - 01&0 FORBESTOWN RD, OROVILLE NEW SF f _ • . �� /Z � • l� �.�L�� rod w ✓��/ OFFICE COPY Address U GAS i Meter By---__—._.-. ---•--- ELECTFR Date_ Meter By Date JOB FINALED (Date) A— ` .r I Signature i t�' V= OK ' O = Not OW Not = Not Ready Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements \ 1 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) . S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / P'Uft. / /"Net. or/ /" L"ft./ P'LPG 7. Well Clearance & Disconnect ` _. -- 8. Utility Clearance V Date/Initials MOBILE NOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements ' 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector ' . 4. Electricity; MH Test -Crossovers -Breakers -Clearances,, , 5. Drain; MH Test -Fall -Flex Connector I 1.' -" •, 6. Water; MH Test -Regulator -Connector ` ., ._,I 11 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements \1 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steele f... 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg -Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip: Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PaneIboards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test f .v 1 � J V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNJDERFLOOR Plans OK except #'s 1. 6n i ng -Setbacks -Ease ments-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6 Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 1 7. ab; Steel -Wrapped LAr Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test _,�I 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size-test10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test a�� 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Criooles 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING Permit OK except #'s 6_Wate► Htr.; Vent -Access -Combustion Air -Baffle 17..Water Pipe; Test & Anchor -Nail Protection L__�18. RW V'.; Test -Fittings & Anchor-Naii Protection Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access ,Li :E Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s �22.,Fixture & Transformer Clearance -Ins. Protection _ 23. Elec. Receptacles Spacing -Lights & Switches at Doors $ize'Boxes & No. of Conductors -Stapled 5. Romex Installed Close to Edge of Studs & C.J. ip. d•-mad'e up w/Mach. Fastners-Bond Gas & Water ppliance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. -Cu or Al 2 Range Circ. / / u or AI -Oven Circ. / / ga. Cu or Al. .' Insulated Ne rvi" ❑ Yes ❑ No . Service -Riser Conductors & Ground -Main Disconnect quip. Clearances Panels -Motors -Mach. Equip. 32: -Clothes Closet Light -Shower Light -Spa Light Z-21 oke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35-Vent'Fan`; Exhaust above insulation Corydensate Drain�erfrovv;-Si e & Grade 39,.E urnance-Vent; AcEess-.Camb-Af-Return Air Vent -115 outlet 38. Atti eoess•&`Platform if Furnance in Attic Date/Initis A ING Plans OK except #'s WSils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing -Walls over Girders & Floor Nailing L,42: Draft Stop _n•Walls (rat proof) `_-43" Eire% tons: Furred Ceilinas-Stairs-Chases-Tub L--"44. Headers -& Beam -Size & Bearing FRAMING ties-Purlin=roof Brac= 4ET place Ties or Type A Flue -Fireplace Throat clearance ioAcc@ss;-Size & Romex Protection -Draft Stop -Ins. Baffles jeolig. idrff%Windows or Exiting Doors -Sill Hgt. & Dimensions Firewall & Garage -3rd S pJywood on Roof Overhang -Attic Vents -Rafter Outriggers it --35' iding-Nailing Veneer -Stucco•Mesh-Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic jt -o-' Shear Wells; Nailing -Bolts !a 9. Insulation -Wells -Ceilings 0. I filtration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & La6els 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC R S 7 County Centdr Drive - Oroville,,.CaliforAa'65965--- Telephone: 16.`538 7541 APPLICATION AND PERMIT PERMIT NO. 93-1896 ASSESSOR PARCEL NUMBER op _ _ ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 13 TARTOT LOOP OployTT.T.F, 840 M 15120.00 .9596Q CONTRACTOR'S NAME TINKNOWN TELEPHONE 1113 C 14469. Q& CONTRACTOR'S MAILING ADDRESS Fireplace i"A" 1500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation I$ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 6 6.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 323.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 996 FORRESTOWN ROAD Permit fee $ 1004.75 PLUMBING PERMIT Filing Fee 15.00 OROVILLE CA 95966 Each Trap 5.00 50.00 Solar or heat pump water heater 20.00 LOT NO. 4 SUBDIVISION NAME 1 PARCEL MAP 1 41-59 Water piping 7.00 7 I Each qas water heater or vent -no 7.00 USE OF STRUCTURE SF YJ Duplex❑ Mobilehome[_1 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer _L15.00 -1-5 • Mobile Home S G W @ 15.00 TYPE OF WORK New AdditionE] Remodel- Utilities❑ Installation❑ Other E] Describe work: 2laicw � _ TRJ,49S REPS I" ELEC H2O 1 1 7.00 Permit Fee $ 114.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 60ov0RLESS 200A OR LESS 18.50 18.50 Main service 20CATO1000A) 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury ) p y p l y (check one): El 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 .Jo. 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 ACDNS. l ACC. BLDGS. / 3.64 sq.ft. 82,95 -NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & ( SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 76d A 20FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 116.45 - 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 subjectHood 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 15.00 Heating ELEC HI PUMP Cooling g 6.50 6.50 I Ventilation permit Fee LContractor $ A. 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._c I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X "1 q 3 Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstories in heightions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 C0Ns7T E �/ Q�y TOTAL FEE $ 1314.70 rlAz DFEE P X FLOOD X CDF - PARCEL X PD ISSUE X This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIR CTOR F P LIC By ila�Receipt PE XPIRES at applicable provi- � resolutions to do have been paid. WORKS Dat No. 6 Q. WHITE-O.P.W.. 7ELL0W-ASSESSOR, PINK -IN PECTOR, G LDENROD-APPLICANT ✓. r ..�... .ti ./' ,.res ... r �• .'" .. -,., ..v:.f� i..*" ,ti$. l .