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072-300-027
B07-0348. 072-300-027 MISCELLANEOUS Remodel GARAGE CONVER�60 SQ.FT. 80 REX LN STONE, JOHN S', 27 072-30-0-0.:7.�, u C� 2' ROSEBERRY; 80 Rex Ln,.le new sf ' =" A i l= II tl� •-ti I �'rr 71 t I r l` 27 072-30-0-0.:7.�, u C� 2' ROSEBERRY; 80 Rex Ln,.le new sf ' =" A i l= II tl� •-ti I �'rr 71 �z g -s S; - A _ .i ' r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD AV UST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0348 Issued: 03/21/2007 Address: 80 REX LN Area: OROVILLE Owner: STONE, JOHN APN: 072-300-027 Applicant: STONE, JOHN Map Page: Permit Type: Remodel 114 Description: GARAGE CONVERSION 560 SQ.FT. AREA 2 Flood Zone: None SRA Area: Yes SETBACKS Front Setback: 20 from F Side Setback: 5' Rear Setback: 15' Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING I Ins tion Type IVR INSP DATE Setbacks 132 _3 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Ho ldowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 If-1-1-7 GAS, Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 ShearwallB.W.P.-Interior 135 Shedrwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Sidi g/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough;Electrical 208 Gas Piping -1 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type IVR I INSP 7DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 1 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test j 605 Continuity Test 1 602 Skirting/Steps/Landings 1 610 oach I fo Manufactures Name:tKb_A��W�\P'Yl Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Finals - _ - - ---. --� Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 -rrolect rmai is a t-ernncate of Lpccupancy for (xesiaennai only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PFIOR TO EXPIRATION Inspector Copy 0 COUNTY OF BUTTE BUILDING DIVISION DEPAIRTME14T OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE A Ll 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanationyplease contact the Building Inspector as indicated below. wo 0, cd,+ -0,1 A A Date Inspector CJ 6 r REV 4/05 Phone #-3 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING age 7 of 8) CF -4R Project Address NA Builder Name Builder Contact Tele hon "'�7 o Plan Number HERS Rater 9-53 Telephone Sample Grou Number NA Certifying Si na re ate Sample House Number Firm0 LS7` Ht t%Fo0d 5 reeto, zc"� ��L1 �jj C 11 qt' (` e/Z�1� 1 \ .9S,2_ �t 1 S, Z� Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT ITERS RATER COMPLIANCE STATEMENT�z The house was: ✓ Tested ✓ Approved, as pa t of sampl testing, but was not tested Y' As the HERS rater providing diagnostic:testing and field venfication; T certify that the house identified on this form complies with all applicable requirements ofthe Nigh Quality Inaho of Insulationprocols as specified in the Residential ACM, Appendix RH and as checked oht tns form Note that to'rliPASS and receive compliance•credit NONE of the BOXES below may be checked "No" and the�first three;boxes alsgem stxbe checked Checks§`NA ;:only if the item is not part of the design of the building (1e., single story'ti�uildmgs do�notjhave nmF gists or there ma be"no recessed can lights installed, etc-). M=''Y E`YS '1P�' .� L �Xa4 k• fi Ke /'¢3' 4, .. ✓ ❑ REQUI ENTS FOR °HIGH QUAi ITY INSTALLATION OF INSULAT_iON11 COMPLIANCE CREDIT L� The building is wood frame consttvchon with wall stud cavttiesceilmgsand roof assemblies insulated with c 311 • d, KyS''1b , ii .. mineral fiber or cellWo a ►nsulatwn'm low-rise residetaL bwldings ✓ ❑Description of insulation, (CF 6R formerly IC -1) signed by the installer stating: insulation manufacturer's name, material identification, installed R values; and for loose fill insulation: minimum weight per square foot and minimum mches�r<�, °? '+_""fir, �' .>:AW` - , ,y t s".#-.. 'N'r'. K t 1'3"T' 2" ✓.' ❑ Installation Certfcatei(CF6R) isigned{by the installer certfymgthat the Installation meets all applicable requirements as. -.sl Installation Procedures (ACM, Appendix RH) %MX; z� 3 ✓ FLOOR.. Yes No NA All floor joist cavity insulation installed to uniformly fitthe cavity side-to-side and end-to-end , El Yes 11 No NA Insulation in contact with the subfloor or rim foists insulated Yes No NA Insulation properly supported to avoid gaps, voids, and compression ✓ W LLS r' N. Yes ❑ No ❑ NAy �. $ , � � ��t � ` ��. W,.z�: • Y` r xis- s � .; ��y Wall studAcavit} insulation u�foririly fills;the cavitya�de to-s�deXtop: to bottom and front=to-back &; Yes Nod' NA �h No"gaps} 5 wT 1a y { Yes N A' ' Notvoids over %.p%sleep or more,than• 10°/6,. tt a battrsurface aria s No ❑ ❑ Hard to access°wall stud>.cavities such as,","rner channels wall intersections;eand behind tub/shower Yes No NA enclosures insulated to proper R -Value ET—Yes O � Small spaces filled ❑ ❑ Yes No NA Rim -joists insulated ❑ ❑ es .No NA Wall stud cavities caulked or foamed to provide an air tight envelope - r CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 8 of 8) CF -4R Project Address Builders Name POOF/CEILING PREPARATION ✓ 0 ANN, _0 N o gaps IN. Yes Ye�,,, -No NA All draft stops in place to form a continuous ceiling and wall air barrier U ❑ Roo, Yes_ No NA All drops covered with hard covers 20, 0 0 I Yes No NA All draft stops and hard covers caulked or foamed to provide an air tight envelope 0 0 1§ All 'recessed light fixtures IC and air tight (AT) rated and sealed with a gasket or caulk between the Yes No NA_ housing and the ceiling 0 0 gr Yes Yes No NA Floor cavities. on multiple -story buildings have air tight draft stops to all adjoining attics I ✓RO.OF/CEILING LOOSE -FILL Yes No NA Eave vents prepared for blowninsulation V4H�ihtain net free -ventilation area - -0 NA,_ 0- Yes 0 No Jo- NA :�w �,V-g '4 Knee walls insulate or prepared- f0bl6i"AW'i I ti a ion 0 0 V .���su 0 Yes 0 W, MM, gp Area under equipment s quipment p atfo walks insulated`bf,a&essible for blown insulation . No NA 4RAW46 01.0 _"Ovf Aiii, w -R -H., 0 0 W� A Attic rulersfifigtall6d'. R- Yes No NA M . . . . . V KIHIP/t _1H.II IIINI: KA 1. ."'MIT r. !WENr�,A% .. 0 0 ANN, _0 N o gaps IN. Yes No NA 0, Yes U • 1�1_ , . . N. M'05 W'. -M RN No voids over -i, J -h -Mg re than 10% of batt 'hfi' fie -47 v3YA' IN No NA 0, 'Yes 0 900, Insulation No NA ------------- 0. 0 [a �Mly_Ael § Recessed light fix Yes No NA 0 0 [311, Yes No NA Net free -ventilation area maintained at eave vents ggp ✓RO.OF/CEILING LOOSE -FILL Yes No NA Insulation uniformly c t. entire (or roof), area from the outside of all exterior walls -0 Yes No .040 NA, /, w. Baffles installed at eaves vents or soffit vents - maintain net free -ventilation area of eave vent. 0 0 V Yes No NA Attic access insulated . , 0 0 z'Re ftssedj -ft ight fiJ &es'&ver&l, �F .. Yes No M . . . . . 