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HomeMy WebLinkAbout073-340-0100- -�_ �.�—.Z�.rte. _ • _ " � .�.rw.- _ �;- r - �`y✓'� '' a 73-34-10 .GENE WIESN.ER - -- 128 Kirsty Crescent Rd, Forown PErmit#4029-88B,P,E,M(new s g,,le aq6 73-34-10 Permit#11?.-89P'--'E(util, MH) travE.' ELEC . ': ,ate GAS .� SUPPORT STRUCTURE REQ._ COMPACTION TEST REQ. 73-34-10 Permit#1115-89B(add carport)SF j3,Q% ��;.. 73-34-1 Permit#:1579-89B,P(add ,bathroo. o_ arae p%4029-88) a:c 73-34-10 Permit#1379-90B(lst renewal/11 -89) i PERMIT NO. PERMIT EXPIRES OWNER GENE WIESNER CONTR. owner ASSESSOR PARCEL 73-34-10 LOCATION 128 Kirsty Crt Forbes - Temp. Power Pole Coiled PGAE Temp. Elec.* Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED'(Dat Signature. OK 0=Not OK _ Not Readyiable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1.-L6ning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete ` 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing - 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. mg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -61 Date Card -81 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -81 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 VDate /Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -61 Date ' Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water Snd Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit Card -81 Date Card -B1 Date Card -131 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -61 Date Card -61 Date Card -131 Date = uK 0 = Not OK - =Not Appl!cble RESIDENTIAL (Single and Duplex) - = NIt Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Sfeel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings B. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -81 Date Card -81 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive -❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -Bt Date Card -B1 Date Card -Bt Date Card -131 Date Card -81 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) ,F s ,yCOUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f - 196 Memorial Way, Chico — Phone: 891-2751 7 County;Ceriter Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE I5= PERMI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector (2.. Date T ' ( —90 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3 ASSESSOR PARCEL NUMBER 73-34-10 ZONING U BUILDING PERMIT OWNER Gene Wiesner TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 128 Kir st Crescent Rd. Forbestown CONTRACTOR'S NA M E Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee i of Ori $ 31.25 ARCHITECT OR ENGINEERLICENSE None NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 128 Kirsty Permit fee $ 41.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Carport SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.0 �t_ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: 1st Renewal/1115-89 L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ l am licensed under provisions Of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code77 for this reason NEW CONST. DWELLING OCCUP.B OR ADDNS. ( ACC. BLOCS. 2/,20sgIt NEW CONSTR ULTI.OUT LET NON.RESID BRANCH CIRCITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200500 BAL030 FIXED APP LHS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. �j I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, indemnify and keep harmless the County of Butte against all liabiliti judg ents, cos _ penses which may in any way accrue against Coun c ace -of he granting of this permit. gnat re of Applicant — Owner` Conrra�tor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 41.25 HAZ CUA PARK SCHL EE PAR Po HD ISSUE This permit is hereby issued under sions o Butte County Code and/or work ndi ted above for which ee DIR F PUB C PE MIT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS Date 5/2/90 4111 Q.191 Receipt No. 101) WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plansto provide'the major Jabor andterials for construction of the proposed property im rovement (yes or no) ��. 2. I (have/have not) signed'an application for a building permit for the proposed work. l 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work f Signed: Property Owner r — Social Securi u er %/ Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /PERMIT ZO 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-75 APPLICATION -AND PERMIT 0- A ES OR P / LN MBZa R ZO '" BUILDING PERMIT N a l T/F� EPHONE�yM/ IV 5 SQ. FT. OCC. BUILDING VALUATION W O NER'S MAI 'NG AD R SS in r T ACTOR'S NAME ELEPHONE CONTRA T R'S MAILING ADDRESS Fireplace CO S©UCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ --- AR H TECCT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _s Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE —}-- SFX Duplex❑ Mobilehome❑ Other s Ec Fv Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New N Addition°W Remodel Utilitiies Installation❑ Other ❑ Describe work: 1T X `� Y, Op >^ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. , DWELLING OCC -UP OR AODNS. ( ACC. BLDGS. / /Zosclft NEW CONSTR. U I.OUTLET NON.RESID BRANCH CIRC TS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I Ex. OCCU OUTLETS OR FIXTURES SAL@0@501 p eALe30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information 1s 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. 1 also agree t save, indemnify and keep harmless the County of Butte against all liabilitI judgmen costs, and expenses which may in any way accrue agai t County ' ons e t r nting of this permit. Date�` Ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCOP. M c M<rYW J. SCHOOL F oD P�+esL �Pb740 Is This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which IRECT R OF BLIC BY PERM T XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date � ` Receipt No. WHITE-O.P.W.. YELLOW-ASSC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT:OFPUBLIC WORKS - BUILDING'DIVI}S-ION . y 7 COUNTY CENTER DAVE - OROVIL�E,;4ALrI�Pp-R�JIA 95965 - TELEPHONE: 916/538-7544`x+'` PERMIT APPLICATION DATA SHEET --� Permit N;. OWNER S > P l4 (a lA �l C' Vl c A. P. No. Proposed Building Use Building Inspector Date / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ - - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. ' 4. °Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ ` 11. Park fees paid . 2. School Di t ict fees paid ................. anitation approval from � Health Department ... Ae 14.4. it /,- I C�Chico plbmbing. permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. !_ 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ......Pre-Inspec. request to Building Inspector.. (Mite) 20. Contractor's license information (No., Name Style, Classification) .... . 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... ' 25 26. , When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 625-- -1-9900—andhold for pickup atCi _office. Deliver w/inspector. Other Date -�11/% �4 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Copy—DPW Date `4 2'1`3 Plans approved by Sets of plans on hold in File cabinet AP folder Date�G TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance ki,rd L4 C i 73 -,3(1-16. Owner. Loca ion AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other ,T n i,�•,l So NOTE *** Sanitarian Date COUNTY OF F'JTTE.- Department of Public Works 7 County Center Diive,''Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature., Please complete and'return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property //improvement (yes or no) --- 2. I (have/have not) i`1Qt/e signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City s Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: / Property Owner Social Secur' lumber Date �/-/ 7- a NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. V. ��- 9 \11' PERMIT NO. 4029-88B,P,E,M v vvv i PERMIT EXPIRES 'r OWNER GENE WIESNER A CONTR. owner ASSESSOR PARCEL 73-34-10 LOCATION 128 Kirsty Crescent Rd, Forbestown Y Temp. Power Pole Called PG&E� r Temp. Elec. Service^ �f✓ Called PG&E Temp. Gas Service O Called PG&E JOB FINALED (Date) _ �(; Signature i = OK 0 = Not'OK i Aho A... 1;-K1_ • = Not Ready MU131LL MUMt, M15ULLLANLUU5 Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s _ _1.. Zoning. Requirements-Setbacks_Easements,Lr1 _* 1_Zoning•Requirements-Setbacks-Easements--. LnT>i-(i11t72'S'oils;•.Special`.MN_Support=Sketch r_'o Imo' t_- _ _ __ _ s _ ___�' q_ t2. Footings;.Sorls-Size Depth`=Spacing=Connectors-Steel ..