-• . COUN;YYOF BUTTE - DEPENT OF DEVE ,. SERV CES BUILDING DIVISION Ir 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965- TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use. - Building Inspector Date O .At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY A........................................ 11 items lot plans/4 sqt signed by prepairer of plans. .....................`. Complete plans,W4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. atement of Intent for Non -Heated and A/C Buildings ................. ngineered truss details and layout in duplicate (required prior to plan check)## _ Mobilehom a nd c��rer's irti Sation instructions, 2 sets. ....... . 1. Impact fees as shown on attached schedule. ��k'L W ............... > —� 12. California Department of Forestry plan approval/fees. ....................... . 3,-rlood elevation letter (100 year flood) by California Engineer. . . Health Department 14. Sanitation and plot plan approval (� � � p ..... , . , ... , 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 8. -ontact Land Development about (A) Improvements (B) Drainage. ........ . Driveway permit (construction approval required prior to occupancy). .. .. ...., — Pre inspection for required. .. oB�ild gInspectorr + (DatFy 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... ' 23 wner-Builder Verification (Given to owner , Mail to owner ............ 4. Recorded copy of Agricultural Acknowledgement Statement . .................. (o 42 X3 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28, Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. W�!r u issue the e i Vproces as follows: Mail to owne{. Mail to contractor. Telephone�d-hold for pi up at CJ office. Deliver�vithcoOther 4 w �� (. Parcel Creation Acreage j't'1� E r Applicant C ' �'(" �' Date �3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. _, Other Date By The following data must be submitted prior 1. Index permit for above items No. F 2. Additional items required: new item qoj checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co r y —Date Plans checked by Date Plans approved by Date .3-5% F Sets of pleNs ori.nou in i/ /File cabinet 14 u --'AP folder Copy - Department of Public Works =Mj5rLl WR I ,Y 1 TO: Building Department FROM: Encroachment Permit Section 4 RE: Driveway Clearance 2 o �oef7�owr, l'c� 72 -19—a owner location Driveway permit 93 0 7 FZ F has been issued for the above property. si ature 4. 4 Ii')I.-I I\Ii I)\I:1' 1looe Phot AlUlcliid $CBI ID 14:1):. -- -- --� TO: Buildiiib Department COU IV., Eiivirotimental Health BUL°NOI)EPr re SUBJECT: Sanitation CleaClearanceMAY 2 8 199 Inc Ll IN i f--A"Z r6s7a Owner t FN / Location ' Plan Approved A-,)C(l SeWa0c ]disposal v Water Supply: Public _ Clearance forroonlnu)bilc home. Other APIs Private Well 8/92 i AS ESSOR PARCEL NUN -1 Z I t- - OwNER Q tr\- ' Z R'S MAILING ADP CONTRACTOR ^5 MAILIn CONSTRUCTION LENDS LENDER'S MAILING AD ARCHITECT OR ENGIN ARCHITECT OR ENGIN s - COUNTY QF BUTTE - CEPARTMENT 7 County Center Drive , Oroville, California=b5965 APPLICATION AND PEI 20NING V_ R lu TELEPHONE l v T L-,0 v C) l2o ct UBLIC WORK 0 PERMIT NO. phone: 916 538-7541 LBUIL NG PERMIT BUILDING VALUATION a Fire"lace- UNKNOWN tion $$ $ NO. ing Fee sZ $ n Checking Fee $ MAILING ADDRESS Penalty $ Permit fee DO $ 15.00 Q. 5.00 , LE Solar or eat pump water heater 20.00 7D 7.00 _OT NO. SUBDIVISION NAME PARCEL MAP — $ i l ater piping Each qas water heater or vent 7.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Building sewer 15.00 S/Duplex❑ Mobilehome❑ Other SPECIFY Mobile Home S G W @ 15.00 TYPE OF WOR $ /�1 Addition" Rem Utilities J Inst ation[ Other Penult Fee r O Ne, _2 Contractor Desc a work: ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 J 7 J Main service 20CATO 1000A1 37.501 CONTRACTORS LICE SE LAW NEW CONST./ DWELLING UP M OR ADDNS. l ACC. BLDG?. . I 3,64 sq,ft. I declare under pens Ur (check one): NEw CONST R. ULTI.OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 I am licensed under provisions Of Chapt. 9, Div. 3 of the Business POWER APPARATUS e\ \SINGLE OUTLET CUR. / zo 76d J and Professions Code and my license is in full force and effect. Ex. Occup(ouTLETs OR FIXTURES q License No. Classification FIXED APPLNS'OH EX. OCCUp. OUTLETS IRESID.1 EA. 3.00 1, as the owner, or my employees with wages as their sole compen- the structure is not intended or offered Temporary service 15.00 sation, will do the work,and for sale. (Sec. 7044) Mobile Home Facilities 15.00 I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) El I am exempt under Sec. Business and Professions Code Permit Fee $ for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 15.00 I declare under penalty of perjury (check one): Heating 17 The permit is for $100.00 (valuation) or less. Department I have placed on file with the County of Butte Building 13 a Certificate of Workmen's Compensation Insurance or a Certificate Cooling �1 of Consent to Self-Insure.6.50 manner so as to become subject Hood S Q1 shall not employ any person in any Ventilation to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor or this permit shall be deemed revoked. provisions Mobile Home Installation Fee %o Fee $ C f I t;' r / hat I have read this application and state that the above information State Laws relating I agree to comply to all County Ordinances and representatives of the County of Energy Inspection r construction, and hereby authorize nter upon the above mentioned property for inspection purposes. FButteto OCC CONST TYPE TOTAL F L ee to save, indemnify and keep harmless the County of Butte against and expenses which may in any way accrue HAz D FEES IMP FL , CDF ✓K PD HD 1S8y1ties, judgments, costs, against said County in consequence of the granting of this permit'/ G A• This permit is hereby issued under the applicable provi- x Date sions of the Butte County Code and/or resolutions to do Agent ❑ A ! Signature of Applicant — Owner ❑ Contractor [j g work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep an mpi6p rt ys ct- (_I 7 V DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. �� �// � By Date Date _ ? (f. -e < ' J 04 PERMIT EXPIRES Receipt No. ---- - - .- .... . n,u.nR. PINK -INSPECTOR. GOLDENROD -APPLICANT x f� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS iyy 7 County Center Drive - Oroville, Califofnia 95965 - Telephone: 916 '538-7541 APPLICATION A461PER41T PERMIT NO. g_=�-(8 !