1�', - �W F 01- InsUlatj;0'MMN 0 i6h rulir-`Whd ifidi s c ati -0- ff",d ad&Malue Yes'visiblei NA K Lo6se inur -filh iiieril!.Iiber.,.i�sulibbn,meets dt exceeds:andfa tuTe,,,.s mtrum TweightaiMthickness R c Yes No NA: requirement for tWtarg*dt RZWfargei: R -v 14,13 Mffi6f Manufacturer's minimum required weight for theget WLvalue �q..:(pounds-per-square fbot). Sample weight 9S (pounds per square foot). Manufacturer's minimum required thickness at time of installation (inches) Manufacturer's minimum required settled thickness. 2-D _ (inches). Number of days since loose -fill insulation was installed 4 (days). At the time of installation, the insulation 0 shall be greater than or equal to the manufacturer's minimum initial insulation thickness. If the HERS Yes No 13 - NA rater does not verify the insulation at the time of installation, and if the loose -fill insulation has been in place less than seven days the thickness shall be greater than the manufacturer's minimum required thickness at the time of installation less 1/2 inch to account for settling. If the insulation has been in place for. seven� days or longer the insulation thickness shall be greater than or equal to the manufacturer's minimum required settled thickness. Minimum thickness measured (inches). Residential Compliance Forms April 2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION .Site Address: 80 REX LN Owner: Permit N0: B07-0348 APN: 072-300-027 STONE, JOHN Issued Date: 03/21/2007 By KEJ Permit type: MISCELLANEOUS 80 REX LN Subtype: Remodel OROVILLE, CA 95966 Expiration Date: 03/20/2008 Description: GARAGE CONVERSION 560 SQ.FT (530) 589-5732 Occupancy: Zoning: U Contractor Applicant: Square Footage: PIERSON CONSTRUCTION STONE, JOHN Building Garage Remdl/Addn 2455 MAPLE AVE 80 REX LN 560 OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)589-5732 560 FEE INFORMATION DBEH Building Review Fee $75.70 DBMSC Remodel -Residential $934.83 Total Charged: $1,010.53 Fees Paid: $1,010.53 Balance Due: $0.00 Receipt No: B1942 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License PIERSON CONSTRUCTION C685929 I / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 03/21/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL 00 THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number. Exp. Date: (This section need not be completed if the permit is or onehundred dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS tt ISSUED, I s employ any person in any manner so as to become subject to the Workers' mpense on laws o California, and agree that if I should become subject to the workers' X 03/21/2007 co ensab n provisi ns of Section 3700 of the Labor Code, I shall forthwith comply with those Own r' Signature Date pro ions. -- X 03/21/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or o panty of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Coun to nter the -above mentioned property for inspection purposes. I hereby certify that I am the ope o erru ized to act on the property owner's behalf. Jft* i 5'Z254JE%03/21/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency fore of Pernee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1 Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip ���a•�°BUTTE COUNTY F0_ oe O o� 17 o DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS_ AFFK-F #:• (5301.53R -7S44- FAX--#:- (5301.539-lwo A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds '\Q[-�% "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Is --r0 E irst Name 00 N3 Mailing Address so Q X L A tK) (:� City O LI -C-7 State eA Zip qSq (O( _ "'u"ur2d)-'5�% 1Cp_5-j3Z lJo rm5_3o-5B9-5732. E-mail H i�-3Cc- STd N e OiS( CSN t CO UA CONTRACTOR Name -C t$ ARL 5 PI G Q_5 dN Address City State Zip Phone 5.3p —5-33- 8716 Fax E-mail Lic. #sss—q Z Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City V L_LP Address zip Q 5% (a City Fax 530_5Bq_5.�31 State Zip Phone Date Approved: rax E-mail State License Number APPLICANT INFORMATION Name Jost N Gd �I1 t= Address 50 LEY LAN & City V L_LP State CA zip Q 5% (a Phone�3C 2 - Fax 530_5Bq_5.�31 E-mail )oiiu0 STot�1EDe-StGN l COm _-EM _ For office use only; Zoning Occ. 3 Flood Zone SRA es No Type Const. UN Subdivision Name Cross Street Fo R B E:5To t o N Map Book Page Lot # Planner LENDING AGENCY Date Approved: PEWMT �u Iq PROJECT LOCATION AP# 072--300 -02-7-000 Property Address g0 2 L_'4' N City WT7-L (O, 0t20U 1(�( Cross Street Fo R B E:5To t o N WORKER'S COMPENSATION Policy Number Carrier 11 HIhINg OHyVHtl VIHtlF tH4N IIdtlHJtl dVHiFAbltlh0l d titlFtlllliOltl VF RtlMtltO compensation must be shown at the time of permit issuance. I LENDING AGENCY Name Address t 1 Description or Scope of Work: C=ARA&Ecb N V C -Y2_5 l o N Ezl© 2 -PO Sq FT- Living Garage Open Cov Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one 911\.1 .WV ,UGW .Vl 9Pyuvu. Ll Vl VA.1 LJ ilAil..tV 91 MLLVL Vll QIl application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check -fees for- work- nlan-chocked and other- department costa are notrefundable_,. ,,....._. _.. 1 Received by,.:P- Amount: ��'�:y Bldg SRA Receipt M. jq _ Sheriff M. � " SMIPf, J� // ,, J • 7 O �8ffrer °a '_ 2's� w� _ . . Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0348 Date: 02/23/2007 Location: Parcel Number: Owner Name: 80 REX LN 072-300-027 STONE, JOHN By: TMP Sub Type: Remodel Phone: (530) 589-5732 Description: GARAGE CONVERSION 560 SO.FT. The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS F1 Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 r7 n Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Signature of Property Owner: FILE Date: 02/23/2007 SCHOOL DISTRICTS ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 El Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 C Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 -ar—E] Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 -1-:13/07 ❑ 13 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 ❑ rl Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: FILE Date: 02/23/2007 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds pa'�ENp O a 0 -C O' O 'mac,qft-ppl- ko National Pollutant Discharge Elimination. System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0348 Date: 02/23/2007 Location: 80 REX LN By: TMP Parcel Number: 072-300-027 Sub Type: Remodel Owner Name: STONE, JOHN Phone: (530) 589-5732 Description: GARAGE CONVERSION 560 SQ.FT. , By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false d/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of Californiana Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: ® W PJ G R , FILE Date: 02/23/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not `started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0348 Location: 80 REX LN Parcel Number: 072-300-027 Date: 02/23/2007 Owner Name: • STONE, JOHN Phone: (530) 589-5732 Description: GARAGE CONVERSION 560 SQ.FT. Signature of Property Owner: Date: 02/23/2007 FILE BUTTE COUNTY BUTTE COUNTY DEVELOPMENT FEE CERTI IFUTBOMFORM �EATHER RIVER RECREATION AND PARK DISTRIJjT,,a ❑ CHICO AREA RECREATION AND PARK DISTRICT (UX s ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM[ RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number Property Owner (s) Building Permit Number &r7 -G Project Location /Address Subdivision Name .11-lew Development teratio ddition(s) Assessable Sq. Ftge • Slpc) Type of Residential Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department ❑ FRRPD ❑ CARD 0 PRPD ❑ DRPD certifies that: boy, Y\ S-\-0y-"e_1 ' 530 S -8q - 5y732 - Applicant Name Phone Number 80 2�x l L-1, e. Ort) Lid l e C gSg(p 4p Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: Paid by Cash: per unit for a total of $ per sq foot for a total of $ Receipt No: S no L- /q pp )J Recreation and Park District Representative Date -.vr�y`,� •`ra --�......