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2431 V-6 -Ro Orovlle -
Permit#2466-85B;F, ;•M(new-singlefamily)
Permitik-86B(lst ` 1/2466-885
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+n�ti-;622 PERMIT#97-2176
MYLES,,) O' delle &rMaggie`€ 1
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Cont: f K Designers' ,Inc
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COUNTY OF BUTTE- DEPARTMENT Of, DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- 41 PERMIT NO.
APPLICATION AND PERMITf-
ASSESSOR PARCEL NUMBER ,^^� / ..•.O J
V Jt`[/J1
ZONING
B DING PERMIT
OWNER
OIDELL AND MAGGIE MYLES
TELEPHONE
)16-533-0452
SO. FT. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS
2431 V-6 RD. OROVILLE, CA, 95966
CONTRACTOR'S NAMETELEPHONE
K—DESIGNERS INC.
CONTRACTORS MAILING ADDRESS
11261 S
CONSTRUCTION LENDER UNKNOWN
Fireplace
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
4 — 95066
PERMITFEE
S�
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF f;L, Duplex ❑ Mobilehome ❑ Other I
SPECIFY
Each gas water heater or vent
''15.00
Gas piping system 1 - 5 outlets
•,15.00
Building sewer
15.00
TYPE OF WORK
New A Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other' 0
Q, THC
Describe Work:
yThm$Tn1.MG T
Mobile Home I S I GI W 1
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
FilinQ Fee 20:00
Main Service ( ioonoRLESS )
23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license' is in full force and effect.
License Class C-61 Lic. No. �y��p,Q�
OWNER -BUILDER DECLARATION i
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. I
❑ 1 am exempt under Sec. Business and Professions 'Code for this
reason'
NEW CONST. DWELLING OCCUP.
OR ADONS. ( E ACC. BIOS. )
SD.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS ) "
97. 0
@7.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES)
BZL O I:5
Ex. Occup. ( OUTLETS RESID.)EA)
5.00
Temporary Service
23.00
Mobile Home Facilities w,
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION '
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self-insurei for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I7 I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier TRANSCONTINENTAL INS. CO.
MECHANICAL' PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
S
Contractor
Policy Number U1211062583661,
(rhe above sections need not be complete 'if.the permit is for work:of a valuation
of one hundred dollars $100) or less.
p ( )
❑ I certifythat in the performance of the work for which this permit is issued, I shall
not employ any person,'in "any manner so, as to become subject to workers'
compensation laws of California, and agree that if [,should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
--forthwith comply with those provisions.
�' sy
X_ Z / .��-- _- Date CJ _ / `.� _
Signature of Applicant - ❑ Owner" -El ' Contractor _ ❑ Agent
'An OSHA permit is required for excavations over 5'O" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee 77
Energy Inspection`F.ee • "-I $
OCC
CONST. TYPE,
f. `)
TOTAL FEE $ l/J`
HAZ.
I D. FEES
I IMP
FLOOD
I CDF PARCEL PO HD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate above for which fees have been paid.
By ` Date ����� /�/ /
PERMIT EXPIRES ON A
I I(Date)
Receipt No. �!'��
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
_ COUNTY OF BUTTE -DEPARTMENT OFDEVELOPMENT SERVICES -BUILDING DIV ON
7 .County Center Drive - Oroville, Califort 95965 - Telephone (916) 538- PIERMIT No.
APPLICATION AND PERMIT 174
ASSESSOR PARCEL NUMBER / _ � --C)
�O
ZONING
BU' DINGPERMIT
OWNER
O'DELL AND MAGGIE MYLES
TELEPHONE
916-533-0492
SQ. FT. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS
2431 V-6 RD. OROVILLE
CONTRACTOR'S NAME
K -DESIGNERS INC.
