HomeMy WebLinkAbout072-320-029oma -3av- oa.� s4a
acv GILL, �BECKY� � � •�j � �� I
I
1115 HURLETON RD. OROVILLE
CONT: PAUL CONVERSE
ROOM ADDITION/ BATH REMODEL
f
i
NOTES ti
3
RESIDENTIAL
10722:�3g-029 { T 01-
GILL, BECKY
11115 HURLETON RD. OROVILL9
CONT: PAUL CONVERSE
ROOM ADDITION / BATH REMODEL
4/j
11 SPECIAL CONDITIONS 11
ZSRA
CHECKED
BY
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
— SPECIAL INSPECTION ITEMS
VERIFY _
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
l OFFICE COPY/
Address/as—"
GAS
Meter By D,4&_��
ELECTRIC
Met ate
I
JOB FINALED (Date
Signature
./ = OK
1.
0 = Not OK
2.
- = Not Applicable MOBILE HOMES
* = Not Ready
Gas; MH Test -Demand -Valve -Connector
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
5.
1. Zoning Requirements -Setbacks -Easements
6.
2. Soils; Special MH Support Sketch
7.
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
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.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only: License Decal
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; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs.-Con nectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (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, Distance-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-Pan elboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date_.Underfloor (Plans) OK except #'s
Ir Zonin - etbacks-Easements-Flocs-Slope
g., Main; Soils-Elec. Grnd.- tg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftq., Porches & Decks; Soils -Steel-/ P' Ftq. Depth
mwalls, Main; Steel- Blockouts-Wrapped
temwalls, Garage; Steel- Blockouts-Wrapped
O Hold D ns and Special Anchors
7. a , Steel -Wrapped
8. P' rs-Fireplace Fig. -Steel
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
41) 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test- Anchors- Req ulator-Service Test
Date CHANICAL (Permit) OK except #'s
A.0 Ducts Insulation & Support
ent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Permit) OK except.#'s
4d' Sills Proper Materials & Anchors ,
: !22 Its Studs -Nailing Spacing & Braces -Plates -Sound
Baring Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Date
12.
Electric Underground
angers -Post Caps -Anchors -Connectors
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
ALUc Access; Size & Romex Protection -Draft Stop -Ins. Baffles
15.
Access & Ventilation
68
16.
Insulation
Line Firewall & Openings
16
,01. Doors -One 3' -Check Garage 3rd Story, 2 Exits
Date
St ' s; Width -Headroom -Rise -Run -Landing -Fire Protection
Card B-1 Date Card B-1
Date
56.
Card B-1 Date Card B-1
Date
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
P UMBING (Permit) OK except #'s
Brace Interior/Exterior Wall Panels
1
Htr.; Vent -Access -Combustion Air Baffle
62.
.
W"Oler Pipe; Test & Anchor -Nail Protection
ulation-Foam-Looked in Attic
8J.
D. .; Test Fittings & Anchor -Nail Protection
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Shower Pan; Test, First Floor -Tub Access
once Looked under Floor O Yes
21.
22.
Test Tub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
Date
Stuc -Finish �Z
Card B-1 Date Card B-1
Date
85.
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
CTRICAL (Permit) OK except #'s
E terior Flec. Trim, G.F.I. Receptacle -Underground
26.
Fixture & Transformer Clearance -Ins. Protection
2
lec. Receptacles Spacing -Lights & Switches at Doors
Corrections from Previous Inspections
25
ze Boxes & No. of Conductors Stapled
2§/Romex
Installed Close to Edge of Studs & C.J.
27.
quip. Ground made up w/Mech Fasteners -Bond Gas & Water
2 A liance Circuits in Kitchen & Conductor Size GFI
ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30 Ran a Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
nsulated Neutral ❑ Yes O No
31.
Service -Riser Conductors & Ground Main Disconnect
73
quip. Clearances Panels-Motors-Mech. Equip.
Date
3.
3
rhes Closet Light -Shower Light -Spa Light
oke Detector
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date CHANICAL (Permit) OK except #'s
A.0 Ducts Insulation & Support
ent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Permit) OK except.#'s
4d' Sills Proper Materials & Anchors ,
: !22 Its Studs -Nailing Spacing & Braces -Plates -Sound
Baring Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46
angers -Post Caps -Anchors -Connectors
47.
g. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
F' place Ties or Type A Flue -Fireplace Throat Clearance
.
ALUc Access; Size & Romex Protection -Draft Stop -Ins. Baffles
6
m. Windows or Exiting Doors -Sill Ht. & Dimensions
68
Garage Fire Protection Framing
52,,P'r'operty
Line Firewall & Openings
16
,01. Doors -One 3' -Check Garage 3rd Story, 2 Exits
St ' s; Width -Headroom -Rise -Run -Landing -Fire Protection
5
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
i -
58.
59.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
6
. teps-Door & Sidelight Protection -Landings
qr
Spoke Detector
Furnace Vents -clearance -Comb, Air -Connector -
In rage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
6
G.F.I. & Bath Fixtures & Tub Access -Spa
68
ec. Trim & Subpanel, Breaker Sizes & Labels
9.
us & Rails
0.
Fireplace or Stove, Clearance -Hearth
lec. Outlets at Wood Panel, Int. & Ext.
:g,,'r.
Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
,74.
rage Fire Door; Swing -Landing -Closure
5.
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77: Plb., lec. & Mech. Equip. Listed for Location
78
ec. Receptacles in Garage (F.F.I.)-Romex Protection
9.
ulation-Foam-Looked in Attic
8J.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
once Looked under Floor O Yes
2.
FqWing Instl rive J Yes J NO/Walks J Yes J No/Planters J Yes J No
Stuc -Finish �Z
84.
it Disconnect, Electrical -Plumbing
85.
V bove Roof, Plbg-Appliance-Fireplace-Clearance to Openings
8
Water Well, Disconnect, Electrical, Plumbing
87.
E terior Flec. Trim, G.F.I. Receptacle -Underground
9 ..•.Ve
'lation Throughout House
Glass Protection
90.
Corrections from Previous Inspections
91. GAs" Tesl:Meters Taqqed, Gas -Electric
✓ , WajVt Sewer Connected -C/O to Grade -HD Approval
93. nerav Compliance Certificate -Other Certificates
Date ` " C Date Card B-1
Date Card -8- Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA * (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER,, PERM -IT NO.
