HomeMy WebLinkAbout079-080-055a
93�-3194.-BPEM,,
,MARTM-Fl�IEDA-
'369'
CRANEIAVE"'OROVILLE
N EW S F,
Of
94-0200B
MARTIN,,�FRIEDA
CRANE AVE.,,OROVILLE,
PELLET STOVE SF
"05'19B-71
GIANECCWNI-FXMIL'� TRUS
369 CRANE AVE, ORO ILL
Cont: M , CCLELLAND I C AL
HVAC C/O
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a
ki
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93�-3194.-BPEM,,
,MARTM-Fl�IEDA-
'369'
CRANEIAVE"'OROVILLE
N EW S F,
Of
94-0200B
MARTIN,,�FRIEDA
CRANE AVE.,,OROVILLE,
PELLET STOVE SF
"05'19B-71
GIANECCWNI-FXMIL'� TRUS
369 CRANE AVE, ORO ILL
Cont: M , CCLELLAND I C AL
HVAC C/O
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NOTES RESIDENTIAL
PERMIT NO
SPECIAL CONDITION&
CHECKED
BY'
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS,REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (D
Signature
- OK
= Not OK
- Not 4plicable
= Not Ready M.OBILE HOMES
Date MOBILE HOME UTiLMES (Plans) OK except #Is
1 . Zoning Requirements -Setbacks -Easements
2. Soils-, Special MH Support Sketch
3. Sewer Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ftl P 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 Vs
1 . Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Une
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 -Connect&
7. Water and Sewer.Connected-C/() to Grade -HD Approval
8. Gas and EJectricity Tagged
9. Tie Downs -Type -Installation Eert
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1 . Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Une
3. Blocking
4. Gas; MH Tesi-Demand-Valve
5. Electricity; MH Test
6. Water MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. Ucense Decals
11. Verify Vs with Office
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-SteeI
3. Decks, Girders and/or Joists-Decking-Bracihg-Stairs-Rails
4. Wood Awn.; Posts-Seams-Rftrs-Connectors
Shthg- Frg- Bracing
5. Mum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #Is
1 . Setbacks -Easements ,
2. Soils; Compaction-St:ructure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men-Uning
4. Elec.; Receptacles and Ughting, Distance -GA
5. Elec.; Pool Ughting: 15 Vofts-GFI
6. Elec.; Enclosures; Conduit Entries-Terminals-Usted
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
B. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Ught Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
-4 = OK
0 = Not OK
= NotApplicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #s
1 . Zoning-Setbacks-Easements-Roc>d-Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage-, Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall-Fdting-Test-2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electic Underground
13. Plenums & Ducts-, Clearance -Material -Support -ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date C ard T 1
Date
PLUMBING (F!ermit) OK except #'s
17. Water Htr.-, Vent -Access -Combustion Air Baffle
18. Water Pipe: Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Spirinkler, Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card
Date
-B-1
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or A]-A.C. Wire Size/ /ga Cu or A
31. Range Circle/ /ga Cu or AJ -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes ONo
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A -C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform ff Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat prooQ
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Rue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing-Bofts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infittration-Walls-Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access-SDa
69. Elec. Trim & SubDanel. Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground-Air-Gap-Cookiwg-clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.-, Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Bec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.Fl.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following tnstIdJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical- Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netlidds
PERMIT NO.
BP051939
LICENSED CONTRACTORS 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
Issued Date: 07/21/2005 APN: 036-800-055-000
the Business and Professions Code, and my license is in full.force and
effect.
License Class: L ense Number:
Site Address: 369 CRANE AVE ORO
Date: 6��Ontractor C le -11a ,,o /,4�
Map Index:
Description: REPLACE SPLIT HVAC SYSTEM
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: GIANNECCHINI FAMILY TRUST,
permit to construct, alter, improve, demolish, or repair any structure, prior
C/O GIANNECCHINI FRANCO
to its issuance,_a1sp requires the applicant for such permit to file a
signed Mateme ' rit th6f ' he * or she is licensed ' 'pursUant to the . provisions of
'369 CRANE AVE
the* Contractor's State "License Law (Chapter 9 commencing with Section
OROVILLE, CA 95966
7000) of Division 3,of the'Business and Professions Code) or that he'. or'
she, is�.exempt therefrom and the basis for the -alleged, exemption, An y
(510) 785-0765 -
violation of Section 703.1..5 by any aoplicani* f6r a permit. i�6jects the,
applicant to a civil penalty of not more than five hundred dollard* $5 1 0)
P
1. as owner -of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
_APpfflpant: MCC LE LLA.ND.. AIR CONDITIONING INC
Code: The Contractors' State License Law does not apply to an
owner. of property Who..Puilds or improves thereon, and, who does
such work himself o.r herself. or. through his or her own employees,
provided that such. improvements are not..intended or offered for
801 MARAUDER ST.
sale. If however. the building or improvernebts are sold within one
CHICO, CA 95973
year of completion. the owner -builder will. have the burden of
proving that he or she did. not build oi� in prove for the purpose of
(530) 891-6202
sale.).
.1" as. owner, of..the�..properly, am exclusively. contracting. with,
licensed contractors to constfuctithe; project (Sec. 7044, Business
and Professions Code. - The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor: MCCLELLAND AIR CONDITIONING, INC
and who contracts for such projects.with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 am Exempt Under Article 3 of the Business and*Professidns Code
801 MARAUDER ST.
Date:' Owner:
CHICO, CA 95973
(530) 891-6202.
WORKERS' "COMPENSATION DECLARATION
I hereby affirm under 06naltyof perjury one of the following declarations:
W
>i I have and will. maintain a certificate of consent to self -insure for
Lice'nse#: 345121
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which, this perrnit is issued. My workers' compensation
insurance carrier and policy number.are:
Carrier:—
Policy
Total Square Ft: 0 S. F.
0 1 certify that in the performance of the work for which this permit is
Valuation: $0.00
issued. I shall not employ any person in any manner so as to
Census Code:
become subject to the 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
forthwith compjy with those provisions.