TELEPHONE
CONTRACTORS
11261 SUNR SE PARK DR. RANCHO CORDOVA, C4- 95749 ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIONOWN
Total Valuation $
Fling Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
a-
ARCHITECTORENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
-
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
2 —
PERMITFEE $
a
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.SUBDNISION'S
NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF fX, Duplex ❑ Mobilehome O Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New OA Addition O Remodel O Utilities O Installation O Other
Describe Work: ��rm
—
VTNYI RTTITNN, T t
Mobile Home S I G I W @20.00
PERMITFEE 4
Contractor
ELECTRICAL PERMIT Filing Fee 20.'00
Main Service a OV OR LESS
( 2o0A OR LESS / 23.00
Main Service ( 200A TO ,000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class C-6 LIC. No. A
OWNER -BUILDER D OL ION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
O 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BUDS. )
so.
3.52 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES
)
2U @ 1.0°
9AL a .so
Ex. Occup. (oFIXEEDrs A sE S. en)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
EI I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier TRANS CONTTNENTAT, TNS_ r0_
MECHANICAL PERMIT Filing Fee 20.00
g
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections nee not a completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
rthwith comply ith those rovisions.
Date _�=
ature of Applicant - O Owner }Contractor ❑ Agent
n OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ U LI/l
HAZ.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL
PD HD
ISSU
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicate above for which fees ave been
D
PERMITEXPIRESON
(Date)
provisions
to do work
paid.
to `
b
Receipt No. 0
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
f
1
Z7) qO (-T
PERMIT NO. 2+&6-•8r5'B P E M
PERMIT EXPIRES
OWNER ODELL MYLES, JR
CONTR.. owner
ASSESSOR PARCEL 36-022-54
LOCATION__ 2431 V-6 Rd,- Oroville
OFFICE COPY
a Address
GAS
Temp. Power Meter By
IE=LECTRIC dalfe—)
Meter gy
Called I _
7 Date—
Temp. Elec� — -�-
GA —-
Called M
ELE
CTRII
Meter By
Date
Temp. Gas:
Called PG&E t
JOB FINALED (Date)
C
Signature
J = OK ,
O = Not OK
Ntadicaple
= Not Ready RESIDENTIAL •(Si6gle and Duplex)
�
Date UND LOOK. Plans OK exce tp's
Date
FRA G Continued i
Z requirements-Setbac s- asements
ArProperty
Line Firewall & Openings
g., Main; Soils -Steel -EI - / -°L/" Fig. Depth -
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
. Ftg., Garage; Soils -Steel- / /",Ftg. Depth
5
-Rise-Run-Landing-Fire Protection
. Fig., Porches & Decks; Soils -Steel- / /.' Fig. Depth
P ood on Roof Overhang -Attic Vents -Rafter Outriggers
emwalls, Main; Steel-Blo uts-Wrap.PLRf-Sietr--
Siding -Nailing -Veneer f
S emwalls, Q e; Stt ef--Blo-okeuts-Wrapped-Slab
53.
rip Screed-Fdn. Vents-Underflr. Access
iers-F_iceplaee £tg:-•6teetP`
GI 'ng Area -Glass Protection -Skylights -Plastic
8.Q.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test -
9 . Gas Pipe; Size -Anchors
X10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Ple ums & Ducts; Clearance -Material -Support -Ins.
13.(irde !Mills -Anchor Bolts -Joists -Vents -Cripples
Card -B
Date Card -BI Date
C I
ate Card -BI Date
Card -BI
Date Card -BI Date
Card-BI(+X;::Z Date - Card -Bl- � Date - ,-
Date
FINA ans) OK except #'s
Card -BI TDate /t _ f S _ y� Card -BI Date
+�
Date PLUMBING (Permit) 'except q's
5_Uteps-Door
& Sidelight Protection -Landings
57.
S Detector,
4. Wa t.; V AccaKs-r-ombustrVAir
5
urnace; Vents -Clearance -Comb. Air -Connector -
In age; Above Floor -Ducts -Meth. Protection
1 ater Pipe; Test chors-Nail Protection
6. D.W.V.; TeslP, f hors -Nail FtQ ion
5
BJefJcoom Exiting
I Shov•Pr_Pan; Test, First Floor -Tub Access
6
& Bath Fixtures & Tub Access
12nd Floor -Tub Access
61
c. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
62rSKirs
& Rails
6r
F' lace or Stove; Clearances -Hearth
6
c. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date
6
it. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
et. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK exce t'p's'
67.