A
routine inspection indicates that the. following violations of butte coun ty*Ordman c exist of the
above address and should be corrected. Please notice this office when correction of!work.1s
I
completed. If you'have any questions pertaining to this matte r, or need additional explanation
please cont this office immediately.
/4-Zl(
COUNTY OF BUTTE Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
'1
A routine inspection indicates that the following violations of butte county Ordinances exist at the w
above address and should be corrected. Please notice this office when correction of work is "
completed. If you have any questions pertaining to this mater, or need additional explanation,
please conk ct this office immediately.
'Mw c
REV 10/92
:t
`.4f
•
r
L
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING VISION
7 County Center Drive • Ordville,,Califorr�ia 95965 • Telephone (530) - 541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERM(T
ASSESSOR PARCEL NUMBER 072-320-029
ZONING SH
BUILDING PERMIT
OWNER BECKY GILL
TF gNe1728
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS ,;T _:.,
1115 HURLTON RD., OROVILLE, CA 4'
n
0
487
26 298.00
CONTRACTOR'S NAME PAUL CONVERSE
T589 1718
63.00 R
1.134.00
CONTRACTORS MAILING ADDRESS
11 TOWNVIEW OROVILLE CA 95966
CONSTRUCTION LENDER
Fire lace
LENDER'S MAILING ADDRESS
Total Valuation $
29 432.00
ARCHITECT OR ENGINEER
LICENSE NO.
-FilingFee
$ 20.00
Permit Fee
$ 2$4.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 184.90
BUILDING ADDRESS
1115 HURLTON RD., OROVILLE CA 95966
Energy Plan Checking Fee
$23.00
5.86 ACRES
$
PERMIT FEE
s 512.40
LOTO.
SUBDIVISIONS NAME
97 _
PARCEL MAP
1
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF EX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
4 7.00 28.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition k Remodel 6 Utilities ❑ Installation ❑ Other ❑
Describe Work: ROOMADDITION AND BATH REMODEL
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 1-5.00
Mobile Home S I G I W
020.00
PERMIT FEE
$ 93.00
ELECTRICAL PERMIT
Fling Fee 20.00
800VOR LE
Main Service 20OA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
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 is irAJull force and effect.��, , r� 7
y X /
License Class - Lic. No. �
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compegsation insurance ca ler andpol'cy number are:
Carrier
Policy Number 1 `
(The above sections need ndt B6 completed If the permit is for work of a valuation
Of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is Issued, I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that ff I should become subject to the
wo compensation provisions of sect' 3700 of the Labor Code, I shall
th compl with provisions.
Date
Signature of Applicant - ❑ Owner ❑ tractor ❑ Agent
An OSHA permit is required for excavations over '0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWEWNG OCCUP. SO
DR ADONS. a ACC. BLD.. 3.54T. ig. 25
NOIyR°SID MULTI.OUTLET 97.50
POINGE OLET WERLAPUTPARATUS
8 S CR.
T0'�'.00
Ex. Occu ovnEroRFocruREs eAL O .so
Ex. Occup. o"APR ES�ID °�RA j 1 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 39.25
MECHANICAL PERMIT Fling Fee 20.00
Heating 2 TON 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $ 35.00
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
Occ
R3
CONST. TYPE
VN TOTAL FEE $ 725.65
HAZ,
X
I D. FEES IMP
X X
I FLOOD
X
CDF
X
PARCEL
X
PD
X
HD
X
ISS
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By D/te
PERMIT EXPIRES ON
1 7 to
Receipt No. 296.35 �5
WHITE-D.D.S.-B.D. CANARY -ASSESSOR I K -INSPECT GOLDENROD -APPLICANT
*— `' �",j �' c� E.H. USE ONLY
Plot Plan Aneched
Floor Plan Anech� -
Sent to B.O. 2(
TO: Building Department
FROM: Environmental Health U
SUBJECT: Sanitation Clearance .
: � - (��-i 0 % t % S W e-4, -31 Z- -C:)Q 9
Owner Location AP#
Plan Approved for: Sewage Disposal X Water Supply: Public Private Well
Clearance for 'Kdwellina. Other 1
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
8/96 W
.},.z, , .�7�rA'"i`,r; -"'X�!r--}t y`'►,`P'w{3I�`waslfr::n[r,rj"r..:J'•^.'g"''i��ti r vy.; N-
CO UNTY O
.
COUNTYOPEv�ERLIpHSBUILD�8G DI
COUNTY CEN RDRvROOVIIL�,�oRNIA 95965TON
7541
PEST APPLICATION,DATA SHEET
�
OWNER: �� � � L SESSORPAR ELS ER: ..r
Proposed Building Use:wilding Ir Spector:'- C. — .eodate: ', �, — `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
El1. fill iiems have been submitted .----------------------------------------------- ------------------------
�-Rlot plans, 3/4 sets, signed by the preparer of plans. ----------=- =-- -=--------------------------------------
3mplete plans, 3/4 sets, signed by the preparer of plans.,..:'------------------------------------------- s
114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.--------
115.
-------❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
. nergy Design Compliance and supporting documentation. ----------------------------------------------------
E] 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
anufactured Home data and installation instructions including Tie Down Specifications .-----------------
Feesof $ ( - --------------------------------------------------------
Impact fees as shown oath ' attached. schedule. �� - -; - A. O� �/ .
California Department of Forestry plan approva S. - ---- - --- -- -----0--- -�U%
❑ 13 -Flood elevation certificate.-------------------------------------------------------------------------------------- w
-� amtation and plot plan approval Health Department. ------------------------------------------- i
15. City of Chico plumbing permit. --------------------------------------------------------------------==-------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for A Use: Parkin - S%Z E) ti
❑ 18: -Contact Land Development -about "❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
❑ 20. Pre -inspection for
required Request to Building Inspector on
112J. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
06. Workers' Compensation crier -and -policy number.-----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - --------------------------------------
-------------------------
024. Letter of signature authorization. ----------------------------------------------------- ---------------------------
❑25-. Recorded copy of Agricultural Acknowledgment Statement. -------------------------- :
Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ------------------------------------------------------------- 7 -------------
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . .---------------
030.