� .,. , "tiv?'�✓-P. .,.•:wr ..-,... �iw:°r'-yi�v.a!+rr�. F�,.:7.'ii' «Yr.� BUTTE BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORWUNW (One form per Building) FEB 13 School District - A.P. Number Property Owner Property Location/Address Subdivision ` Residential Development M No o Living Mobile Home Units Installation Commercial/Industrial 0 Q New Addition .. 1w /i;li V � Jurisdiction: City Building District Identification No. --I ? 3 :).- Building Departmeq -r. CES 311 Tax Rate Area No. =County V. Lot No. Addition/ 'Supplemental to Conversion Permit # `(No foundation inspection) ...................................................... .......................................... Sq. Footage `j 6pn (Group R) Cr. Demo - ( ) existing sq. ft. see attached Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) Date School School District certifies that �"f �� St-jy� (Payor) (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. 0 S.o to —0 9 by payment of $ representing rj b a square feet. B 2926 $ FULL MITIGATION $ School District Paid by Check # \ \ Remarks: - Q -1 A---3 0 O O .1-2 2 - z -3 -1 Date Nonce: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section, 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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 (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm RESIDENTIAL (--072-30-0-027 ROSEBERRY, Walt 80 Rex Ln, Oroville new sf i r rl { .• 1' i 1{ 92-4442 BPEM <�If , � a . L` ! OFFICE COPY Address GA_� Mete Date ELECTRIC Meter By Date : } roo�<- JOB FINALED ) Signature ,/=OK O = Not OK Not Applicable Not Ready MOBILE HOMES ' =� Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date '.MOBILE HOME 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 - 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. 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 -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements ti 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL ' = Date UNDERFLOOR (Plans) OK except h's oning-Setbacks-Easements-Flood-Slope ,�., Main; Soils-Elec. Grnd. j&�Ftg. Depth a-TTg-,'Garage; Soils-Steel-Elec. Grnd.-/ k-Ftg. Depth 4-'FT'g_, Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped emwalls, Garage; Steel- Bloc kouts-Wrapped 6a!fgold Downs and Special Anchors Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel ; Fall -Fitting -Test -2 Way C/O -Sewer Test 3 as Pipe; Size -Anchors - yard gas piping: size -test t.�er Pipe; Test -Anchor -Regulator -Service Test Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation DateCard B Date Card B-1 Date B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 1 W Pipe: Test & Anchor -Nail Protection [0--jI .W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test -Tub & Shower, Second Floor -Tub Access -------------------------- ----------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------------------------------- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's --- - ---_ Fixture & Transformer Clearance --Ins. Protection - 2,2!Elec. Receptacles Spacing -Lights & Switches at Doors -------------- ------------------------------------------ ze Boxes & No. of Conductors -Stapled --I Studs & C.J.--------- 25. Romex Installed Close d e of Studs & C.J. --------- --------------- - ------ 9----------------------- ----- - Eq round Made up !Meeh. Fastners-Bo W `=- - ----------------- ---- ------ ------ 27!2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------ -------------------------------------------------------- -t-'5ubfeed Wire Size r r ga. Cu or AI-A.C. Wire Size ! / ga. ___Cu or -- AI --------------- ---------------- ----------- ---- ----------------------------- - 29 Raga circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------- -Ri----------------------------------------------- Service -ser Conductors & Ground -Main Disconnect -------------- iCl --------------------------------------------------------- tqui earances Panels-Motors-Mech. Equip. --- - - thes Closet Light -Shower Light Spa Light Smoke Detector ------------------------------------------------------------- -D----a--t ----------------------------- ---- D- ate Card -B- -- _ - Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Ducts Insulation & Support -------------- ---- ------------------------------------------------------------ _ ant Fan: Exhaust above insulation ------- - 3�ndensate Drain & Overflow: Size & Grade _ - ------------------------------------------------------ Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet �ttic -Access-&- Platform if Furnance in Attic ------------ --- / --- - -- - - -- - - - - D-4- _��Card B- Date Card B-1 -------------Card ---------------- Date Card B-1 Date Card B-1 Dat FRAMING (Plans) OK except h's - - 39-1571s. Proper Material & Anchors - ---------------------------------------------- --- �alls Studs -Nailing. Spacing & Bracing- Plates- Sound ------ --------------------------------------------- aring Walls over -G- irders& Floor Nailing 42. Draft Stop in Walls (rat proof) ---- ------ ------------- -------- ----------------------- -6 Stops; Furred Ceilings -Stairs -Chases -Tub H 44. eaders & Beam -Size & Bearing I, +ingle & Duplex) • Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors - g Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. --- Fireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing Property Line Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits pa te'rs-Width-Headroom-Rise-Run- Land ing-Fire Protection _54 -plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5 i ing-Nailing Veneer 56_&t" s-AQesh-Drip Screed -Fd. Vents-Underflr. Access Infiltration -Walls -Windows Dat1 Card B-1,� Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Pla ) OK except q's E teps-Door & Sidelight Protection -Landings Smoke Detector ----------------------- -- 6 . ce: Vents -C earance-Comb. Air -Connector - In -Garage: Above Floor -Ducts -Meth. Protection -------- ti64. tS room Exiting �FI. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels ----------------- ----------- 61-.. 1; ta>Ts-�Raits 68. Fireplace or Stove: Clearances -Hearth -------------- --- -------------------- 9. Elec. Outlets at Wood Panel: Int. & Ext. Kit.Fixt &Appliance; -G r-nd Air Gap -Cooking Clearance - -- -- 71. - c. Outlets & Receptacles at Kit. Counter ---- arage Fire Door: Swing -Landing -Closer ----------- ------------------------ -- _ uc in Garage -Damper tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection --------------------- .. Elec. & Mech. Listed for Location bn Elec. Receptacles in Garage: (G.F.1.)-Romex Protection ----------- --- ----------------- ,. Insulation -Foam -Looked in Attic Yes -------------------------------------------- -- 7-&--fteerd-fhails & Deck Construction -Post Caps ---------------------------------------- -- fs & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked -under Floor--- ❑ Yes 80. Following instld.: Drive Yes Walks 11Yes Ty o; Planters _❑ Yes No ------------ --_-----m-Srown-Finish ---' --- -_ -----�- -------------------- 1�[. A.C. Unit: Disconnect, Electrical, Plumbing ------------- --------------- --- Above Roof; Plbg.-Appliance-Fireplace.-Clearance to ings - 8 Wat ell; Disconnect, Electrical, Plumbing --- xter' r Elec. Trim; G.F.I. Receptacle -Underground ---_ entilation Throughout House --------------- s Prote 'on - - -d. Lorre n_s from Previous Inspections Test- eters Tagged; Gas-Ele ric 90. Wa Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date 2 Card B-1 Date Card B-1 Dat f�'�ard B-1 - -- Date Card B-1 -- _ --==L-------------- Dat -------- -Dat Card B-1 Date Card B-1 Comments at Final: of qq 1 r �j %, / /n� 'd � r CLI �b c i yr 5 (AC._ 41 e l% A0 U 5 e — X)b:�- i vt 6-1 �; cam-- s , Date Z Z/ Inspector REV 1 at COUNTY OF BUTTE BUILDING DIVISION t DEPARTMENT OF DEVELOPMENT SERVICES t; i 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 +1 OWNER PERMIT NO. ' A routine insp tion indicates that the following violations of Butte County Ordinances exist at the above a ress and should be corrected. Please notify this office when correction of'work ; is complet d. If you have any questions pertaining to this matter, or need additional explanation, please ntact this office immediately. ;n of qq 1 r �j %, / /n� 'd � r CLI �b c i yr 5 (AC._ 41 e l% A0 U 5 e — X)b:�- i vt 6-1 �; cam-- s , Date Z Z/ Inspector REV 1 at COUNTY OF BUTTE BUILDING DIVISION ` IDEPARTMENT 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 I -A--„ DWNER PERMIT NO. Airautineiinspezti vindicates that the following violations of Butte County Ordinances exist at the aabove a!ddr s and should be corrected. Please notify this office when correction of work '.iszorn eted.. ou'have any questions pertaining to this matter, or need additional explanation, C1 please tont 11his office immediately. �7 i i 1 Date r � `/ Inspector t ` I IFWff I W 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 C .v n_ `� CL 6cr� v 7-6 - ; rye_ OYYNkR PERMIT NO. " r A routire irspection indicates that the following violations of Butte County Ordinances exist at a the above address and should be corrected. Please notify this office when correction of work scovpleted. Hyouhave any questions pertaining to this matter, or need additional explanation, . please this office immediately. -.v Date Inspector REV low COUNTY OF BUTTE y 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 IN ZiOMINER PERMIT NO. a Aroutimiaspec ion indicates that the following violations of Butte County Ordinances exist at the a6we address and should be corrected. Please notify this office when correction of work =.A incon4&ted. Nyou have any questions pertaining to this matter, or need additional explanation, Pb— eantaatP�'Iezcy-zl office immediately. ' `e? C O y`a Date Z < Inspector r RHI 1101512 Declaration , 1 hereby certify that the above insulation was Inualled in the trending at the above location In confon unce with . the eumnt Building Energy Efficiency Standards for new residential buUdings contained in Title 24 of the Califonda Administrative Code. C,cecral Convecuti (guilder) Licema Number sltn�rirra ardTihla Due IIAWKINS INDUSTRIES INC. SHASTA INSUL4kTJON 650722 3 WWkr) Number ivnure ud Tula n... Insulation Certificate Number inti shreet City Courq Subdlrislon tot Numbs Description of Installation ROOF Material Brand Name Tbickness (inches) '>il Resivattoa (R -Value) CEILING SattorBEuhkctType FIBERGLASS BtMWName CERTAINTEED Thickness (inches) ,• Tbermal Resistance (R -Value) Loose rat Type INSULSAFE I T_ I B=dNamt Contractor's minimum installed weiRltW b Mlalm= thieiatess Z5L_zirches MMUctumes installed weight per 3q=e foot to wkive Thermal Re*tarsce (R-Vaf ue) EXTERIOR WALL Material FIBERGLASS BraodName CERTATNTEED Thiekmess (uhehes) 'ilteratalResistattoe (R -Value) - RAISED FLOOR Material PTRERMARS BtandNatms CERTAINTEED Thickness (Incites) 'l wmal ResW ince (R -Value) SLAB FLOOR Material Band Name Thickness (inches) Ilmnal Re:4== (R -Value) Width (inches) FOUNDATION WALL q . Materia! BcandName CERTAINTEED Thickness (inches) 7harnal Resistance (R -Value) Declaration , 1 hereby certify that the above insulation was Inualled in the trending at the above location In confon unce with . the eumnt Building Energy Efficiency Standards for new residential buUdings contained in Title 24 of the Califonda Administrative Code. C,cecral Convecuti (guilder) Licema Number sltn�rirra ardTihla Due IIAWKINS INDUSTRIES INC. SHASTA INSUL4kTJON 650722 3 WWkr) Number ivnure ud Tula n... COUNTY OF BUTTE - DEP/*RTMEVT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N U 92-4442 / ASSESSOR PARCEL NUMBER 072-300-027 ZONING U BUILDING PERMIT OWNER Walt Roseberry 408 TELEPHONE 733-8170 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S N92E Edale Ave., Sunnyvale 94087 - TELEPHONE Unknown 60 R 51 840.00 840 M 15 120.00 64 C 832.00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace ttAtt 1,500.00 Total Valuation 1 $ 69 292.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ 462.50 Plan Checking Fee $ 231.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS - Permit fee $ 728.75 8 ex Lane Oroville PLUMBING PERMIT FilingFee 15.00 Each Trap 6 5.00 30.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP 111-38 Water piping 1 7.00 7.00 Each pas water heater or vent 11 7.00 7.00 Gas piping system 1 - 5 outlets 5.00 5.00 USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New 9 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1 Bedroom Single Family Permit Fee $ 79.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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 Main service 200A TO 1o00A) 37.50 NEW CONST. DWELLING OCC UP.�\ 3.64sq.f[. 