The URL can be used to link to this page

Home My WebLink About073-340-03434 ugen �v� 0�3, � ohn 0 [ .[6: ~ ! ' - [ ` . . ( ' . - -- - -- - 41 t .AESIDENTIAL 073-34-p-03 � PEENING 4 T- _. `_.""`__ 93-19BP neWald onJpond LNugForbes 6 � � • sf town +. s� IfX 4. �, tit � , ♦ \ ' � ' � v, kr 1 OFFICE COPY ~ i Address � r GAS Date Meter By ELECTRIC_, Date Meter By _ GAS i Meter By { Date ELECTRIC z?-�3 yA• Meter By Date i .a ~ JOB FINALED (Date) 2/7 /� 1 Signature T j V=OK. Q = Not O,,K,. =Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) T 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector r 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability , Y 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except N's &- Duplex) Date FRAMING (Continued) oni -Setbacks-Easements-Flood-Slope g., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth ---t�/ IT-Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth ---�- Porches & Decks; Soils -Steel -/i /Ftg. Depth ---'�I -1--13temwalls, Main; Steel-Blockouts-Wrapped ---- -L--iSfemwalls, Garage; Steel- Bloc kouts-Wrapped ---- 6a. Hold Downs and Special Anchors ---- L--51. Pro fly Line Firewall & Openings Doors -One 3' -Check Garage -3rd Story, 2 Exits ttairs1Width-Headroom-Rise-Run-Landing-Fire Protection .. r yrs -Post Gaps -Anchors -Connectors _ Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. ace Ties or Type A Flue -Fireplace Throat clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles 0. Bdrm. Windows or Exiting Doors Hgt. & Dimensions 50. Garage Fire Protection Framing KLi7 7. Slab; Steel -Wrapped ie - p,�te81 W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. as Pipe; Size -Anchors - yard gas piping: size -test Water Pipe; Test -Anchor -Regulator -Service Test ec .ic, Underground ienums & Ducts; Clearance -Material -Support -Ins. 14. "rders-Sills-Anchor Bolts -Joists -Vents -Cripples ccess & Ventilation 16. Insulation Datej 3 -53 Card B-1 Date Card B-1 Dat - vj Card B-1 Date Card B-1 Date' PLUMDING (Permit),OK except ✓s's ater Htr.: Vent -Access -Combustion Air -Baffle ------------------- ------------------------ 17. Water Pipe; Test & Anchor -Nail Protection -.IaiD W.V.; Test -Fittings & Anchor -Nail Protection ( JJ t3. Shower Pan: Test, First Floor -Tui Access 20. T t Tub &_Shower, Second Flocr-Tub Access Gas Pipe_ Size & Anchors t ------ -- - -- - - --- - --- --- Dat and B- Date Card B_1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ------ -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 3------ - -------------------------------- - - - ----------- ---- ------ 2.q,�ize Boxes & No- of Conductors -Stapled --------- ---- -- - 25 dmex Installed Close to Edge of Studs & C.J. ----r--ii - -->---------------------------------------------------------- V 26 uip. Ground made up wrMech. Fastners-Bond Gas & Water ---- - -- ---------------------------------------------- ------ ------ 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI /2C Subfeed Wire Sizer r ga Cu or AI-A.C. Sizer r ga. V Cu or At r 29: Range Circ ! ga Cu or AI -Oven Circ. / r ga. Cu or Al. Insulated Neutral ❑ Yes El No ------------ Y JV Service -Riser Conductors & Ground -Main Disconnect ---------- - 31. Equip Clearances Panels-Motors-Mech. Equip. ------------------ ---- ------------------ ------------ - -- - --- - i-- sO lothes Closet Light -Shower Lig-it-Spa Light --- - = - - - ------- -- --------------------------- ----------- ------- 3. Smoke Detector -------------------------------------------------------------- ------------------------------ -------------------------------------------------- Date Card B-1 Date Card B-1 ------------------ --------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except Ir s 34. A.C. Ducts Insulation & Support 5 ent Fan: Exhaust above insulation _ - ---- 36.C "en=ate Drain & Overflow Size & Grade -Furnance-Vent: Access -Comb. A r -Return Air Vent -1 t�( -------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------------ ----------------------------- - -------------- ---- ----------- Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 9. Sils. Proper Material & Anchors Wall Studs -Nailing. Spacing & Bracing -Plates -Sound .Nailing. -- Be Walls over Girders & Floor Nailing ------ -- -- - - - ------- Draft Stop in Walls (rat proof) --- -- - --- - - - - - - -------------- ---------------------- ire Stops: Furred Ceilings -Stairs -Chases -Tub -------- - --- --------- ------------ ---------------------------------- 44. Headers & Beam -Size & Bearing L,;.�plywo on Roof Overhang -Attic Vents -Rafter Outriggers -7 ') f %6.'Siding- Nailing Veneer _----66-31varo'Mesh-Drip Screed -Fd. Vents-Underflr. Access ung Area -Glass Protection -Skylights -Plastic -` r Walls; Nailing -Bolts 5� ion -Walls -Ceilings --------------------------- Infiltration-Walls-Windows Date - Date `� Card B 1 Date Card B-1 Date FINAL (Plans) OK except It's 61. Ext. Steps -Door & Sidelight Protection -Landings �rB2. Smoke Detector x -63 -Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection - ----- -- 4. B oom Exiting F.I & Bath Fixtures & Tuh Access -Spa 4 6. Elec. Trim -& Subpanel: Breaker Sizes & Labels Stairs & Rails _ 68r- eplace or Stove: Clearances -Hearth EIPc Outlets at Wood Panel Int. & Ext. 70.✓KL.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance -- ---------------------------- -- �-Ele utters &Receptacles at Kit. Counter 7 age Fire Door: Swing -Landing -Closer �.7- -A.C. Duct in Garage -Damper V�4-tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. n G e Above Floor-Mech. Protection ° 7 -` Elec. & Mech. Equip. Listed for Location � 76. Elect-Re>;eptacles in Garage: (G.F.I.)