--------------
❑30. Other:-------
Whh ou issM��and
lows ❑ Mail to owner, ❑Mail to ntractor.
uTelephone hold for pickup at o ce. ❑ Deliver with inspe orJK
F �Z/0-�C-Vlp"���ate:
!� ,� ' . Applicant'
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, 13 Cir Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ ther: Date: By:
h
1. Index permit application for the above items numbered: ❑ Plan Check Lis
2. Additional items required:
C2o9ntrac r, designer, owner, was advised of the above required data by 04phme, ❑ mail, ❑ Building Division counter, by ate: 3. 215 - 6
(Zontraetpr, designer, owner, was advised of the above required data by ®/hone, ❑ mail; ❑ Building'Division counter, by–'FLZDate3 Z7,�
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was of the above rewired data by ❑ phone, 13 mail, ❑ Buildin Divi " n counter, by Date:
Plans reviewed by: Date: "fj '�i�J -01 Plans approved by: Date-
Set's of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
r..,. ro �p a+.^ -y. ..�,.-7•",.,�..yyM���Rh'74+t„z57ri7�i�.yrr'�"'R`S'�'<,v+ry-r .. _ z. _. -,- i �a-s... y,�' (,>...
� .404
r'r ,
BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
r (One form per Bullding)
School District �� fit/)'( Building Department No.
1
A.P. Number U 10i- Jurisdiction: City County
Property Owner
Property LocatioNAddress
f'
Subdivision Lot No.
i
,
Residential Development e .�. Sq. Footage
No of Living Mobile Home AddfioN Supplemental to (Group R)
Units Installation Conversion Permit #
*(No foundation inspection);
New Additior
Plans reviewed by School District Personnel)
District Identification No. 57/
School District certifies that
W-0 CJ
(City) `
has complied with the requirements of Resolution No.
representing � square feet.
School District Representative
Paid by Check #
Remarks:
Sq. Footage i
(Including Exterior
( Roofed Areas)
�
/
Date
D (Applicant)
(Phone Number)
�o Y'S w
(Stite) (Zip Code) )
by Payment of $
AB 2926 $
FULL MITIGATION $
Date
r AM, Ini.
Y" v
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201e), 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 (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm
.x
Owner
d "ft
RESIDENTIAL PLAN.
REVIEW GUIDE
SINGLE FAMILY, DUPLEXAND
' MISCELLANEOUS ONLY
Building Permit Number: O I
Plans Examiner: A P. Number: `320`"0 z of
JWERAL: _ :..:..
Zoning requirements — (number of permitted living units).
Building permit valuation.
mss. Plans signed by the designer.
Proper description of work. on the application.
,5! Existing violations on the property.
Recorded notice of violation.
PLOT PLAN:
Complete parcel size and dimensions.
Setbacks, side yard, easements, btc.
Other buildings or structures.
Grading, fills and/or drainage.
Flood bazard
5. Special conditions on Parcel Map (Noise, SRA, Fire Sprinklers, Water Tender, Traffic and Drainage
fees).
7. FAU & FAS road setback.
Building or utilities across lot lines (record form).
OOR PLAN:
1. Plans and specifications drawn to scale with dimensions and of sufficient clarity (Uniform Building
Code section 106.3.3).
2. 10% of natural light and 5% of ventilation (Uniform Building Code section 1203).
I Egress windows (Uniform Building Code section 310.4).
4. Skylights (Uniform Building Code section 2409 & 2603.7).
5. Glazing in Hazardous locations (Uniform Building Code section 2406).
6. Required room sizes and ceiling heights (Uniform Building Code section 310.6).
7. GFCI in baths, garage, kitchen, wet bat, and exterior receptacles (NEC 210).
8. Prohibited locations of gas water heaters (Uniform Plumbing Code 509& 1213.5).
9. Prohibited locations of gas heating equipmentl(Uniform Mechanical Code 304.5).
10. Garage firewall separation - rewired on garage side including supporting walls *and posts (Uniform
Building Code section 302.4 exception #3).
11. Wood stove location - Alcove clearance (UMC section 205 confined space & 223 unconfined space).
12. Smoke detectors (Uniform Building Code section 310.9.1).
0. Water closet clearances (Uniform Plumbing Code 408.5).
14. Shower compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7).
Pagel of 2
STRUCTURAL DETAILS:
1. Conventional construction - Unusually shaped buildings (Uniform Building Code section 2320.5.4).
2: Standard bracing or engineered design (Uniform Building Code se6 ion 2320.11.3).
3. Clerestory requiring balloon framing and/or engineering.
4. Three story building requiring engineered calculations and plans.
5. Foundation plan complete enough to construct building.
6. Floor construction details complete enough to construct building.
7. Elevations and wall construction details complete enough to construct building.
8. Roof construction details complete enough to construct building.
9. Rafter ties or bearing ridge beam.
10. Fireplace construction details and calculations if necessary.
11. Garage door header size(s).
12. Porch header size(s).
13. Stud heights.
14. Expansive soil - special foundation design required.
15. Retaining walls requiring design.
16: Special Inspection requirements.
17. Header sizes..
18. Gypsum wallboard nailing inspection required.
MISCELLANEOUS ITEMS:
1. Stairway details - landings, rise and run, head clearance, handrails (Uniform Building Code section
1006).-
2.
006).2. Guardrails (Uniform Building Code section 509).
3.::. Brick or stone veneer (Uniform Building Code section 1403).
4. Exterior•plaster.-weep screeds (Uniform Building Code section 2506.5).
5. Roof pitch for roof covering (Uniform Building Code Table 15-B-1 & 2,15-D-1 & 2).
-6.". Roof covering'iype (fire hazard). =
7. Foam insulation - protection.
8. 36" .halls and stairways (Uniform Building Code section 1004.3.3.2).
9. Two exits on three - story dwellings (Uniform Building Code section 1004.2.3.2).
10,. Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7).
y..�.:.T..1
11 Attio access and ventilation (Uniform Building Code section 1505).
-..12;. Combustion air for fuel,buming appliances - LPG requirements.
inergound requirements.
design compliance and supporting documentation.16.
y
ashing at all exterior openings. OLt
CDF responsible area requirements.
17. Building Permit requirements:
17.1. SRA. a 14.
C l e
17.2. Flood elevation certificate.
17.3. Fire Sprinklers required. (�r
17.4. = Special Inspection requirements.