Garage Fira Qoor; Swing -Landing -Closer
68.
. Duct in Garage -Damper
20. F' ure &Transformer Clear a -Ins. Protection.
6
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Garage; Above Floor -Meth. Protection
E • Iseceptacles Spac' g -Li & Switches at Doors
Si bxes & No. of Conductors -Stapled
7
Ib., Elec. & Mech. Equip. Listed for Location
2 x Installed Close to Edge of Studs & C.J.
7,f.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Ground made up w./Mech. Fasteners -Bond Gas & Water
•12"
Insulation- - ooked in Attic Yes
rai s & Deck Construction -Post Caps
r 2 2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hol oor-Drainage &Wood Earth Clearance
Looked under Floor U Yes
27.ange-Gyre-y—Tga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral '❑Yes • ❑No
75.
Following instld.: Dri� E] Yes o; Walks ❑ Yes o;
Planters El Yes L'�No
j�i8. Service -Riser Conductors & Ground -Main Disconnect
7 ,•
town -Finish
29.. c anels-Motors-Mech. Equip.
7 ._A, � nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
fight -Shower Light
78bo9ents
Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
atefWell; Disconnect, Electrical, Plumbing
80
rior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date Card -BI Date
81.
Ve ation throughout House
21r ate= - Card -BI Date
82.
la lection
Date MEC ICAL (Permit) OK except q's
83.
orrecti ns from Previous Inspe ions
84.
s eters Tagged; GW -Electric
A.C. Ducts; Insulation & Support
r & SbIver Connected -C/O to Grade -HD Approval
ent Fan; Exhaust above Insulation
At-
Energy Compliance Certificate -Other Certificates
33.-f.'ondensate-DrMn & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
1
ti
Platform if Furnace in Attic
Card -BI Date Card -BI Date
Card -BI
Card -BI
Card -BI
Date Card -BI Date
to Card -BI Date
Date Card -BI Date
Comments at Final:
Card -BI Date Card -BI Date
Date FRAMI Plans OK except q's
ills; Proper Material & Anchors
Is; Studs -Nailing, Spacing & Bracing -Plates -Sound
3 ring Walls over Girders & Floor Nailing
t Stop in Walls (rat proof)
-F,Ke Stops; Furred Ceilings -Stairs -Chases -Tub
He der & Beam -Size & Bearing
4 . Ha fs-Post Caps- hors -Connectors
4 oist-Rflr. ies-Purlin-Roof Brac.-Tr ss-Shth q.-Rfng_._
4 . 5mplace Ties or Type A Flue -Fireplace Throat
46��4tic Access; Size & Romex Protection -Draft Slop -Ins. Baffles
Bdr . indows or Exiting Doors -Sill Hgt.,& Dimensions
f arage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
i
J = OK
0 toot OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -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 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors
7. Utility Clearance 7. Elec.
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card B -I Date Card -BI Date
Card B -I Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date POOLS (Plans) OK except a's
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability,
3. Pool Structure; Steel -Connections -Thickness -Dead Men-Lini
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 Equipment -Heater
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
.P --- 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541 ---
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
-CORRECTION NOTICE
A routine inspection hfdicates 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
,,,ma.tteror neeMA
itional explanation, ease contact this office immediately.
Or� �. I �- �. D n / /1 /1 ra /lit
IN 109L 11 M,
WON
,Inspector v
Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
'•_ 196 Memorial Way, Chico — Phone: 891-2751 e
7 County Center Drive, Oroville — Phone: 534-454,1
Skyway and Elliott Road, Paradise — Phone: 872-2961,;Ext. 57
1 •
CORRECTION NOTICE`
.. J
OWNFR PFRAAIT AI(
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.
!
M
Inspector ,
�� f Date '� !�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
_LV\.<<-.<, . :;1 4-/r c -
OWNER( PERMIT NO.