�A'Sewer;°Location=Test=Fall'-'C/O Con'c_ 3. Decks Gifders and/or Ji)ists-Decki'ngFBracin'g."Stairs-Rails .. 4."Water; Location -Test -Ease ment'Needed'(SKetch)' 1.44. Wood Awn';}f=PoSfs=Beams'-Rftrs°=Corinec:=' Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / • P'U ft. / /"Nat. or/ PV ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses z + 9. Siding; Nailing -Veneer -Stucco -Mesh - Card -81 Date Card -61 'Date ,' -- 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date 2. Footings; Size-Spacing-Marriage'Line Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI ` 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater + 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -61 Date Card -61 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -61 Date Card -131 Date 3 =OK = NotOK - Ap =Not Applice,'+le RESIDENTIAL (Single and Duplex) =. Not ftady-,*6, Date UNgERFLOOR Plans OK except #'s Date FRAMING (Continued) -y, -V ing-Setbacks;-Easements-Flood-Slope 1 -45. -Mangers- Post Caps -Anchors -Connectors _ Ftg., Main; Soils -Steel -Elea Grnd.-/ /° Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. s �-z-� tg., Garage; Soils -Steel-/ /" Ftg. Depth . Fireplace Ties or Type A Flue -Fireplace Throat Clearance '4. F g., Porches & Decks; Soils -Steel-/ /"Ftg. Depth . A Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6__/J__ ' Stemwalls, Main; Steel-Blockouts-Wrapped . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions G1.1 W. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Leel -Wrapped 12k,__ -5a. P n y � ' irewall & Openings IBrP' s -Fireplace Ftg.-Steel i-52. Ext. Doors -One T -Check Garage -3rd story, 2 exits r7�- V.• Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection j,R,-15as Pipe; Size -Anchors 'Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Water Pipe; Test -Anchors -Regulator -Service Test r 12. Electric; Underground tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Ple ums & Ducts; Clearance-Material-Supprt-Ins. Glazing Area -Glass Protection -Skylights -Plastic '7;: O, irders-Sills-Anchor Bolts -Joists -Vents -Cripples olts 15. Insulation .Insulation- s-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Data! .2Z'%ard-B1 Date - Card -131 Date -/ - Card -B1 Date Card -8 Datel/-_) Card -B1 Date Card -81 Date and -131 Date Date PLUMBING (Permit) OK except #'s moi& Voter Ht. Vent -Access -Combustion Air -Baffle Date FINA ans) OK except #'s Water Pipe; Test & Anchors -Nail Protection. xt. Steps -Door & Sidelight Protection -Landings W.V.; Test-Fttngs & Anchors -Nail Protection, moke Detector 1 , First Floor -Tub Access . Furnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor -Ducts -Mach. Protection 2ower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors L.64 -, Bedroom Exiting 5. .F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date ByCard-131 Date Card -131 Date Card -131 Date koff. Fireplace or Stove; Clearances -Hearth lec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. F ture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer jy�ize Boxes & No. of Conductors -Stapled 73. A.0 uct in Garage -Damper r425:-Romex Installed Close to Edge of Studs & C.J. �_ tr. Htr.; Vents -Clearance -Comb. Air-Connecto .R.V.- �"&quip. Ground made up w/Meeh. Fasteners -Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. , Plb., Elec. & Mech. Equip. Listed for Location ee ize / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic t� 29. Range Circ. / ga. Cu" r AI -Oven Circ. / / ga. Cu or Al. Irysulated Neu ral ,Y€s� No - Guard Rails & Deck Construction -Post Caps LaC Service -Riser Conductors Ground -Main Disconnect dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 3T-Equip'"-Otearances-Panels- Motors- Mach. Equip. 80. Following instld.; Drive Yes m-Pdo Walks ❑ Ye No; Planters ❑Yes �o 32.-CtottrCYoseY-Lrfght-Shower Light -Spa Light Z:5. -Smoke Detector $ wn- Card-B1 g'� Date Card -131 Date_ n , nect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s I ectrical, Plumbing lation &Support 5. rior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation ntilation throughout House 36. Condensate Drain & Overflow; Size & Grade 4e. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet . Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic •r/a . G s'fiest-Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval a (9i)Energy Compliance Certificate -Other Certificates ate Card -B1 Date - and -B1 Date Card -B1 Date Card -81 Date Card -131 Date - Card -B1 Date Date FR NG (Plans) OK except #'s Card -131 Dater Card -B1 Date Card -B1 Date Card -B1 Date LA Si Is, Proper Material &Anchors Comments at Final: Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing eft Stop in Is ratroof) re Sto ; Furred Ceilings, tairs-Chases=Tub . Header & Beam- ize Bearing (NOTE: An entry must be made each time you visit job site) ENERGY INSTALLATION CERTIFICATE wilding Owner v �,��/a Building Permit .# Building Location 149 2d DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material 1:(,bL--ysAQ Thickness(inches (o CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type CC l l U I e Minimum Thickness (Inches) Area covered(ft.2)_ la4 W FLOOR, ELEET rr,) Material Thickness(inches FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material . Thickness(inches) iia=iQ �� � •1 Brand Name Thermal Resistance (R Value) Brand Name OC 1 - Thermal Resistance(R Value) I---19 Brand Name Thermal Resistance(R Value) Brand Name . rpe-tOt�--X Number of Bags_ Wt. per bag -Q-9 _lb. Thermal Resistance(R Value)- ie -An Brand Name Thermal Resistance(R Value) Brand Name Thermal,Resistance(R Value) Brand Name Thermal Resistance(R Value)___-.,_ I•herebyscertify that the above insulation was installed in the above building, is consistent with approved building department plans and attachments and con - f rms with requirements of Chapter 2-53 of State of.California Energy Requirements. 335)7/ FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. B xI _ is /�01-' SIGNATURE OF.INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment; ab shown on the approved Building Department plans and attachments have been installed and conform to the.appli- ance standards and Chapter 2-53 of the State of Caiifornia`Energy requirements. BUILDING CONTRACTOR/OWNER (Please Print) (F';RM NAME) l� dole SI NATUR OF BUILDING CONTRACTOR/OWNER l e l l l� sd Coy Z/ 1,) HVAC FIRM NAME/0 NER (Please Print) STATE CONTRACTOR'S LICENSE NO;. /-.17-90 DATE �( 8' 2 - STATE CONTRACTOR'S LICENSE NO. 1 SIGNATURE OF HVAC CONTRACTOR/OWNER' DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 "COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM T N I 7 County Center Drive - droviller.