17.5. Use Permit conditions.
17.6. Sub-Standard Housing letter.
Page 2 of 2
SITE PLAN -REVIEW APPLICATION
Date: �-- 2'Z- P . AP#
` Permit Number (if applicable) 0 1 —
APPLICANT INFORMATION Parcel Size:
Owners Name:. 43E I;14—) Gl l.L
Owners Address: I I) UeLi=?'c>AJ /Qb , G>20y1Lt-%—: cA O)S9 (�
Telephone No.:
Situs Address: �Irr
Proposed Use:
Residential
❑ New Single Family Residential
Single Family Addition Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second`Dwelling
❑ Temporary Mobile Home (Aunt Minnie) R
❑ Temporary Travel Trailer
❑ Multi -family
Non-resideritial
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Commercial Remodel
❑ Industrial Remodel
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
❑ Approved ❑ Conditionally Approved ❑ ' Resolve Problems Prior to Approval
❑ Site Plan Stamped Approved
By Date
Page 1 of 5
ALL ITEMS CHECKED, APPLY TO THE PROPERTY
Parcel Is In:
Snow Load Area: Tel
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
❑ 100-Year•Flood Plain: (See attached)
• Flood Zone: /1
• Flood Panel No.: J Q 'ZZ;T Index Date: L/ - 20—OCA
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑
Chapman/Mu I berry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
-------------------------------------------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: s %�
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed'for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
Side Street
Rear
3
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed'for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees: -
Standard Fees +Amount
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
--------------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Formula
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
❑ Deeds:
Date of Creation:
Deed of Reference:
Parcel Frontage on Publicly Maintained Road:
Complies with County Standards for Deed Creation:
Comments:
Legal Access Provided: ❑ No
Legal Access Required ❑ No
❑ No ❑ Yes, Road Name:_
❑ No ❑ Yes
❑ Yes
❑ Yes
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑' Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: I ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
-----------------------------------------------------------------
Page 3 of 5
2 Subdivision Map/Parcel Map:
Map Date of Recording:
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
Book: 6� 7
Date of Approval:
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
Page: /
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance on slopes steeper than
30%. The Erosion Control Plan must be prepared by a registered civil engineer or other
qualified professional and be submitted to and approved by the Department of Public
Works.
❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing
on-site mature trees, located in any area proposed for buildings and vehicular access, and
provides for methods to protect the trees identified to be preserved, shall be provided to and
approved by the Planning Division prior to the issuance of building permits and/or prior to
grading or vegetation removal. The removal of mature trees shall be minimized, where
possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in
diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1
ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a
circular zone (minimum 40 -foot radius) identified by an orange fence during construction
activities. No vegetation removal, soil disturbance, or other development activities shall
occur within the fenced area.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
Page 4 of 5
Summary of Specific Requirements: '
ay�'y�
J
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CAMy Documents\Building Permit Site Plan Reviewl.doc
Page 5 of 5
COMPUTER METHOD SUMMARY Page 1 C -2R
--------------------------------------------------------------------------------
Project Title: Gill Addition Run: 400 21 -Feb -01
Project Address: 1115 Hurlington Rd Gill Addition
Building Title: Gill Addition
Document Author: Don Freemyers
Telephone: 530-533-9365
Building Permit #
r0 I - D.5 V �
Plan Check / Date
Compliance Method: CALRES2 1.35 Field Check / Date
Climate Zone: 11
ENERGY USE SUMMARY (kBtu/ft2-yr)
Energy Use Standard Design
--------------- ---------------
Space Heating 27.30
Space Cooling 14.17
Water Heating 10.75
Total 52.22
GENERAL INFORMATION
Conditioned Floor Area:
Average Ceiling Height:
Building Type:
Building Front Orientation:
Glazing Area, % of Floor Area:
Average.Fenestration U -Value:
Average Fenestration SHGC:
Number of Dwelling Units:
Number of Stories:
Floor Construction Type:
Number of Conditioned Zones:
Total Conditioned Volume:
Ground Floor Area:
Proposed Design
---------------
27.34
12.31
10.65
-------- Complies
50.29 Yes
477 ft2
8'0" ft -in
SFD Single Family Detached
270 deg (West)
12.9%
0.59
0.64
0.18
1
Slab on grade
1
3818 ft3
477 ft2
BUILDING ZONE INFORMATION
Floor Vent
Zone Area Volume Thermostat Height
Name (ft2) (ft3) Type Type (ft)
Addition 477 3818 Conditioned CEC Standard 2'0"
OPAQUE SURFACES
Surface
Area
U-
Insl
Total
Tru
Slr
Construction
Type
----------
(ft2)
------
value
-----
Rval
----
Rval
-----
Azm
---
Tlt
---
Gns
Type
Location/Comments
Zone =
Addition
---
------------
--------------------
Door
20.0
0.330
0
3
180
90
Yes
CEC30-Wood
Outyr1�
E MMI 1'
Wall
144.0
0.088
13
11
0
90
Yes
W13_2x4.16
Ou*fdt
Wall
123.5
0.088
13
11
90
90
Yes
W13.2x4.16
00
Wall15.5
0.088
13
11
90
90
No
W13.2x4.16
A�
Wall
24.0
0.088
13
11
270
90
Yes
W13.2x4.16
0 m
COMPUTER METHOD SUMMARY
Project Title: Gill Addition
OPAQUE SURFACES continued
Page 2
C -2R
Run: 400 21 -Feb -01
Surface Area U- Insl Total Tru Slr Construction
Type (ft2) value Rval Rval Azm Tlt Gns Type Location/Comments
---------- ------ ----- ---- ----- --- --- --------------- --------------------
Wall 86.6 0.088 13 11 180 90 Yes W13.2x4.16 Outside
Wall 60.0 0.088 13 11 180 90 No W13.2x4.16 Unconditioned
-Ceiling 424.6 0.031 30 32 -- 0 Yes R30.2x4.24 Attic
Floor 477.2 -- 0 -- -- 180 No Slabl40C Grade
PERIMETER LOSSES
Insul
Perimeter Length F2 Insul Depth
Type - (ft) Factor R-val (in) Location/Comments
------------------- ------ ----- ------ ------------- --------------------
Zone = Addition
Exposed 5212" 0.756 0 16 Outside
Exposed 1710" 0.507 -- -- Unconditioned
FENESTRATION SURFACES
GLAZING CHARACTERISTICS
Glazing
Glazing
Fenestration
# of
Area
Tru
Type
Open
Frame
Charactr
Name
--------------
Type
----------
(ft2)
Azm
---
Tlt
Type
Type
Name Comments
Zone = Addition
---
-------
--------
------------ ----------------
North -1
Wind
16.0
0
90
Slider
Vinyl
Double -Vinyl
North -2
Wind
16.0
0
90
Slider
Vinyl
Double -Vinyl
South -1
Wind
6.0
180
90
Slider
Vinyl
Double -Vinyl
South -dr -2
Wind
7.4
180
90
Slider
Vinyl
Dbl-Vnyl-dr
East -1
Wind
16.0
90
90
Slider
Vinyl
Double -Vinyl
GLAZING CHARACTERISTICS
Glazing
Charactr
Glazing
# of
U_
Name
------------
Type
Panes
value
Double-Vinyl
---------
Clear
-----
2
-----
0.600
Dbl-Vnyl-dr
Clear
2
0.550
OVERHANGS
Interior SHGC
Shade Type Int
SHGC See notes Shade
---------------- ------
0.650 Standard 0.680
0.650 Standard 0.680
SHGC
Exterior Ext
Shade Type Shade
---------- ------
BugScrn 0.757
BugScrn 0.757
Fenestration
-------------------------- Above Left Right
Name Height Width Depth Glazing Extension Extension
------------ ------ ------ ------ --------- --------- ---------
None
FTE COUNT 9
LUNG DEPAPTMEN.