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.
(>i
�S
Inspector � Date
f ,\
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2151
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
M,i I es q/Y"- �'r
OWNER f PERMIT NO.
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.
G Q1101A (i JrCN'
J r
Inspector Date�L
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891=2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routindJnspection 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 questi pertaining to this
matter, or need additional explanation, please contact this ffice immediately.
It
M
Inspector_ . Date / V ��y^
Owner •
Permit No.
ENERGY C ERTIF ICAT ION
2LI31 ✓-0 -
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Brand Name
Thickness(inches)
Thermal Resistance (R Value)
EXTERIOR WALL
�<l7'Ir
Material
Brand Name
Thickness(inches)
Thermal Resistance(R
Value)
CEILING
`
Brand
Batt or Blanket Type
13,19 -r r-
Name
Thickness(inches)
Art
Thermal Resistance(R
Value)_
Loose Fill Type
Brand Name
Minimum Thickness(Inches)
Number of Bags Wt.
per bag lb.
Area covered(ft.2)
Thermal Resistance(R
Value)
FLOOR, ELEVATED
\
Material
Brand Name V
Thickness(inches)
Thermal Resistarice.(R
Value) ie- j9
FLOOR, SLAB
Material
Brand Name
Thickness(inches)
Thermal Resistance(R
Value)
Width(inches)
FOUNDATION WALL
Material
Brand Name
Thickness(inches)
Thermal Resistance(R
Value)
I hereby certify that -the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
k M l�
FIRM
NAME/O WR (Please print) STATE CONTRACTOR'S LICENSE NO.
SIGMA OF OENERAL C RACTOR 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.
January 1984
' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT (9
ASSESSOROPA CEL NUMB R
d%I
ZONA
,
BUILDING PERMIT
O
TELEPHONE _
(�Ur
SQ. FT. OCC. BUILDING VALUATION
OWN R'S MAILING AD E S
1 tre
CON, AC R'S NAME f
TELEPHONE
/i
(-
CONTRACTOR'S MAILING ADDRESS
Fireplace 19
CONS UCTI N LENTR
` C
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LEN ER'S MAILING ADDRESS "
Permit Fee
$ 0
ARVECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$ ,
Energy Plan Checking Fee
$ �
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 /` d0
Oro U Al
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PA CEL MAP
Water piping
5.00 Q
Each qas water heater or vent
5.00 Q
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 Q
Building sewer
5.00 S,00
Mobile Home Is G W
10.00 ea
TYPE OF WORK
New I$ Addition 11 9model ❑ Utilities ❑ Installation E:1 Other ❑
Describe work: r _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00 (7
Main service EA. ADD'L 100 AMP
2.50 d
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.
cense No. Classification
el, 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)
�Ir 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
y�
oa ADDNST ( DWELLINSLOGS.OCC 2'/z2sgft
NEW CONSTRULTI-OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
POWER APPARATUS Q
(SINGLE OUTLET CIR.
Ex. Occup( 20®50e
p OUTLETS OR FIXTURES SAL030
FIXED
Ex. OCCUp. OUTLETS (PRESID,)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
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
Consent to Self -Insure.
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
Q
Hood
3.00 ,C2 0
Ventilation
Permit Fee
$ O
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.
1 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
again t s id County in con equence of the granting of this permit.
_�r�
X s Date
Signature of Applicant OW 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 $
occul,
.3
CONST.TYPE
vLo D
PARCE
PD
ND
seu
This permit is hereby issued under
Bions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ,6, J
''�
Receipt No.
WHITE-O.P.W., YELLOW-A$BC940R, PINK -INSPECTOR, GOLDENROD -APPLICANT
joh
OWNER
COUNTY OF BUTTE - DEPART_-meN ,,oP, PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
o�
PERMIT APPLICATION DATA SHEET
Permit No. /
/es, A. P. No.
Proposed Building Use
Permit Fee Based Upon
Complete Contract Price
Other (
s)c
f` DPW Valuation
.)uilding 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
�All items.have been submitted. . . . . . . . . . .