� ASESSOR PARCEL NUMBER 7 -7 Z D_ o S< ZONING 1 9 1a DU LDING PERMIT r'OWNER G SIE$$$ t�S TELEPHONE J -Iq5 SQ. FT. OCC. BUILDING VALUATION OWNER'SMAI LING ADDR Sl OT L-06),0-0 0—la C RACTOR' A T`EELEPHONE / �J CONTRACTOR' MAILING AO RESS F i replace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ B LDING D ESS r�,y� j'� [ e n`` FVR\UC�sl0 L-0 N3 R0 'AtN Permit fee $ r PLUMBING PERMIT Filing Fee 15.00 OA _ e [�CJCi�p C��J 1 LLL t Each Trap 5.00 rU Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP y J — $ Water piping 7.00 Each pas water heater or vent 7.00 f\,�' USE OF STRUCTURE SFk1 Duplex❑ Mobilehome❑ Other /// ��� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 145,1 Mobile Home I S G W1 J @ 15.00 TYPE OF WORKt:2� Ne _ Addition i_; Remodeeei E] Utilities[] InstallationD Other ❑ Desc a work: �?,T�L�4eqf� _ M10r Permit Fee $ (9 Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed•under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 OCCUPM OR ADDNS. ACC. BLDGS. 3.6Q sq.ft. NEW NON•RESIO FL BRANCH CTLETITS 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES L 76d FIXED Ex. Occup. OUTLETS IPRESID IREA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 16 1 Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 17 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. G 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FilingFee 15.00 Heating Cooling oQ Hood 6.50 ,S 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 p/ermi X_ Date 17 �'L''IJ Signature of Applicant — Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep on molition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ '�1 9Y p . V CON TTY E TA FEE $ , F DF E IMP ✓ FLo CDF PAR PD 0 - ISS E I This permit is hereby issued under sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. . 7 -3 WNITC-D.P.W.. YELLOW-ASBC»OR. PINK -INSPECTOR, OOLDENR D APPLICANT 1 0 1 1 i 0 n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER G : I A. P. NO. Y PROPOSED BUILDING USE DATE % REC. # DATE REC r1. School District Fees l (paid at District Office) .......... 3�. Sheriff Fees (paid at Building_Department) Residential .......... unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X _$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) .............4........... 6. Other 7. Other lY-8'140 c �3 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT t�= DATE �O (171-7s '�`� � � i .�. Mt YKt .tEp iN`����i .{ -IxE %:i'; ^. •S" ..� r ,ki xtir'�tcaX�Sr'.; r.�.ff :^�ta,�w..aii•�Y' r'D"Y'�ir.,,�,.,c�i✓�.-'�i.e 4.q";,.rrryA`+t:*tn-, 1�,,...aiivc�:. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District a w o � �%2 Building Department No. A.P. NumberO-79 " / IFZ5 Jurisdiction 0 CityCounty Property Owner Property Locatic Subdivison Lot No. Residential Development 7 : `� 0 0 Sq. Footage No. of Living MHI Addition ( roup R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) B ilding Depa ent Rep sentative Date . (Floor Plans reviewed by School District Personnel) District Identification No. )9,9 School District certifies that (f. `7'l �it.c��� (Applicant) (Street Address) (Phone,Number)�- (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9/ - % - / by payment of $ representing ASz 0 square feet. Representative arm h -,I j. Paid by Check Number Remarks: Bank Number 9 - p f Paid liy Cash 6 - '30-,5P-3 Date r' If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) STATE OF COUNO } ss. Capacity Claimed by Signer: On / efore the un si ned, a Notary Public in and for said State ❑ Individual(s) " Ll S ❑ Corporate Officer(s) personally appeared' Name(s) of Signer(s) Title(s) yy �Y 13 Ps�ally known tome OR ❑ proved to me on the basis of satisfactory evidence .«. ❑ Partner(s) f to be the person(s) whose name(s) is/ are subscribed ❑Attorney in -Fact to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their ❑ Trustee(s) • �`' authorized capacity(ies), and that by his/her/their T.ALEVEDO Iff signatures) on the instrument the person(s), or the ❑Subscribing witness . COla1;.f. ',990044 entity upon behalf of which the person(s) acted, ❑ Guardian /Conservator NOTARY PLIK-C-CALIFORNIA m '��} 2i 117E COUNTY 2 executed the instrument. ❑Other: ._ L.y C�tr.rt . c.rles }1(2lCh 31,1997 Witnes y ha a o • ial seal. Signer is Representing: ° Name of person(s) or Entity(ies) Si re of No tary- (This area for official notarial seal) —Ti1� ' , 2wwo Na ed or Printed) ATTENTION NOTARY: Although the information reques dAZ.Iow is o tiona It ouId prevent fra nt attchment of this c ificate o d c nt. I THIS CERTIFICATE Title or Type of Docu MUST BE ATTACHED TO THE DOCUMENT Number of Pages Date of Document DESCRIBED AT THE RIGHT: Signer(s) Other Than Named Above SAV -191 (11/91) END OF DOCUMENT 11 1 . turn to DPW AGRICULTURAL STATEMENT.OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte 'County Code - requires' this acknowledgement be recorded prior to issuance of a building permit. X93-25054 All 'that :real_:property:.`situate in .thee. County of Butte, State of California, described as follows: PARCEL 1, PARCEL 2, PARCEL 3, PARCEL 4 as shown on that certain Parcel Map of a portion of the Northeast quarter of the Northwest quarter of Section 17, Township 19 North, Range 5 East, M. D. B. & M., which Parcel Map was filed.in the Office of the Recorder of the County of Butte, State of California, March 10, 1972 in Book.41 of Parcel Maps, at Page 59. 1o/1 1 :3 F 7,2- - Dete: June 16, 1993 PROPERTY OWNERS: C. M. Kriens State of ) On this the day of 19 before me, the SS. undersigned Notary Public, personally appeared County of ) Personally. known to me. p Proved to me on the basis+ of satisfactory evidence. to be the person(s) whose name(s) V subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. :Present A.P. No. Notary Public a �, }.I The property described herein is adjacent 7 3-0250541 Rec Fee 5.00 to land or included within an area zoned I Cash 5.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- I Official Records 'I COUNTYOF&UWk veniences or discomfort arising from the County of I BUU.DINGOEPi use of agricultural chemicals, including, Butte,. I`.�:. Jll� 2 but not limited to herbicides, pesticides, Candace J. Grubbs 1 and fertilizers; and from the pursuit' Recorder I of agricultural operations including, 8:01am 18 -Jun -93 I PUBL CD 1 but not limited to cultivation, plowing, - -- -- - _� spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All 'that :real_:property:.