Date:
-7 0'_
Applicant
WARNING: Failure to s rc.re wi:irk.r.� compensation coverage is
unlawful, and shall subjgd an employer to criminal penalties and one
hundred thousand dollars ($100,000). in addition to the cost' of
compensation, damages as provided for in Section 3706 of the Labor
code,.interest, and artorney's Jees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Biitte County CoCIPPrid/Or
I hereby affirm that there is a construction lending agency for the
o wo e �bqve or c fees have been paid.
Resolutionsto d rk indicat d b I hi h
performance of the work for which this permit is issued (Sec 3097 Civ.)
I M 7 -
Name:
By: V-7 __ " - - Ili Date:
-
Address:
PERMIT EXPIRES ON: 7-r?LoCo
(Date)
I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
• Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
• Attached are copies of the required E.P.A. notification forms.
I hereby certify that I haveyead this application. that the above information is correct. and that I am the owner or the duly authorized agent of the owner. I agree to comply with
'all county and.state laws relating to building construction. Facknowledge it is unlawful to alter the substance of any offi 'Lai formZument of Butte County. I hereby
fe m
authorize representatives of Butte Co nty to enter up I e above mentioned property for inspection p
ZA!
Name:
Print Signature:
V
Date:
-'Q] Owner Contractor Agent for Owner 0 Agent for Contractor
KOIBUTWE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE M (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
"PLEASE PRINT CLEARLY**
OWNER
La�L4amp. irst Name
12�4^j C42
Address
Cill State
PF
Address
Phone 6710) a x
E-mail
I APPLICANT SIGN_A__T_U_R_E__________----j
X
For office Use only:
Zoning'' Flood Zone . SRA Yes No
Occ. Type Const.
Subdivision Name Map Book Page Lot #
!v! I
Planner ppi
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:1F0Rh4.qjPj m
PERMIT
NO.
BP05lq3
BIN #
LOCATION
CONTRACTOR
Name
t 10
Address
Mr-,CIP'lland Air Cond.Inc
Address
State Zip
Phone
801 Maruader treet
City
Chico
State CA
Z'P95973
Phone
891-6202
Fax 891-5137
E-mail
Uc.# 345121
Clasr — 2 C
I APPLICANT SIGN_A__T_U_R_E__________----j
X
For office Use only:
Zoning'' Flood Zone . SRA Yes No
Occ. Type Const.
Subdivision Name Map Book Page Lot #
!v! I
Planner ppi
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:1F0Rh4.qjPj m
PERMIT
NO.
BP05lq3
BIN #
LOCATION
ARCHITECTIENGINEER
Name
t 10
Address
City
State Zip
Phone
Fax
E-mail
State License Number
I APPLICANT SIGN_A__T_U_R_E__________----j
X
For office Use only:
Zoning'' Flood Zone . SRA Yes No
Occ. Type Const.
Subdivision Name Map Book Page Lot #
!v! I
Planner ppi
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:1F0Rh4.qjPj m
PERMIT
NO.
BP05lq3
BIN #
LOCATION
AN
—Property
Address
t 10
Cross Street
WORKER'S COMPENSATION
COMPENSAI
Policy Number —
00471
Carder
S t
tate Fund
F11
.r g
I f hiring anyone other than license- contractors, a certificate of work
ctors a c
?rs, a
s tio mustbes ow � time of
compensation must be shown at the time of,permit Issuanc
Dermil
--Wa—me LENDING AGENCY
Address
Description or Scope of Work:
� /j-7" /-/ VA - - 5- ,- I
Sq. Footage
El Proposed Change of Occupancy,
(Note previous use):
EXPIRATION OF PPLICATION
Applications. for which a pem-dt has.n.ot been issued will expire one
year after the date of application. In order to ienew action on an
application after expiration, a new application', plansand fee will be
required.
iiiQUEST F )R RE �UNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
pennit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by. Amount:
Receipt #: � �U 0 �
—7 ()1 _
Date: 1 —jj 05)
ther
-L=__L_Total
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEIBSITE: Www.buttecounty.netlidds
PERMIT NO.
BP051939
LICENSED CONTRACTORS 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
Issued Date: 07/21/2005 APN: 036-800-055-000
the Business and Professions Code, and my license is in full force and
effect.
LicenseClass: C 20. U inse Number:
Site Address: 369 CRANE AVE ORO
Date: 2. ? 65&tractor:
Map Index:
Description: REPLACE SPLIT HVAC SYSTEM
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: GIANNECCHINI FAMILY TRUST----- ----,-
permit to construct, alter, improve, demolish, or repair any structure, prior�
to its)ssuanbe��also requires the applicant for such permit to file'a
C/O GIANNECCHINI FRANCO"'
Sig ed sta, Tiep�.thb�he or she is licensed�Odfstiant to the'pir&isibVis of
tei
-369 C RAN E AVE
the�C&Qtractor's.State"Li'c'ense Law (Chapt�r lillimmencirib with Secti6in
70 . 0 . 0)"6f Division'3,of ee'. Business and Professions Code) or that l4, or'
OROVILLE, CA 95966
she, is:.�xempt thereifriim,eind the basis for, 4he 7alleged� exemption, Any
'id6jecis
J510) 785-07651--
violation of Section 703.1.5 by any a�plicant or a permit ine,
applicant to it civil penalty *of not more than five hundred dolla 00
1. as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
_,i!1tend%d,M..9ftr JP f Asj n
mqp 'A 41
_APPI pant- MCCLELLAND AIR CONDITIONING. INC
Code: The Contractors' State License Law does not apply to an
owner. of. propq�y Who,.�builds o.r.improve§ thereon, and,,who does
..such work, himselfl.or h.erself.or th� ougp his o.r-her ownemployees.
provided that, such improv4pMeptp are not. intended or. offered, for
sale. I if �oweivir_, i6 66ildirig; 6F impro�eihe)_nitis -are s . old a wi . thin one
801 MARAUDER ST.
year of. completion, the owner -builder will have the burden of
CHICO, CA 95973
'proving - that he or she did. not 66ild oir im" prove for the purpose of
(530) 891-6202
sale.).