, Plot plans inplicate triplicate. . . . . . . . . . . As
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement.
6. CUSD "Fees Paid'' Stamp on Floor Plan
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
Letter of signature authorization.
0. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . . r
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner[, Mail to owner ❑)
15. Improvements may be required. . . . . /.� . . . . . .
16. Mobilehome Installation Data. . . . . . . .
1
Pre -Inspection for Required- (Dare). . .
Pre-Inspec. request to
p q Building Inspector
Recorded copy of Agricultural Acknowledgment Statement
19. Other
When you issue the permit, pfjess as follows: Mail t owner. Mail to contractor.
Telephone c3 `v�o1 and hold for pickup at %O office. Deliver w/inspector.
Other c�P` -5c3 300
5 o►^ TOt•1 fr'ole r
Applicant '� i Date 0 a
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
Plans checked by_
Plans approved by
Other:
Copy—DPW
Telephone _
Date
Date
Mail Other
Date
�Co :
BuILdAzg Do,
arts-nant
I.om: E.avir=oramental Health
61ubjeo't : Sanita"ui on 01earane,'s
33 -6�-� �I
m",�,,qO G✓GA Ef �{.6i 7r
�v•itW.g°.�.b / Ca
Plan Approved fo-o Soilage Diciposal � . ,.o,.. Water Supply ,.�.
Hold Final for:
Water `apply
Final Clearance C.K. for: Water supply
Olearaace for oedre,om �i�j' cb,;.L hnm o other..�.. ,�.�..�. ...
Return/to DPW AGRICULTURAL STATEMENT -.OF. ACKNOWLEDGEMENT F4'„.OROEDINOFFICIAL RECORDS,
FOR RESIDENTIAL DEVELOPMENT OF CUTTE COUMTt CALIFORNIA
AT THE REQUEST OF
Section 26-8.1 of the Butte County Code requires this acknowledgement �,,^
be recorded prior to issuance of a building 'permit. 85�-ZG044 I y
6985 `�aN�G r28 ANt36
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this ELEANOR M.BECKER.
property may be subject to inconveniences or discomfort arising from L�ERK 9Re–
------
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 duet,
smoke, noise, and.odor. Butte County has established agricultural zones which -have as a V -0e.
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such,inconvenience or dis,conform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
Parcel 1, as shown. on Parcel Map of a portion of Lot 7, Block 22, "Villa
Verona", which map was filed in the office of the Recorder of the County
of Butte, State of California, October 7, 1983 in Book 93 of Parcel Maps,
at page 69.
PROPERTY OWNERS:
State of California ) On,this the 27th day of August 19_3j, before
SS. me, the undersigned Notary Public, personally appeared.
County of .Butte )
Odell Myles
Ll Personally known to me. Proved to me on the -basis
of satisfactory evidence.
to be the person(s) whose names) is subscribed to
the within instrument and acknowledged that he --
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. a9 _Q4 . 511 S. LVNN F-108SMSTAI)
otary P56Vc
p®®®®®mm®e®mm®®oma®a®m®®»
NOTARY PUBLIC C/WFORNIA p
Butte County p
MY Cc mmfcaton Ezplres May 19, 1989
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
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. 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) signedan 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 i
Social -Security Number
Date i SZz- ? 95`
r
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
1'9832 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
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
RMIT NO.
ASSESSOR PARCEL NUMBER
36-022-54
ZONING
BUILDING PERMIT
OWNER
Odell Myles, Jr.
TELEPHONE
533-0452
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2530 B St. ORoville
CONTRACTOR'S NAME
Owner
TELEPHONE
1st renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation $ '
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ FEE
$ 180.50
ARCHITECT OR ENGINEER
none
LICENSE NO.
-Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2431 V-6 Rd.
Permit tee
$ 190.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Oroville
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 99 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S FG W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation(] Other ❑
Describe work: _
1st rnewal permit #2466-85
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under pen Ity 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
Q'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 k1breason
NEW CONST. ( DWELLING OCCUP.&) Ih¢sgft
OR AODNS. ACC. BLDGS.