-Romex Protection -------- Insul 'on -Foam -Looked in Attic ❑ Yes Gyard-Rails & Deck Construction -Post Caps V/'79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Cllparance Looked under Floor-- ❑ Yes -------- --------------------- VI-80. ollowing instld.; Drive 0 aces 0'No; Walks ❑ Yes Q -No; Planters ❑ Yes No atucc0"$rown-Finish L d2. A.C. Unit; Disconnect. Electrical, Plumbing ------•---_---------------------------------- --- ents Above Roof; Plbg.-Appliance-Fireplace:-Clearance to �_ O_p_enings - r Well; Disconnect, Electrical, Plumbing - 85. E rior-Elea-Trim G.F.I_Receptacle=Underground - Ventilation Throughout House - --------.... a7. Grass Protection ---------------------------------------------- �'d8. Corrections from Previous Inspections ^s Gas Test -Meters Tagged; Gas -Electric ------------------------------------- 90. ------- --------- -- --------------90. Water & Sewer Connected -C/O to Grade -HD Approval l/�tlEn gy Compliance Certificate -Other Certificates Date-�lLj_' 3- and B-1 1 Date _Card B-1 Date 7�- Card B-1 Date Card B-1 Date �! Card B-1 Date Card B-1 Comments at Final: i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,- OroviIIe, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 93-19(0 ASSESSOR PARCEL NUMBER 073-340-034 ZONING U BUILDING PERMI OWNER John & Eu etiia Fleming919 TELEPHONE 675-2056 SO. FT. OCC. BUILDING VALUATION OWNER'S CMAI LING ADDRESS ai 28 95941 C6. CONT RACTOR'S NAME TELEPHONE Owner 1-540 R 8p3 160.00 470 M 8 460'00 C7 80 C 11040.00 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN 600 0 4,200.00 Fireplace 2/"A"3,000.00 Total Valuation 7$ 99 860.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ 597.50 Plan Checking Fee $ 298.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $ 931.25 9Q Walden Pond Lane, orbestown PLUMBING PERMIT Filing Fee 15.00 Each Trap 101 5.001 50,00 Solar or heat pump water heater 1 20.00 LOT NO. 15 SUBDIVISION NAME PARCEL MAP 116-99 Water piping 1 7.00 7.00 Each qas water heater or vent .00 7.00 USE OF STRUCTURE SFEl Duplex[]Mobilehome❑ Other SPECIFY J17 Gas piping system 1 - 5 outlets5.00 5.00 Building sewer 5.00 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK NewU Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: 3 Bedroom Singe) Family _ Permit Fee $ 0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.501 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. DWELLING OCCUP.&) V 3.6Qsq.ft. 70.35 OR AODNS. ACC. BLDGS. // 11 NEW CONSTFL MULT "OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. / EX. OCCU 20 76 p OUTLETS OR FIXTURESRAI 0 ARA FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 103.85 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 15.00 Heating 1 9.00 1 9.00 Split Cooling 21 11.00 Hood 1 6.50 Ventilation 1 4.50 4.50 Permit Fee $ 46.00 Contractor 1 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 to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date slgnoture of Applicant - Owner ontr for EJ Agent E5 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 S Energy Inspection Fee $ 40.00 occ CONST TYPE TOTAL FEE $1 220.10 HAz ._ OFEEs IMP FLOOD LO CDF PARCE PD ^- HD Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. R;�T,OR OF PUBLIC WORKS By � �li�"""� Date 9;:-L PER T EXPIRES Date 2- - Receip %.FeeT35167// WHITE-O.P.W.. YELLOW-A98[990R, PINK -INSPECTOR. GOLDENROD-APPLICANT�- i+ ....,�� y%�•�7� r'1, -• � rI1W' i�1w .rem •+�'{�..M+f+r ,`.+�P`Yryl`+"yd'"�,2.`3y�•' ��cyx-.,,arKI.TiC*}".'r'• .••ti"'r A'^W. ..� �}.r• r.�r trti�r,_ a'7i �61RQUNTYOF BUTTE - DEPARTMEN'FaOF. VCdPMENTjSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER---- �vl l.Giyl /v A No. ;73 Proposed Building Use Building Inspector Date 1 1. - G - At time of permit application, I was advised the following data must be submitted prior to permit processin and/or issuance: DATE RECEIVED BY 1 • All items have been submitted . ........................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............." 5. Hazardous Material Form . ..................................... ........ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . F1 Al 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10 Fees of $......................................... 1. Impact fees as shown on attached schedule. ............................. 12. California Department,of Forestry plan approval/fees........................ y j 3 Flood elevation letter, 100 year floo) y California Engineer.. . Sanitation and plot plan approval 19 Health Department. ........lid . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 1'9. Driveway Permit (construction approval required prior to occupancy). lu"�e�O" rey�st 20. Pre -inspection for required. tPo`Building Inspect or - (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner_. ... ��..... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ...................................... s. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ....o 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ........................................ 32. Plan check list . ..................................................... 33. 34. Whenisiue the permit, process as follows: Mail to owner. Mail to contractor. elephone6 74; -Z0_5 -&and hold for pickup at 4:2ZZ. office. Deliver with inspector. Other Parcel Creation Acreage Applica� ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. { 2. Additional items required: permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised 'of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail %Counter by _ Date Plans checked by Date Plans approved by Date Z t-93 P A, v�5_Dm-f3 Sets of laps on hold in File cabinet AP folder ��'. SF>c R F� 1 Copy - Department of Public Works 3 •_7 fr)ga TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ✓,.,f., ,. IS.H Iil Uvl 19u1 Him AlIndwil @ Tib111or 111:m Alwic9 1P 1etil 11,1), ldmPC22 Owner Location AP# Plan Approved for: Sewm,e Disposal Water Supply: I LIbli Private Well Clearance for 3 bedroom trrtlAN- home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist I e 8/92 COUNTY OF B=E — DEFARIMENT Ok- rUt5L1U WUKlf►5 — M I LDING DIV151UN 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 ),VQ TER � �' l I N A. P. NO. 3 3C/ 'ROPOSED BUILDING USE `;7 DATE ZC / REC . .a DATE_ REC School Distric Fees,�kdYc, (paid at District Office) . She_Tiff Fees (paid. at Building Department) 2 /- Residential unit pmt. Commercial( per sq . f t .)