0--1v as -owner, of.�the-property,�.am,.exdusively. contracting. with.
licensed contractoii�.,tciconstfuct.thb;pi,6ject (Sec. 7044, Business
and Professions Code. - The Contractors' State License Law does
not apply to an owner of property. who -builds or improves thereon,
Contractor: MCCLELLAND AIR CONDITIONING, INC
and who contracts for such projects.with a contractor(s) licensed
pursuant to -the Contractors' State. License Law.).
Q I am.Excimpt.brider Article 3 of the-Businets'and'Professidris Code
801 MARAUDER ST.
6'\
w
Date:' ner,
CHICO, CA 95973
WOAKEFtS! COMPENSATIOWDECLAAATION'.0
(530)891, -6202
affirm under' a 't.
penaltyof perjurybrie of the following de ara ions:
,,Ihereby
I have and will r6aintain a certificate of consent to self -ins . ure for
Licidsie 345121
workers' comr;iinsation, as provided for by Section -3700 of the
Labor Code, for the performance of the work for which this permit
is issued
-I;
rk�
have'an� Will t�;� �o r*�'__C'O'M'�ensati�� insurance, as
Architect:
required by Section 3700 the Labor Code, for theperformance of
.
Engineer:
the work for which. this permit is issued, My workers' compensation
insurance, carrier and policy number.are:.
Carrier:
00 Y- 7
Policy
Total Square Ft: 0 S. F.
LI I certify that iii the performance of the work for which this permit is
Valuation: $0.00
issued. I shall not employ any person� in any manner so as.to
Census Code:
become subject to the 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
forthwith comply with those provisions.
Date:'
Applicant.
s cur
WARNING: Failure t s cure workers' compensation coverage is
ran
unlawful, and shall subj m
employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost'of
compensation. damages as provided for in Section 3706 of the Labor
code, interest, and attomey's.fees.- . � . I. -I..- - .-
-1 1... . .11 1 --1 - — -.,.,..- -.1. . 1- .1 . I... . 1- _ - -
CONSTRUCTION LENDING AGENCY ..
This permit is hereby issued under the applicable provisions of the Biotte County CodpentVor
I hereby affirm that there is a construction lendingagency for the
Resolutions, toydo work indicated abqve for Which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
hU
By: Date: 7-9-1-05
PERMIT EXPIRES ON:
Address:
(Date)
I hereby ce'rtif�"th'at't'he"u-se-of't'his I faci . lity I shall comply . with . Sect ions 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling'a'nd use of. hazardous materials.
(3 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies o.f.the required E.P.A. notification forms.
I hereby certify that I have,read this application. that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I'agree to 66 m"ply with
,
all county and state -laws relating to bu ilding construction. - I acknowledge it is unlawful to alter the substance of ff, , If of Butte County. I hereby
authorize representatives of B Ile Co nty to enter uPo hed property for inspection p
r-,
7
Print Name: Signature:
Date:
01 Owner 13 Contractor Agent for Owner 0 Agent for Contractor
.036-800' 055'�.
.MARTIN,� FRIEDA
- .369 CRANE AVE.,,,OROV LLE--,.
PEtt'ET STOVE/SF.w"�
0
I
COUNTY OF BUTTE - DEPARTMENT OF DEVtLOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ZONING AR
BUILDING PERMIT
'741,22,DA WTIN
IL13YI
5 _9323
SQ. FT. OCC. BUILDING VALUATION
ONr,JF3 MAI
PrWSSM, OROVILLE CA 95966
COgX�A
,ffR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace 15W
CONSTRUCTION LENDER
NONS,
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
35.W
ARCHITECT OR ENGINEER
NONE
NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDJNG ADDRESS
369 CRAJE AVE., OROVILLE
PERMIT FEE $
55.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCE ilIMAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF IN Duplex C Mobilehome 0 Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W r
@20.00
TYPE OF WORK
New El Addition Q Remodel Q Utilities Q Installation Q Other
DescribeWork: PEUM STOVE FOR #93-3194
PERMIT FEE $
Cont'ractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '0" OR LESS
ODA OR LESS
23.00
Main Service 200A TO I ODOA
46.00
NEW CONST. DWELLING OCCUP.
0 R AODNS. & ACC. BLDS.
35, sQ,.
CONTRACTORS LICENSE LAW
I dec71B under penalty of perjury (check one)
.0 am a licen5ed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
LicenseNo. — Classification
;r'z!!2 !�2
0 1, as the ownr, of my emoloyees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
0 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
C) I am exempt under Sec. Business and Professions Code
forthis reason
.NEW.CONST. MULTI -OUTLET S
NON RESID� BRANCH CIRCU IT
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR. 1
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL. @ .50
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.1 EAm 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
Q This permit is for $ 100.00 (valuation) or less.
P,l have placed on file with the County,of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
0 1 shall not emp oy any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or -his permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei 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, c osts,pnd e -pe nses which may in any way accrue against said
County in 9 nsequen 9 .0 �ranng of this permit.
a f _ g� G
X Date
Signature of Applicant - 1:1 ow�er Q Contractor Q Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
C
CONST. TYPE
TOTAL FE $ 55.00
HAZ.
D. FEES
IMP
I FLOOD
CDF
PARCEL I PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated-labove for which fees have beeon paid.