NEW CONSTR ULT' -OUTLET 2,50 ea
NON-RESID BRANCH CIRCUITS
(POWER APPARATUS 6)
SINGLE OUTLET CIR.
Ex. Occu 200500
p OUTLETS OR FIXTURES .AL030
FIXED PR
Ex. Occup. OUTLETS (RESID IEA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
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.
Q/ 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
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.
1 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
inst aid unt i conseque a of the granting of this permit.
9^ �� _3,�
Date_,
bnatureof Applicant — ner ❑ ntroctor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 s tries in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 190.50
OCCUP.
CONST.TYPEJ
I FLDOOJ
PARCEL
I P11
I HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
ZIR F PU
B
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/"R�r 7
Receipt No.
W111TE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
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)�
�LI� . .
2. I (have/have not) ketsigned 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�M_ Phone Type of Work
Signed:
Property Owner v
Social Security Number
Date 9 —1 2 ^ .P
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.
RESIDENTIAL PLAN CHECKING GUIDE 7/85
(S. F. DUPLEX'& MISC. ONLY)
Bldg. Permit ,#.
OWNER A.P. # ayn2-6722- —.6-Y
GENERAL
�.1Zoning requirements: (sideyards and number of permitted living units).
.2� aluation.
lans signed by designer.
Energy Design and Compliance. �
CC'S( Existing violations on property.
PLOT PLAN
Complete parcel size'and dimensions.
Vii... Setbacks, sideyards, easements,,etc:
,3-< Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map or compliance document.
FLOOR PLAN
1 Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second -exit (Sec. 1204).
Jf! Skylights (Chapter 34 & Sec. 5207).
.� Human impact glass (Sec. 5406).
.Required room sizes, ceiling heights (Sec. 1207).
�. G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
,9—. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
A! Locations of water heater, heating and cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
�lY 1 - 3'0" exterior exit door (Sec. 3304(e)).
>27.' Fireplace and wood stove location.
T14 -.'Smoke detectors (Sec . 1210) . >°
STRUCTURAL DETAILS
Foundation plan complete enough -:to construct building.
Floor construction details complete enough -::to construct building.
,3<� Elevations and wall construction details complete.enough to construct building.
Roof construction details complete enough to construct building.
Srreplace construction details and calcs if necessary.
ufficient data and details to satisfy energy requirements (State Law) (Form l).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
- .Exposure I plywood on exposed locations and overhangs.
XStairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j))
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec..4706)."
Proper roof pitch for roof covering (Chapter 32).-.
�- Rafter ties or bearing ridge beam.
RESIDENTIAL PIAN CHECKING GUIDE (CONT'D) 7/85
t
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
Garage door or porch header sizes.
Adequate bracing.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
Attic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
Wood stoves, clearances, a4e-e, -
Combustion air for fuel burning appliances.
Noise requirements on duplexes.
Adobe soils - special foundation design.
Retaining walls requiring design.
Unusual shape, size or split level house requiring lateral design.,
-2 ---Scf7
058:10 R2 3/2H/84 VH/dr
Attachment 0
Form 2
(Revised 3/84)
Climate Zones 2. 4, 6, and 8-15.
COMPLIANCE CHECKLIST
For low -Rise Residential Buildings
(except hotels and motels)
Step 1: Enter on the form the values for each measure from your building plan
and specifications sheet.
Step 2: Enter points on this page while working through the point system
Building Shell
�
Measure Points
A
-2 ---Scf7
058:10 R2 3/2H/84 VH/dr
Attachment 0
Form 2
(Revised 3/84)
Climate Zones 2. 4, 6, and 8-15.
COMPLIANCE CHECKLIST
For low -Rise Residential Buildings
(except hotels and motels)
Step 1: Enter on the form the values for each measure from your building plan
and specifications sheet.
Step 2: Enter points on this page while working through the point system
Building Shell
Measure Points
*Total Floor Area . . . . .
`1 Ift2
1.
2.