`situate in .thee. County of Butte, State of California, described as follows: PARCEL 1, PARCEL 2, PARCEL 3, PARCEL 4 as shown on that certain Parcel Map of a portion of the Northeast quarter of the Northwest quarter of Section 17, Township 19 North, Range 5 East, M. D. B. & M., which Parcel Map was filed.in the Office of the Recorder of the County of Butte, State of California, March 10, 1972 in Book.41 of Parcel Maps, at Page 59. 1o/1 1 :3 F 7,2- - Dete: June 16, 1993 PROPERTY OWNERS: C. M. Kriens State of ) On this the day of 19 before me, the SS. undersigned Notary Public, personally appeared County of ) Personally. known to me. p Proved to me on the basis+ of satisfactory evidence. to be the person(s) whose name(s) V subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. :Present A.P. No. Notary Public /t - RECORDING REQUESTED BY A 4. 0 BIDWELL TITLE & ESCROW CO. ORDER M 1-160903 -LFW AND WHEN RECORDED MAIL TO F Name C. M. Kriens Street 13 Lariat Loop Address Oroville, Ca., 95966 City 8 SI___ State MAIL TAX STATEMENTS TO F Name SAME AS ABOVE Street Address ya-ZU[1y ,d 93--0P.02291 Rec Fee I DOC Recorded I Check Official Records I County of I Butte I G bb I 5. 00 66.00 71.00 Candace J. ru s Stay a state L J Recorder 1 8:00am 20—May-93 I BWTC JJ 1 072-190-002, 004 AP# 006 & 008 Individual Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The undersigned grantor(s) declare(s): Documentary transfer tax is $ 66.00 ( x ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( x ) , Unincorporated area: ( ) , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, PRISCILLA PITUK BIALOGLOVSKI as Trustee under Declaration of Trust dated 3-13-92 F/B%0 PRISCILLA PITUK BIALOGLOVSKI and her heirs hereby GRANT(S) to * C. M. KRIENS, an unmarried woman the following described real property -in the County of Butte . , State of California: Parcels 1, 2, 3, and 4, as shown on that certain Parcel Map of a portion of the Northeast quarter of the Northwest quarter of Section 17, Township 19 North, Range 5 East, M.D.B. & M., which Parcel Map was filed in the office of the Recorder of the County of Butte., State of California, March 10, 1972 in Book 41 of Parcel Maps, at page 59. EXCEPTING THEREFROM an undivided one-half interest of all oil, gas, and other hydrocarbon substances and minerals therein, as excepted and reserved in that certain Deed from George C. Zwingman, et al, to Dale A. Smith, et ux, dated December 28, 1963 and ,recorded December 31, 1963 in Book 1288 of Official Records, at page 458, records of Butte County, California. Dated: March 8, 1993 %A-UC`POLILJL\�L' _V) �_J t Priscilla Tituk Bis og ovs i, State of California 1 Count of_� rr ornr l �LIgR I-: J SS. 03).N 14 2 _ 14 before me, the undersigned, a Notary Public in and for said State personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed � OFFICIAL SE AL the same in his/her/their authorized capacity(ies), and that by his/her/ BEVERLY AMBROSE their signature(s) on the instrument the person(s) or the entity upon`rIk aNOTARYPUBLIC-CALIFORNI behalf of which the person(s) acted executed the instrument.SANTA CLARA COUNTY WITNESS my hanca d official seal. MY COMM. EXP. APR -1691995 Signature `mac_. (This area for official notarial seal) { OI G•NGl/•V.7,GJVV Qvc) NIHIL 1 k%A 0 1 A 1 CIVICIV I .) AZO LJII'ttti 1 CU ADU V C Tia® ®sy `1V� f! V V �0/+t'�/ t NOT( i 04y�NA( DO v i Recording Requested By: MAY 2 7 1993 OROVILLE-WYANDOTTE IRRIGATION DISTRICT .93-021537 P.O. Box 581 Oroville, Ca. 9596.5 Re: APN 72-19-02,04,06,08 IRRIGATION EASEMENT QUITCLAIM OROVILLE-WYANDOTTE IRRIGATION DISTRICT a public agency in the State of California, hereinafter referred to as "GRANTOR," does hereby release and forever QUITCLAIM unto C. M. KRIENS, an unmarried woman, hereinafter referred. to as "GRANTEE'," her successors and assigns, a perpetual easement or right of way for the purpose of constructing, operating, maintaining and repairing ditch or ditches, flume or flumes, pipe line or pipe lines, syphon or syphons and other necessary means of conducting water over and across a strip of land in the County of Butte, State of California, described as "PARCEL ONE" in Final Order of Condemnation No. 12722, recorded in Volume 33 at Page 77 of the Official Records of Butte County, California, and more particularly described as follows: A sop of land fifteen (15.00) feet on the Easterly side, and twenty-five (25.00) feet on the Westerly side of the following described line: Commencing on the North line of the Northwest Quarter of Section 17, T.19 N., R.5 E., M.D.B.& M., N 89°59' W, 488.2 feet from the Quarter Section Corner between said Section 17 and Section 8, T.19 N., R.5 E., M.D.B.& M., being the Point of Beginning; thence S 46°06' W, 18.7 feet; thence S 20°06' W, 70 feet; thence S 44°06' W, 60 feet; thence S 21°36' W, 122 feet; thence S 9°06' W, 111 feet; thence S 46°59' E, 32 feet; thence S 5°09' E, 45 feet; thence S 5°21' W, 87 feet; thence S 21°09' E, 55 feet; thence S 1°09' E, 87 feet; thence S 24°39' E, 81 feet; thence S 65°09' E, 26 feet; thence on a curve to the right with a Radius of 27.91 feet, a distance of 37.3 feet; thence on a curve to the left with a Radius of 44.06 feet, a distance of 52.7 feet; thence S 57°09' E, 30 feet; thence on a curve to the right with a Radius of 15.87 feet, a distance of 23.9 feet; thence S 30°21' W, 11 feet; thence on a curve to the left with a Radius of 36.59 feet, a distance of 64.2 feet; thence S 70°09' E, 18 feet; thence on a curve to the right with a Radius of 10.91 feet, a distance of 16.2 feet; thence S 41°51' W, 73 feet; thence S 9139' E, 180 feet; thence S 39°19' E, 35 feet; thence S 0°19' E, 50 feet; thence S 56°49' E, 65 feet; thence S. 26011' W, 25 feet; thence on a curve to the left with a Radius of 95.76 feet, a distance 'of 60 feet; thence S 9°49' E, 22 feet; thence S 15°41' W, 58 feet; thence S 26041' W, 90 feet; thence on a curve to the left with a Radius of 256.51 feet; a distance of 120 feet; thence S 2°41' W, 84 feet; thence on a curve to the left with a Radius of 143.41 feet, a distance of 128 feet; thence S'47"19' E, 12 feet; thence S 23'19' E, 52 feet; thence S 43019' E, 64 feet; thence S 65°29' E, 29 feet; thence S 52029' E, 79 feet; thence on a curve to the left with a Radius of 191.12 feet, a distance of 95 feet; thence S 80°59' E, 15 feet; thence on a curve to the right with a Radius of 64.07 feet, a distance of 67 feet; thence S 20°41' E, 115 feet; thence on a curve to the left with a Radius of 573.13 feet, a distance of 110 feet; thence S 31041' E, 75 feet, more or less, to the East line of the Northwest Quarter of said Section 17, being the end of the herein described line. END OF DESCRIPTION IN WITNESS WHEREOF, GRANTOR has executed this instrument this 25th of May, 1993. 