I By ate 1/25/94
11/8/94
I PERMIT EXPIRES ON
Receipt No. 155859
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIPON
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT ��,'94- Dana
ASSESSOR PARCEL NUMBER
036-800-055
ZONING
AR
BUILDING PERMIT
OWNER
FRIEDA MARTIN
TELEPHONE
533-9323
SQ. FT. OCC. BUILDING VALUATION
OW-ER'S MAILING ADDRESS
195 PARSON LN., OROVITLLE CA 95966
CONTRACTOR'S NAME
SA�E
TELEPHONE
CONTRACTOR'S MAJLING ADDRESS
Fireplace 1500
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
—
LIENDEWS MAILING ADDRESS
Permit Fee $
35.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
369 CRANE AVE., OROVILLE
PERMIT FEE $
55.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
a
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL . MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF 5 Duplex 0 Mobilehome 0 Other
SPECIry
Gas piping system 1 5 outlets
Jr
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation El Other YJ
DescribeWork: PELLET STOVE FOR #93-3194
PERMIT FEE $
Cont'ractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 111V OR LESS I
200A OR LESS 1
23.00
Main Service 200A TO I OOOA
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BLOS .
so
3.5C FT.
CONTRACTORS LICENSE LAW
I dqcic nder penalty of perjury (check one)
IS* u
P-1ram a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code anda my ficense is in full force and effect.
LicenseNo. Classification
0 1, as the owner,- ot my-emoloyees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
0 1, as the owner, am exclusively contracting with licensed contractors. tz)ec JU4-+)
0 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. RANCH CIRCUITS
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL. 1@ .60
OFIXEO A PWS..OR
Ex. Occup. UTLETS PRESID ) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
4—P
.0-0
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
his permit is for $ 100.00 (valuation) or less.
have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
0 1 shall not employ any person in any manner so as to become subject to the Worker'.
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certifythat I have read this application and state thatthe above information is correct.
I agree to comply to all Butte County Ordinances and California 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
G
�Iiiab�illiities 'udgments, costs,,And expenses which may in any way accrue against said
y in c nseque e yhe granyng of this permit.
X Date
Signat�lj r
6r -of A41plicant" er 0 Contractor O—Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
C
CONST. TYPE
TOTAL FEE $ 55.00
HAZ-
I D. FEES
IMP
I FLOOD
I CDF
PARCEL
I PO 'I
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
icated ove hich
indmfor w9es have 1eJL paid.
hyl
By 'kNM&MXIv� Uate 1 25/94
PERMIT EXPIRES ON __ (Date) 11/8/94
Receipt No. 155859
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
" . - W.,r
M
-7- %
THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES thel ths' structural wecd pmducts
identified -below and marked with a collective mark of American Wood Systems (AWS) were man-
ufactured in accordance with thO specificaticM indicated below.
XX ANSI Standard A190.1 -19n for Structural Glued Laminated Timber
13
.tob Name PM M= FR==
,R* Location
`W4
Customer's Order No. 301-31888
GLI "P0W5Qk11M=
WALITY C00MOL
signature Titte
Company ROSSORO WMBEA CO. SPRINGFIELD, OREGON
AddrOSS Dale
IT IS HEREBY CERTIFIED that -the structural glued laminated timber production of the above-named
manufacturer which carries a collective mark of American Wood $y&Zeens (AWS) is subject to regular
audit by American Wood Systems, such audit consisting of the inspection with reasonable frequency
of the manufacturing process, with adequate sampling to verity the quality of glulam construction and
the adequacy of glue bond.
4*6
%
SEAL Michael R. OHalloran
'ant
I Executive Vice Presid
��3
RESIDENTIAL
036-80-0-055 93-3194 BPEM
MARTIN, FRIEDA
369 CRANE AVE, OROVILLE
NEW SF
Le.4
L/
-Le- L) 44- ll.lr�eo/
OFFICE COPY
Address
GAS
Meter By -4&4_ Date,�
ELECTRIC
Meter By Date
v
GAS
Meter By '6ate
ELECTRIC
Meter By Dato/2�
JOB:FINA
4ED (Date)
Signature
V- OK
O=NotOK
= Not App)lr,.able
= Not*Ready MOBILE HOMES
Date/initials
MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/initials MOBILE HOME INSTALLATION (Plans) OK except #'a
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/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
f
MISCELLANEOUS
Date/initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements-Setbacka-Easements
2. Footings; Sol Is -Size -Depth -Spacing-Connectors-Steel
3. Docks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Boams-Rftm.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosums
& 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-Landing6
Date/initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
bead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GF1
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entrles-Terminals-Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equlp.-Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosu res-Panelboards- Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water *Supply Test
V = OK
0 = Not OK
Not Applicable
Not Ready
RESIDENTIAL (Single & Duplex)
Date/initials UNJERFLOOR (Plans) OK except #'a
14�1� K. �2ning-Setbacks-Easoments-Flood_43to-pe
V.�`Ftg., Main; Soils-Elec. Grnd.-/Plf Fig. Depth
1,0.'Ftg., Garage; Soils-Steel-Elec. Ckfi�PVV'r Fig. Depth t4fCcft
4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
§a. 1,� Downs and Special Anchors
§Jab; Steel-Wra pod
Darif-Fireplace Ftg.-Steel
_3 L4.D.W.V.; Fall-Fiffing-Test-2 Way C/0 -Sewer Test
10. LIF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Cleara nce-Material-Su pport- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/initials PLUMBING (Permit) OK except #'s
It-W.;water Htr.; vent -Access -Combustion Air -Baffle
star Pip%jestdAnchor-Nail Protection
ok
jag D.W.V.; Test -Fittings & Anchor -Nall Protection
A 9. - Shower Pan; Test, First Floor -Tub Access
/20. �rest Tub & Shower, Second Floor -Tub Access
Zi'*-�a;'Pipe; Size & Anchors
1Z
Date/initials ELECTRICAL (Permit) OK except If's
42f. Eixture & Transformer Clearance -Ins. Protection
5!2c. Receptacles Spacing -Lights & Switches at Doors
".S Boxes & No. of Conductors -Stapled
li-oo-gorna. InQtallml Close to Edge of Studs & C.J.
If C Q6quip. Ground made up w/Mech. Fastnefel-lo-nd Gas & Wate�__>
t.2'r.-2 Appliance Circuts in Kitchen & Conductor Size/GFI
-2e-S_ub_f_e_ed_%'re Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Inplated Neutral 13 Yes 13 No
P. -g -vice -Riser Conductors & Ground -Main Disconnect
,O��Equip. clearances Panels-Motors-Mech. Equip.