63,00 OR ADDNS. ACC. BLOGS. I NEW CONSTR.ULTI.OUTLE @ S.00 NON-RESID BRANCH CIRCUITS) POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ( 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Wall Heater.00 9.00 Cooling Swamp Cooler 1 9.00 9.00 Hood 1 6.50 6,50 Ventilation 2 4.50 9.00_ Permit Fee $48.50 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 onsequenceof the anting of this permit. against 2�m G C� 12-2'742 X 6 - Date /2 _ Z 7 -'l Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA q permit is required for excavations over 5'0" deep an)J olit'on or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40,00 occ CONST TYPE TOTAL FEE $ 992.75 T. HAz of IMP FL000 CDF PAR PD H IS E This permit is hereby issued under the applicable provi- sions of the But Cou y de and/or resolutions to do work indicat by f hich fees have been paid. 0 F PUBLIC WORKS By. Date%/y PERMIT EXPIRES Date - / - Receipt No. 130178 $992.75 %(/ Z - Or v WHITE-D.P.W., YELLOW -ASSESSOR, PINK -1 9 ECTOR. GOLDENROD -APPLICANT r ( ,. COUN OF BUTTE - DEPARTMENT OF PUB'S'^, WORKS PERMIT NO. 7 County (...Iter Drive - Oroviller California 95965 - Teleph• 916/538-7541 APPLICATION AND PERMIT A53ESSOR P • ZONING OWNER 300 BUILDING PERMIT W i4 (-T d $ [ _ ra (t(oS733"_g�?V SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 712 DA Lf p v E .S(111VW y UA-Cx cF 4 57 -- - L — CONT CTOR'S NAME TELEPHONE L l / L~ CONTRAC OR' MAILING ADDRESS - CONSTRUCTION LENDER Fireplace I UNKNOWN Total Valuation $ - LENDER•5 MAILING ADDRESS `' Filing FeePermit $ 15.00 ARCHITECT OR ENGINEER LICENSE LICENSE No. Fee $ %•nY Plan Checking Fee Energy Plan Checking Fee - S :. �� $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Penalty Permit fee $ $ ) ) PLUMBING PERMIT Fi11ingFee15.00 Each Trap 5.00L�t> �;� 'LOT NO. SUBDIVISION NAME Solar or heat pump water heater 20.00 PARCEL MAP / C — 3 Water piping 7.00 O GI Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF � Duplexill Mobilehome[] Other Building sewer 15.00 Ll�j SPECIFY Mobile Home S G W @ 15.00 TYPE OF WORK Ne Addition LJ RemodelC Utilitiesi] InstallationE, Other ❑ Permit Fee $ -7 Describe work: D. Contractor ELECTRICAL PERMIT Filing Fee .15.00 Main service 600v oR LEss 200A OR LESS 1 f3.50 / 1(• CONTRACTORS LICENSE LAW Main service 20CATO 1000AI NEW CONST. ( DWELLING OCC UP.� OR ADONS. C ACC. BLDGS. _37.50 3.64 sq.ft. / C) I declare under penalty of perjury (check one): �]- I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code NEW CONSTR ULTI.pUT NON•RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. and my license is in full force and effect. License No. Classification I, as the EX. OCCUp(OUTLETS OR FIXTURES RAO 76d Flxeo APPLNS. OR EX. DCCUp. OUTLETS IRESID.! EA. I 3.00 owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is Temporary service not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) EE15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason �j Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor 1 declare under penalty of perjury (check one): (] The is MECHANICAL PERMIT Filing Fee 15.00 permit for $100.00 (valuation) or less. Heating wp,, L + iL— �1 J 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. (J I shall not employ any person in any manner so to Cooling (,v' AA n C �,� c� U U Hood 6.50 as become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject the W. C. provisions of the Labor Code, Ventilation p� pr you must forthwith comply with such provisions or this permit shall be deemed revoked. Permit Fee $ 43K T, I Contractor I certify that I have read this application and state that the above information is correct. 1 agree to ccmply to all County Ordinances'and State Laws relating I o 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 inconsequence `of th ranting of this permit. X_ �i�iy I_-'lr/ l2 Zq- `f2 Date Signature of Applicant — Owner ❑ Contractor CI Agent Q An OSHA permit is required for excavations over IT d ep and demolition or construct- ion of structures over 33/stories inn height. Receipt No. L 301 p WHITE-D.P.W.. YELLOW-A3eE3300. PINK -INSPECTOR. GO D POD -APPLICANT Mobile Home Installation Fee g Energy Inspection Fee $ r� C OCC CONST TYPE TOTAL FEE /CM, -7, 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 By Date PERMIT EXPIRES Date '^ COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER /T /` A. P. No. jQ -7 Z - 0,30, Z -7 Proposed Building Use -5 ,e 42 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 By 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 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 . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... =��11. Fees tf $ schedule. ...... . ........ 11. Impact fees as shown on attached schedule. S.4 koo( i} N D..�S%1.Cf i F(�.�,/ �f•- 9y� I'I.�� 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Q'2-'Iu� t IC Health Department. .........1r� • / L- �� 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: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). . �.... . 20. Pre -inspection for Prem epi°nn:q°s- required. . . to Building �nspeacr (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ............ 0 ............ _ 23. Owner -Builder Verification (Given to owner , Mail to owner )........... . 24. Recorded copy of Agricultural Acknowledgement Statement . ............ ..... (l7 25. Letter of signature authorization . ........................................ - t 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. When you issue the permit, process as follows: Mail to owner. Mail to contractor. V Tele: �and hold for pickup at office. Deliver with inspector. Oth Parcel Creation Acreage Applicant Date [3 (3(j 2 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 gnof to 1. Index permit for above items No. 2. Additional items required: (Circle new item not 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 Counter by _ Date Plans checked by P-14 Date Plans approved by &4�f Date Z Sets of plans on hold in !"" File cabinet AP folder Copy - bepartment of Public Works TO: BUllding Department FROM: Environmental Health SUBJECT: Sanitation Clearance b,"e- - Owner Location Plan Approved for Clearance for Sewage Disposal bedroom home. O her Water Supply: Public F.H. USE ONLY Hol Plan Auach,d 17nor Plan Auachrd s.n<<<,is.0-�— i '7 �L 36 �-7 A P# / Private Well Final clearance O.K. for: N Environmental Health/Specialist 8/92 Dat(/ 7{ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 `ZOY05ED 13UlLi)11VC; USL A. P. NO. 4474 - U 30 - 02- 7 DATE I. School Distric Fees (paid at District Office) .... 2. Sheriff Fees (paid.at-Building Department) Residential Z _$ unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) % _$ ?jr' 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) ,,,,,,,, 6. Other REC. # DATE_ REC 13019.1 /7* 7. Other .t time of permit application, I was advised the above fees are required to be paid pr --:o--.