7 Jean Brown, President 1 C. Glaze cretary oville-Wyandotte IrrigationDistrict Oroville- andotte Irrigation Dis ct STATE OF CALIFORNIA ) COUNTY 'OF BUTIE ) ss. On this 25th day of May in the year 1993, before.me, Clare E. Jones, a Notary Public in and for said County and State, personally appeared JEAN BROWN and MICHAEL C. GLAZE, personally known to me to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacity, and that by their signatures on the instrument the person, or the entity upon behalf of which the persons acted, executed the instrument. WITNESS my hand and official seal. G Clare E. JoneValifornia Notary Public, State of [cAquitclai. 5/20/93, mcg] y. T0 : CLARE E. JCIE NOTARY PUBLIC•CALIF0P,, :, j County My Commison EP es July 14, 1�_g e9 ®00pC0®000/i0/®ID/$1 linea Elm OROVILLE-WYANDOTTE IRRIGATION DISTRICT RESOLUTION 5-93-1 EASEMENT QUITCLAIM DEED WHEREAS, the Oroville-Wyandotte Irrigation District has certain deed of record upon the real property hereinafter described that are no longer necessary to be retained for the uses and purposes of the District. NOW, THEREFORE, BE IT RESOLVED, that for the sum of twenty-five dollars* * * ($25.00* * * ) the President and Secretary of the Board of Directors of the Oroville-Wyandotte Irrigation District are hereby authorized to convey by Quitclaim Deed for and on behalf of said District to: C. M. KRIENS, an unmarried woman all of the Districts right, title and interest in and to that real property situate in the county of Butte, State of California, as described within the "Irrigation Easement Quitclaim," attached hereto as Exhibit "A." PASSED AND ADOPTED this 25th day of May, 1993 by the following vote: AYES: Directors Brown, Cecchi, Drobish, Menas, and Ricketts NOES: none ABSENT: none I /� ABSTAIN: none // (SEAL) A/P Nos. 72-190-002, 004, 006, 008 MEMO TO FIELD INSPECTOR Permit # ( I D / �P - Date A.P. No. �%.2' f Applicant: �'R•� EN To: Field-Inspector: From: T3das Subject: 0T DEQ �PZo G14 F7C- • i f/V Nh'(N IVIIIAl ,--r- 12-, 1�> 167 !/F- tAl D L w M COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE T3 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the.above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. PaLl-'F--7- / �- tisli4-e-Lif---D A-- -F1 Meg 04- /v,Z / ff- , `fin 7- -77 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A roudna kaspection indicates that the following violations of Butte County Ordinances exist at Ow abave address and should be corrected. Please notify this office when correction of work is corr4&tedl. If you have any questions pertaining to this matter, or need additional explanation, pie contaAthis office immediately. /U0 C., Date 7 — / j -3 Inspector REV 11092 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE KV:Nl/s ff -/8L7,(/p OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed If you h any questions pertaining to this matter, or need additional explanation, �' immediately. please cont Is 0 ce --r-f 9 730 A04AJ '#k� FA I riff F, -- A — I "m " ME -M W, Fy NOW W-1 e I i 971-M4 r�j -4 N Date // —� (/ REV I �/9'2 n W � l Ah n 11 n La 0 A SCJ : � y .t� 4"`�p � w,l:, � r a'7: tyyr • - a' Insulation Certificate Number and Street County Description of Installation ROOF Material Thickness (inches) CEILING Subdivision 'a RAF.. +v 4,19 city Brand Name Thermal Resistance (R -Value) Lot Number Batt or Blanket Type ' Fiberglass Brand Name Certainteed Thickness (inches) Thermal Resistance (R -Value) •Loose Fill Type Ultratherm Brand Name Certainteed Contractor's minimum installed weight/ft lb Minimum thickness L6 inches 3 Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL MatjrW-••-;;x�Fiberglass Thickness (inches) c_ Brand Name Certainteed Thermal Resistance (R -Value) RAISED FLOOR Material Fiberglass Brand Name . Certainteed Thickness (inches) Thermal Resistance (R -Value) / SLAB FLOOR Material Thickness (inches) Width (inches) _ FOUNDATION WALL Material Fiberglass Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value.) Brand Name Certainteed Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) / license Number Signature and Title Dam Hawkins In usries nc./Shasta Insul. 650722 u o r Installer) License Number Signature and Title Dam it RESIDENTIAL PLAN CHECKING. GUIDE 8/91 (S.F., 'DUPLEX & MISC. ONLY) .v s 1 v Bldg. Permit #_ OWNER A.P. # Plan Checker 2K GENERAL 1I ooning requirements: (sideyards and number of permitted living units). Y Valuation. - ans signed by designer. 4i Proper 'description of work on application. ing violations on property. 86t ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ecorded notice of violation. PLOT PLAN lr✓ plete parcel size and dimensions. Setbacks, sideyards, easements, etc. --3:--Other buildings or structures. 0Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non—comb— V. or utilities across lot lines (Record form). FLOOR PLAN plete to ,scale plan with dimensions. ++ e,quired windows for light and ventilation (Sec. 1205). Rqui red windows for second exit (Sec. 1204). . , lights (Chapter 34 & Sec. 5207). -�/ ` uman impact glass (Sec. 5406)._ , . ed room sizes, ceiling heights (Sec.'1207): C s in baths, garage, kitchen, and exterior outlets (Article L'ght fixtures, switches, receptacles, and exterior receptacles ena e f mechanical equipment. ' 9 L a ns of water heater,'heating and cooling,equipment, other o gas equipment. j1;. aara firewall, door size, and closer (Sec. 503(d)(3)). 1 — '0." exterior exit door (sec. 3304 (f).< r ace and wood stove location, alcoves, and clearance. oke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. 210-8).•' for main- electrical . , STRUCTURAL DETAILS andard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. ee story building requiring engineered calculations and plans. undation plan complete enough to construct building. construction detailsocomplete enough to construct building.. E.levati-ons 'and—wall •construction details, comp;lete� enoughk to construct %, Ioof construction details complete enough e. construct' building. ace construction details and talcs if necessary. 1 of ties or bearing ridge beam. 1 rage door or porch header sizes. 