,Of_C!,qthes Closet Light -Shower Light -Spa Light
IS'A.-§moke Detector
Date/initials MEC"ANICAL (Permit) OK except #'s
j!�_, q111? q k34-�L. Ducts Insulation & Support
�aeVent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
.37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
V
Date/Initials FRAMING (Plans) OK except #'s
112uY4( 1-feW. Sjjs, Proper Material kAnchoW
V - .46e Bearing Walls over Girders & Floor Nailing
UO%42,Lkaft Stop in Walls (rat proof)
LX3.)Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Date/initials FRAMING (Continued) .
. Varf4ers-Post Caps -Anchors -Connectors
ba?�Cl . Joist-Rftr. ties- Puri in -roof Bra<T-russ'
'�hthng.-Rfng.
jja_*-Fi�eplace Ties or Type A Flue-Flreplace Throat clearance
140�_Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
iR:BE_: - Windows or Exiting Doors -Sill Hgt. & Dimensions
fia-'Garage Fire Protection Framing
51. Ppperty Line Firewall & Openings
kal-Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
68. Stairs, Width -Headroom -Rise -Run -Landing -Fire Protection
E54"plywood Tn Roof Overhang -Attic Vents -Rafter Outriggers
5&.-8tdrn---Wa71In'g Veneer
g
tucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
kfn2'zI ng Area -Glass!! �ec om-3kyllghts-Plastic
A�t�'Sefir Walls; Nailing -Bolts
_4p::�' nsulation-Walls-Cellings
60. Infiltration -Walls -Windows
Date/Igitials FIIJW(Plans) OK exceDt #'a
P6 rnace; Vents -Clearance -Comb. Alr-Connector-
%OL.Unn Garage; Above Floor-Ducts-Mech. Protection
3.F.I. & Bath Fixtures & Tub Access-SDa
W. . Elec. Trim & Subpanel; Breaker Sizes & Labels
Le!L1.'>Fi place or Stove; Clearances -Hearth
t-elir-Elec. Outlets at Wood Panel; Int. & Ext.
,�.<Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
�f� Elec. Outlets & Receptacles at Kit. Counter
J72YG-arage Fire Door; Swing -Landing -Closer
-14.:*Fe. Duct-tn Garage -Damper
%,(!T4,jMr. Htr.; Vents -Clearance -Comb. Air-Connectocny��
I_i3,Garage; Above Floor-Mech. Protection
4.15-Plb,eElec. & Mach. Equip. Listed for Location
��ic. Receptacles In Garage; (G.F.I.)-Romex Protection
PrT Insulation -Foam -Looked In Attic 0 Yes
19. Guald-Itaft & Deck Construction -Post Caps
1-79. Felm-Ments & Crawl Hole Door-Drainase & Wood -Earth
Clearance Looked under Floor.- Yes
80. Following instig Ive EPYes 13 No; Walks ILX-ee' 0 No;
Planters li-f
81.StuccS(_Br�wjh-Flaii�;;�'
Laa-�C. U isconnect, Electrical, Plumbing
4-fi&.-'V'e_nts Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84--WaterV761-1; Disconnect, Electrical, Plumbing
L.R�_t rior Elec. Trim; G.F.I. Receptacle -Underground
ilation Throughout House
lass Protection
88. ctionlJcgrpjlr yleus,t�spections
lfi`gbad�- dias'�Electrlc
Pe'Wa1e_r_& Sewer Connected -C/O to Grade -HD Approval
r9j? Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
COARREC TION NOTICE
PA 5-3 -
Ar -
1.%
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date C X/A'ev Inspector j
X,
REV 10W
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OW
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
Date Inspector
REV 10/92
Date Inspector
REV 1A92
Z
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES.
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538.-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE,
OONER'- PERMIT -NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
F�
'J Ale -14 JA
Date Inspector
REV 1A92
Z
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt �_oad, Chico, CA - (9!16) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-63b7'-.
.4
tl�CORRECTION NO-TICE
OWNER PERMIT'NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of Work
is completed. If you have any questions pertaining to this matter, or need additi oinal explanation
please contact this office immediately.
'000, 'm6u) Z)wu C Ij
Zfe) 4 /-�11
4
72 �2 -
-all 1, Lo 46 r A-1
_S
tj
Date 2 oc/Ag Inspector
REV IV192
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
. 747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE L.'
Mr,r 4'. � I - 7'3 -'3 /17,/
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of Work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
L. 4- L-1 LN /-7 /,_- e- �C'
t
Date Z Inspector
REV 10)/ 2
3u= UIC OWNER:
13 5L2 &A �J F
BUIUING LOCATION: tc,(
An installanon candicate is recuirad t* t2a, Posted at trio building site onor to the issuancs at the acctmaricy perrniL -This form -
may as Used to most mose riecuiromains. All acoliance calaccnes listad holiow are the acrial equipment installod� Note that
trio etfli:�onqf and rfps of trio =Wfl-11cs installed must ne . scurvaient or battar than trio accilance specified an the Cartificate of
C--modance (CF -IR). Thi3 candic=6 (or �m equivalent) shall bearop.ared and signed by the P6=n(S).a;3Umin9 overall
resocrisibility fee the appliance insgWL-atton.
L the undersigned. verity that the equioment awed in the category above my 3ign;aturo is the actual equipment instal ad and
mat trio equilament mosts or exceeds trio recuiremen:3 of the Appliance E.Iflciencrf Standards. In addition. I have verifted that
tris equipment is equivalent to or more officient than the equipment =ocifled on the Cartificals of C-ampgancesubmitted . to
damcns=a compliance with the F—riergy EM16isncy Standards for residential buildings.