Slab -on -Ground; Perimeter ft.. Depth in.
Raised Floor R -Value. . . . . ... . . . . . .
...
. . . .
R-
R -ate
. .
3.
Ceiling Insulation or Construction AssemblyR-#If2
-s=
Attic. Percent of Roof Over Conditioned
SpaceL%t
R-
t.
Mall Insulation or Construction Assembly. . . . . .
. . . .
Glazing;
Total % Floor Area Single
Double
Triple
S.
North -Facing. . .�T ZG�2. ft
ft2
�ft2
�ft2
ft2
-ft
•�' i
6.
.
East -Facing % /.Y
ft
/ ft
2
ft
7.
South -Facing. . S 2
ft
2
�- ft
ft 2
r
q4_
8.
gest-Facing . %
ft2
ft2
ft
9.
Skylight. . . . I
10.
Shading Coefficient
(excluding overhang)
SC
. . . . . .
. . . . . .
A. East .. . . . . . . .,
b. South. . . . . . . . . .
.
SC .
SC
. . . . . .
. . . . . .
✓
c.' Hest . . . . . . . . . . .
d. North. . . . . . . . . . . . . .(o_
.
SC .
. . . . .
. . . . . .
. . . . .
. . . . . .
e. Skylight . . .
SC .
. . . . . .
. . . . . . e�
11.
Horizontal South Overhang length. . . .
=ft .
. . . . . .
. . . . .
12.
Movable Insulation. % Floor Area.
_ ••
.1"�1i171V1i�iX
•
13.
Infiltration (indicate Standard. Medium
or TIVO
CraS/t�
14.
Thermal Mass
Exterior Hall Thermal Mass
HC. R -
Area. Heat Capacity, R -Value . . .
. . . -ft2
Interior Thermal Mass
ft2,
HL. R- U
Area, Heat Capacity, R -Value . . . .
. . .
HVAC System*`
15. Gas Furnace without Refrigeration. Cooling
(Seasonal Efficiency). . . . . . . . . . . . . . SE
16. Heat Pump (Energy Efficiency Ratio) . . . . . . . . . . . . EER
17. Gas Furnace with Refrigeration Cooling
Seasonal Efficiency and Seasonal
Energy Efficiency Ratio . . . . . . . _SE SEER
18. Active Solar (Net Solar Fraction, %) . . . . . . . . . . . . %NSF
19. Zonally Controlled Electric
Resistance Space Heating . . . . . . . . . . . . . (Yes/No)
Domestic Mater Heating••
20. Solar With Gas Backup (Net Solar Fraction, %) . . . . . . %NSF
21. Other Water Heating (Descr:ibe type)"r '4 1
Point System Compliance Total. . . . . . . . . .
*Checklist ems; not. a; point system measure.
**Attach documentation for efficiencies and NSF.
a�
ULA4iNl, eLAN lAKLUtt S►iELI:
3 S North Glazing
QUANTIV SIZE AREA (SQ.FT.)
x d4°
(b) —1--- x0° 4 =
/
(C) �_ x lei (,a 4--
(d) x
(e) x
Total North Glazing (SQ.FT.)
(a+b4c+d+e )
/0 Y
TOTAL
NORTH TOTAL BLDG CONVERSION 'TOTAL
GLAZING FLOOR AREA FACTOR NORTH GLAZING
1 -7 x 100 5.-7
SQ.FT. SQ.FT.
3-7 South Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) 2 x (0°4° 48
(b) x =
(C) x a
(d) x
(e) x
Total South Glazing .¢8 (SQ.FT.)
(a+b+cid+e)
TOTAL
SOUTH. TOTAL BLDG: CONVERSION TOTAL-.%
GLAZING FLOOR AREA'. FACTOR. SOUTH GLAZING`:
_ 48 x 100 Zeg
SQ'. FT.', SQ.FT.
3-9."Skylights
a)
QUANTITY SIZE AREA (SQ JT. )
( x
(b) x m
(c) x a
Total Skylights" m JSQ.FT.)