-California 95965 -Telephone: TAAn 916/538-7541 r%r% toAtt autett-r% hrrLitom I tun AMU rCRIM11 I I ASSESSOR PARCE NUMBER -7 3 ZONING BUILDING PERMIT OWNER j (�,e /-e Lvi�swQi TELEPHONE 675 ayov SQ. FT OCC. BUILDING VALUATION � lR, Off ER'SMAILING ADDRB01ESS 0Y tcovl 5963 ACTOR'S NAME CONTRACTOR'S 0 w -v 'e -r-- TELEPHONE 1 1,12 - /�,0 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee t9 $ -,v ARCHITECT OR ENGINEER tIV v /V 4L LICENSE NO. Plan Checking Fee ` $ Ener Plan Checking gy g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty S BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 c9 S ee—V Each Trap 2,00 ,Q a I r e �'o KJ Solar or heat pump water heater 20.00 f LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 5,00 ,0-' I Each qas water heater or vent 5.00 �f-O USE OF STRUCTURE SF 9- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 ej V-0 Mobile Home S G W 0.00 ea TYPE OF WORK New 2 ---Add i t i on ❑ Remodel ❑ Uti lliities ❑ Installation ❑ Other ❑ Describe work: �% /Qk� Permit Fee Z q A', 75: Contractor ; ELECTRICAL PERMIT Filing Fee 10.00 0V OR Main service 100 AMP ORSLESS 10,00 Main service EA. ADO'L 100 AMP tj 2.50 5v CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ClassificationALO 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 NEW CONST. DWELLING Dc pl New coN5TK ACD 7j h2sgft r 8 MULTI -OUTLET NON.RESID BRANCHCIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES .20050 300 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.1 2.00 Temporary service 10.00 0 p-() Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee S ..7 :3 W WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 0 r9 0 0 D ,O Cooling Hood 3.00 0-0 Ventilation Permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agaiD4 said County in consequence of the granting of this permit. X Date p: Q R, Signature of Applicant — Owner ❑ Contractor ❑ AgentXy d ition c An OSHA permit is required for excavations over 5'0"If ion of structures over 3 stories in height. -- Mobile Home Installation Fee $ Energy Inspection Fee $ D ®-0 TOTAL P RMIT FEEbQ $ OCCUP. CONST T Pc SCNoo LOO➢ PARC PD ND ss E V/ This permit is hereby issued under sions of the Butte County Code and/or work in Icated above for which A 7� D!R CT OF PUBLIC o B T EXPIRES Date^�� the applicable provi- resolutions to do fees have been aid. p WORKS A Date �� L / Receipt No. — WNITE-D.P.W., YELLOW-ASe ESSOR, PA -INSPECTOR. a0 D NROD-APPLICANT "�"';"`�'+V'li' �T'%1r'`�+S"z�'i�m'4�r'•: 7wr7�^''ih.�-Y5M�;„'�,^'s°`P''*''y*'�a"'r'"..�."�''rf�-r"-"a'rt-y`o• .. .� COUNTY OF-B1J TE - DEPARTMENT OE,' WORKS - BUILDING DIVISION tai :� _t 7 COUNTY CENTER DRIVE - ORO®ILLE,-CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET OWNER t"7 '12 A F_ �c r Q 9; /U e F7 Permit No. A. P. No. Proposed 'Building Use A,Aeu�/c: 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 ADDRr%VFn 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed ,by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation .......... 6. Statement of Intent for Non -Heated and AC Buildings ................ 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ............................................ i........... 9. Fees of $ 1 10. Chico Urban Area fees paid ......... :.............................. 11. Par fees paid ................................................,.... 12. 1��=A<i tJr I 1 School District fees paid . ��- 2- 3 -- Sfr X13. Sanitation approval from Orn 0 11 I -P Health Department ... 14. City of Chico plumbing-permit.....................•.............t.... 15. Plot plan and business license approval from City of (see City for other requirements) , 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. X18. Driveway permit (construction approval required prior to occupancy) P.vr aQv�/J r-�t 19. Pre -Inspection for required .... Pre-Inspec. request to Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .......... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ja-23- p —23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. C. (Date) Whenou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone(g75-25Mn and hold for pickup at 4" _office. Deliver w/inspector. Other Applicant / �/�r.!"Lln � ./J...Q Date; Copy of plans sent Health Dept., Fire Dept., Other Date, The following data must be submitted prior to perVt,issua ce:(Circle new item not checked abcote).."t 1. Index permit for above items No.02 P 0 a.1 2. Additional items required: ►� df♦' i Contractor, designer owner, as advised of above required data by phone_mail_counter by� date Contractor, design: t r, was advised of above required data by—phone —mal l—counter by date O Plans checked by Date Plans approved by^2<,=� Date Sets of plans on hold in Copy—DPW File cabinet AP fold TO Buildina Department S.-- _., FROM: Environmental Health SUBJECT: Sanitation Clearance e -s-"-) e, r I-)- F k, (-If L' / . -) —"?- � Owner, Location' AP# Plan Approved for: Sewage Disposal Water Supplyf1 Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for _ Q --bedroom mobile qiome. Other NOTE * * * Sanitarian Date I �/ � 1•' .r � .r d �� ~ MARYSVILLE JOINT UNIFIED SCHOOL DISTRICT CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES TO BE COMPLETED BY APPLICANT,,AND TAKEN TO MJUSD PART I 19,19 B Stmt; Marysville Property Owner's Name: Owner's Address: Project Address: / o[ Parcel No.'. -73- 3c) Building Dept.: rz 4+ �• TYPE OF CONSTRUCTION.: Lot No. Permit #: ,/,P 5 ye r- - ,,d (`� P�(� 4 -3 City or County: P)i-4, -� Residential Construction Single Family Dwelling Residential Reconstruction Multiple Family Dwelling Commercial Construction No. of Units Commercial Reconstruction Mobile Home TOTAL NUMBER OF HABITABLE SQUARE FEET:;�'� /moi L�C.0 01 THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. /eLF ANY ADDITIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERTIFICATION OF COMPLIANCE. FALSIFICATION OF THE SQUARE FOOTAGE AND/OR TYPE OF CONSTRUCTION IS CAUSE FOR REVOCATION OF CERTIFICATION OF COMPLIANCE,.' Applicant's Name: Date: ` Applicant's Signature: -PART II TO BE COMPLETED BY BUILDING DEPARTMENT (Optional) Total number of habitable square feet ! . City of Marysville ` County of Yuba Signature (,, 1-Y1/l_1� County of Butte PART III TO BE(,COMPLETED•BY SCHOOL DISTRICT T y Certification of Compliance No.,(Receipt No.): Fees Collected: # / I � q 7 square feet x's $1.00 Exempt from fees: Reason: AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL, I HEREBY CERTIFY THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65996 HAVE BEEN4COMPLIED WITH BY THE ABOVE S1626 APPLICANT,-/ ..._ Signature:_��� Title: G1 +./! / Date: Original - School Distric�� r Yellow - Applicant Pink - Building Dept. SD: co 3/21/88 r.• COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1.. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)�. 2. I (have/have not) ho_l/ Y�_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name DL(JyI PP— smL. Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and ovide the major work: Name yel #� Address City Phone Contractors License No. 5. I will provide some of the work but I have contrafted (hired) the following persons to provide the work indicated: 0vVISV4[CL Name Address �� Phone Ty e oWork Signed: Prope Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 93.3y-/6 PERMIT NO. PERMIT EXPIRES OWNER GENE WIESNER CONTR. owner i ASSESSOR PARCEL 73-34-10 128 Kirsty Cresent Rd, Forbestown LOCATION Temp. Pow t I Called j Temp. Elec, Called r Temp. Gas Called JOB FINAL Signatu = OK 0= Not OK Not ' = Not ReadyMOBILE HOMES MISCELLANEOUS Date MQ811ILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s ing Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. S r; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -Test -Easement Needed (S h) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd - p -Concrete 6. Gas; Location -Test -Wrap: / P'VftLv_e_-S / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -131 Date 10. Roof; Shthg-Roofing Card -Bi Date Card -61 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -81 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -81 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit Card -B1 Date Card -81 Date Card -B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -81 Date Card -131 Date `- UK 0 = NotOK RESIDENTIAL (Single and Duplex) - = Not Applicable = Not Ready 1% Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51, Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First 'Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 67. Stairs & Rails Card -B1 Date Card -81 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Of. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) 'J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AN[rPERMIT SSE R PARCEL NUMBS J_ 3q— 10 1 ZONIN BUILDING PERMIT ER es ki 0av TELEPHONE SQ. FT. OCC. BUILDING DATION OWNER AI LIN14 DD SS CONTRACTOR'S NAIAE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomek- Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 6yJ Ga W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities06 Installation❑ Other ❑ Describe work: I ��j.t�it„D2ft.P1/i�1 11 D� Permit Fee $ 3Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service jp0 AMP OR0V OR SLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation'will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y OR ADDNS. ACC. BLDGS. ,A2Sgft NEW CONSTU TI.OUTLET N ON.R ESID BRANCH CIRC TS 2.50 Be APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS OR FIXTURES DAL@ eALs0 3 FIXED APPLNS. OR Ex. -Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Et-- r permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree save, indemnify and a harmless the County of Butte against all liabili i jud ents, c , and a enses which may in any way accrue against Cou n sequenceqLtth granting of this permit. Date �/ gn tura of A plicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -TOR ion of structures over. 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CON9T.TYP! J5CH00LJJ;o^JPARCQUND PD ss ! This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ,' PUBLIC By. - PERMIT EXPIRES Date_ the fees WORKS Da applicable provi- resolutions to do have been paid. /r%20�] ^�/ r D Receipt NO. WNITC-D.P.W.. TlLLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD-AP►LI CANT yn COUNTY OF BUTTE - DEPARTME.NT,OF PUBLIC WORKS - BUILDING'DIVISION + 7 COUNTY CENTER DRIVE - OROVILLE, CXLI_-:Q�iN95965 -*TELEPHONE: 916/538-7541 PERMIT APPLICATION DA T,.AwSHEET Permit No. OWNER A. +P. No. -7 3_1 l7 Proposed Building Use Building InspectorDate At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE.RECEIVED APPROVED 1 All items have be submitted . .................................... lot plans in plicat iplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... School District fees paid ................. anitation approval from ��� Health Department ... 4. ity of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre-Inspec. request to Pre -Inspection for required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... ' 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. .. 26. When you issue the perrnit, process as follows: Mail to owner. Mail to contractor. Telephone 9O0 and hold for pickup at `4b"r-office. Deliver w/inspector. Other , Copy of plans sent . Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit -issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). r Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date r Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date �Plans approved by/0!2Date Sets of plans on hold in File cabinet AP folder Copy—DPW i COUNTY OF BUTTE - Depa'rtme A of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'Owner -builder" building permit has been applied for in your name and bearing your signature... Please complete and return this information at your .earliest opportunity to avoid unnecessary delay'in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)__ 2. I.(have/have not) `/a 1z signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name. Address City Phone Contractors License No. 4. ,I plan to provide .portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted .to issue the permit. ,a Coon -- L A N D O F N A T U R A L W E A L T H A N D B E A U T Y PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 April 13, 1989 Gene Wiesner 128 Kirsty Crescent Road Forbestown, CA 95941 RE: Temporary Trailer AP# 073-34-0-010 Dear Mr. Wiesner: Please be advised that the Planning Department has approved your request for temporary use of a mobile home during the construction of your home located at 128 Kirsty Crescent Road at the above referenced parcel number on property zoned U (Unclassified), pursuant to Butte County Code, Section 24-53, subject to the following conditions: ' 1. That the occupant has secured a building permit for a residence. 2. That the occupant has secured a sewage disposal permit from the Butte County Health Department. 3. That before six (6) months has elapsed from the date of the issuance of the building permit, the occupant shall have completed the foundation, rough plumbing, framing and the roof of the proposed residence. 4. That the house must be completed within the one (1) year period and the trailer dwelling must be abandoned. 5. That a mobile home utilities .and installation permit be obtained.from the Butte County Department of Public Works. If you have anyquestions regarding this matter, please contact this.office between 10:00 a.m. and 3:00 p.m. r.� Sincerely, B.A. KIRCHER Director of Plannfirg -�- Larry'Painter Planning Technician LP:fcu cc: Building.Department Y. / L COUNTY OF BUTTE - DE,PARTMENT OF PUBLIC WORKS PERMIT NO. b 7 County Center Drive - Oroviller Califoini 95905 - Telephone: 916/538-7541 -` APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - ZONIN BUILDING PERMIT O.WNEER . �4 11(1'14 • TE PHONE tp� 1 -r 11 SQ. FT. OCC, BUILDING VALUATION -OWNER'SMAILING ADDRESS `CONTRAC OR'S, NAME4 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION, LENDER .A UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS ` Permit Fee $ /AJR�CHITECT OR ENGINEER /Y'� ✓L k, LICENSE NO. Plan Checking Fee $ r Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADO$„ESS V Penalty $ BUILDING ADDRESS F�r� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r' Each Trap 2.00 / r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME / PARCEL MAP Water piping 5.00 t Each pas water heater or vent 5.00 USE OF STRUCTURE SF (} Duplex❑ Mobilehome❑ OtherPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G W 45.00 .00ea TYPE OF WORK New ❑ Addition ❑ Remodel UtiE.ties..❑,_ Installation❑ Other ❑ Describe work: r , o k , V n Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 10.00 - - r' V e00v OR LESS Main service 100 AMP OR LESS 10•00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): .❑ I am licensed under provis)ons-of_Chapt.-9, _. v, 3• of, the Business and Professions Code and my license is in futf"force and effect. License No. Classification -.. I, as the owner, or my employees with wages., as their sole compen- sation, will do the work,and the structure is nbt intended or offered for sale. (Sec. 7044) --"7A; 6� . 1 ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) �❑ I am exempt -under SeG- Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y , OR ADDNS. ( ACC. BLDGS. /20sgtt NEW CONSTR. UI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES eA 0330 FIXED APPLES. OR EX. Occup. OUTLETS (R ESI D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ Contractor _ WORKMEN'S COMP ENSATION'INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on fil-e- +tfhrttre-Crnmt'y-sf-Butte-Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. _ MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling _ Hood - ' - 3.00 Ventilation permit Fee $ Contractor 1 . 1 certify that I have read this application and state t 't e_above'information is correct. I agree to comply to all County. Ordinances and State'Laws relating to building construction, and hereby authorize.representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. also agree t save, indemnify and keep.harmless the County of Butte against all liabilitlgss judgments, costs. -an. 'expenses which may in any way accrue against aid Countyin consequence of a granting of this permit. i X I /`\ Date �' �l Signature of pplicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Al ' OCCUP. CONST.TY PE SCHOOL FLOOD PARCEL PC i ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY _ PERMIT'EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 1 r Date •�' j" / Receipt NO. {�/' WNITE-O.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT 1 y COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovRfe.'CaIIfb�ia 95965 - Telephone: 916/538-7541 1. APPLICATION- AND PERMIT VPMIT N0..