HVAC SYSTEMS
Note: Hydronic baffer information is entered here. Other hydronic or =mbined hydronic equipment is listed under
Water Heating system&
Heating Equip. C2C Cartifled Actual Distribution Duct or UZOn d Heating
Type (lumacs, M2nut. Make & Elf Icioncy Type and Piping rej�� Equipment
heat numo. atc.) Model Number (AFUE. etc.) Location R-Valuo SWnq (Btuh) Canaefty 03tuh)
-7ph a A7H
CL'S 1159r,ae-e Meem R&SO-ZAm-A- 5%,
Cooling Equip:
Type (air cond
heat curno. etc
-,t. - /- j
cEc cartiflad
Comproswr Unit*
Manuf. Make &
Medal Number
Actual Distribution Ductor
Emcloncy Type and Piping
(SrEn-R) Location R -Value
4S Q.00 Cewe(eo-Tar
oa -� S; d"e - ,
The building design heat less and design heat gain rate have been determined using a method specified in Section 150(h) of
the Energy Effliciency Standards. and are two atihe criteria usrid for equipment sizing and selection.
Signature
WATER HEATING SYSTEMS
Water Heating
System Type
(starace cas. etc.)
CEC Certified
Manut. Make &
Model Number
,dA cn- . I j 7P
Dam
.r
HVAC Subantrac.or (Co. Name) or General Convac*or or Cwner
Energyi External
Rated' Tank Factor or Tank
Input (kW Capacity Recovery Standb Insulation
or Stuh) (Callons) Eniciencv Loss (%) R -Value
1. f or small gas storage tratec inouts 75.000. Etuitir). electric resistance and heat pump water heaters. list Energy Factor.
.-or large gas storage water heatarz tratea incut >75.000 Etuthri. list Sated Inout. Recovery Efficiency anc Stanaby Lcss.
For instantaneous gas water heaters. list Raise Inaut anc Secovery Efflaoncy.
For Instantaneous eiectric water heaters. list Ratea Inaut.
FAUCET S & SHOWER HEADS
All faucets ana snowerneacs instailec are fistea in trio Commission's Direc-cry ci Candied Faucets and Showerneacs.
Pursua tZo Title 24. P:n S. Subi-macter 2. Secuon 11..
;Iumaing Succontractor (Co. Narnel or General Contractor or Cwner
THIS - CERTF ICATE -�UST BE PROVIDED TO TI1E BUILDING DEPAR171ENT PRIOR TO FINAL INSPECTI�'
APPROVAL AN,) A CC)PY SILUJ- BE POSTED WITHIN THE BUILDING.
JANUARY 1993
AMERICAN BUILDING SUPPLY, INC.
EMBOS§E1. L ENTRY DOORS
...........
MOW
Thickness 1-314*
Edges Wood (20 Min.
Rated)
Sid Bore 44-112*
bk ��
3/15/93
Sacramento Metal Entry
Phone: 916-381-8322 Mad MT@ft9g3 Page I
Fax: 916-381-7083
LLI Uj
F-
<
MOIL-:
0
LU
0 LU
—1 0
K -I
--j
Z
0
a!
0
BUILDERS SUPPLY
DIVISION OF
COLLINS PINE COMPANY
2560 FEATHER RIVER BLVD. - OROVILLE, CA 95965-9262
PHONE- (916) 534-1242
SOLD��TO
F,-- TP —iEcEsl SIZE I L..I-qth DESCRIPTION
11
CUSTOMER'S ORDER NO. INVOICE NO
TERMS: NET CASH. NO DISCOUNT. SUB
All ocounts are due and payable on the 10th of the month following date of purchase. Legal action maybe instituted for collection. A late charge of 1-112% will be imposed upon all unpaid overdue TOTAL
bal:nces, and an adclitional 1-112% of the unpaid balanceon the purchase for each additional one mtrnth that payment on that Rom is overdue. This late charge is liquidated damages, measured by
the time the money is wrongfully withheld plus administrative costs reasonably related to collecting and accounting for a late payment. Since the measure of actual damages will be a compar-
atively satall amount and it would be economically Impractical in each instance of default to establish the actual damages by accounting procedures. Builders Supply and Buyer have agreed in TAX
advance that 1- 112% per month is a reasonable su f b to I t ent.
ACCEPTED 'Z 217
AND GOODS
RECEIVED BY x TOTAL
IV
5830
DATE
JOB 94=�—
FEET
PRICE
AMOUNT
2.9
f-5--
91,9
,2 7 �F
919
-5 -
TERMS: NET CASH. NO DISCOUNT. SUB
All ocounts are due and payable on the 10th of the month following date of purchase. Legal action maybe instituted for collection. A late charge of 1-112% will be imposed upon all unpaid overdue TOTAL
bal:nces, and an adclitional 1-112% of the unpaid balanceon the purchase for each additional one mtrnth that payment on that Rom is overdue. This late charge is liquidated damages, measured by
the time the money is wrongfully withheld plus administrative costs reasonably related to collecting and accounting for a late payment. Since the measure of actual damages will be a compar-
atively satall amount and it would be economically Impractical in each instance of default to establish the actual damages by accounting procedures. Builders Supply and Buyer have agreed in TAX
advance that 1- 112% per month is a reasonable su f b to I t ent.
ACCEPTED 'Z 217
AND GOODS
RECEIVED BY x TOTAL
I
OCT 08 '00 11:48 PGL BLDG. PROD, SAC.
P. 2/3 ,
THE UNDERSIGNED MANUFACTURER HERE13Y CERTIFIES that the structural wood products
identified below and marked with a collective mark of American Wood Systems. (AWS) were man-
Ufactured in accordance with the specifications indicated below.
a ANSI Standard A19OA-1983, for Structural Olded Laminated Timber
0
Job Name PALIXIER G. LEWIS CO
Job Location SACRAMENT03, CA
Customer's Order No, DOUG Date mfgr'o Order N 7047—C
PROOF LOADED,ENDI.JOINTS
Title --R—UALITY CONTROL
Comparry ROSSORO LUMBER CO. Address SPRINGFIELD. OREGON b.ate
IT IS HERE13Y CERTIFIED that the structural glued laminated timber production of the above-named
manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to mgular
audit by American Wood Systems,such audit consi.Wrig.of the Inspection with reasonable frequencl
of the manufacturing process, with adequate sampling to verity the quality of glulam construction and
the adequacy of glue bond.