_,_ ft. 2mt. 3. Urban Area Fees (paid at Building Department ' Residential. (per unit) % _$ JL 7 units amt. Commerical(per sq.ft.) ,1 _ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other __ ;N 'f 9 =.t time of permit application, I was advised the above fees are required to be paid pr__- c:o issuance of the permit. ti�DLICANT DATE tiwv*w�t.,t«tr•(t►.�.>'.t-.��Jl'Cyt•..+4;�v.,,..L�.-,.ay,,lei•G•N+�'eiauy..-.ct,:y;,,N'-,Nac,.r,�- .,F•--+r..�.r..•w,-...� ... +.,! .•�.-+-:.x... •x# A Marysville Joint'Unified School District :L=�CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES To bi completed by applicant and taken to: Marysville Joint Uniiled School District 1919 B Street, Marysville Part I ` �oig,.l E 1,/6r /V FLEM �� Property Owner's Name: /O Owner's Address: 155.2-R- F U1e_ 6 6 S 7 dcr_11r1 12 0 5; Project Address: bye i - on - 0,o "''' w Parcel No: 0 %-;� - 3 `y -6 - y 3 4 Lot No: City or County: 90 7TE . Building Dept: Permit No: IfIt- /I,(,) 4 r# TYPE OF CONSTRUCTION: 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: / 4c� 4 1. THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDI- TIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERTIFICATION OF COMPLIANCE. FALSIFICATION OF SQUARE FOOTAGE AND/OR TYPE OF CON- STRUCTION IS CAUSE FOR REVOCATION OF CERTLFLCATION OF COMPLUINCE/ Applicant's Name; &6 z L , Vii" ` ` Date: f Applicant's Signature: ,� ,,,_A se � Part II TO BE COMPLETED BY BUILDING D PARTMENT Total Number of Habitable Square Feet /S `% City of Marysville County of Yuba s/ Signature- County of Butte Part III TO BE COMPLETED BY SCHOOL DISTRICT Certification of Compliance No. (Receipt No.): Fees Collected: No. of Square Feet x's $.27 for Commercial = $ No. of Square Feet x's $1.65 for Residential = $ � Exempt from Fees: Reason: AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL. I HEREBY CERTIFY THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65996 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT. Signature. Sandra Davina, Director ofBusiness Services White: - School District Yellow: - Applicant Pink - Building Dept Date SD:co 7/92 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 e-r—rro-) -7 2. I (have/heve-ffet) 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 -port -ions 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 umber 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. ' I I Thermal Dass Worksheet WS -IR ir Project Title Date INTERIOR THERMAL MASS Use one of the two following options for calculating interior mass as explained in Section 4.2 of the Energy Conservation Manual (ECM). Method B must be used for mass elements that have an interior unit mass capacity less than 1.7. Method A: Look up the Interior Mass/CFA value from ECM Table 4-7 reprinted on the reverse side of this page. Type 1 mass has a Unit Interior Mass Capacity (UIMC) greater than or equal to 4.2 (see ECM Tables 4-8a and 4-8b reprinted on Attachment). Type 2 mass bas an UIMC greater than or equal to 1.7 and less than 4.2. Mass Wis the mass surface area divided by conditioned floor area (CFA). For mass elements exposed on both (two) sides to conditioned space, enter the area of only one side to calculate the percentage. Mass %n Type 1 Mass Area. Type 2 Mass Area: Interior Mass/CFA from Table 4-7: Method B: Calculate the Interior Mass/CFA value using the worksheet space below. Look up the Unit Interior Mass Capacity (UIMC) for each interior mass surface in ECM Tables 4-8a, 4-8b and 4-9 reprinted on the Attachment. Include the interior surfaces of exterior mass walls. For interior mass walls exposed on both (two) sides to conditioned space, enter the surface area of only one side. Include the inside surfaces of exterior mass walls as explained in Section 4.2 of the ECM. Unit Interior Interior ?description Mass Area Mass Capacity Mass Capacity X - X .L Total CFA Interior Mas /CFA EXTERIOR WALL THERMAL MASS Calculate the Exterior Wall Mass of all exterior walls. Lookup the Exterior Mass Factor for each opaque wall element from ECM Table 4-9 reprinted on the Attachment. Only exterior mass wall surfaces may be included in this calculation. Opaque Exterior ' Description Wall Area Mass Factor Conventional Walls X = 4 , ' I I Thermal Dass Worksheet WS -IR ir Project Title Date INTERIOR THERMAL MASS Use one of the two following options for calculating interior mass as explained in Section 4.2 of the Energy Conservation Manual (ECM). Method B must be used for mass elements that have an interior unit mass capacity less than 1.7. Method A: Look up the Interior Mass/CFA value from ECM Table 4-7 reprinted on the reverse side of this page. Type 1 mass has a Unit Interior Mass Capacity (UIMC) greater than or equal to 4.2 (see ECM Tables 4-8a and 4-8b reprinted on Attachment). Type 2 mass bas an UIMC greater than or equal to 1.7 and less than 4.2. Mass Wis the mass surface area divided by conditioned floor area (CFA). For mass elements exposed on both (two) sides to conditioned space, enter the area of only one side to calculate the percentage. Mass %n Type 1 Mass Area. Type 2 Mass Area: Interior Mass/CFA from Table 4-7: Method B: Calculate the Interior Mass/CFA value using the worksheet space below. Look