'(a+b+c)
TOTAL
SKYLIGHT TOTAL BLDG CONVERSION TOTAL
GLAZING FLOOR AREA- FACTOR SKYLIGHT GLAZING..
x 100 Q %
SQ.FT. SQ.FT.
OWNER
PERMIT NO.
7/83
t -UK M 0
3-6 East Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) 2 x 42 1 v ` a
(b) x A/o tl0
(o) x
(d) x
(e) x
Total East Glazing (SQ.FT.)
(a+b+c +d+e )
TOTAL
EAST TOTAL BLDG CONVERSION TOTAL %
LAZING FLOOR AREA FACTOR EAST GLAZING
x 100
SQ.FT. SQ.FT.
3-8 West Glazing
QUANTITY ' SIZE AREA (SQ.FT.)
(a) I x 403- 12
(b) I x (n' 40 _ —
(C)x
(d) x s
(e) x
Total West Glazing 3 L_ (SQ.FT.)
(a+b+c4d+e )
TOTAL
WEST TOTAL BLDG
GLAZING FLOOR AREA
3<0. _ LZ 7 x
SQ.FT. SQ.FT.
CONVERSION
TOTAL %
FACTOR
WEST -GLAZING
100 v
Lnam ' %
J
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM
Owner rS' Climate Zone /% Permit
Floor Area �
Compliance path: Package ❑ A ❑ B [3C Ie <nt System ❑ Budget ❑ Other
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION:,
Roof/Ceiling p
!� Wall
�❑,/ Slab Floor Perimeter
IS Raised Floor13_
Ind'
(3)
13
13
13
13
13
13
7/83
INFILTRATION•
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
13
(D)
Continuous infiltration barrier
(E)
Electrical outlet plate gasket
(F)
Air-to-air heat exchanger
GLAZING:
(A)
Location
Area Glazing %Floor Area
Single Double Triple,
Total Bldg 2, / 7 G
�_
North 2 -
East East
South AV(7
,r
West d . j
y
- _
Skylights
(B)
Shading
Shading
Coefficient Description
East G L
South . 6
T
West _, L
Skylights
(C)
South Overhang
Length of projection aft. Description
(D)
Moveable insulation:'.Area ft2
Description
(E)
Thermal mass
Type - Area
Ft.2 HC=
R=
MC= Location
Type - Area
Ft. HC=
R=
MC= Location
Type - Area
Ft.2 HC=
R=.
MC= Location
Type - Area
Ft.Z HC=
R=
MC= Location
Type - Area
Ft. HC=
R=
MC= Location
Type - Area
Ft.Z HC=
R=
MC= Location
- FORA
❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and,a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM
(A) "-Heating
Central Gas Furnace
C
(brand and model number)
Btu/hr
(heating capacity)
Heat Pump _
(brand and model number)
Btu/hr
(heating capacity at 47°F)
Active Solar
-*type (liquid or air)
model number solar fraction
SE
ACOP
Collector brand and
ft2
collector area collector
orientation collector tilt rated y -intercept
rated slope AA nn
Other
(describe) •
*1 (B) Cooling
Electric Air Conditioner JQ 2—
(brand
(brand and model number) (seasonal EER)
Btu/hr ,
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
[.� (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, -'plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83 2
(6) DOMESTIC WATER SYSTEM
(H) Gas Only
FORK 1
Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
. ❑ * Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector.orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
(� :(B) TANK INSULATION. Storage -type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall.be insulated in accordance with
T20 -1408(d)..
[." (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit'documentation•of sizing heating and cooling equipment by Manual J, .sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following.
Heating: Winter design temperature '30 °, elevation eio 0 " heating load &MBTU
elevation factor ,O O x heating load = maximum outlet capacity gas furnace
.SZ1c/o a BTU USE ONLY AS SIZING GUIDE,
COOLING MAY BE INADEQUATE -
Cooling: -Summer design -temperature /�tL°, cooling load _�/.BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE•INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of*
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
SIGNATURE _0F__4TILDIffiY DESIGNER OR APPLICANT
3
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