- =o issuance of the permit. PPLICANT DATE netL�rn 'to DPW AGRICULTURAL STATFMENT OF 'AC3KNOWLEDGEMFrFNT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is_ adjacent 93-00173 I to land or included within an area zoned I for agricultural purposes, and residents Recorded I of this property may be subject. to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations including, 3:OQ pm 14 -Jan -93 I Rec Fee 8.00 Cash 8.00 PUBL XX 2 but not baited 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 the County of Butte, State of California, described as fA��AWC! AV # Date: am Mrzil 72- 3o-27 State of C��) /) SS. County of&,,, tC �� ',M PROPERTY OWNERS: ✓' d" 5 UJ Ij On this_.:'.the day of 19�, before me, the unde=•signed Notary Public. nersonall aDneared -9661 'e iagma;daS sandx3 uorssn W0J 'fPV `k - VNV10 V'LNV8 d0 41Nno0 6 3N1N130Ii�Olbd10N1h1d ❑ Personally known to me. Proved to me on the basis VINUO.4 — JllBnd ANVION •�_ '{ S111W'�N3�13 '"' of satisfactory evidence. b a s i d i q 0 / to be the persono whose name ^" �,��,�sN,,�„�,►au� subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNES WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 7,� Notary Public W m ALO Oz to V � 92-19434 ORDER NO. BU -127309-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 25, 1988, IN BOOK 111 OF MAPS, AT PAGE(S) 38. PARCEL II: A NON-EXCLUSIVE EASEMENT, 60 FEET WIDE FOR ROAD AND PUBLIC UTILITIES PURPOSES OVER A STRIP OF LAND THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTH QUARTER CORNER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. 6 M., SAID CORNER .BEING MARKED BY A CALIFORNIA STATE DEPARTMENT OF WATER RESOURCES 1 1/2 INCH IRON PIPE MONUMENT AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN BOOK 111 OF MAPS, AT PAGE(S) 38, BUTTE COUNTY RECORDS; THENCE NORTH 01 DEG. 32' 12" WEST ALONG THE EAST LINE OF PARCEL 1 AS SHOWN ON SAID PARCEL MAP A DISTANCE OF 30.17 FEET TO THE TRUE POINT OF BEGINNING FOR THE CENTERLINE HEREIN DESCRIBED; THENCE LEAVING SAID EAST LINE NORTH 85 DEG. 271 08" WEST A DISTANCE OF 1008.04 FEET TO A POINT ON THE WEST LINE OF PARCEL 3 AS SHOWN ON SAIL PARCEL MAP, SAID POINT BEARS NORTH 01 DEG. 32' 33" WEST 120.17 FEET FROM THE SOUTHWEST CORNER OF SAID PARCEL 3, SAID POINT BEING THE END OF SAID CENTEPLINE; THENCE NORTH 01 DEG. 32' 33" WEST ALONG SAID WEST LINE 20.11 FEET TO THE CENTER OF A CUL-DE-SAC HAVING A RADIUS OF 50 FEET AND THE END OF THIS DESCRIPTION. EXCEPTING THEREFROM ALL THAT PORTION LYING' WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT ON THE NORTH -SOUTH CENTERLINE OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., FROM WHICH THE SOUTH ONE QUARTER OF SAID SECTION 13 BEARS SOUTH 01 DEG. 32' 12" EAST, 81.5 FEET; THENCE FROM THE SAID POINT OF BEGINNING, NORTH 77 DEG. 39' 21" EAST, 121.2 FEET; THENCE SOUTH 85 DEG. 46'.01" EAST, 91.5 FEET TO THE NORTHWESTERLY RIGHT OF WAY OF FORBESTOWN ROAD FROM WHICH DWR RIGHT OF WAY MONUMENT FFR -89 BEARS SOUTH 58 DEG. 23' 15" WEST, 30.3 FEET AND THE END OF THIS DESCRIPTION. END OF DOCUMENT RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 92-- 44*Z- OWNER _ A. P. #- 7 p-. Z"7 Plan Checker GENERAL lvf Zoning requirements: (sideyards and number of permitted living units). 2t"'� Valuation. 3!� lans signed by designer. 4R! Proper description of work on application. i ting violations on property. ' ® Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). corded notice of vio ion. PLOT P 1� Complete parcel size and dimensions. 2�Setbacks, sideyards, easements, etc. Wither buildings or structures. 4lr_ rading, fills, drainage. �! Flood hazard.` Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN mplete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). 4�Tlights (Chapter 34 & Sec. 5207). 5iuman impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec. 1207). /--�Gs in baths, sarage, kitchen, .and exterior outlets (Article 210-8). $% Light fixtures, switches, receptacles, and exterior receptacles for main - t ante of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical _,Pr gas equipment. 1(y—ge firewall, door size, and closer (Sec. 503(d)(3)). 11. J/- 3'0" exterior exit door (sec. 3304 (f). 12.Pireplace and wood stove location, alcoves, and clearance. 1 detectors (Sec. 1210). 1 Plumbing fixtures, water closet clearances and shower size.`' STRUCTURAL DETAILS lel Standard bracing or engineered design (Table 25V) ?—Unusual shape, size, or split level house requiring lateral design. estory requiring balloon framing and/or engineering. /CM �ory building requiring engineered calculations and plans. Foundation plan complete enough to construct building. oo construction details complete enough to construct building. iO-'fflevations and wall construction details complete *.---Roof construction details complete enough to lace construction details and talcs if 1 R ter ties or bearing ridge beam. 1 Garage door or porch header sizes. 1ge-Stud heights. 3.Adobe soils --special foundation design. 1 . Retaining walls requiring design. 15 Special Inspection required. enough to construct building construct building. necessary. 8/91 RESIDENTIAL PLAN CHECKING GUIDE 4 r L MISCELLANEOUS' ITEMS TO LOOK OUT FOR ,1_--St-T1-rway details: landings, rise and run, head clearance, handrails (Sec. 3306). _2.-�uaf3rail details (Sec. 1711 & 3306(j). -3:-'Brick or stone veneer (Chapter 30). erior plaster - weep screeds (Sec. 4706). 5�Pyr roof pitch for roof convering (Chapter 32). 6. Roof covering type - (fire hazard). insulation - protection. . 36" halls and stairways. iving area over garage - complete 1 -hour separation..required on garage side incl-u-Miq supporting walls and posts, etc. wo its on three-story dwellings (sec. 3303 & see Mezannines - 1716).: 1 . Attic access and ventilation (Sec. 3205). 1 oor access and ventilation (Sec. 2516). 1 ombustion air for fuel burning appliances - L.P.G. requirements. 4'4.oise requirements on duplexes. pEergy design. 16 -.'Flashing at all exterior openings. esponsible area requirements. 4 'y-�.,. ,z,.. ,rt-.�<. ��..r^^^,+r.:-.rr.wwP^+'�ys�e- fi+� ms'""^�_r!rIr..'�.,,rw COUN N DBU JAN O 4 ILI TTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form PerBuilding) School District �i��M r`` Building Department No. A.P. Number Z Jurisdiction CityCounty Property Owner OSIf E//cy„ Property Location/Address Subdivison Residential Development Commercial/Industrial Lot No.