up the Unit Interior Mass Capacity (UIMC) for each interior mass surface in ECM Tables 4-8a, 4-8b and 4-9 reprinted on the Attachment. Include the interior surfaces of exterior mass walls. For interior mass walls exposed on both (two) sides to conditioned space, enter the surface area of only one side. Include the inside surfaces of exterior mass walls as explained in Section 4.2 of the ECM. Unit Interior Interior ?description Mass Area Mass Capacity Mass Capacity X - X .L Total CFA Interior Mas /CFA EXTERIOR WALL THERMAL MASS Calculate the Exterior Wall Mass of all exterior walls. Lookup the Exterior Mass Factor for each opaque wall element from ECM Table 4-9 reprinted on the Attachment. Only exterior mass wall surfaces may be included in this calculation. Opaque Exterior ' Description Wall Area Mass Factor Conventional Walls X = X = X 0 = _ Total Total Opaque Exterior Wall Area Wall Mass Poiit System .Summary: Climate lojie •16P -2R • Gr r�Lly �'. I �i� Z Project Title Ddfe BUILDING DATA Glass ea % G Conditioned Floor Area (� Number of Stories North �I _ � I _l2 _L . ast Slab/Raised Floor !/� South Check all applicable Unit Type condition(s): West [vr Single Family Detached (SFD) [ ] Addition Alone Skylight [ ]. Single Family Attached (SFA) [ ] Existing Building Total [ jMulti-Family (MF) [ ] Existing -Plus -Addition �— .,,SCORE CARD ,,t Measures Point Scores 1. Ceiling Insulation or `value [38] U -value [0.030] 2. Wall Insulation I or R-value[19] U -value [0.066] 3. Raised Floor InsulationG or 4-4�— R5-value[19) U -value [0.037] G4. Slab Edge Insulation or v G1_ R-value[7] F2-factor[0.51] 19 5. Infiltration Standard �� V 0 6. Glass Heat Loss �� E41& ��,� Type [double] U-value,[0.65] % Total'Glass [161 Sum -6 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North •j x _ b. East 1.2 x c. South I.n x d. West �i'-.I x _ U e. Skylight 41-4 x = 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 Form Revised March 1988 ve- % Glass SC Eff. % Glass X Le -,;--- X _ -�-- s2iGT � V'l Duct Efficiency [0.781 Effective SE or ' HSPF [0.56/5.15] Pte' � ��i I Ilei F� Duct Efficiency [0.74] Effective SEER [6.59] Credit [none] C►odYM BUILp' ING DEPT JAN 2 8 1993 t *- Certificate of Compliance: Kesicientiai M vii Compliance Method (Package, Point System or Computer) CUmate Zone GENERAL INFORMATION Total Conditioned Floor Area:_1 -It2 (Page 1 of Z) %-JV 12L Date Building Permit # Checked By / Date Enforcement Agency Use Only Building Type: Sistgle Family Hotel/Motel (check one or more) _, Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: Noah / East / South / est All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: Sl a, b-/ -.ai ,eel Flo ' Ir>circle one or both) Infiltration Control: tailcE i rd%I' ht (circle one) BUILDING SHELL INSULATION Component Type Insulation R -Value Location/Comments (attic, to garage, typical, etc.) . .......... Wall...: �f �..-----__..._... r'._._...____._...._ *Wall .............. _ _..__� Roof ............. _ Roof ............. Floor ............. _ _..._....__� —_- - ;; Floor............ Rear..... (. 11f..-... Slab Edge ..... Rear..... GLAZING Shading Devices Glazing Area Orientation st; Glass Type Interior Exterior (single, double) (roller blind, etc.) (shadescreen, etc.) Overhang Framing Type (yes/no) (metal/wood) Front.... (%V) Front.... Left Left...... ( j _..._....__� —_- - ;; — - —-..�....._— Rear..... (. 11f..-... Rear..... —.. _.. — Right.... (12) Right.... ( Skylight.Wk _ Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath, etc.) - Certificate of Compliance: Residential . (Page 2 of 2) CF -1R Project Title Date HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat um) (SE, SEER,HSPF) (attic, etc.) R -Value tuh or approvedequal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS t. Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Building Owner Name: Name: Title/Firm: Title/Firm: Address: Address: Telephone: Telephone: Lic. #: (signature) (date) (signature) (date) Documentation Author Enforcement Agency Name: 4`& ! law I Title/Finn: Dame: ✓ Agency: Address: I. ,` �`a/�j, Telephone: Telephone: (signature (date) (signature or stamp) (date) Farm Revised March 1983 7 v Insulation Certificate " Number and Street County Subdivision Lot Number ROOF Material Thickness (inches) Description of Installation Brand Name Thermal Resistance (R -Value) EXTERIOR WALL. Material Brand Name Thickness (inches) Thermal Resistance (R -Value) CEILING Batt or Blanket Type =n: r Brand Name Thickness (inches)i 2 Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) RAISED FLOOR Material F -!�j Brand Name Thickness (inches) tlo, 1,44 -Thermal Resistance (R -Value) SLAB FLOOR Material Thickness (inches) Width (inches) _ FOUNDATION WALL Material Thickness (inches) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) Signature and Title Sub -Contractor (Insulation Installer) Signature and Title License Number Date License Number Date Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures * §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. * §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. DESIGNER I ENFORCEMENT §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. / c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. * §: -5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §:.-5316(b): Exhaust systems have damper controls. §215314(c): Gas-fired space heating equipment has intermittent ignition devices. §', -5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2.75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fined appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Form Revised December 1987 Insulation Certificate Number and Street c� City County Subdivision Lot Number Description of Installation ROOF Matcrial Thickness (inches) CEILING Batt or Blankct Type Thickness (inches) 0 '/ Loose Fill Type Contractor's minimum installed we ght/ft lb Manufacturer's installed weight per square foot to acheive EXTERIOR WALL �i� Material Thickness (inches) RAISED FLOOR Material c.% Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) - FOUNDATION WALK Material a� Thickness (inches) 2 -- Declaration Brand Name Thermal Resistance (R -Value) Brand Name &ZG �- Thermal Re ' (R -V ue) y — Brand Name Minimum thickness !Z' Linches Thermal Resistance (R -Value) . - t Brand Name Thermal Resistance (R -Value) �Gl Brand Name Thermal Resistance (R -Value) — Brand Name Thermal Resistanc`, (R -Value) Brand Name Thermal Resistance (R -Value) — / I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. Genual Contractor (Builder) Signatureand T e e // Sub -Contractor (Insulation Installer) &D Signardfe and Title License Number Dart Licaue Number Date HONE ti RAY'S GENERAL HARDWARE: 916) 675-2383 LUMBER —CHAIN SAWS— PLUMBING —ELECTRICALCEMENT - BASALT BLOCKS f 916) 692-1630 Ra BOX 97 BROWNSVW, CALIFORNIA 95919 a G�'C, / ADDRESS ,OLD TO / Y / � i' rI /l � I!� - SAYSAM 1 �• ROSBORO LUMBER COMPANY P.O. Box 20 a Springfield. OR 97477 , PHONE: (503) 7468411 a FAX: (503) 728.8919 (4 "'594*300 f;OSXIORO CN_UL..Atli 1--'1:;0DU('r;; 998)0 - F'Cii.. F.tl-DO F'FSC)3)L)CT'S•-�')AC;I-�A1''Ik::INI*TO >hiip To F'(31- F<L-I)0 F'RUAI.W"," 1='.(). BOX, 292350 I='.(3. ltc:)X9,^i3, 0 { .��tcl�F,rlt�:M'rG • "AC RAIrIf.-1,il :) CA 91-)a 2 9 {:r•Ivc:i:ic:c':� I)ca•t.ca ::i/29:9:'i ,�• ,�.. I I :i. I:i 41 :i. ri T'h�L1C: K Fit rt.l t.!a Cal;:>'rGl'IFi:Fi '('FiU(:: i< F' rte :i. g h: •L• C I` ittttItitllttttitttilftfitililttttit"itittittttfttiltttlitiititftiltitiltit:tttttfitittlittl;tillltt;ititittf ORD SHP PROT SPC ST LINEAL .ARK t OTY OTY iIIDTH DEPTH FEET IN FAACT -ECT CIE 63 COMB. FEET -3136 5 5 03-1/2 X 13-1/2 16 09 L H 59 y 84 r -343 12 12 03-1/8 X 13-1/2 60 02 I H •V4 240OF -.{ ,; } 723 -315 4 4 03-1/8 X 15 60 01 I H V4 24COF •24(,' -510 4 4 05-1/8 X 10-1/2 _60 02 I H V4 2400E -.240,: r -512 Q 8- 05-1/8 1 12 60 02 I —.H_ .V4 '240OF 480 -516 8 8 05-1/8 1 16-1/2 60 02 I H V4 240OF ~ �4Qp -524 1 1 05-1/8 124 60 02 1 H _V4 240OF 60 -616 3 3 06-3/4 1 16-1/2 60 01 I H V4 2404E 180 -621 .1 1 06-3/4 X 21 60 02 I V -W 240OF 60 F t -813 1 1 08-3/4 X 13-1/2 60 02 I H 14 2400E t '.60 s s 516R S 8 05-1/8 1 16-1/2 44 02 I H V4. ,2400E ' ' t t ►ttilttliftittiltftiltlilltlltilil/ifitttttltliftilttttftifittitttitfilttllittt;t;titttil;l;;31��f1t41ltt;l;;�. �,; t TOTAL SHIPPE; FOOTAGE 26859° TOTpj DE'L i , : ;MESS .QISI •� � r NET, AM :R ACKNOWLEDGMENT I INVOICE TERMS AND CONDITIONS loam support all freight deductions wqh ONpimd height bit hwo I ssmation ndes to appy al dalms a orad., talty A marmiso ar CUSTOMER'S ORDER'IS SUBJECT ast due accounts will be assessed a asrvlcs dope of I%% per month p8% per annum). TO All OF THE TERMS AND 4F -'L E:A U.' wan ustomer agrees to indemnity RoVanber company for all sapenaas In"wred in connection CONDITIONS STATED HEREIN. F. .0. Ef ' nn the collection of amounts due hereunder. IrofudhV all court oats and anornay's Isas incurred IM trial level and an ary appeal a liligatien u�ncethis o ninp this will take place In Lam La CouraxOregon. h'Uk i �.% I MEN APA c rr ` { Certificate of Conformance Certificate N° 18682 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and marked with a collective mark of American-, Wood Systems (AWS) wpt+o mart- ufactured in accordance with the specifications indicated below. KK ANSI Standard A190.1498.% for Structural Glued Laminated Timber t O f. Job Name PM ELM P=cm Job Location Sin, CAti Customer's Order No. 301'30223 Date 3-24-93 Mfgr's Order No, 7561-C ' �a�{�s_ �; ��1� yin s q!4►. Signature Company ROSSORO LUMBER CO: Address SPRINGFIELD, OREGON Date 3-29-93 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above•rtartted manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection with reasonable #requen;y of the manufacturing process, with adequate sampling to verify the quality of glulam constructil WW the adequacy of glue bond. ' . s`�-•''� POR ' v`� p /i [')�� l i SEAL y Michael R. O'Halloran ♦ •% 't Executive, fic President $ MIN�tN� AMERICAN WOOD SYSTEMS — A RELATED CORPORATION OF AMERICAN PLYWOOD ASSOCIATION ;e -urn to D?t+I AGRICULTURA:. STr1T_7,,a-IT. OF AC.KIOWL.ED''i::`M FOR RESIDENTIAL DEVELOP..MFNT Section 26—E.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. NOT COMPARED WITH The property described herein is adjacent ORIGINAL DOCUMENT to land or. included within an area zoned for agricultural purposes, and residents ,�� Of this property may be subject to incon- JAN 2 veniences or discomfort arising from the r-------1 use of agricultural chemicals, including, i 93-003938 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 established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adiacent Droperty should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. 