�M
by
E,
AMERICAN WOOC) VSITEMS — A RELATED CORPORATION OF AMERICAN P0
n'Halloran
.a President
F
JOB 7849
F
..-Ship T&POL. ],�U�G:`M.QDUCTS77..SAGFR%. .-NTO
P. 0. - BOX Z92a3a
29
A
SA
Terms 25 DAYS, NET 30.
T�S:UUK F.rg,� jht. C 4. BY QT�HERS. -
T bK.: Rou,tqp.. CUSTUMER
MHOSM ISHMUMI Wt M M tM atsmso aaw an Susan$
ORD SKP PROT SPC 91 UkM RATE EXTEND
ARK OTY OTY uIDTH ),EPIH FEET IN FRACT -ECT c1I'--: BR COAL FE27- /UXFT PRICE
4 4 03-116 -1 12 60-02 0 V4 24W 240
02 430
0 f?7y 13-111-2 1 D V4
05'�Jlq 1 12 60 02 1 0 V4 240OF 240
3-518M 4 4 05,118 1,18 50 00 D 94 240OF 20.0
5-521 4 4- 05-IJO 1 21 66 62 D V4 240OF 240
2 2 66-3/4 X 13-1/2 60 02 D -V4 2400f 120
2 2 0 6 14 '4 15a cO 02 3 V4 —o
2"
Z 2 05-V4 X 19- 60 02 1 D V4 240OF
. A�
942 1 .2.- 4-314 1 21 60 42 D, V4 24W 12C
S-�24 60 02
D 1�4,- 240OF
4 4 0-1/8.1 15- 4i 02 D V4 2400F.
7
A�10 COMMM24
ROSBOIR
ill fr�ighi daductlomi �ith. 011011-121 Imight 151116-
CMOPAEA'S ORDER
�i 1� applv Oft claim$ of gradc, t4lly & manufbetufa p6f Winum) TO ALL OF THE TE9, �0
h'
�iWt bi jWS&j3� a _-ica iha(Go 0i 1*/Aq� por month (10b
b -o' Wou WY ROD 1 bp* wMbti COM*y 1W jq &V�14w loadrad In 0�� oUct
Muding idt CCU" COM and amews bm ftuirw
on filay'zippoid,
vikes w6te'don,,c in ali wascia- -
nip"Wion Certl
"ficate.
:Ntimb= �a - n 'd Su .
City
CoUpity
Subdivision W Nur�bi 7-
Desc.ription of Installation
AOOF
Matcrill
Brand Name
Tbickncss (inches')
Thermal Resis� (R-Vafuc�
' ;PEIUNG
FIBERGLASS
BaH Or B Lw*dt Type
Brand Name CERTAIN!rEED
Thickness (inches)
Thermal Resis:tance (R -Value)
Loose Fill Type INSULSAFE III
Brand Name CERTAIUTEED
Contractor's minimum installed weight/ftL lb
Minimum thicimess; inches
Manufacturer's installed weightper square foot to acheive M=xnal Resistw= (R -Value)
EXTERIOR WALL
Material PTHF.RaLARS
Brand Name cERTATNTEFN
Thickness (inches)
Thermal Resistance (R-vaiue)
RAPED FLOOR,
FIBERGLASS
Material
Brand Name CERTAINTtED
Thickne&t (inches)
Ibermal Resistance (R -Value)
8LAb FLOOR
mat"
Brand Name
Thiclaie ss; (inches)
lbermal R esistance (R-Valur.)
Width (inches)
F J
OUNDATION WALL
Mate'rial FIBERGLASS'
Brand Name .,CERtA'INTEED
Thickness (inich.cs)
TherthalResistain'ce(R-Valuc)
bp�oja'rqtion.
I hereby cenify that the above insulation was instzUed in the building at the abovelocation in* confo.r.mki0e: with
the current Building Energy E fficicncy Standardsfor new residential buildings contained inTide 2.4 ofthe
California Administrative Code.
(Buiwr)
LicWcNur n"bcr
—2 e
Signawri U1.4 ride
Dai
-.Ri4STA -INSULATIQN,
272941
r( 11U Cr
Nuaibey
Daft
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California,95965 - Telephone (91 ��38-7541 PERMIT NO.
APPLICATION AND PERMIT 93-3194 /1
ASSESSOR PARCEL NUMBER 36-800-055
ZONING AR
BUILDING PERMIT L/
OWNER
FRIEDA MARTIN
TELEPHONE
533-93 23
SQ. FT. OCC. BUILDING VALUATION
2270 R 122,580
- 00
OWNER'S MAILING ADDRESS
195 PARSON LANE OROVILLE 95966
852 M 19,336.00
CONTRACTOR'S NAME S An,
TELEPHONE
-
346 C 4,4q8_00
CONTRACTOR'S MAILING ADDRESS
ABOVE
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 9-414-nO
Filing Fee $
20.00
LENDER'S MAILING ADDR Ess NONE
Permit Fee $
790 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
5-13. 5Q
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS '169 CRANE AVE
PERMIT FEE $
iii.,.r) - ;n
OROVILTE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap LOI
7.00 70.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
LOT NO.
48
SUBDIVISION'S NAME
COPT.EY ACRES TJNTT
PARCEL MAP
199-97/9R
Each gas water heater or vent
15.00 30.00
USE OF STRUCTURE
SFf) Duplex 0 Mobilehome 0 Other
SPECIFY
Gas piping system 1 5 outlets
15.00 115._QO
Building sewer
15.00 S. 00
Mobile Home S G I W
@20.00
TYPE OF WORK
New )p Addition 0 Remodel Q Utilities 0 Installation El Other Q
DescribeWork: 3 BDR�l
I
PERMIT FEE Is
169_nO
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service �1111 OR LESS I
ODA OR LESS 1
23.00 ?,1 _ nr)
Main Service 200A TO I OOOA
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. OLDS.