� r Building Department Representative (Floor Plans reviewed by School District Personnel) Z 3 9Z Date • District Identification No. School District certifies that `q (Applicant) (Street Adc ., (Phone Number) 0 (City)u (Sfa�e) (Zip Code) has complied with the re uirements of Resolution No. ' , P q 9��—��` W' ' by payment of $ representing 9 G square feet. Rep Paid by Check Number Remarks: Bank Number 9 Paid by Cash Date 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 miti-gate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) 0 Sq. Footage 1(p No. of Living MHI Addition (Group R) Units, . ! Sq. Footage New Addition (Including Exterior * Roofed Areas) Building Department Representative (Floor Plans reviewed by School District Personnel) Z 3 9Z Date • District Identification No. School District certifies that `q (Applicant) (Street Adc ., (Phone Number) 0 (City)u (Sfa�e) (Zip Code) has complied with the re uirements of Resolution No. ' , P q 9��—��` W' ' by payment of $ representing 9 G square feet. Rep Paid by Check Number Remarks: Bank Number 9 Paid by Cash Date 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 miti-gate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) r co oEau s J AN 0 4 1993 30 December 1992 Butte County Building Department OroviIIe, CA, Sir or Madam: Please use this letter to authorize Mr. Curtis -Neil of Cal West Drafting to act'as my -agent in procuring a building permit for a residence'to be constructed on,Rex Lane in Butte County. Thank you. 8ncy, seberry, Certificate of Compliance: Residential Component 1 Climate Zone 11 4o P! -g Tyl?e Project Title (attic, to garage, I�Tictsl, etc.) FUl NT "f"OTA L � _ 4449, OV A 5C Wall .............. Building Permit # . Project Address Wall ............. ;21L. Roof ............. Checked By / Date Documentation Author Telephone _ Ertfowement Agency Use Only BUILDING DATA Floor ............. North5 -Glass Area % Glass S Ste_ Conditioned Floor Area Number of Stories �_ East 41& .Mab Edge.. Slab/Raised Floor 7§ 1,.& Number of .Units South Single Family Detached (SFD) [ ] Addition Alone West !00 !o. 3 Glass Type Interior Exterior ( Single Family Attached (SFA) (] Existing Building Skylight c'.) o (yes/tto) (metalkwd) (] Multi -Family (MF) (] Existing -Plus -Addition Total / 5 9 A& • 4. North B UII,DING SHELL INSULA'I I6N Component Insulation LocatifonlComments Tyl?e R -Value (attic, to garage, I�Tictsl, etc.) FUl NT "f"OTA L Wall .............. 221 f Z Wall ............. Roof ............. Roof ............. _ Floor ............. Floor ............. .Mab Edge.. GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (roller blind, etc.) (shadescreen. etc.) (yes/tto) (metalkwd) North North East ( ) 4-4 DSL... -r4_ _ East ( ) Sourh ( ) d _ --- South _ West ( ) 4.o (> G6 t_ / L , West ( ) Skylight....... e=;p_ -- ,�--- T IERMAL MASS . ; YelCoverirg Area Thickness ^s;ablexposed, tile, etc.2• (So (inches) LocationtDescEiption (kitchenk bath. etc.) HVAC SYSTEMS Minimum Type (furnace, stir Efficiency conditioner, heat vumv) (SE. SEERMS Duct Location Duct Output (attic, etc.) R -Value (Btuh) Manufacturer / Model # WAL L t 7 Z_ DU 1 1 t %.JUIN I T ,aV14 jam. COOL/lam 62 , WILDING A 1 l Maximum Fumace Heating Output: BtuhAPPROVE) I'iOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) S—iz . 5O SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) W. W I Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standard: 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 tlne Certificate of Compliance. When this checklist is incorporated into the permit documents. the features rioted shall be considered by all parties as binding minimum component perfomunce specifications for the mandatory measures whether they are shown clsewhcre in the documents or on this checklist only. DESCRIPTION Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled It -Value. • 12-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). • 12-5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 permlmch. §2-5311: Insulation specified or installed meets California Entergy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration 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 sealed 12-5352(c): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2.5303: Space conditioning equipment siring: attach calculations. 12.5352(h) and 2-5315: Setback thermostat out 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 -rued space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters. sWwerheads and faucets certified by the CEC. §2.5352(1): Water beaux insulation blanker (R-12 or greater) or combined interiorkxterior insulation (R-16 or greater); fust 5 feu of pipes closest to tank insulated (R-3 or greater). 62.5312(Exception p: Pipe insulation on steam and scam condensate return & recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.5352(1): Lighting - 25 lumens/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 Iluores:ent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DFSIGNER I FMRCEMENT 1: This certificate of compliance lists the budding features and performance specifications needed to comply with Mile 24. Chapter 2-53 and Title 20. Chaptrr2. Subchapter4. Article I 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 Name: TidclFww Address: Telephone: l.ic. N: (signatutre) (date) Documentation Author Name: TitkJFum: Addmss: Building Owner Name: TitkJFirm: Address: Telephone: (signature) (date) Enforcement Agency Name: Agency: Teko mc: 1. Ceiling Insulation Single- Single - -46 Number of stories Family R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value U -value -6 -3 0.50 -176 -84 -54 0.30 -102 -49 -02 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 Single- Single - -46 Number of stories Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R -it 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -6 -3 -2 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 0.60 Insulation in Floor -70 -46 Number of stories -.20 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 Ll -value -8 -5 0.60 -144 -70 -46 0.50 -.20 -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 Crawlspace -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. _ .1. Slab Edge Insulation 40 -90 -37 Number of Stories -14 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 3 040 12 8 4 S. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total -14 -48 -69 -641 U -value North Percent South West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3• 5 12 28 -55 -18 -10 -2 5 13 . 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 .1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 .2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 .15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Pet ca it Glass (percent glass x SC) :Hective -14 -48 -69 -641 %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 1a = not allowed 2 3 4 IB. Shading (Shade Closed) Effective Perentt GIs= (peKent etas x SC) Effective %Gleu North Eau South West Skylight 18 -14 -48 -69 -641 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 ..74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -t, -6 -8 -7 -23 3 �-O _ -4 -5 -4 -16 2 1 1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na • not allowed 9. Interior Thermal Mass - Interior Single- Slab Floor Raised Floor Mass Family - Stories Multi Mass Stories Attached /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 ``f 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- Simla - Sum of 1.6 WWI Family - Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20 0.40 3 5 2 4 1 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 1.60 12 10 13 13 9 11 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or KSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 1 12. Cooling Syst �in % Glass SCORE CARD Sum of 1.6 a. North 4t''% X SEER One -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 7 6 5 Effective SE or HSPF 2 11.0 (SE or HSPF x duct efficiency) 6 Effective -25 or -24 to -1410 -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 12 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.dl -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 1 2 0.70 6.42 17 15 13 . 