% ASSESSOR PARCEL NUMBER — ZONIN BUILDING PERM o ER T �P5°N- oP yD SO. FT. OCC. G VALUATION `BUILD( ,/ WNER'S MA LING DDR S 'CONTRAC OR' NAMR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTIO LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee ; ARCHITECT OR ENGINEERLICENSE No. Plan Checking Fee $ �� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel rNA Utilities ❑ Installation❑ Other ❑ Describe work. Lno4 I j I Penult Fee $ , LIM011d Contractor ELECTRICAL PERMIT Filing Fee 10.00 O001 LP OR LE Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesS and Professions Code and my license IS In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Occup. a` , OR ADDNS. ACC. BLDGS. / hosgft NEW CONSTR MULTI -OUTLET NON-RESID .BRA C IRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. EX. DCCUp OUTLETS OR FIXTURES ez095of AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.7 2.00 Temporary service 10.00 Mobile Nome Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): -w- - ❑ 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 CertificateCoolinof Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Iotice 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating g Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, indemnify and keep harmless the County of Butte against ,Iiabiellt�, all judgments, cost expenses which may in any way accrue ustount 'n couence of a granting of this permit. ature of pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYPEJ JSC1IOOLr1:OOJPA;5PL' Pa ND 1397E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PER EXPIRES Date the applicable proviDate resolutions to do fees have been paid. WORKS Date ie ISS/ Z'J - V Receipt No. WHIT[-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT �,_.� ^r. r �.i t.►t�A- :..•nc-!.:''-9wi.+" • r. v. : � �•..i�, s,....'s-,v..y«,`�{� J�. .�r....-.- .Y .: Bei:.s.r,t�.is'..+:�Yi..,....,.:�:+*%}rr. -.'=f; 'fir•+s.i.�" V COUNTY OF BUTTE - DEPARTMiN61, *' UBLIC WORKS - BUILDING DIVISION v;r, � a 7 COUNTY CENTER DRIVE OROVILLE, C„ARB.RN¢A 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. - V(L I �) �,2 OWNER E r I _ � '� " A. �P. No. Proposed Building Useodp�j�lf���2 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 4'> r 18. Driveway permit (construction approval required'prior to occupancy) ... 19. Pre -Inspection for required ..... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... �= 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .......... 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at officer a; %-Delve' /inspector. Other / Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item_ not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone___nail_coun'fer by�'Sj( 'date Contractor, .des Igner, owner, was advised of above required data by—phone _maII_cou ter by v date Plans checked by Date Plans approved by Date �J aV e7 Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE.- Department of Public.Works 7 County Center Drive,'Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER.VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally.plan to provide the major labor and aterials for construction of the proposed property improvement (yes or no) 2. I .(have/ have not) signed an application for a building permit for. the proposed work. 3. I have.contracted with the following 'person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Securit Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return Lo DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESI?. PTIAL DEVELOPMENT Section 26-8.I of. the Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein -is adjacent to land or included within an area zoned for agricultural purposes, and residents Oyu of this property may be subject to incon- veniences or discomfort arising from the use of agricultural 'chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to, cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabl:ished ;i,{ric 111 Lural zones which have as a priority use for productive agricul.Lural purposes, and resideni;: within said 'zones and on adjacent property should be prepared to accept such i nconveii i elic r or disconform from normal, necessary farm operations. All that. real. property situate in the County of Butte, State of California, described ;,s follows: A portion of Parcel 3 of that certain Parcel Map recorded in the office of the Re6order of the County of Butte, State of California on March 2I, I983 in Book 92 of Maps at pages 48 and 49, being in the Northeast Quarter of the Southeast Quarter of Section II, Township I9 North, Range 6 East, M.D.B.& M. being more particularly described in the attached sheet to deed. Date: JaI4,C fp NUI COMPARED WITH QR4CANAL00CUMENT State of. Calif. ) On this the 19th day of December , 19 -BB—, before me, SS. the undersigned Notary Public, personally appeared County of Glenn ) Barbara Wiesner and Gene Wiesner, AIjLEEN PORTER El Personally known to me. QX Proved to me on the basis N a fPJAD-lJ!"l OM18 of satisfactory evidence. to be the person(s) whose name(s) ArP 19MYCwmEwimu.iml subscribed to the within instrument and acknowledged ,Lhi 'they! executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official. seal. Present A.P. No, v Notary Public Certificate of Compliance: Residential Project Title Al U V r7 ea Building Permit Q Project Address A% 5 / Checked By/ Date Documentation Author Telephone Enfotoenent Agency Use Only BUILDING DATAGlass Area. % Glass North Condition ea �a �Y Number of Stories East Slab sed Fl Number of .Units South 5. ,47 [ ] Sin amily Detached ( [ ] Addition Alone West_- [ ] Single Family Attached (SFA) [ ] Existing Building T y�h'ght -1' [ ] Multi -Family (MFS [ ] Existing -Plus -Addition d, 1 5 BUILDING SHELL INSULATION Component Insulation - Location/Comments .Y _ Type R -Value (aide. to garages typical, etc.) Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. _ Floor ............. Slab Edge..... GLAZING Glazing Area Glass Type Orientation (sf) (single, doubt Shading Devices Interior Exterior Overhang Framing Type North( ) A ' VAX~ North East ( ) East South South ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area - Thickness (slab/exposed, tile, etc.) (s f) (inches) Location/Dcscription (kitchen. bath, etc.) HVAC SYSTEMS Minimum Type (furnace, air Efficiency conditioner, heat tern) (SE, SEER.HSPF) d •4 -— Duct Location Duct Output Manufacturer / Model # (attic, etc.) R -Value tuh or anoroved al Maximum Furnace Heating Output: HOT WATER SYSTEMS Tank Svstem Tvne (storaee eas. etc.) Caoaci' Btuh + ► ° "=� Manufacturer/Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -111 NOTE_ Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliant approach used. Ivens marked with an asterisk (•) may be superseded by mom stringent compliance requucments listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all "parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. — DESCR1PnON Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(by Loose fill insulation manufacutrer's labeled R -value. • §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - watts absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 permlutch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zona 14 and 16 only. §2.5317: Infiltration/Exfdtration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weadterstripped: all joints and penetrations caulked and sealed 02-5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. . 12.5352(d): Installation of Fueplaces ` 1. Masonry and factory -built fireplaces have: L Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 62-5352(8) and 2-5303: Space conditioning egWpnmt siring: attach calculation. §2.5352(h) and 2-5315: Setback dtemuostat on all applicable heating systems. • 12-5316(a): Ducts constructed, installed and insulau:4 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 heater, showerheads and faucets certified by the CEC. §2-5352(i): Water heater insulation blanket (R-12 or greater) or combined interim/exterior insulation (R-16 or greater). fust 5 feet of pipes closest to tank insulated (R-3 or greater). 12.5312(Exception 1): Pipe insulation on steam and steam condensate return At recirculating - piping. - =.:-.: . §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4• Time clock. - 5. Directional water inlet Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or greater for general fighting in kitchens and bathrooms. 62.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specification needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Building Owt Name: Name: TuwFtttn: Titk/Firm. Aadmu: Add..: Tekpho= Tckphone 0 l.ic. 0: (signature) (date) (signature) (date) Documentation Author Name: TttWFtrm: Address: Enforcement Agency Name: Agency: Telephone. 