;;JIIII11..:.,'
COMPUTER METHOD SUMMARY Page 3 C -2R
Project Title: Gill Addition Run: 400 21 -Feb -01
FINS. Left Fin Right Fin
Fenestration , Exten Dist Exten Dist
-------------------------- Fin Fin above to Fin Fin above to
Name Height Width Depth Height glzng glzing Depth Height glzng glzing
------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------
None
THERMAL MASS
Vol Cond-
Area Thck Heat duct- Construction Insd
Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments
-------------- ----- ---- ---- ----------------- -----------------------------
None
SOLAR GAIN DISTRIBUTION
Fenestration Winter Summer Targetted
Name Fraction Fraction Thermal Mass Comments
------------ -------- -------- ------------ --------------------------------
None
HVAC SYSTEMS
Duct Location
System Name' System Type Efficiency and R-value
---------------------------------------------------------------
Zone = Addition
GasFurn.78 Furnace 0.78 AFUE Attic R-4.2
ACsplitl0 Air cond. -- central split 10.00 SEER Attic R-4.2
WATER HEATING SYSTEMS
Distrib Water Water # of Energy Volume
System Name Type Heater Name Heater Type Htrs Factor (gal)
------------ -------- ------------ ----------------- ---- ------ ------
Standard—Gas Standard StandardGas Storage gas 0 0.53 40
WATER HEATING SYSTEMS MISC
Solar savings Solar system Wood stove Wood stove
System Name fraction type boiler? boiler pump?
------------------------------------------------------------
Standard Gas -- -- No No
BE 09UN1 I
DEP E-A,
��";
COMPUTER METHOD
SUMMARY
Page
4
C -2R
Project Title:
Gill Addition
Run:
400
21 -Feb -01
WATER HEATER/BOILER DETAILS
Rated Pilot
Water Recovery Input Standby Tank Light
Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh)
---------------------- ------------------------- ------
StandardGas 76% -- 36.00 -- -- --
HYDRONIC DISTRIBUTION AND TERMINALS
Pipe Pipe Insul Insul
System/Name Type Number run (ft) diam (in) thck (in) R -value
-------------- ------------- ------ -------- --------- --------- -------
None '
SPECIAL FEATURES, REMARKS, AND NOTES
1. Standard interior shades are assumed to be drapes which need not be
installed at the time of inspection. All other interior shading devices
must be installed for inspection.
2. Heating duct register location: Ceiling.
3. Cooling duct register location: Ceiling.
dU rTE cet►r+n
,•
,*' JPWM �1 FJ
^PPv'd
CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R
--------------------------------------------------------------------------------
Project Title: Gill Addition Run: 400 21 -Feb -01
Project Address: 1115 Hurlington Rd Gill Addition
Building Title: Gill Addition
Document Author: Don Freemyers
Telephone: 530-533-9365
Building Permit #
Plan Check / Date
Compliance Method: CALRES2 1.35 Field Check / Date
Climate Zone: 11
GENERAL INFORMATION
Conditioned Floor Area:
477 ft2
Average Ceiling Height:
8'0" ft -in
Building Type:
SFD Single Family Detached
Building Front Orientation:
270 deg (West)
Glazing Area, % of Floor Area:
12.9%
Average Fenestration U-Value:0.59
Average Fenestration SHGC:
0.63
Number of Stories:
1
Number of Dwelling Units:
0.18
Floor Construction Type:
Slab on grade
BUILDING SHELL INSULATION
FLOOR TYPES AND AREAS
Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti
--------------------------------------------- -------------------------
Slab 477 Yes Grade
N
4*J RE COUNI i
v�' M1
Cavity
Sheathing
Component
Insul
Insul
Total
Assembly
Type
---------------
R -value
--------
R -value
R -value
U -value
Location/Comments
Door
0
--------
--
--------
3.03
--------
0.330
-----------------------
Outside
Wall
13
0
11.36
0.088
Outside
Wall
13
0
11.36
0.088
Outside
Wall
13
0
11.36
0.088
Unconditioned
Wall
13
0
11.36
0.088
Outside
Wall
13
0
11.36
0.088
Outside
Wall
13
0
11.36
0.088
Unconditioned
Ceiling
30
0
32.26
0.031
Attic
Floor
0
0
3.38
0.295
Grade
Slab Perimeter
0
0
0
0.756
Outside
Slab Perimeter
0
0
0
0.507
Unconditioned
FLOOR TYPES AND AREAS
Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti
--------------------------------------------- -------------------------
Slab 477 Yes Grade
N
4*J RE COUNI i
v�' M1
CERTIFICATE OF
COMPLIANCE: Residential
Page
2
CF -1R
Project Title:
Gill Addition
Run:
400
21 -Feb -01
FENESTRATION
HVAC SYSTEMS
Duct Location
Type Efficiency and R -value
-------------------------- ---------- -------------
Furnace 0.78 AFUE Attic R-4.2
Air cond. -- central split 10.00 SEER Attic R-4.2
WATER HEATING SYSTEMS
Distrib
Water
Area
U-
Interior
Exterior
Overhang
Orientation
-----------------
(ft2)
value Panes
Shading
Shading
and Fins
Window
North
-----
32.0
----- -----
0.600 2
----------
Standard
----------
BugScrn
--------
None
Window
South
6.0
0.600 2
Standard
BugScrn
None
Window
South
7.4
0.550 2
Standard
BugScrn
None
Window
East
16.0
0.600 2
Standard
BugScrn
None
THERMAL
MASS
Area Thick
Type
---------
Exposed? (ft2) (in)
-------- ----- -----
Location/Comments
None
----------------------------------------
HVAC SYSTEMS
Duct Location
Type Efficiency and R -value
-------------------------- ---------- -------------
Furnace 0.78 AFUE Attic R-4.2
Air cond. -- central split 10.00 SEER Attic R-4.2
WATER HEATING SYSTEMS
Distrib
Water
Water
# of
Energy
Volume
System Name Type
------------ --------
Heater Name
------------
Heater Type
-----------------
Htrs
----
Factor
(gal)
Standard—Gas Standard
StandardGas
Storage gas
0
------
0.53
------
40
WATER HEATING SYSTEMS MISC
Solar savings Solar system Wood stove Wood stove
System Name fraction type boiler? boiler pump?