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 1 12. Cooling Syst �in % Glass SCORE CARD Eff. % Glass a. North 4t''% X SEER One -5 -4 -4 1 -3 (assumei ducts In aide) Two + 3 3 Stjn of 7-10 2 2 1 -25 or -24 to '1410 -4 b +610 16 or SEER less -15 1.6 +5 +15 more 8.0 -14 -12 .10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -12 a. North Elfierive SEER -1 -1 -1 (SEER xdud eMdency) 0 4 GD HWR Sim of 7-10 -12 -9 Effective -25 or -24 to -1410 410 +616 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 1 20 15 10 699 Zonal Control Adjustment 1700 2200 Heater 10 8 7� 6 4 3 No Cooling System Installed Stories % Glass SCORE CARD Eff. % Glass a. North 4t''% X I t-, �, _ One -5 -4 -4 1 -3 -2 -2 Two + 3 3 2 i 2 2 1 Single -Family i fdached and Attached 9. Interior Thermal Mass 2. Wall Insulation Unit Size (sQ or Water GOND. FLOOR ; i99 12L-1 1700 2200 2700 Heater U•edit or 10 to to or Type Type less :699 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 % Total Glass [ 16) POU 8 5 43 3 SE None -37 -24 -18 -15 -12 a. North Solar -1 -1 -1 0 0 4 GD HWR -18 -12 -9 -7 -6 30% WSB -25 -16 -12 -10 -8 6554 POU. -18 _-12 -9 -7 -6 IG None -5 -3 -2 -2 -2 1.1 Solar 7 5 4 3 2 2.S POU 3 _ _2_ 1 1 1 IE None -28 -19 -14 -11 -9 10% Solar 8 5 4 3 3 1.4 POU -10 -6 -5 -4 -3 2.9 Multi -Family (Individual 3.3 units) 9.1 4 4.2 4.4 Unit Size (sQ 4.8 Water 5.2 699 700 1200 1700 2200 Heater Credit or to to to or TYPO TYPO less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 2.8 WSB 9 4 3 2 2 4.3 POU 9 5 3 2 2 SE None .45 -23 -15 11 -9 1.7 Solar 2 1 1 0 0 3.2 HWR -23 -12 -8 -6 -5 4.7 WSB -25 -13 -8 -6 -5 WY, PQU -23 __ 12 -8 -6 -5 IG None -8 .4 3 .2 ; .2 3.6 Solar 6 3 2 1 1 3.1 POU 1 0 0 0 0 IE None =30 -15 -10 -8 -6 Z4 Solar 18 9 6 4 4 3.9 POU -8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 % Glass SCORE CARD Eff. % Glass a. North 4t''% X I t-, �, _ 1& 1 1? b. East Measures c. South Interior Mass/CFA Ceiling Insulation 3 or X e. Skylight R -value [38] . TVx I .1.S5 U -value [0.030] 9. Interior Thermal Mass 2. Wall Insulation 9-1- or Interior Mass/CFA GOND. FLOOR AREA ' U -value [0.098] AREA = $ 3. Raised Floor Insulation Exterior Wall Mass -7 or AREA 11. Heating System (/ W It X R -value 1191 Zonal Control? ( Y /N U -value [0.037] Duct Efficiency [0.78] 41.74uIMC•4.21 Slab Edge Insulation (0.72/6.6] -,-V lk P or HSPF [0.5615. 151 12. Cooling System F x R -value [0] a TYPE 1 MASS (UIMC b 4.2, le: ex sed slab) 6. Glass Heat Loss Py- L_ I -petal xl__bl Type [double] U -value [0.65] % Total Glass [ 16) 7. Shading (Shade Open) -i- -- Eff. % Glass a. North Sr'7 X b. East 4 GD 0% 5% 101/6 15% 20% 2S% 30% 36% 40% 45% W% 55% 60% 6554 70% 75% 80% 85% 90% OS% 100Y. 105% 110%. 115% 1201/. 125• OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 13 2.S 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 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 9.1 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 27 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 2.8 3 3.2 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 $ a 401/. 0.7 0.9 1.1 1.3 1.S 1.7 1.9 2.2 2.4 Ze 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.S 4.7 4.9 5.1 5.3 5.5 5.7 59 WY, 0.9 1.1 1.3 1.5 1.7 1.9 Zt Z3 2.5 2.7 3 3.2 3.4 3.6 3.6 4 42 4.4 4.6 4.8 3.1 S.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.8 1.6 2 2.2 Z4 2.6 Z6 3 82 3.5 3.7 3.9 4.1 4.3 4.5 4.1 4.9 5.1 5.3 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 Z1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70Y. 1.2 1.4 1.6 1.6 2 2.2 2.5 Z7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 Zi 2.3 Z5 2.7 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.1 5.9 6.1 6.3 6.5 801/. 1.4 1.6 1.8 2 2.2 2.4 Z6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.1 4.9 5.1 54 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 52 54 56 5.9 6.1 63 6S 67 901/. 1.5 1.7 2 2.2 2.4 ZS 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 9S% 1.6 1.8 2 2.2 2.5 Z7 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 Z1 2.3 2.5 Z8 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 Z8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 Z9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.5 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 2.6 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 S 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 M% 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 74 Point System Summary: Climate Zone 11 % Glass SCORE CARD Eff. % Glass a. North 4t''% X I t-, �, _ 1& 1 1? b. East Measures c. South 1. Ceiling Insulation 3 or X e. Skylight R -value [38] U -value [0.030] 9. Interior Thermal Mass 2. Wall Insulation 9-1- or Interior Mass/CFA GOND. FLOOR AREA R -value [ I ) U -value [0.098] AREA = $ 3. Raised Floor Insulation Exterior Wall Mass -7 or AREA 11. Heating System (/ W It X R -value 1191 Zonal Control? ( Y /N U -value [0.037] Duct Efficiency [0.78] 4. Slab Edge Insulation (0.72/6.6] -,-V lk P or HSPF [0.5615. 151 12. Cooling System F x R -value [0] Zonal Control? ( Y / N) F2 factor [0.77] Duct Efficiency 10.74] S. Infiltration Standard 6. Glass Heat Loss Py- L_ Type [double] U -value [0.65] % Total Glass [ 16) 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North Sr'7 X b. East 4 GD x c. South' %> X i 3 d. West X e. Skylight D x ---- _ 8. Shading (Shade Closed) Point Scores d 0 v 4� Sum 1.6 Sum 7-10 %d 4 Point Total: ��, % Glass SC Eff. % Glass a. North 4t''% X I t-, �, _ 1& 1 1? b. East X., Co x c. South r7 x = d. West X e. Skylight J x = _ 9. Interior Thermal Mass TYPE 1 MASS AREA = $ Interior Mass/CFA GOND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = $ Exterior Wall Mass -7 COND. L OR AREA 11. Heating System (/ W It X Zonal Control? ( Y /N SE or HSPF Duct Efficiency [0.78] Effective SE or (0.72/6.6] -,-V lk P HSPF [0.5615. 151 12. Cooling System F x = Zonal Control? ( Y / N) SEER [9.5] Duct Efficiency 10.74] Effective SEER [7.03] 13. Water Heating S r� - Type [SG) Credit [none] Point Scores d 0 v 4� Sum 1.6 Sum 7-10 %d 4 Point Total: ��,