'l1 that reLl. property situate in the County of Butte, State of California, described as :ollows. Date: �(i�C i-2 ✓STI d ti PROPERTY OWNERS: i State o-� fY ) SS. County of �t�iht - ) On this the-,Pla� da �rt Y of /iri`v✓19_q3, before me, the undersigned Notary Public, personally appeared J� F rL I ti J Ci E,v r �- �• �LLur ► ti � �r�t�setaetm��fsta�o�aa�■ . DANIEL F. HUNT ioPersonally known to me. 13 Proved to me on I NOTARY PUBLIC -CALIFORNIA ■ of satisfa tory iS 'r• , Butte k; o be the person(s) whose names) F. My Commission Expires OCL 1,t994 subscribed to the within instrumentackno a 1®asaaasaaoaaaaaaaasso0agxecuted the same for the purposes a ein nt WHEREOF, I hereunto set my hand and of icia se Present A.P. No. 673 -3 VO- 3 / Notdry the basis evidence. t j i State o-� fY ) SS. County of �t�iht - ) On this the-,Pla� da �rt Y of /iri`v✓19_q3, before me, the undersigned Notary Public, personally appeared J� F rL I ti J Ci E,v r �- �• �LLur ► ti � �r�t�setaetm��fsta�o�aa�■ . DANIEL F. HUNT ioPersonally known to me. 13 Proved to me on I NOTARY PUBLIC -CALIFORNIA ■ of satisfa tory iS 'r• , Butte k; o be the person(s) whose names) F. My Commission Expires OCL 1,t994 subscribed to the within instrumentackno a 1®asaaasaaoaaaaaaaasso0agxecuted the same for the purposes a ein nt WHEREOF, I hereunto set my hand and of icia se Present A.P. No. 673 -3 VO- 3 / Notdry the basis evidence. t Q -- - so 93-003938 93-003938 . #J3 -00:)V 393 .93"" 1 - 1 R'ec Fee Q 1 Cash Recorded 1 Official Records.l' County of Q Buttes 1 Cand4kce J. Grubbs 1 Q Recarder 1, Q 12:14ps 2e -Jas -93 i AUBL xx ORDER NO. BU -131022-3 ALL THAT CERTAIN REAL PROPERTY SITUATE IN .THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I' LOT 15 AS SHOWN ON.THAT CERTAIN MAP ENTITLED, "WALDEN POND ESTATES PHASE 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1990, IN BOOK 116 OF MAPS, AT PAGE(S) 97, 98 AND 99. RESERVING THEREFROM A 60.00 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY EASEMENTS SHOWN AS WALDEN POND LANE ON SAID MAP. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED FEBRUARY 28, 1990, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 90- 08077. PARCEL II• A 60.00 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY EASEMENTS SHOWN AS WALDEN POND LANE AND BIG FIR ROAD ON THAT CERTAIN MAP ENTITLED, "WALDEN POND ESTATES PHASE 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER, OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1990, IN BOOK 116 OF MAPS, AT PAGE(S) 97, 98 AND 99. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse residential buildings subject to the Standaros must contain inese measures regardless of the compliance approach used. Items marked with an asterisk (') may be suciersecied by more stringent compliance requirements hsteo on Ina Certificate of Compliance. When this checklist is Incorporated into the permit documents, the features noted shall be considered by all Dances as binding minimum component performance specifications for the mandatory measures whether they are shown eisewnere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures • §150(a): Minimum R-19 ceiling insulation. §I50(b): Loose fill insulation manufacturer's labeled R -Value. • 6150(c): Minimum R-13 wall insulation in framed walls (goes not appy to exterior mass walls). • §I50(d): Minimum R•13 raised floor insulation in framed floors: minimum R-8 in concrete raised floors. §150(1): Slab ecloe insulation -water absorption rate no greater roan 0.3°6. water vapor transmission rate no greater than 2.0 oennimcn. 6118: Insulation scecifiec or installed meets California Energy Commission quality standards. Indicate type and form. §11617: Fenestration Products. Exterior Doors and InfittrauorVEAltration Controls a. Doors aria wineows between condwonea aria uncondiaoneo soaves oesioned to limit air leakage. b. Manufactured fenestration Drocucts nave label with certified U -value, and infiltration certification. c. Exterior acors aria winnows weatnersmpped: all joints and penetrations caulked and sealed. §I50(g): Vapor banners mandatory in Climate Zones 14 and 16 oniy. §150(0: Special infiltration barrier installed to comply with §151 meets Commission duality standards. §150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas was 1. Masonry and factory -built fireplaces nave: a. Closeable metal or glass door b. Outside err intake with damper and control c. Flue camper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC eauioment. water heaters, snowerneacs and faucets certified by the Commission. §150(i): Setback thermostat on all aDoiioable heaung systems. §1 50(j): Pipe and Tank insulation 1. Inoirect not water tanks (e.g., unfired storage taniks or backub solar not water tanks) have insulation baniket (R-12 or greater) or combined intenor/exterior insulation (R-16 or areater). 2. First 5 feet of pipes closest to water neater tank non-redreutatino systems. insulated (R-4 or areater). 3. All buried or exposes piping insulated in rearcvtaono sections of not water system. 4. Goofing system piomo below 55°F insulated. 5. Piping insulated between heating source and indirect not water tank §150(m): Ducts and Fans 1. Ducts constructed. instaneo and sealed to comply with UMC Sections 1002 and 1004: ducts insulated to a minimum insmieo value of R-4.2 or ducts encioses entirely within conditioned space. 2. Exhaust tan systems nave backdrah or automatic cambers 3. Gravity venuiadno systems servmo conditioneo space have either automatic or readily accessible. manually operated campers.. §114: Pool and Spa Heating Systems and Edwpatent 1. System is cerdfieo wim 78% thermal efficiency, on -oil switch, weatherproof operating instructions. no electric resistance neauno and no plot light Z_ System is instaileo with: a. At least 36' Poe between filter aria heater for future solar heating. b. Cover for outcoor cools or outdoor spa. 3. Pool system nas c recdonai inlets aria a circulation Dumb time switch. §115: Gas-fired centra tumace. pool neater, spa neater or household cooidna appliance nave no continuously ounno pool light. (Exception: Non-eierniwl cooking appliance with pilot c 150 Stu/hr.) Lighting Measures &I SOW: 40 lumenswart or areater lot general liahend in kitchens and rooms with water closers: and recesses ceiling tutures IC iinsuiauon coven approves. DESIGNER I ENFORCEMENT COMPUANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, or the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (ver Business a Proteeelons code) Name: Tttle/Firm: Address: Telephone: Lir. r. (signature) (oats) Enforcement Agency Name: Title: Agency: Teteonone: (signaruraistamp) (gate) Documentation Author. Name: Tide/Fmn: Address: Telephone: (signature) (dove) Certificate of Compliance: Residential. -Climate Zone 16 S projectTlue Build' gPQ -Permit N j Project Address g` Jr_ "/93 i Checked B y / Data r i Dxumenuttlon AuNor Telephone Enforonnew Agency Use Only Fenestration BUILDING DATA Area ego Conditioned Floor Area /!