1 Stud heights. _13-At1V6e soils — special foundation design. eta' i_ng walls requiring design. ,:7 pecial Inspection required. building t(= !v S 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCEL W EOUS ITEMS TO LOOK OUT FOR VIIS�tairway_details: 'landings, rise and run, head clearance, handrails c. 3306). 2. Guardrail details (Sec. 1711 & 3306(j). 3,--B tri,- or stone veneer (Chapter 30) . rior plaster - weep screeds (Sec. 4706). 5.I ,Pr�Per roof pitch for roof convering (Chapter 32). 6 %Roof covering type - (fire hazard). lation - protection. 36" alls and stairways. 9 iving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. its on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 At access and ventilation (Sec. 3205). 1 erfloor access and ventilation (Sec. 2516). 1 muair for fuel burning appliances - L.P.G. requirements. e�_�__estion requirements on duplexes. rgy design. Flashing at all exterior openings. re ponsible area requirements. 3D 5(C'7 GgLC�S � 10 • t1J1N 4�j�;Jfq\3 C_ �. C©aJST2- U1 '� v C> /D a- J=D Al - P9S J q N FID cc�iV')q 3:1 rea � e2.�.,�—..-a• P-� Y Compliance with the Energy Budge 2C1 Fot2--ESTo-tt.i_ 1.1 l -0161D - . DIZnv►LL1 � f P172-1�jo-og. The following forms have been used for this Project: 2 D-vtificace Of Corrlp.liancE., CF -1R Lancia i u.ry i'least.Ai't-s Ci'LcC_I. l ist, MF -1R P -2R Th::11-wa- l iia _ IN01 1:: 95ilr2ei; , WS -1R . I. 1.r1tui-polacion, I9�eighted Aver i:qr (=lciitiorl Wci kst - ue-L,. WS -2R Fe l"1or IIeut, WS -.SR It t.cr Hc.a;. i nG ►.4or E:shE��, ,. DHW-1 co WaI;Er Heatirig f'or'I'•1Ulti.-Fdmily, DHW-2B ®KRI _ AP 'Indi.r•u-ct Large Storage Gas Heater, Basic Friar coy Use, DHW-3 !"lu:,i].i•s:••. ]:t'lPLA(solar. °: 141ot-)d Stave 8ni1er C t r: --d i i. DHW—.4 Uo:rib -i led Hyd ron i c vl.)acL a 1 -Id- wa ter Hea. i 11:') ,• DHW-5 2 Pr-DP0F.od Consti'•uc:tion Assembly, 'Form,3R (SC) Worksheet, Form. S. IIsi,i;l.J.ai-jun Curti- i.eate, CF -6R 4o -ailed and completed ;t jub�5ite) 0 TOTOL HUMBER OF PAGE'S ENCLOSED wd:3/93 Certificate Of COmpliame:Residential (W) ( ) (Page 1 of 2) CF-1 R osCo/29 `i3 Project Title ( ) Date 29CD�-��STo Project Address Rear..... Budding Pennd # WA-,YU E- Documentation Author. Telephone Plan Check/ Date Po I T s`K6T E M I Field Check/ Date Compliance Method (Package,,Point System or Computer) Climate Zone. Enforcement Agency Use Only Skylight ....... GENERAL INFORMATION. Total Conditioned Floor Area: 1530 ft2 Building Type: ✓ Single Family Addition (check one or more) Mufti-Family Existing-Plus-Addition . Front Orientation: � North /. East / South /� / All Orientations (Input orientation in degrees and circle one.) . Number of Dwelling Units: OWE Floor Construction Type:' Slab. Raised Floor (circle one or both) BUILDING SHELL INSULATION Construction Component Insulation Assembly Location/Comments .Type. R-Value U-Va'lu'e (attic to garage typical etc.) Wall .......:...... �I • .. TYPICAL Wall ............... Roof ............. 3a "r-YPl�al_ Roof .......... Floor ............. I `t - _... T Y P 14q t_ Floor .......:....: Slab Edge'.... ry/A 7YP is A I_ FENESTRATION Fenestration Orientation Area, Fenestration sf U -Value. Front..... Front..... (W) ( ) 23.►, cry ,� Left....... Left ....... ( ) Rear..... Rear..... ( ) Right..... Right..... (, ) Skylight ....... Skylight ....... THERMAL MASS Type/Covering Area (slab/exposed, tile, etc.) (sf) Shading Devices Exterior STA QI'Al2t= kjol.(F_ PAPER`{, iZEQUlt21=tom Thickness Local f✓KPo��Ev I`'►�Sr�t�R1( 2.p i,lo�.l� RCQc.ItfZ�p RavlaadJanuary 1992 {+JV-1--IZ Overhang Framing Type (yes/no) (metaVwood/vinyl Yes-,_ METAL. fl etc. Certificate of Compliance: Residential (Page 2 of 2) CF -1 R � lz (E 1�•I� �/2°l /�I � Project Title HVAC SYSTEMS Note: Input hydropic or combined hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Cooling Equipment Type (air conditioner, heat pump, evap. cool! >b•t l� Go IJ 17 l 711 ..2 . ducts/attic, etc. R=Value Gt�.klL SPaC�. •2 Minimum: Duct Efficiency Location (SEER ) (attic, etc. am • WATER HEATING SYSTEMS Water Heater Distribution Number in Svcfai 5�F-1'I511h-elIL Duct ` Thermostat Configuration R -Value Tvoe lcnlit nr nn„L.- Rated' Tank Input (kW Capa or Btu/hr) (nallc �. Energy' External Factor or Tank. Recovery Standby Insulation .+ v� wow % /01 rlydlue SogP�Gt� pZ : • I �.. � �0 2 Co � � ��-�c..—�►i�c�� G��tr .. 12 1. For small gas storage (rated input -,q 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input 2 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of the California Code of. Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied. is indicated in the Special Features/Remarks section. Designer or Owner (per Buslness*6:Proresslons Code) Name: ' (f. R-1 aNS :..: Title/Firm:. Q Address: P5 I A gQV 11 Telephone: (p L q ( Lic. #: Documentation Author Name: WAS-,( E ' DA1 LEY Title/Firm: Address: 21 :F5 U I ip- Telephone: (signature) (date) (signature) 2 (date) Enforcement Agency Name: . Title: Agency: Telephone: (signature/stamp) (date) Revised January 1992 Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER I ENFORCEMENT Building Envelope Measures ' §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. ' §I50(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).. §150(d): Minimum R-13 raised floor insulation in framed floors; minimum.R-8 in concrete raised floors. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perminch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration -certification. YES •i�� Y�cJ `( F—S Y ES §116-17: Fenestration Products, Exterior Doors and InfiltratioNExfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration -certification. Yds ..c. Exterior doors and windows weathers tripped; all joints and penetrations caulked and sealed. §1500): Pipe and Tank Insulation §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation 'blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system, 4.. Cooling system piping below 559F insulated. `(S §1500: Special infiltration barrier installed. to comply with §151 meets Commission quality standards. §150(e): - Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: • §150(m): Ducts and Fans. a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue.damper and control YES 2. No continuous burning gas pilots allowed. Space Conditloning,.Water Heating and Plumbing System Measures §110 -13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(): Setback thermostat on all applicable heating systems. YDS §1500): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation 'blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system, 4.. Cooling system piping below 559F insulated. 