-------------------------------------'-----------------------
Standard Gas -- -- No No
WATER HEATER/BOILER DETAILS
Rated Pilot
Water Recovery Input Standby Tank Light
Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh)
---------------------- ------------------------- ------
StandardGas 76% -- 36.00 -- -- --
HYDRONIC DISTRIBUTION AND TERMINALS
Pipe Pipe Insul Insul
System/Name Type Number run (ft) diam (in) the*
1,
-------------- ------------- ------ -------- --------- --------- -------
None o mG r-1.,.1LP-7PAMVE
*�*'4 ,. '?
CERTIFICATE OF
COMPLIANCE: Residential
Page
3
CF -1R
Project Title:
Gill Addition
Run:
400
21 -Feb -01
SPECIAL FEATURES, REMARKS, AND NOTES
1. Standard interior shades are assumed to be drapes which need not be
installed at the time of inspection. All other interior shading devices
must be installed for inspection.
2. Heating duct register location: Ceiling.
3. Cooling duct register location: Ceiling.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with the Energy Standards in 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, and Notes
section.
DESIGNER OR OWNER
Certification #:
Signed Date
ENFORCEMENT AGENCY
Name:
Title:
Agency:
Telephone:
Signed
Date
DOCUMENTATION AUTHOR
Don Freemyers
Freemyers Design
575 Nelson Ave.
Oroville, CA.
530-533-9365
Signed Date
'AU i TE
i SING ®Epq
Appr-&^'VEr)rTu
I
r�a
'A ANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 1 of 2) MF -IR
Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the'corrtpliince 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
minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents
or on this checklist only.
Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable.
DESCRIPTION
DESIGNER
ENFORCEMENT
Building Envelope Measures:
• §150(a): Minimum R-19 ceiling insulation.
§I50(b): Loose fill insulation manufacturer's labeled R -Value.
• §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls
(does not apply to exterior mass walls).
' §I50(d): Minimum R-13 raised Iloor insulation in framed floors.
§ 150(1) : Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate
1
no greater than 2.0 perm/inch.
§1 I8: Insulation specified or installed meets insulation quality standards. Indicate type and form.
§116-17: Fenestration Products, Exterior Doors, and In filtration/Ex filtration Controls
I. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
s
2. Fenestration products (except field- fabric ated)have label with certified U -value, certified Solar Heat
4
Gain Coefficient (SIIGC), and infiltration certification.
3. Exterior doors and windows weatherstrippcd: all joints and penetrations caulked and sealed.
§ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§ 150(f): Special infiltration barrier installed to comply with § 151 meets Commission quality standards.
§150(c): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs.
I
I. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
1
c. Flue damper and control
2. No continuous burning gas pilot lights allowed.
Space Conditioning, Water Heating and Plumbing System Measures:
§ 110-§ 113: I IVAC equipment, water heaters, showcrheads and faucets certified by the Commission.
I
§150(h): Pleating and/or cooling loads calculated in accordance with ASHRAE. SMACNA or ACCA.
§150(i): Setback thermostat on all applicable heating and/or cooling systems.
§1500): Pipe and tank insulation
1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with
insulation having an installed thermal resistance of R-12 or greater.
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater)
3. Back-up tanks f'or solar system. unfired storage tanks. or other indirect hot water tanks have R-12
external insulation or R-16 combined intemal/external insulation.
4. All buried or exposed piping insulated in recirculating sections of hot .eater systems.
�!
t� �E
OUNI 1
5. Cooling system piping below 55° F insulated.
;
G D
PA El:
6. Piping insulated between heating source and indirect hot water tank.
July 1, 1999
MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page 2 of 2) 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
minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents
or on this checklist only.
Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable.
DESCRIPTION
DESIGNER
ENFORCEMENT
Space Conditioning, Water Heating and Plumbing System Measures: (continued)
' § I50(m): Ducts and fans
i
1. All ducts and plenums constructed. installed. insulated, fastened, and scaled to comply with the ICB0
1997 UNIC sections 601 and 603. ducts insulated to a minimum installed R4.2 or ducts enclosed
entirely within conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant or other
duct closure system that meets the applicable requiremetns ofUL181, ULI81A, or ULI81B and other
applicable specified tests for longevity given in §I50(m)..
2. Exhaust fan systems have hack drafl or automatic dampers.
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated dampers.
114: Pool and Spa I Icating Systems and Equipment.
I. System is certified with 78% thermal efficiency. on-off switch, weatherproof operating
instructions, no electric resistance heating and no pilot light.
2. System is installed with:
+ ...
a. At least 36" of pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spas.
3. Pool system has directional inlets and a circulation pump time switch.
115: Gas tired central litrnaccs, pool heaters. spa heaters or household cooking appliances have no
continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 lltu/hr)
Lighting Measures:
150(k)I.: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40
lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a
I
i
switch on a readily accessible lighting control panel at an entrance to the kitchen. -
150(k)2.: Rooms with a shower or bathtub must either have at least one luminaire with lamps with an
eflicacy of 40 lumens/wilt or greater switched at the entrance to the room or one of the alternatives to
I
this requirement allox%ed in §150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved.
I(
f t.