�WO Number of Stories North 114- 7 l Slab/Raised Floor • _ , JZAISfi Number of Units East South 3.6, Single Family Detached (SFD) f [ ] Addition Alone West _Asz_,— Single Family Attached (SFA) [ ] Existing Building Skylight O Oon [ ]Multi -Family (MF) [ ] Existing-Plus-Addis Total B rUII.DING SHELL INSULATION Component Insulation LocafiorVCamme.-xts Type R -Value (at15c. to garage, =�E4. etc.) Roof ............. P Roof ............. ' Wall .............. Wall .............. Floor ...... � ....—.--L� Floor ............. _ Slab Edge ....: FENESTRATION *&I5 L. kr Shading Devices -Ee.nestration Area Type Interior Exterior Overhang Framing Type Orientation (sf) (single, double) (Totter blind. etc.) (ahadescreett, etc-) (yesmoi) (metal/wood) North Noah ( ) East ( ) EastSouLh ( ) SOULh West West ( ) Skylight....... O ^� THERMAL MASS Type/Covering Area Thickness (slab/exposed. tile, etc) (sf) (inches) Location/Descr'iotion (kitchen. bath, etc.) "N1hsoAiey ¢¢,5' #1,9610 gTd ✓, V, -r1 L.S_ • 0 &57mr SII IiVAC SYSTEMS IViinimum Duct Type (furnace. air Efficiency Location conditioner. heet vumv) AFW&!:EER.HSPF) (attic, etc.) _ u�N t79 u, tom• /D� Duca Heat Pump R -Value Thermostat -Type (split or .4 t Z Ar -K.. ----�3V CT IIOT WATER SYSTEMS Tank � (�� Q Svstem Type (storage Ras. etc.) CaDacitV Number Enera_ _�zt-ri hillit-i gy Fact r i t. n. �- SPECIAL FEATURES/REMARKS SCORE CARD Measures Climate Zone 16 1. Ceiling Insulation 3o or R-val 381 U -value [0.028] 2. Walllnsulatlon or R -value 121 J U -value [0.059) 3. Raised Floor Insulation II or R -value 119) U -value (0.037] 4. Stab Edge Insulation Number of stones or R -value - One R -value [7) F2 factor 10.5) R-0 5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) [Y] 6. Fenestration Heat Loss )P -?V . t,, , -3 Type U -value 10.60] Tota*en-�Les. 1161 7. Fenestration Heat Gain R-38 0 0 % Fenestration SCshade open Eff. % Fenes. Shade Eft. Ratio North 7,4- . x t %-7 =5 r iki, East 1,0 X South . x Family = Ot Mulfti- West 2, / X -2 R-19 0 0 Skylightx R-30 3 2 1 Overhangs? (Y N ) to to to 8. interior Thermal Mass ®� or 1, /3 or Fenestration more % Exp. Slab 1201 int. Mass/CFA 1.10 9. Exterior Wall Mass .90 .80 ' .75 .70 10. Heating System wall Mass _-,79 X 50 45 AFUE or HSPF Duct Effrc. I I story: Effective AFUE -180 [78% or 6.8) . 0.83: 2+ story: 0.881 or kWPF I_ 11. Cooling System _/ X c� = I -63 SEER [10.0] Duct Effic. 11 story: Effective SEER -38 .32 0.81; 2+ story: 0.871 -20 12. Water Heating -139 -105 -95 System 1 -75 P, (7-- -55 Heamr Type Energy Factor Ext Ins. R -value . Auxiliary Input ISG501 10.53] [12) [None) System 2 35% -119 -89 Heater Type [None) Energy Factor Ext Ins. R -value Auxiliary Input 1. Ceiling Insulation R-0 Number of stones -65 R -value - One Two Three R-0 -114 -74 42 R-19 -8 •5 -3 R-30 -2 -1 -1 R-38 0 0 0 '_. Wall Insulation ..71 Number of stones .61 Single• Single - Three R-0 Family Family Mulfti- R-0 -109 -87 -65 R-11 -13 -10 -8 R-13 -10 ..8 ' -6 R-15 -7 -6 4 R-19 • -2 .2. -1 R-21 ' 0 0 1 0 3. Raised Floor Insulation. - .91' Insulation in Floor .76 ..71 Number of stones .61 R -value One Two Three R-0 -26 -17 -10 R-11 -5 -3 -2 R-19 0 0 0 R-30 3 2 1 4. Slab Edge Insulation Number of Stones R-0 -12 -7 4 R-5 -1 -1 Ot R-7 0 0 0 6. Fenestration Heat Loss Point -Scores -v Sum 1.6 Zonal Control Adjustment [0) Zonal Control Adjustment 101 Distribution [STD) 0 - Distribution Point Total: C) Point Goal: 5. Infiltration (Duct Air Leakage) Ducts in Unconditioned Space - 0 No Ducts in Unconditioned Soave 6 7. Fenestration Heat Gain ' EH ` North % .87 .67 .52 .51 .87 Fen- or to to or or estra- more .86 .66 less more tion (based on Shade Effectiveness Ratio) East South .67 .52 .51 .87 .67 .52 .51 .87 to to or or to to or or .86 .66 less more .86 .66 less more West .67 .52 to to .86 .66 Skylight .51 .67 .66 or or or less more less 18% 2 3 3 IJ -value 0 1 3 4 -5 -4 0 Total 1.31 1,21 1.11 1.01 .91' .81 .76 ..71 .66 .61 .56 .51 .46 .41 .36 .35 Percent or to to to to- to to to to to to to - to to to or Fenestration more 130 1.20 1.10 1.00 .90 .80 ' .75 .70 .65 .60 .55 50 45 40 less 50% -180 -137 -124 -112 -100 -87 -75 -69 -63 -57 -50 44 -38 .32 -26 -20 40% -139 -105 -95 -85 -75 -65 -55 -50 45 41 -36 -31 -26 -21 -16 -11 35% -119 -89 -80 -71 -63 -54 45 41 -37 -32 -28 -24 -20 -15 -11 -7 30% -99 -73 -65 -58 -50 -43 -36 -32 -28 -24 -21 -17 -13 -10 -6 .2 289'° -90 -66 -59 -52 45 -39 -32 -28 -25 -21 -18 -14 -11 -7 4 0 26% -82 -W -53 47 41 -34 -28 -24 -21 -18 -15 -12 -8 -5 -2 1 24% -74 -53 47 41 -36 -30 -24 -21 -18 -15 -12 -9 -6 -3 0 3 2296 -66 47 41 -36 -31 -25 .20 -17 -14 -12 -9 -6 1 -1 2 5 20% -58 41 -36 -31 -26 -21 -16 -13 -11 -8 -6 -3 -1 1 4 6 18% -50 -34 -30 -25 -21 -16 -12 -10 -7 -5 •3 .1 1 4 6 8 1601° 41 -28 -24 -20 -16 -12 -8 a 4 -2 0 2 4 6 8 10 14% -33 -21 -18 14 -11 .7 4 -2 0 --r 3 5 6 8 10 12 12% -25 -15 -12 -9 -6 -3 0 1 3 4 6 7 9 10 12 13 10% -17 -8 -6 -3 -1 1 4 5 6 8 9 10 11 13 14 15 8% -9 .2 0 2 4 6 8 9 10 11 12 13 14 15 16 17 7. Fenestration Heat Gain ' EH ` North % .87 .67 .52 .51 .87 Fen- or to to or or estra- more .86 .66 less more tion (based on Shade Effectiveness Ratio) East South .67 .52 .51 .87 .67 .52 .51 .87 to to or or to to or or .86 .66 less more .86 .66 less more West .67 .52 to to .86 .66 Skylight .51 .67 .66 or or or less more less 18% 2 3 3 4 0 1 3 4 -5 -4 0 3 -14 -11 -5 -2 40 -23 16% 2 2 3 4 1 2 3 4 -3 -2 1 4 -11 -9 -4 -1 -34 -19 14%22331234-1024-8-6-20-27-15 0 40 10 3 19 2 12 1 50 16 4 2.00 3 17 1 60 2 .5 129+ 2 2 2 3 2 2 3 4 1 2 3 5 -6 4 -1 1 -21 -11 11% 1 2 2 2 2 2 3 4 1 2- 4 5 -5 -3 0 2 -18 -10 10% 1 1 2 2 2 2 3 3 1 2 4 5 4 -3 0 2 -16 -8 9% 1 1 2 2 2 2 3 3 2 2 4 4 -3 -2 0 2 -13 -7 8% 1 1 1 2 2 2 2 3 2 3 4 4 -2 -1 1 2 -11 -6 7%.111112222234.2-112-9-5 � 6 7 2.0 -2 2 3 8 8 8 2.5 1 3 4 9 9 9 3.0 6% 1 1 1 1 1 1 1 2 1 2 2 3 -1 -1 1 2 -7 -4 5% 0 0 1' 1 1 1 1 1 1 1 1 2 .1 -1 1 1 -5 .3 4% 0 0 0 0 0 0 0 1 0 0 1 1 -1 0 1 1 -4 -2 3% 0 0 0 0 0 0 0 0 -1 -1 0 0 0 0 0 1 -2 .1 2% 0 0 0 0 -1 -1 -1 -1 -2 -2 -2 -1 0 0 _jt. 1 -1 0 1% .1.1 690/. .1 .1 -2 -2 0 .2 -4 4 .4 4 -1 -1 0 0 -1 0 0% -1 -1 -1 -1 -3 -3 .