5. Piping insulated between heating source and indirect hot water tank. • §150(m): Ducts and Fans. 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers..' §114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. UoT APF a C -N 2. System is installed with: a. At least 36' pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa 3. Pool system has directional inlets and a circulation pump time switch. �P `10TT LIC -AE §115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously buring pilot light.. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.) Lighting Measures §150(k): 40 lumens/wan or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. t'i✓� Revised January 1992 .Point System Summary: Climate Zone 11 Project Title Date P-2 R BUILDING DATA Fenestration Conditioned Floor Area I t;Area 30 Number of Stories I North ) r . 7g Slab/Raised Floor ISS D East 14 1012 Check all applicable Unit Type condition(s): South 1— 1 • I Q) [q,,Single Family Detached (SFD) [ ] Addition Alone .West 23 .61 16 - fsr; [ j Single Family Attached (SFA) [ J Existing Building Skylight 24.o i • �s7 [ J Mufti -Family (MF) [ J Existing -Plus -Addition Total 2plef 6-7 SCORE CARD Measures 1.. Ceiling Insulation or d or .ozS Heater Type % Exp. Slab (20] Int Mass/CFA R -value [38] U -value (0.028] (0.53] 2, Wall Insulation System 2 ti1hA or '0401 tJ A ►J A 10. Heating System R -value [19) U -value [0.065] Auxiliary Input 3.. Raised Floor. Insulation .I or (78% or 6.$) 0.83; 2+ story: 0.881 R -value [19] U -value (0.037] 1010 4. Slab Edge Insulation • or Duct Etfic.. [1 story: Effective SEER R -value (0) F2 factor (0.75] 5. Infiltration 'Any Ducts in Unconditioned Space? (®/ N) [Y] 6. Fenestration Heat Loss�9- Type U -value [0.65] Total % Fenes. [161 . •7. Fenestration Heat Gain %:Fenestration: SCSnade open ' Eff. % Fenes. Shade Eff. Ratio North .?8 x' .. :71 _ .loU ,$(o East .°►2 _ x I _ • 71 South 1," l� x �e _ .90 90West West X5,15 x . 0> "Skylight I.57 . " x " .12 = [.21 • td Overhangs? 8. Interior Thermal Mass - or d d Heater Type % Exp. Slab (20] Int Mass/CFA . Auxiliary Input 9. Exterior Wall Mass (0.53] [12] [None] System 2 ti1hA Ext. Wall tJ A ►J A 10. Heating System 7 _z, x Auxiliary Input AFUE or HSPF Duct Etfic. [1 story: Effective AFUE (78% or 6.$) 0.83; 2+ story: 0.881 or HSPF 11. Cooling System 1010 x • SEER [10.01 Duct Etfic.. [1 story: Effective SEER 0.81; 2+ story: 0.87] 12. Water Heating System 1 ;S E 30 2. Co 12 d Heater Type Energy Factor Ext Ins. R -value . Auxiliary Input (SG50) (0.53] [12] [None] System 2 ti1hA �� tJ A ►J A Heater Type (None] Energy Factor Ext Ins. R -value Auxiliary Input Form Revised January 1992 Point Scores . �. n 0 0 Sum 1-6 d Zonal Control Adjustment [0] 0 Zonal Control Adjustment [0]' Sur 7-9 3 2 F. ic e Distribution C rz- V ( T— [ST /D]� Distribution 0% Point Total: Point Goal: Interpolation, Weighted Average & Addition Worksheet WS -2R Cp/29 /CIS Project Title Date a. The use of interpolation is illustrated in Section 4.3 of the Residential Manual (RM). Evaluate the expression between the vertical brackets, make it positive (+) whether negative or positive and add the value to the "Low Points" to obtain the Point Score. b. Mixed raised floor/slab-on-grade construction is area -weighted according to point scores not U -values. Other measures are weighted according to their respective values (e.g., U -value, HVAC efficiency) as explained in Section 4.2 of the RM. Insulation may be weighted by R -value point scores or U -values. c. Different slab edge types and duct conditions (duct insulation and location). are weighted by length. All other measures are area -weighted as explained in Section 4.2 of the RM. d. Compliance of additions with the point system is described in Section 4.4 of the RM. INTERPOLATIONa POINT GOAL OF EXISTING-PLUS-ADDITIONd Existing Existing Existing Plus Building Building Addition . Addition Addition Point Point Total Area Point al Area Area Goal K. ) X• ( ) + 0 ) X ( Form Revised January 1992 Low Value for Low Actual High Low Value for Low Value for High r Item No. Points (A) Points (B) Value Points Points Points Points Point (C) (D) (A) (B) (E) Score + I( •od 02S )X( 2 .75 + Ic )X( Co+ I ( 2 - 12 t _)X( — 1 _I1 .+ X( 2- o ) l (. i•9 - 2�•-7 WEIGHTED AVERAGE Item No'. Type 1 Valueb Type 1 Area` Type 2 Value Type2 .Type 3 Type 3 Total Weighted Average Area Value Area Area` Value [( )X( )+( )X( )+( )X( X )'X( POINT GOAL OF EXISTING-PLUS-ADDITIONd Existing Existing Existing Plus Building Building Addition . Addition Addition Point Point Total Area Point al Area Area Goal K. ) X• ( ) + 0 ) X ( Form Revised January 1992 Fenestration Worksheet: Heat Loss (Past 1 of 2) Form WS -3R Project TWO Data Area -Weighted Average U -Value Description Orientation U -Value Fenestration U -Value Area x Area x _ r2 = 7.9)0 x -- x _ x - x - x - — Xx _ Description Orientation U -Value Fenestration U -Value Area x Area Det/Ni=TAS-2)10¢0. E,T .�S x lc�lo !oS x x 5 = 2S X. - X = x = .. x - Description Orientation U -Value Fenestration U -Value Area x Area D��/METv,L- 3)'La3O SnUTH .(os x I L Io x _. x = x = x - x = x - Description Orientation U -Value Fenestration U -Value Area x Area D 8l./META L - 2)q,�3tZ W t=SIT .40S x 20 x = x _ 02o x - x 2 .O - ls,4,o bRl. I�IETA� 3 L�&tl-1't" ,CaS Total: -7 11rs4 .&7 1014 --lel / 3C7A :�� _ •Cos Total Total Average U -Value Fenestration U -Value x Area Area 2°l`I • Lo I 19.1 Total Percent Fenestration ; x 100 / l Sao = 15[,AT % Total Multiplier Conditioned Total Fenestration Floor Area Percent Area Fenestration Form Revised January 1992 WJ/2-G13 Fenestration Worksheet: Heat Gain (Past 2 of 2) Form WS -3R ��' IE✓�S ��2R /`l3 Project Title Orientation (circle one): North / East / South / es / Skylight (Note: All values on Part 2 of Form WS -3R are for one orientation only.) Overhangs Orientation Total SC Shade Open x Area Orientation Total: 23(o.(0i 13,100 132. iEA / 2bx,�- -7 Fenestration Overhang Overhang Projection OH Factor (Shade OH Factor (Shade Description Height Depth (H) Height (V) Ratio Open) Closed) N• �• 0• N• W/ 1L) f'o�� ln,Co? —L�_ l to =_ � •fo Z OH Factor SC SC Shade OH Factor SC SC Shade Description (Shade Open) Shade Open Open (w/ .Overhang) Shade closed) Shade Closed Closed (w/ Overhang) N, W/ STP/ METAL x = - x = E5. -'W/ S T 1:> MP�AL x = x = �•- t^�/ ST p/ M 1✓TAL x=_ ) .41 x _ .2 i D ST 9D/ M E TAL x = x = Area -Weighted Average SCShade open & Shade Effectiveness Ratio SC SC SC Shade Shade Shade Shade Shade Fenestration Open Eff. Ratio'. Description Closed' Open' Eff. Ratio Area x Area x, Area 15-W/ST0/0ErA-L G.