I4JAUNG ibEPARTA N
^PPR0Vr'_T
JUIV 1, 1999
BIUS.ar MAN U FAL T U 1Z1N G
3721 FEATHER RIVER BLVD,MARYSVILLE,CA 95901
530 7414920 FAX 530 7414926
ROOF TRUSS ENGINEERING
& LAYOUTS
DATE: 3-7-2001 J011#1039
WET STAMPS
� PAUL CONVERSE
HURLINGTON RD JOB
.h -ft.
T
OWWWWW.sysrom
PRO
f
1- 9-6 15-6 1
�Qffill
BLUSAR MANUFACTURING
3721 FEATHER RIVER BLVD
MARYSVILLE,CA 95901
530 741 4920
JF
PAUL CONVERSE
OROVILLE
4/12 ROOF,2-3-0 OH
1
lob Name: CONVERSE 100 Truss ID: Al 1 1 -,rW Ob fly' -
BIG X -IOC REACT SIZE REQ'D
TC 2x4 DFL #1 & Btr. Plating spec :' AMI/'IPI - 1995
DFL #1 & Btr. = MIGN IS ME CLMF03rm RFSCII,T CF
UPLIFT R1=W(S) •
supp=t 1 -335#
1 0- 1-12 885 3.50 1.50
2 24-10- 4 885 3.50" 1.50"
BC 2x4
2x4 EFL SIPIIDARD 9-3 NE]L'IZPLE MAD CASES.t
BEARIN3 R11=04FNIS shah are based CNLY
2 -335#
Mus uss is designed using the
TC Ftp AXE, HID CSI
WB 2x4 DFL STATS
p1A'IE vAII�S PER ICBD R1 I REFC{a' #1607. cn tlae tzuss rralAri=1 at each bearing.
Lcadad for 10 PSF rrn-cont tertt BCLL.
LBC -97 Code.
Bldg ]]closed = Yes, Erne = .
1-2 -1878 .02 .15 .18
PLATIN BASED CN GREEN LLPIE ER VAU:ffi.
o , eg
Iitrn�>✓/ � �y & GG
2-3 -3793 .15 .30 .45
3-4 -3858 .45
i SO.00ft, Bldg MFH = 50.96ft,
t
height MPH = 80 �a
2Dead
.11 .34
4-5 -2459 .10 .28 .38
_
I =
L,
tsaificatim = 4, Dead Load = 10 Ps fit„
5-6 -2757 .09 .17 .26
ESC FCRC£ AXI, EM CSI
7-8 1756 .22 .04 .26
8-9 68 .01 .09 .OS
'
9-10 37 01 .66 .67
10-11 1723 .22 .10 .32
t
11-12 2610 .33 .10 .43
VIM FCSI 4EB FLFIKE CSI
10-3 94 .66 4-10 2337 .95
2-8 -741 .10 4-11 721 .29
2-10 1871 .76 5-11 -352 .10
8-10 1801 .73
VVV L1?.FZE>`PLCN (spin)
L/964 IN MFM 10-11 (LIVE)'
L= -.31" D= -.27" T= -.58"
5-1-0 4-3-4 3-1-12 5-8-1 6-9-15
Joint Lxatiazs =__�
1 0- 0- 0 7 0- 0- 0
5-1-0 9-4-4 12-6-0 18-2-1 25-0-0
2 5- 1- 0 8 5- 1- 0
12-6-0
3 9- 4- 4 9 9- 4- 412-6-0
r 1 2 3 4 5 6
'
4 12- 6- 0 10 9- 4- 4
5 18- 2- 1 11 16- 7- 3
6 25- 0- 0 12 25- 0- 0
F4 00 _4
`
H5125
T 1.5-3
1.5-3
I I ,
4-5-15 C-6
5-2-11
p OFESS/ON4
4-4 2-0-0 _ 3-6-
I� SHIP �Q �C, <
:r4)-3-153-7 2.5,4rn
=0-3-16
�i S ti
L
QQ
�
Q
982
m
-1.58 0-.h8Co
.
9-6-1) l 15-2-8
* P. 12/31/02
.2-3-0
2 3�°
25-0-0�
°'rgrs CNit
�P
7 8 910 11 12
OF CALTfOPt�
5-1-0 4-3-4 7-2-15 8-4-13
5-1-0 9-4-4 16-7-3 25-0-0
3/6/2001
Truswal Systems Plates are 20 ga. unless shown by "1811(18 ga.) or
Scale: 5/32" 1'
"H"(16 ga.), positioned per Joint Report. Circled plates and false
frame Plates are positioned as shown above.
WARNING Read all notes on this sheet and give a copy of it to the Erecting Contractor.
TBF: 56.0
w0: CONVERSE
®
This design is for an individual building component not truss system. It has been based on specifications provided by the component manufacturer and done
tom:
Custcuter Natne :
in accordance with the current versions TPI and AFPA design No responsibility is assumed for dimensional accuracy. Dimensions are to be
Da : JF #LC = 10
g�
CONVERSE
L
prior to
verified by the component manufacturer and/or building designer prior to fabrication. The building designer must ascertain that the loads utilized on this
a
T
Ru
SWA
design meet or exceed the bxtding imposed by the local building code and the paticular application. The design assumes that the top chord is laterally
TC Live 16.0 psf
DurFacs L=1.25 P=1.25
,.^
® SYSTEMS
braced by the roof or fluor sheathing and the bottom chord is Utemlly braced by a rigid sheathing material directly attached, unless otherwise noted.
Bracing shown is for Literal support of components members only to reduce buckling length. This component shall not be placed in any environment that
TC Dead 7.0 pa f
Rep Mbr Bnd 1.15
will cause the moisture content of the wood to exceed 199 and/or cause connector plate corrosion. Fabricate, handle, install and brace this truss in
BC Live .0 psf
O.C. Spacing 2- 0- 0
4445 CO 80907 rings. Dr.. Colo North ark S
p p
accordance with the following standards: 'JOINT DETAILS', by Truswal, 'ANSI/TPI 1', 'WTCA V - Wood Truss Council of America Standard Design
Responsibilities, 'HANDLING INSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES' - (HIB -91) and 'HIB -91
BC Dead 7.0 psf
Design Spec UBC -97
SUMMARY si lE. ivr' by'1.111. The Truss Plate Institute (ITI) is located at 583 D'Onofrio Drive, Madison, Wisconsin 53719. The American Forest and
Dan Ratio: L/240 TC: W240
. p5.0 Version T6.2.3
Paper Association (AFPA) is located at 1111 19th Street, NW, Ste 8(X), Washington, DC 20036.