�+ -3 -3 -6 -6 -6 -6 -1 -1 •1 -1 0 0 8. Interior Thermal Mass 9.7 1 Exterior Method A (Slab -on -grade Construction Only) Percent One Family Two Three Exoosed Story 1 Stories Stones 0 0 -3 3 -2 2 -1 10 5 -2 0.60 -1 7 -1 20 11 0 6 0 13 0 30 1.20 1 12 1 1.40 0 40 10 3 19 2 12 1 50 16 4 2.00 3 17 1 60 2 .5 1 3 85% 2 70 7 6 5 4 4 2 80 7.8 7 12 5 9 3 90 5 8 8.3 5 16 3 100 10 9 7 6 8.7 3 19 17 Method B 10 8 Int -13 Stab Floor -6 Raised Floor Mass (AFUE or HSPF x duct efficiency) Stones Effective -6 Stones . -/CFA One Two Three One Two Three 0.0 •11 -8 -6 -11 16 0 0.1 -10 -7 5 a 1 0 0 0.3 -9 -6 4 1 1 1 0.5 -8 -5 -3 2 2 2 1.0 �;.� 2.9 28 a 1 5 5 1.5 -3 0 1 � 6 7 2.0 -2 2 3 8 8 8 2.5 1 3 4 9 9 9 3.0 3 5 5 10 10 10 4.0 3 5 6 12 12 12 5.0 3 5 7 13 12 13 6.0 4 6 8 14 13 13 1 7.0 4 6 8 14 13 14 1 8.0 5 7 9 15 14 14 '9. Exterior Wall Thermal Mass 9.7 1 Exterior Single- Single- Mufti wall Family Family Family Mass Detached Attacned 1 0.00 0 0 0 0.20 3 2 2 0.40 6 5 4 0.60 8 7 5 0.80 11 9 6 1.00 13 10 8 1.20 15 12 9 1.40 16 13 10 1.60 19 16 12 1.80 21 16 12 2.00 22 17 13 10. Heating System 9.7 0 0 0 0 0 Houses With Ducts (R-4.2) 10.7 3 2 1 1 0 0 Sum of 1.6 6 4 Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or 0 HSPF HSPF less .15 .5 +5 +15 more 78% 6.8 6.6 0 0 0 0 0 0 80% 7.0 6.8 2 2 2 1 1 1 85% 7.4 7.2 7 6 5 5 4 3 90% 7.8 7.6 12 10 9 8 6 5 95% 8.3 8.0 16 14 12 10 8 7 100% 8.7 8.5 19 17 15 12 10 8 5.8 -13 Effective AFUE or HSPF -6 •2 0 (AFUE or HSPF x duct efficiency) 7.0 Effective -6 4 . - Sum of 1-6 0 8.0 Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or 3 HSPF HSPF less .15 -5 +5 +15 more One Story House 5 3 1 0 0 11.0 33% 2.9 28 -93 -84 -74 . -65 -56 46 409'° 3.5 3.4 -59 -53 47 41 -35 -29 50% 4.4 4.2 -28 -25 -22 -19 -17 -14 60% 5.2 5.1 -7 -6 -5 5 4 -3 649° 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 9 8 7 -12 5 4 80% 7.0 6.8 20 18 16 14 12 10 90% 7.8 7.6 29 26 23 20 17 14 t00% 8.7 8.5 36 32 29 25 21 18 Two or Three Story House 0 0 0 9.0 8.7 33% 2.9 2.8 -102 -91 -80 -70 -59 48 409. 3.5 3.4 -68 -60 -53 46 -39 -32 50% 4.4 4.2 -35 -31 -28 -24 -20 -17 60% 5.2 5.1 -14 -12 -11 -9 -8 -6 690/. 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 2 2 1 1 1 1 80% 7.0 6.8 13 12 11 9 8 6 90% 7.8 7.6 22 20 18 15 13 11 100% 8.7 8.5 30 26 23 20 17 14 Zonal Control Adiustmem System Type Resistance 7 6 5 4 3 2 Oiner 4 4 3 2 2 1 11. Cooling System Houses With Ducts (R4.2) SEER Sum of 7-9 Spin PcKg -25 or -2410 .1410 .410 +6 to 16 or AC AC less .15 -5 +5 .15 more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 3 2 1 1 0 0 12.0 11.6 6 4 3 1 0 0 13.0 12.6 8 6 4 1 0 0 14.0 13.6 10 8 5 2 0 0 15.0 14.6 12 9 5 2 0 0 14 4 -5 Effective SEER -28 -19 0.63 5 8 (SEER x duct efficiency) 0 5 EH SEER -12 0.73 Sum of 7-9 9 0 Spin PcKg -25 or -24 to -1410 .4 to +6 to 16 or AC AC less -15 -5 +5 -15 more One Story House 5 -5 -1 4 5.0 4.9 -23 -16 -1 o 4 0 0 6.0 5.8 -13 .9 -6 •2 0 0 7.0 6.8 -6 4 -3 -1 0 0 8.0 7.8 0 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 4 3 2 1 0 0 10.0 9.7 7 5 3 1 0 0 11.0 10.7 10 7 4 2 0 0 120 11.6 12 9 5 2 0 0 13.0 12.6 14 10 6. 2 0 0 14.0 13.6 15 11 7 3 0 0 15.0 14.6 17 12 8 3 0 0 Two or Three Story House 7 SG75 al 0.48 5.0 4.9 -27 -19 -12 .5 0 0 6.0 5.8 -16 -12 .7 -3 0 0 7.0 6.8 -9 .6 .4 -2 0 0 8.0 7.8 -3 .2 -1 -1 0 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 1 1 1 0 0 0 10.0 9.7 5 3 2 1 0 0 11.0 10.7 8 6 3 1 0 0 12.0 11.6 10 7 4 2 0 0 13.0 126 12 9 5 2 0 0 14.0 13.6 14 10 6 2 0 0 15.0 14.6 15 11 7 3 0 0 House Size Adjustment 0.68 House Size (n2) 9 Subtotal less 1000 Water Heating than to Point Score 1000 1499 -30 -17 -5 -25 -14 -4 20 11 3 -15 -9 .3 -10 -6 .2 .5 -3 -1 0 0 0 5 3 1 10 6 2 15 9 3 20 11 3 25 14 4 House Size Adjustment 0.68 House Sae (H2) 9 Subtotal 1500 2000 Water Heating to or Point Score 1999 more -30 0 3 -25 0 2 -20 0 2 -15 0 1 -10 0 1 .5 0 0 0 0 0 5 0 0 10 0 -1 15 0 -1 20 0 -2 25 0 -2 AN Zonal Control Adjustment 7 5 3 1 0 0 12. Water Heating 0.68 6 9 7 4 1 6 One Water Heater -- No AttrdUM Credits SE All 0.87 -22 -14 -19 46 Distribution -22 Sys1em2 0.93 -16 -7 -12 -39 -28 Recirc Svstems Water Climates Energy STD HWR Pipe No Timer Demd Heater Tyoe1 Zones Factor IE POU Insul Cut SGSo AM 0.53 0 3 1 -9 -5 0 -28 -19 0.63 5 8 6 4 0 5 -19 -12 0.73 8 11 9 0 4 8 SG75 All 0.48 -2 1 -1 -12 -7 -2 0.58 3 6 5 -5 -1 4 0.68 7 10 8 -1 3 7 SE All 0.87 -20 -12 -17 41 •32 -19 0.93 -17 -9 -13 38 -28 -16 IG, All 0.80 2 5 3 IE All 0.93 -21 -12 HP 16 1.80 -11 -6 -9 -25 -19 -11 2.20 -5 -1 -3 -15 -10 4 2.60 0 3 1 -9 -5_ 0 Two Water Heaters •• No Auxiliary tl�•edlts SG50 AJI 0.53 -7 4 4 -17 -12 -7 0.63 1 5 3 •8 4 1 0.73 6 10 8 -2 2 7 SG75 al 0.48 -12 -9 -11 -22 -17 -12 0 58 1 3 0 11 b 1 Water Heating (continued) 0.68 6 9 7 4 1 6 Adjustment for No Tank Insulation SE All 0.87 -22 -14 -19 46 -35 -22 Number of Water Heaters 0.93 -16 -7 -12 -39 -28 -15 Water Heater Type One Two IG All 0.80 4 -1 .3 SG50 -2 .5 IE All 0.93 -21 -12 SG75 -3 -6 HP 16 1.80 -20 .14 -18 -35 -28 -19 SE -5 -g 2.20 -13 -9 .11 .25 -19 -12 HP -2 4 2.60 -8 4 -6 -17 -13 -7