1- Ceiling Insulation S. lnriltration (Air Leakage) Specification Points . r StandaM • 0 6. Glass Heat loss Total Number of stories 1 4 1 2 5 1 R -value One Two Three R-0 -103 � -32 R-19 R3 0 -8 -2 - 1 _ 1 -1 R38 0 .50 0 U -value 50 -121 -53 0.50 -176 -84 -J4 0.30 -102 -49 732 0.10 -26 -13 -8 - 0.08 0.06 -18 -11 -9 -4 0.04 -4 .2 - 1 1 0.02 -4 5 0.00 3 12 11 -58 -20 -12 3 5 12 2. Wall Insulation -55 -18 -10 Single- Single - 13 27 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 1 8 14 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 3 2 Insulation In Floor 12 16 17 Number of stories R -value One Two Three R-0 -17 -8 .5 R-11 3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 3 7 10 __.0.60. 444 -70 -46 0.50 -120 -58 38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace more 0.72 Number of stories R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation SE or HSPF - - 3 Number of Stories R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -34 30 -26 -22 -18 -14 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 22 5.50 0.60 6 2 0.70 0.50 9 64 7 0.40 12 8 19 16 13 S. lnriltration (Air Leakage) Specification Points . r StandaM • 0 6. Glass Heat loss Total 5 4 1 4 1 2 5 1 na na 14 12 U -value 2 5 1 3 5 2 Percent 11 10 3 2 .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 31 -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 3 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 _18 20 7. Shading (Shade Open) - Effective Percent Glass (percent Stan x SC) Effective %Glass North East South West Skylight 18 16 5 4 1 4 1 2 5 1 na na 14 12 4 3 2 5 1 3 5 2 na na 11 10 3 2 3 5 2 3 5 2 na 1 9 8 2 2 3 5 2 3 5 2 2 2 7 6 1 1 3 4 2 3 4 2 2 3 5 1 2 4 2 3 4 3 0 0 2 3 1 1 2 1 3 3 2 1 0 -1 0 1 0 -1 1 -1 3 2 0 -1 -2 -4 -2 0 na = not allowed -5 -20 IB. Shading (Shade Closed) -25 -65 8 Effective Peremt Glass -17 -23 -21.. (pesvent Sim x SC) 7 Effective Glass Norh East Sotto West Skylight 18 14 48 -69 -64 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 3 -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 -1 3 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 9. Interior Thermal Mass Interior Slab Floor Raised Floor Unit Size (sQ Mass Stories Stories '1199 /CFA One Two Three One Two Three Sum of 740 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 22 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 • 2 4 5 6 7 25 0 3 5 7 7 8 3.01 5.0 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 1 6.0 5 8 ' 10 12 13 13 I 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 it .13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 4 Exterior Single- Single - POU Wall -6 Family Family Multi -3 Mass Detached 3.5 Attached Family 0.00 4.2 0 0 0 1 1 0.20 040 5.2 3 5 2 4 3 1200 0.60 0.80 2200 8 10 6 a 8 or 1.00 1.20 to 13 13 10 7 t2 8 1 1.40 1.60 less 12 10 13 9 it 2189 1.80 SG t0 12 12 0 0 200 0 10 11 13 14 11. Heating System 5 4 3 HP HWR 9. 5 3 2 SE or HSPF 28 WSB (assumes ducts In attic) 4 3 2 Sum of 1.6 ' POU _ ^-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 2 2 0 1 0.75 0.80 6.88 7.33 3 3 8 7 3 6 5 4 3 0.85 0.90 7.79 8.25 13 11 17 15 10 8 7 13 11 9 5 7 0.95 8.71 20 18 15 13 11 8 4.8 WSB Effective SE or HSPF -8 3 (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 In -4 to +6 io 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0, 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 1 Zonal Control Adjustment 1.4 System Type 1.9 21 2.3 Resistance 10 9 7 6 4 3 Other 3.5 6 5 4 3 2 2 12. Cooling System Unit Size (sQ SEER Water '1199 (assumes ducts In attic) 1700 2200 Sum of 740 Heater Credit or i -25 or ,24 to .14 to -410 +6 to 16 or SEER less .15 3 +5 +15 more 8.0 -14 -12 -10 3 -6 .4 -4 -3 _ 8.5 8.9 -9 -7 -6 .5 -5 -4 -4 -3 -2 .2 9.0 .4 3 -3 -2 -2 0 -1 0 9.5 10.0 0 0 0 0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 -. 120 10 9 7 6 15 13 11 9 4 7 3 5 ,_13.0 20 17.- 14 12 9 6 3 Effective SEER 2 2 40% (SEER x dud efficiency) 8_ 5 Sum of 7-10 3 _ 3 Effective-25or -24 to -1410 -4b +6 b 16 or SEER less -15 -6 +5 +15 more 5.0 30 -25 -21 -17 43 -9 6.0 -12 -11. -9 -7 -6 -4 6.6 -5 -4 -4 -3 ..4 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 `i Zonal Control Adjustment POU 10 8 7 6 4 3 1 No Cooling System Installed IE Stories One -5 -4 -4 -3 -2 -2 Two+ _ 3 3 2 2 2 1 Single -Family Detached and Attached Interior Mass/CFA \ Trpx t was tt.7•u7MC•.. t1 Unit Size (sQ Water '1199 1200 1700 2200 2700 Heater Credit or i 10 to to or Type Type less ' 1699 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 40% POU 8_ 5 4 3 _ 3 SE None -37 -24 -18 -15 -12 125' Solar -1 -1 -1 0 0 2S% HWR .18 -12 -9 -7 -6 WSB.. .25 -16 -12 -10' -8 POU -1.8 _ _12 -9 -7 -6 IG None "- 5 -3 -2 -2 -2 Solar 7 5 -4 3 2 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 0.2 Solar 8 5 4 3 3 1.6 POU -10 -6 -5 -4 -3 3.1 Multi -Family (Individual units) 3.5 17 48 4.2 Unit Size (sf► 4.6 40 Water 5.2 699 700 1200 1700 2200 Heater Credit or In to 10 or Type Type less 1199 1699 2189 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9. 5 3 2 2 28 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 .11 -9 Solar 2 1 1 0 0 9.4 HWR -23 -12 -8 -6 '-5 4.8 WSB .25 -13 -8 3 -5 50% PQU _23 -12 -8 -6 -5 G _ None -8 -4 -3 .2 1 -2 Solar 6 3 2 1 • 1 POU 1_0 0 0 0 E None 30 -15 -10 _ -8 _ -6 24 Solar 18 9 6 4 4 3.9 POU -8 -4 -3 -2 -2 Interior Mass/CFA \ Trpx t was tt.7•u7MC•.. t1 \ TYPE .1 MASS (UInC • 4.2. tet Exposed 61st=b) 1c.tpet•d .lw 3554 40% 4511. 50% 55% 60% 69% 70% 75% 80% 85ye 90% 95% 100% 105% 110% 115% 120% 125' 0% 6% 10% 15% 20% 2S% 30% troy. 0.2 0.4 06 0.8 1 1.2 1.4 1.6 1.9 21 23 25 2.7 2.9 3.1 3.3 3.5 17 48 4.2 4.4 4.6 40 58 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 12 24 27 29 3.1 3.3 3.5 3.1 3.9 4.1 4.1 4.3 4.3 4.5 4.5 4.7 4.8 4.9 5 5.1 5.2 5.3 5.4 5.6 56 58 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 3.2 3.5 3.7 89 23 25 27 38 32 9.4 36 36 48 42 4t 4.6 4.8 5.115.3 5.5 5.7 5.9 6t 50% 0.9 1.1 1.3 1S 1.7 1.9 21 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.8 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 ' 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.S 2.7 29 9.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.6 5.9 6.1 6.3 6511. 1.1 1.3 1.5 1.7 1.9 22 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 11.5 1.7 1.9 21 2.3 25 27 3 3.2 3.4 96 3.8 4 4.2 4.4 4.8 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 WY. 1.4 1.6 6 2 2.2 2.4 26 2.8 3 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.7 4.9 S 5.1 52 5.4 S4 5.6 5.6 5.8 5.9 6 6.1 6.2 63 64 65 66 67 85% 1.4 1.7 9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.4 3.5 3.6 3.8 3.8 4 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 90% 1.5 1.7 2 2.2 24 26 2.8 3 3.2 95% 1.6 j 7 1.0 21 2.3 25 28 39 3.2 3.4 96 9.8 49 4.2 4.4 46 4.9 5.1 5.3 SS 5.7 5.9 6.1 6.3 6.5 6.1 79 105% 1.8 2 2.2 4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.4 5.6 5.7 5.8 6.9 6 6.1 6.2 6.3 6.4 6.5 6.6 6.7 68 69 7 7.1 11011. 1.9 2.1 2.3 .5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5 5.2 S.1 S.3 S.S S.7 S.9 6.2 6.4 '8.8 6.8 7 7.2 115% 12p5Y 2 2.i 2.2 2.3 2.4 25 2. 2.8 2:8 39 3 3.2 3.2 3.4 3.4 9.6 3.6 3.8 3.8 49 4.1 4.2 4.4 4.6 49 5.1 S. 5.5 5.7 59 6.1 6.3 6.5 6.7 79 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation R30 or ! it -value [381 U -value [0.030}'' _ 2. Wall Insulation _ R r or i R- slue [ I] U -value [0.0/98] 3. Raised Floor Insulation or / -1---value, [ 9] ' U -value [U.037J 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Point Scores or I R -value 101 F2 factor [0.77] Standard - 1 Type [double] , U value [0.65} 4d Total Glass r 16 Sum 1.6 % Glass \ Sc Eff. % Glass s• _-zZ a X-� X \ 0 _/X % Glass! SC Eff. % Glass X f2 X =• s� d X = X TYPE 1 MASS`AREA = d $ COND. FLOOR AREA Interior lVlss/CFA TYPE 2 MASS AREA $ Exterior all Mass ND. L OR AREA 6• X SE & HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6 HSPF [0.5615.15] X = SEER [ •51 Duct Efficiency [0.74] Effective SEER [7.03] Type [SGJ Credit [none] -0 �47 Point Total: Sum 7-10 Certificate of Compliance: Residential Project Title — --_-- Project Address Documentation Author Telephone BUILDING DATA Condition Area _�� Number of Stories S sisal Flo Number of Units m e amity Detached (SFD) [) Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (M) [ ] Existing -Puts -Addition �reag� Building Pcr=t 0 4es Chedced By / Data Fnfoseanient Agency Use Only Glass Area % G1 North , East 01 South West d Skylight -- Total BUELDING SHELL INSULATION Component - Insulation Location/Cotnments Type R -Value (attic, to game. typical etc) Wall .............. / Wall .............. Roof ............. Roof .......... Floor............... . Floor............ Slab Edge..... t GLAZING - _ . _ : _... Shading Devices Glazing Area Glass Type Interior . .: Exterior Orientation (SO (single, double) (roller blind, etc.)' hhad«ceer„ ere l Overhang Framing Type North ( •) ._. North ( ) 7, .East ( ) East -Sou ( ) Sbudli ' West ( ) West Skylight..... TRERMAL MASS Type/Covering Area — Thickness - (stab/exposed, We, etc.) (SO (inches) Location/Description (kitchen, bath etc.) HVAC SYSTEMS- __ Minimum .. Duct ft um(um7 ca. air - 'Efficiency Location Duct Output __. Manufacturer/ Model # conditioner. heir tun) (SE, SEER.HSP� (attic, etc.) R -Value lith ora roved al ge vot ZY J. �. % - Maximum Furnace Heating -Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model #, System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) tv L SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures'Checklist: Residential MF -1R NOTE- ldwrim resid--ntW buildings subject to the Standards must contain Nese uxmum tegardk= of the coeptimm approach used Items marked with an asterisk (•) may be sup—dcd by mare —gent compliance requuements listed on the Certificate of Compliance. When this checklist is incorporated into the permit docummM the feature, oacd amu be considered by all panics as binding minimum component performvuce specsfiemi n• for the mandatory mcasues whether they arc shown elsewhere in the documents or on this checklist truly. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures • 62.5352(a): Minimum ceiling insulation R-19 weighted average. 62.5352(bk Loose fill insutatiott rwwdaeture's labeled R -Value. 62.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass wales). 12.5352(k): Slab edge insulation- water absorption rate no greater than 0.3%. watt raper transmission rate no Fever than 2.0 permlinch. 62.5311: Insulation specified or installed intent California Energy Commission (CEC) quality standards. Indicate type and form - 62.5332(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. 62.5317: InfiltratigUExfdtiz ion Controls a. Doors and windows between conditioned and unconditioned spaces designed to Limit air leakage b. Doors and windows certifucd e. Doors and windows weathersaippea: all joints and penetrations Caulked and sealed 62.5352(e): Special infdtration barrio insuilled to comply with 62.5351 meets CEC quality standards. 62-5352(d): Installation of Fireplaces 1. Masonry and factory -built fueptarxs have: L Tight fitting. closeable metal or glass door b. Outside air intake with damper and control c Flue damper and control 2- No continuous burning ger pilots allowed. , HVAC and Plumbing System Measures 62-5352(g) and 2-5303: Spore conditioning equipment sizing: utarh calculations. 62-5352(h) and 2.5315: Setback thermostat on all applicable heating sysw>u. 62-5316(a): Ducts constructed. installed and insulated per Chapw*10. 1976 UMC 62-5316(b), Exhaust systems have damper controls. 62.5314(cr Gas -fund space heating equipment has intermittent ignition devices- " 62-5314: HVAC equipment• water heaters. showerheads and faucets certified by the CEC 62-5352(1Water heve insulation blanket (R-12 or greater) or combined into icidexterior insulation (R-16 or greater): fust 5 feet orf pipes closest to Lank insulated (R-3 or gnaw). 62-5312(Fxception 1): Pipe insulation on steam and steam condensate return At recirculating Piping 62-5319(d),- Swimming Pool Heating -- 1. System has a. On/off switch on heave. b. WeaNesproof instruction plain on heave. t Plumbed to allow for solar. 2- 75 percent thermal clraciency- - 3. Pool cover. 4. Time clock. 5- Directional waw inlcL Lighting and Appliance Measures i 62-5352(1):'Lighting - 25 lumcnstwau or greater for general fighting in kitchens and bath oonts. 62-5314(e). Gas fired appliances equipped with intermittent ignition devices. , 62.5314(x): Refrigerators, refrigeatce-frcezers- freezes and fluorescent lamp ballasts certified by the CEC Indicate make and model number. COMPLIANCE STATEMENT ' This ecstificue of compliance lists the building features and performance Specifications needed to comply with Mile 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article I of the California Administrative code. 'Ibis certificate has born 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 Building Owner Name Name:Ti s- Tttk/Frm- AddtrdressAddress: Tckpho= Tckp)wnc tx. if: - (sirnature) - (date) t Documentation Author Name:: Titk/1'ittTl: (sitnarurc) Enforcement Agency Name; Ac°"ry' (date) 2. Wall Insulation Insulation in Floor Number of stories West R -value- One Two Three • R-0 -120 -59 _40 R-19 -10 -5 3 R-30 -2 -1 R-19 R-38 0 0 0 U -value 2 1 0.80 0.50 -200 -99 56 0.30 -118 -59 39 0.10 32 -16 -11 0.08 -23 -11 -8 0.06 -14 _7 0.04 0.04 -5 -2 -2 0.02 5 2 2 -- 0.00 14 7 4 2. Wall Insulation Insulation in Floor South West Single- Single - 10 R -value Family Detached Family Attached Multi - Family R-0 -102 -77 -51 R-11 R-13 -11 -8 -8 -6 -5 -4 R-19 0 0 0 U -value 4 2 1 0.80 -212 -160 -107 0.50 0.30 -132 -74 -100 -56 -67 37 0.10 -11 -8 -6 0.08 -5 -3 -44 _ 0.06 2 1 1 0.04 9 6 4 0.02 15 11 8 0.00 22 16 11 3. Raised Floor Insulation -4 F2 factor 0.90 -19 -13 -6 0.80 _194 9 -5 0.70 5 3 0.60 -4 3 -1 0.50 0 0 0 0.40 5 3 2 5. Infiltration (Air Leakage) Insulation in Floor South West Skylight Number of stories 10 R -value One Two Three R-0 -24 -12 -8 R-11 -5 -2 -1 R-19 0 0 0 R-30 4 2 1 U -value 4 9 4 0.60 -218 -103 •67 0.50 -180 -85 -55 ' 0.40 -142 -67 -44 0.30 -103 -49 -32 0.20 -64 -31 .20 0.10 -24 -12 -8 0.08 -17 -8 -5 0.06 -9 -4 3 0.04 -1 -1 0 0.02 6 3 2 0.00 14 7 5 Controlled Ventilation Crawlspace .40 less 0.9 Number of stories -1 R -value One Two Three R-0 -15 -10 -7 R-5 R-11 -4 .1 -5 3 -4 -2 R-19 0 -2 -2 I 4. Slab Edge Insulation -31 R -value One Number of Stories Two Three R-0 R-5 43 -1 -8 -4 R-7 p -1 p 0 0 F2 factor 0.90 -19 -13 -6 0.80 _194 9 -5 0.70 5 3 0.60 -4 3 -1 0.50 0 0 0 0.40 5 3 2 5. Infiltration (Air Leakage) East South West Skylight 18 10 6 12 Specification � Points 7 Interior Thermal Mass 10 4 0 0 Standard - - 6 p'e"or 4 Mass 10 Slab Floor Raised Stories Floor 8 4 4 9 4 4 7 /CFA One Two Three One Stories Two Three 6. Glass Heat Loss 5 3 3 2 0.0 0.1 -10 -9 -6 -5 -4 -2 3 -1 -1 0 -1 0 Total0.3 4 3 6 U -value 1 2 -8 4 3. -2 0 -1 1 1 2 1 2 Percent 2 0 51 to .41 to .31 to 0.30 0 0.7 -6 -2 -1 2 2 3 Glass Single Double .6o .50 .40 less 0.9 -5 -1 0 2 3 4 50 40 -190 -85 141 59 -63 42 41 25 -20 8 1 1.1 1.3 -5 -4 -1 0 1 3 2 4 4 5 4 5 35 -117 -46 -31 -17 -2 8 12 1.5 -3 1 3 5 6 6 30 '29 -93 34 -88 . 31 -21 -19 -9 -7 3 5 152.5 16 + 0 4 g g 9 8 9 _ 28 -84 -29 -17 -6 6 17 3.0 i 3.5 1 2 5 6 7 9 8 25% na 3.41 -57 -52 -46 -41 -36 0.40 3.67 -43 -39 -35 31 -27 27 26 -79 -26 -75 -24 -15 -13 -4 3 7 8 17 18 4.0 ; 3 7 10 9 11 110 12 12 13 25 -70 -22 -11 -1 9 19 4.5 .1 5.0 4 5 8 9 10 12 11 13 14 24 23 -65 -19 -61 -17 -9 -7 1 2 10 11 19 20 5.5 6 10 13 12 14 14 15 14 15 22 21 -56 -14 -52 -12 -5 4 5 12 21 6.0 6.5 7 7 11 11 12 15 13 15 16 16 16 16 20 -47 -9 -3 -1 7 13 15 22 22 7.0 7.5 8 8 12 12 13 16 17 17 19 18 -43 -7 -39 -5 1 3 8 10 1623 17 24 8.0 8 12 14 16 14 16 17 17 17 18 17 i -34 -2 4 11 18 24 8.5 9 13 14. 17 18 18 l 16 -30 0 6 13 19 25 -23 -11 •8 .6 -5 2! 