ITOTAL 30.0 pef
job;Name• CONVERSE 1030Truss ID: AZ 1 tDtw : 0 Q6504Zr- 00;L,
TC 2x4 DFL #1 & Btr. Plating spec : PISI/`IPI - 1995 'this truss is designed using the
BC 2x4 EEL #1 & Btr. 'II -ILS 1ESIGN IS THE CUAPCSTIE F Eaw OF TIE 97 Cloce. =Yom, F2�d 2n�e = No
GEL BLK 2x4 EFL SIPl�im
L�TPIE I�1D C7>SSES.
_= Joint Lxatians BATF VATIES 1� ICB3 RESEARCH FEE= #1607. 13FAARII� i III ITIS shun are based acy Elaricane/Oaa>ati Line = No E�i Cathy = C
Traded for 10 FSF rtan-earzn zer>t BCSL. on the truss uetetial at e� bcarirg. Rld3 .I�th = 80.00ft, BlcY_r Width = 50.00ft,
1 0- 0- 0 18 0- 0- 0 roof 22.25ft MPH = 80
2 4- 0- 0 19 4- 0- 0 <It is assured that me face of this truss PLATIN; BF>vSm QQ t3�IIQ LLD1�R VALLES. Min tian,t
< is -'M -"u' with pl OSB, wood board Classificatirn = 4, Dead Iced = 14.0 psf
3 5- 4- 0 20 5- 4- 0 < si or sidirg. If not,
4 6- 8- 0 21 6- 8- 0 < acldiittiiaal loads trust be ea-isidmmd rn
5 8- 0- 0 22 8- 0- 0
6 9- 4- 0 23 9- 4- 0 < non-4orrtunttotas es.
7 10- 8- 0 24 10- 8- 0 e ate
�y s les ar a blocks.
8 11- 9- 0 25 11- 9- 0 Cable studs tray lateral bracurJ' See
9 12- 6- 0 26 13- 0- 0 1 in 1=rceth�tYue cels lave 'r
10 13- 3- 0 27 13- 3- 0
11 14- 4- 0 28 14- 4- 0 rrt been oa-isidered unless noted otherwise.
12 15- 8- 0 29 15- 8- 0 nese loads and their ean'ectirns are the t r
13 17- 0- 0 30 17- 0- 0 nepansibtlity of the bu.ld>_rg designs.
14 18- 4- 0 31 18- 4- 0 i
15 19- 8- 0 32 19- 8- 0
16 21- 0- 0 33 21- 0- 0
17 25- 0- 0 34 25- 0- 0
W
4-0.0 2-8-0 2-8-0 �, 3-2-0 3-2-0 x,2.80 2.8-0 �, 4.0-0
4-0-0 68.0 9-4-0 12.6.0 15.8-0 18-4-0 21.0.0 25-0.0
12-6-0 12-6-0°
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
�4.00 � `H
�.� T
4-5-15
=0-3-15
A \- Me'
5982 X
ftP- 1 8131 /02
CNI� a�P
OF CALIfOP
2- -
3 0 2-
25-0-0
`
18 19 20 _ 21 22 23 24 25 267 28 29 30 31 32 33 34
4-0-0 12-8-0 2.8.0 3-8.0 x,2.8-0 x,24-0 2_g� 4-0-0 .
4-0-0 68-0 9-4-0 13-0.0 15.8.0 18.4-0 21-0-0 25-0-0
3/6/2001
TYPICAL PLATE 1.5-3
Truswal Systems Plates are 20 ga. unless shown by "18"(18 ga.) or OVER CONTINUOUS SUPPORT
Scale: 5/32" 1'
"H"(16 ga.), positioned per Joint Report. Circled plates.and false
frame Plates are Positioned as shown above.
WARNING Rend all notes on this sheet and give a copy of it to the Erecting Contractor.
TBF: 65.3
WO: CONVERSE
®
This design is for an individual building component not uZiss system. It Itis been based on specifications provided by the component manufacturer and done
�:
Customer Name:
in accordance with the current versions of TPI and APPA dcsign standards. No responsibility is assumed for dimensional accuracy. Dimensions are to be
Ds : JB #LC = 10
CONVERSE
verified by the component tnnnufacmrer and/or building designer prior to fabrication. The building designer must ascertain that the loads utilized on this
TC Live 16.0 psf
DurFacs L=1.25 P=1.25
T Ru S WA L
design meet or exceed the loading imposed by the local building code and the paticular application. The design assumes that the top chord is laterally
® SYSTEMS
braced by the roof or floor sheathing mid the bottom chord is laterally braced by a rigid sheathing material directly attached, unless otherwise noted.
Bracing shown is for lateral support of components members only to reduce buckling length. This component shall not be placed in any environment that
TC Dead 7.0 psf
Rep Mbr Bncl 1.15
will cause the moisture content of the wood to exceed 19% and/or cursc connector plate corrosion. Fabricate, handle, install and brace this truss in
BC Live .0 ps f
O.C. Spacing 2- 0- 0
accordance with the following standards: 'JOINT DETAILS', by Truswal, 'ANSI/TPI 1', 'WTCA 1' - Wood Truss Council of America Standard Design
'HIB
BC Dead 7.0 psf
Design Spec UBC -97
aaas Northpark Dr., Colo Springs. co so9o7
Responsibilities, 'HANDLING INSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES' - (HIB -91) and -91
o
•
SUMMARY SHEET' by TPI. The Truss Plate Institute (TPI) is located at 583 D'Onofrio Drive, Madison, Wisconsin 53719. The American Forest and
DE --fl Ratio: L/240 '1C: L/240
ap5.0 Version T6.2.3
Paper Association (AFPA) is located at 1111 19th Street, NW, Ste 800, Washington, DC 20036.
TOTAL 30.0 psf
PRC-ECT PROCESSING RECORD
I At
APPLICANT: ! '!
ONVNM:
PERMIT
A. P. #:
WORK DESCRIPTION: r
TE 'k
DATE DES N I
x•2.3 of
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62ko
cam-
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02 9
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1
APPROVED
Butte County
Envlra�nm Mal Health
---- -- --------
Date
-- =----a
Signature
Env;rojmente9 by -,,-6 e
f
MAP 1 9
7 Gounry uenrerurive
nrmilfe, Ca
T
2
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