- w sr D/ M �:TP.I-2 -7Ab_ _ Slo 2,54o,67 Pr W /STD/ I✓1i✓T1�L 5T CD / M t= -TAS- Orientation Total SC Shade Open x Area Orientation Total: 23(o.(0i 13,100 132. iEA / 2bx,�- -7 __ • b Orientation. Total Average Fenestration SC Shade Area Open 132,54 / 23c..Ca-7 = Orientation Total Orientation Total Shade Eff. Ratio Fenestration x Area Area Note: Shading coefficients should include overhangs if applicable. Percent Fenestration --Z31, 10-7 Orientation Total Fenestration Area Form Revised January 1992 I.Jci/ .I -�I3 . 5co Average Shade Eff. Ratio x 100 / 1530 = .1:5.45---% Multiplier Conditioned Percent Floor Area Fenestration (per orientation) - Proposed Construction Assembly: Residential: Form.313 '�I�IJS 7/2�%9� Project Title Date 2c� Co 1=o> PT,- C.773 I� I n Project Address l�lgyhe I fey N Iia) 534-94o I Documentation Author Telephone 12.•�-35.2 24 Field Check/Date Assembly Name Enforcement Agency Use Only Revised January 1992 Assembly Type: Floor (check one) Wall 3. Vol Ceiling/Roof 2 I Framing Material: Irl OO J .Framing Size: Framing Spacing:. 24 " o:C. Framing Percentage: _ Wall: 15% (16" o.c.) -j (check one) 12% (24" o.c.) 9% (48" o.c.) Floor/Ceiling: 10% (16" o.c.) ✓ 7% (247.o.c.) 4% (48" o:c.) Sketch of Construction Assembly Wall Weight / sf: , h/tet .(Packages only) List of Constructlon Components R -Value Cavity(RC) Frame(Rf) Outside Surface Air Film. 1. >�Sp�lu l �' .. sh I VIaI.�e l'oot�iYl�j --9- 44eq 0.4 40 2.. 5,uI1JI1`11 -pafper C-�`�It) o,o�o . .o.ocoo 3. �/8 p 1�Jaoci. 0.7 7o O, 7 70 4. ems, G>" q N reG e r of l r -,> c a (eq wW .0 0.800 0. Sr�o 5. R = 38, A r- q V . I m S U Gl Ion 3Qa o00 23��• 0i 00 6. 2 x 4 I r r jM 111 7. 5_�� � I0 6 U M or pals e r i�q rci O . �loy 0.5fnd Inside Surface Air Film Total Unadjusted R -Values: 19 -6?5 Rc Rf Framing Adjustment Calculation: R .13 I/ *44.410)x ( I -(T/loo )] + [( I/Zq•>3l5)x( 7 loo )] 1 / Rc 1 - (Fr-/. / 100) 1 / Rr Fr% / 100 Total U -Value 40 .00 1 /Total U -Value Total R -Value Revised January 1992 Construction Assembly: Residential Form 3R Project Tltle Date Project Address OF—UQaLL.t. C. 1 I � 11 hJ >ti� �•� t l e r7� - � =� c�� Documentatibn Author Telephone Assembly Name Enforcement Agency Use Only -••-•- .-.--••--•----- ....--...-., . List of Constructlori. Components Assembly Type: Floor Frame(Rf) :. (check one) Wall Ceiling/Roof .0(. Framing Material: �_boD Framing Size:: 2 x C, Framing Spacing: 110 ° O.C. .1,8� Framing Percentage. Wall: 15%(16" (check one) . RC 12% (24" O.C.) _ 9%1(48" o.c.) Floor/Ceiling: 10%,(16" o.c) - 7% (24" o.c.) 4% {48" o.c.) . Wall Weight / sf: (Packages only) Outside Surface Air Film . oCL' .4. 2X Co Ilot' o.c. F�A;r�atJC? .6. 7. Inside Surface -Air Film Total Unadjusted R -Values: R=Value . Cavity(Rc) Frame(Rf) :. 17 .Ofo .0(. -,17 •4 7 .4So � .4So .1,8� -Collo. Zv-31 7-155 RC Rf Framing Adjustment Calculation: x 1. / Rc 1 - (Fr% / 100) 1 / Rf Fr% / 100 b%O'7 1 /Total U -Value Revised January 1992 .4_�,lcC)-% Total U -Value t . 47S Total R -Value Installation Certificate: Residential CF -613 Use of this form to satisfy the requirements of the Administrative Code Is optional, but the Informetlon must be provided and posted. Site Address Permit Number An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the persons) assuming overall responsibility for the appliance installation. I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS External Tank Standby' Insulation Loss (%) R -Value ' Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certifled Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & Efflclency Type and Piping Before Over- Equipment heatpump, etc.) Model Number (AFUE, etc.) Location R -Value Sizing (Btuh) Capacfty (Btuh) CEC Certff led Cooling Equip.Compressor Unit Actual Distribution . Doctor Type (air cond., Manuf. Make & Efflclency Type and Plping heat pump, etc.) Model.Number (SEER) Location R -Value The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. Signature WATER HEATING SYSTEMS Water Heating System Type (storage gas, etc. Date HVAC Subontractor (Co. Name) or General Contractor or Owner Energy' CEC Certffled Rated' Tank . Factor or Manuf: Make & Input (kW Capacity Recovery Model Number or Btuh) (gallons) Efficiency External Tank Standby' Insulation Loss (%) R -Value ' 1. For small gas storage (rated input:5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursuant to Title 24, Part 6, Subchapter 2, Section 111. Signature Date Ravisad January 1992 Plumbing Subcontractor (Co. Name) or General Contractor or Owner rx.= A (916) 534.9587 Ew 6iNEERf - 1 fURVEYORf C a s s n c i a a 7R 'QJ `J' P.O. BOX 986 - OROVILLE, CA 95965 100 GOLD DREDGER DRIVE August 31, 1993 Job #93-091 Butte County Building Dept. 7 County Center Dr. Oroville, CA 95965 re: Building permit for Mrs. Carol Kriens A.P. #72-190-08, parcel 4 Dear Sirs, I inspected the building site this morning. The foundation area has been partially graded and the underlying material exposed. At grade, the material is mostly a fractured granite. Material below. is mostly granite, with few fractures. The concrete footings will be placed on this material. Steepest slope under the main structure is 3=1 or less; on the South end the slope becomes 1=1 to the end of the garage as shown on the plans. Material is stabile. None of the footings will act as retaining walls. The foundation as planned can be constructed at the site, with the requirement that drainage from the slope above be directed around and away from the building footings. If any more information is needed, please let me know. Very Truly Yours, CP&';t e• Robert C. Brooks RCE 15140 isot BV WUNTT . � • � 3131197 DEPARTMENT CiVi1, SYS- %,, ��_"-. APPROVED SURVEYING SOIL TESTING ENGINEERING PLAN CORRECTION RESPONSE SHEET CHECK PLAN NO: COMPLETED BY: I,Jk-e0r. CUSTOMER: G- t-1. DATE:uU JOB ADDRESS: FRoA..c:o O Rev LLC cA N : 2 —V5 0- n ITEMNO. DESCRIPTION OR REMARK ib, ld30 c mwine PLAN CORRECTION RESPONSE SHEET CHECK PLAN NO: COMPLETED CUSTOMER: DATE:tACa JOB ADDRESS: 2100 Fb96,r=6Tbb.LQ F�c.o o Ruy c.L�S cA __..... .._Ant F,N: 2 - a -O ITEM NO. DESCRIPTION OR REMARK FOOT -1 is ' ! K So 1..E a- W al. c.. O G• ►.gyp AL.L v " CA., m L �J -tt�} 11. v, . c . j; d M v��tR�1Mt_�►T vrTsfL