15 -25 2 8 14 20 26 0 0 4.1 4.3 4.3 4.5 4.5 4.7 Solar 14 i2 -21 5 10 12 16 17 21 26 10. Exterior Wall Thermal Mass POU 11 -12 g7 -8 12 16 20 22 24 277 8 28 1 Exterior 1 IE Single- Single- -14 .g 10 9 -4 14 0 16 18 19 21 23 - 25 46 29 Wall 1 Mass Family Detached Family Attached MUI6 Family 8 4 18 21 24 27 30 30 0.00 -1 0 0 0 26 3 -- 0.20 2 2 1 S] 5.3 5.7 5.9 6.1 60% 1 0.40 1.4 5 4 2 23 2S 27 2.9 at 12 3.3 3.5 3S 0.60 11 4 7 6 4 4.7 7. Shading (Shade Open) S6 - 6 1:00 65% 70% 13 8 5 1.7 1.6 1.9 22 24 26 is 3 12 14 36 10 8 4.2 4.3 4.4 4.5 Effective Percent Glass 4.6 ' S 1.20 1.40 5.4 16 19 12 14 8 63 75% (percent glass x SC) 15 1.7 19 1.60 22 23 22 16 g 11 11 Effective 15 3.7 3.9 4.1 4.3 1.80 4.s 222.00 79 q9 12 S ] 5.4 S S %Glass North East South West Skylight 18 10 6 12 4 na 14 7 6 10 4 0 0 12 6 6 9 4 na na 10 4 5 8 4 4 9 4 4 7 4 5 8 3 4 6 4 5 3 3 2 0 0 -- _ - - 10.0 6 2 3 4 3 6 5 1 2 3 2 6 4 .. 3 1 0 1 0 2 0 1 0 6 p 5 2 -1 -2 -3 -2 4 1 0 -1 -2 -4 -6 -6 -11 -3 -6 3 0 na = not allowed -1 -1 -1 0.95 8.71 26 24 21 19 16 S. Shading (Shade Closed) Solar 10 Effective Percent Class 5 4 (percent glass x SC) Efrective SE or HSPF Effective POU 7 5 3 % Glass North East South West Skylight 18 16 -9 32 -46 -45 na IE -8 -27 39 -38 na 12 5 8 25 24 na 11 10 -5 -4 -16 -14 -22 -19 -21 -18 na -63 8 Multi -Family (individual units) 25% na 3.41 -57 -52 -46 -41 -36 0.40 3.67 -43 -39 -35 31 -27 31 -23 7 -3 -3 -10 -14 -13 -46 -7 Water -8 -11 -8 -11 -8 -38 _X 5 4 -1 .1 -q 2 -5 -3 -6 3 -23 3 0 -1 -1 -1 -17 -11 2 1 0 1 1 27 0 0 1 1 2 4 3 4 4 6 3 0 na = not allowed 7 5 3 1.9 2 Heating System 12. Cooling Sy stem SE or HSPF Effective SEER SEER HWR (SEER x dud efficiency) 6 6 Effective -25 or -24 to ur 14 to of 1 -4 to +6 to 16 or (assumes ducts in attic) more 5.0 6.0 -16 -13 -10 -6 -3 Sum of 7-10 6.6 -5 -4 -3 -2 -1 0 0 0 0 0 0 0 SEER -25 or -24 to -14 to less -4 to +6 to 16 or 0 9.0 10.0 -15 -5 +5 +15 more 8.0 8.5 -6 -2 -5 -3 -2 -1 0 0 0 -2 -1 0 0 -1 0 0 0 0 0 9.9 9.5 3 3 2 0 0 -- _ - - 10.0 6 4 3 2 1 00 0 10.5 8 6 5 3 2 0 11.0 10 8 6 4 2 0 120 13 10 8 5 3 0 13.0 16 13 9 6 3 0 SE or HSPF Effective SEER HP 13 HWR (SEER x dud efficiency) 6 6 Effective -25 or -24 to ur 14 to of 1 -4 to +6 to 16 or SEER less -15 -5 +5 +15 more 5.0 6.0 -16 -13 -10 -6 -3 0 6.6 -5 -4 -3 -2 -1 0 0 0 0 0 0 0 7.0 3 2 2 1 1 0 8,0 9 7 5 4 2 0 9.0 10.0 13 11 8 5, 3 17 14 10 7 3 0 0 11.0 20 16 12 8 4 0 120 23 18 14 9 50 i 13.0 25 20 15 10 5 0 13 Zonal Control Adjustment -( 10 8 6 2 0 ' 1 _4 No Cooling System In_ stalled_ 1 Stories_ -- _ - - 2 One 0 0 0 0 0 0 Two + 5 4 3 2 1 0 13. Water Heating 0.80 7.33 11 10 9 8 7 Single -Family Detached and Attached POU Water 11.99 1200 nit 71000 (s2200 2700 Heater Type Credit or to to to Type less 1699 2199 2699 or SG or None 0 0 0 0 Solar 17 more 0 SE or HSPF Slab Edge Insulation HP 13 HWR 9 6 6 4 4 Shading (Shade Open) (assumes ducts in attic) - b. East WSB 17 Interior Mass/CFA d. West 7 3 Sum of 1-6 Shading (Shade Closed) POU 9 6 4 3 6 3- -25 or -24 to -14 to -4 to +610 SE HSPF less -15 -5 16 or SE None 3926 19 15 13 +5 +15 0.72 6.60 0 0 0 0 0 more 0 Solar HWR 2 -18 1 -12 1 -9 1 1 0.75. 6.88 4 4 3 3 3 2 WSB 2 2 1 -7 1 3 1 0.80 7.33 11 10 9 8 7 6 POU -18 -12 -9 -7 -6 0.85 • 7.79 16 15 13 12 10 9 0.90 8.25 21 19 17 15 13 11 n None -2 -1 -1 -1 -1 0.95 8.71 26 24 21 19 16 14 Solar 10 7 5 4 3 Efrective SE or HSPF POU 7 5 3 3 2 (SE or HSPF x duct efficiency) s0% Effective -25 or -24 to -14 to -4 to +6 to 16 or IE None Solar -28 10 -19 7 -14 5 -11 -9 SE HSPF less -15 -5 +5 +15 more ,__POU -7 -5 -3 4 -3 3 -2 0.30 2.75 -94 -85 -76 -68 -59 -60 Multi -Family (individual units) 25% na 3.41 -57 -52 -46 -41 -36 0.40 3.67 -43 -39 -35 31 -27 31 -23 1 t0% 115% 120% Unit Size (sQ 10X 0.50 4.58 -13 -12 -11 _10 -8 0.56 5.13 0 -7 Water 06 0.1 699 700 1200 1700 2200 0 0 0 0 0.60 5.50 7 6 6 5 4 0 4 Heater TYPe Credit Type or less to 1199 to 1699 to 2199 or 0.70 6.42 21 19 17 15 13 0.80 7.33 32 29 11 i SG None 0 0 0 0 more 0 26 23 20 0.90 8.25 40 37 33 29 25 17 22 or Solar 14 7 5 3 1.9 2 1.00 9.17 47 43 38 34 30 25 HP HWR WSB 10 29 5 14 3 10 2 ' Zonal Control Adjustment 1 4.2 POU 10 5 3 3 2 System Type 0.5 0.7 SE None -46 -23 -15 -12 -9 Resistance 10 9 7 6 5 3 26 Solar HWR 2 -23 1 -11 1 -8 0 -6 0 -5 Other 6 5 4 4 3 2 1.3 WSB 22 11 7 5 4 S0% 0.9 0.9 1.1 POU -23 -11 •8 .6 -5 2! 26 n None -2 -1 -1 0 0 4.1 4.3 4.3 4.5 4.5 4.7 Solar 11 6 4 3 2 POU 8 4 3 2 2 23 27 IE None -28 -14 .g -7 5 4.4 4,6 Solar 22 11 7 6 4 55'% 0.9 1.1 POU -4 -2 -1 -1 -1 Point System Summary: Climate Zone 16 SCORE CARD Measures I. Ceiling Insulation3Q or R•v ue [38] U -value (0.030] _ 2. Wall Insulation R -v -slue [R -value 19 j-- U -value (0.066] _ 3. Raised Floor Insulation i q or R-value[191 U -value f0. 3371 4. Slab Edge Insulation S.: + 6. ;GIass Heat Loss 7. Shading (Shade Open) a. North - b. East C. South Interior Mass/CFA d. West e. Skylight 8. Shading (Shade Closed) 11. )411.• 4.71 leo e..a .1_01 t -,TPC I KX&S (ub1C 6 4.2. 142 .rpotM Slab) 0% 5% 10% 15% 20% 25% 30% 35% 40%. 45% 50% 5d% W% "J6 70% 7S% s0% O% 0 0.2 6S% 90X 25% 100% 105% 1 t0% 115% 120% 125`. 10X 0.2 0.1 0.4 0.6 06 0.1 0.6 1 1.1 1.2 13 1.1 1.S 1.7 1.0 21 23 2S 27 29 32 14 3.6 3.6 4 41 <! 20% 0.3 0.6 Oa 1 12 1.1 1.3 1.6 1.6 1.9 2 21 22 23 24 25 27 2T 29 2.9 11 �] 3.S 17 1 4.2 4.1 46 4.6 4.6 4.6 5 S 52 S] 30% 10% 0.5 0.7 0.7 09 1.1 1.4 1.6 1.6 2 22 24 26 26 3 3.1 3.2 13 1S 15 17 17 3.9 4.1 1.3 t.S Ls S 52 5.4 St 56 S0% 0.9 0.9 1.1 1.1 1.3 1] 1s 1.S 1.7 1.7 1.9 1A 21 22 2! 26 26 3 1.2 3.4 16 11 39 4 4.1 4.3 4.3 4.5 4.5 4.7 4.T 4.9 4.9 5.1 5.3 5.6 56 2] 23 27 3 12 14 16 11 4 12 4.4 4,6 5.1 S ] Ss S.7 S 9 55'% 0.9 1.1 1.4 1.6 1.6 2 22 24 2.6 26 3 It it S] 5.3 5.7 5.9 6.1 60% 1 12 1.4 1.7 1.9 21 23 2S 27 2.9 at 12 3.3 3.5 3S 17 3.1 11 4 4.1 42 4.5 4.7 4.9 5.1 S] S6 56 6 62 65% 70% 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.6 1.9 22 24 26 is 3 12 14 36 3.1 4 4.2 4.3 4.4 4.5 4.6 4.7 4.6 ' S 5.2 5.4 5.6 5.9 6.1 63 75% 1.3 15 1.7 19 2 21 22 23 2S 2-S 27 2.9 11 13 15 3.7 3.9 4.1 4.3 4.5 4.s 4.9 S S.1 52 S ] 5.4 S S S.7 S.9 '6 6.1 6 t 27 3 12 14 16 11 4 42 4.4 4.6 4.3 5.1 i3 S.5 5.6 it 56 62 64 60% 1.4 1.6 1.1 2 22 24 26 2.1 3 1 3.S 17 3.9 4.1 4.3 5.9 6.1 6.3 65 65X 96% 1.4 1.5 1.7 1.7 1.9 2 2.1 2.2 2] 24 2S 2.7 29 3.1 3] 3.3 1s 4 42 4.4 4.S 4.6 4.7 4.6 4.0 5.1 54 S.6 56 6 62 61 66 9SY 1.6 1.6 2 22 2S 26 27 2s 29 3 11 32 3.4 1.6 3.1 4.1 4.] l3 1.7 1.9 S 3.1 32 S] St SS 5.6 S9 6.1 6] 6S 67 t00% 1.7 19 21 2-3 2S 2a 3 32 33 3A 3.5 a6 17 16 19 1.1 4.3 4.6 4.8 S 5.2 5.4 3.6 5.7 5.7 5.9 6 6 62 a2 63 65 66 tOSX 1.6 2 22 4 42 4.4 l6 4.9 i1 5.3 Ss S.7 5A 0.] 6.4 6.S 6.7 6.7 6 9 7 Ito% 1.9 21 23 2.1 25 26 27 28 29 3 11 3.7 13 3.S 3.6 3.7 3.8 3.9 4.1 4.3 4.S 4.7 4.9 5.1 S.4 5.6 5.6 6 6.2 6.1 1)2501X6 2 21 25 2:7 29 J.1 19 1S 4 4.2 4.4 4.5 4.s S S.2 S.1 S.7 S.9 ni 6.3 6.5 6.6 6.7 6 s 69 7 1.1 125% 21 2] 2S 2.s 7 3.9 4.1 4.4 i:d 1:e S S:i 5.3 5.5 s'e 62 6.4 6:7 3 a2 3A 16 as 4 4.2 4A 4.6 49 it i3 5s 5.7 5.9 55.9 66:9 7.1 7:2 61 63 as 67 7 7.2 7.4 Point System Summary: Climate Zone 16 SCORE CARD Measures I. Ceiling Insulation3Q or R•v ue [38] U -value (0.030] _ 2. Wall Insulation R -v -slue [R -value 19 j-- U -value (0.066] _ 3. Raised Floor Insulation i q or R-value[191 U -value f0. 3371 4. Slab Edge Insulation S.: Infiltration 6. ;GIass Heat Loss 7. Shading (Shade Open) a. North - b. East C. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior jT ermal Mass :- 10. Exterior Wall Mass 1 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R. -value (71 F2 factor [0.51] ---• _ - . _ tSandard - - _4_-444_..__ ..--.::�:: =M- -��-•3 �_�, ° dou le - - TTL 1 U -value [0.65] To 90 tal Glaze [ 161 - Sum 1-6 % Glasssc . Eff. % Glass X_L_L__ 3 X O X _- X = % Glass. SC = E 1a; X •• X �- X -- 7 - ---C2- TYPE 1 MASS AREA _ O $ InteriorN»es/CFA COND- FLOOR AREA TYPE 2 MASS AREA ExqF" Mass ND. r L OR AREA •XSDua Efflcl- (0,781 Effective SE or [0.7216,61 HSPF 10-5615.151 X -_ SEER .91 Duct Efficiency [0.74] Effective SEER [6.59] Type (SG] Cledu [none] AOT Sum -l0 l it u ' � k�e ddS CMd Sp8elficcOOT1$ � lS & wort; (i,i� sed pt Alt M, �i net cept on the ^h ht all times and �t is unlayu to �sth jtc :c a „ , . , r , any chrynges or alterations on sa fi ithowt � c d rce,rw�IN eSGr�' �s two a a; . �, " ,critten permission% �e Deparime i °§ is ' gtuisigi° 46 a{ local Eli' S" y x C tu�occr recF�t ►�A' . t �� ❑ JX 3 • :j ��nQh y,y Sha 1 Be in ns , s and b�ipilMIV in the Gf ctp c� vt l • �, 6u ��n- �Q l� F�� IN de vd !'► i�'' S'e. Ply st" V e ot LC'r W vI■ R3 Mi' Axvie �1Lp11��' X