3.5 ing-g-,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
X6 I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Qpde and my license is in full force and effect.
License No. S1 93 62 Classification -;U-/ _j__
Q 1, as the owner, or my employees with wages as their sole compensation, will o
the work, and the structure is not intended or offered for sale. (Sec 7044)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
1 am exempt under Sec. Business and Professions Code
forthis reason
NEW.CONST. MULTI -OUTLET S
NO RESID. BRANCH CIRCUIT
@7.50
POWEREAPPARAT S.
( & �IN.L OUTLET UCIR
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL. @ .60
FIXED APPLNS. OR
Ex. Occup. 11 OUTLETS (RESID.) EA. 1
-
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
0 This permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
1 shall not employ anyperson in any mannerso as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
152.25
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating SPUT-0=
757 7_7
cooling ATTIC 3T
15.00
Hood
6.50 .50
-
Ventilation 1
4.50 4.50
PERMIT FEE $
61.00
Contractor
I certifythat I have read this applicationand state thatthe above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei 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.
X Date
Signature of Applicant - 1:1 Owner C1 Contractor UdAgent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee Is
46-.Q-Q-
OCC
R3
CONST. TYPE
VN
[TOTAL F E $ 1770. 70
HAZ.
1 1). FEES
�F.LD�OD
I CDr
I PARCEL I PI)
J�R
I IV
This permit is hereby issued under the applicable provisions
of th"utte County Code and/or Resolutions to do work
ind4atel above for which fees have been paid.
CiOR OF PUBLIC WORKS
I b*� Date FNdilf-5
Y,
PERMIT EXPIRES ON
(Date)
Receipt NO. 616.50 - 148902 /'�5_3S X0
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RO D-APPLIC ANT
101
f C TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
P - - ?T APPLICATION AND PERMIT
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO
AAESSOR PARCEL NUMBER DS --s-
ZONING 4 ft-,
BUILDING PERMIT
OwNE:,,�.-.). ~RAI
rV NEq-
SQ. FT. OCC. BUILDING VALUATION
7Z
OWNER`7A
&t2J5,0,V
,fFDRESS��
CONTRACTOR'S NAME
— Sel /;,? F,7
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
,-:,i,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDR!�/
Filing Fee $
20.Qo
Permit Fee $
—2�?zp. ail)
ARCHITECT OR ENGINEER
LICENSE NO.
—Plan Checking Fee $
L3,50
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
op
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Trap
7.00
—Each
Solar or heat pump water heater 7
23.00
Water piping
15.00 /�,00
LOT
CIL MAP
Each gas water heater or vent
15.00.�o P 0
USE OF STRUCTURE
SFX Duplex Q Mobilehome 0 Other SPECIFY
Gas piping system 1 5 outlets
1 5.0�_
Building sewer
15.00 J!C()r)
Mobile Home S G I W
@20.00
TYPE OF WORK
New X Addition 0 Remodel El Utilities Q Installation C) Other El
DescribeWork:
PE
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 'IV I" LIS'
200A OR LESS
23.00
Main Service 200A TO I OOOA
46.00
NEW CONST. DWELLING OCC P.
OR ADDNS. & ACC. BLDSU
3.5 0 SFCT,.-
NEW CONST. MULTI -OUTLET
.NON-RESID. RANCH CIRCUITS
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
El I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full forc7d effect.
LicenseNo. J11136-7 Classification
Q 1, as the owner, or my employees with wages as their sole compensation, wilF—do
the work, and the structure is not intended or offered for sale. (Sec 7044)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
I am exempt under Sec. Business andprof essions Code
forthis reason
POWER.APPARATUS
J SINGL OUTLET CIR
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
SAL. ED .50
FIXED A "S. OR
Ex. Occup. OUTLETS PIRESID .) EA
5.00
Temporary Service
23.00
Mobile Hom I e-Fa'cilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Q This permit is for $100.00. (valuation) or less.
I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
1 shall not employ any person in any manner so as to become s�ubject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT,1 g -J)
Filing Fee 20.00
Heating Piz -T-
Koo
Cooling
I /
Hood
6.50 ,, V)
Ventilation
T 91 ID
PERMIT F:F:lp—: $
-PE,
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei 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 against said
County in consequence of the granting of this permit.
X � :R Date J�
Signature of Applicant - 0 Owner El Contractor Q Agent
An OSHA permit is required for excavations over 5"0' deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee V,
or';
V7Tf(3 I
TOTAL FX$ ) -1-71,)_ -7/9
HAZ. -1 D. FEES
I IMP
, V�LD
I CDF-FPA-RCE7L PID
�qssu
E
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
DIRECTOR OF PUBLIC WORKS
By_ —Date—
PERMIT EXPIRES ON (Date)
provisions
to do work
paid.
ReceiptNo.
WHITE-D.D.S.-IR.D. k-"- dANARY-ASSESSOR PINK -INSPECTOR GYAROD-APPLIC
'R'- A
IMAWZP�� I T=7 MI—o"
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541
PERMIT APPLICATION DATA SHEET
OWNER 1-91F, L)A lml`ZZ7A�� A. P. No.
Proposed Building Use Building Inspector 6ate
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED By
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3., Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
oz'-H'5_iardoui Material Form . .............................................
6. Energy Design Compliance and supporting documentation . ..........
7. Statement of Intent for Non -Heated and A/C Buildings . .............
L /��8. Engineered truss details and layout in duplicate (required prior to plan che'c'k*)*
obilehome data and manufacturer's installation instructions, 2 sets . ...........
CW::,10_,�-ees of $ -2 . .........................................
1,,Jmpact feeFa7s'sh6wn oF-attached schedule. .....
94j��2. California Department of Forestry plai F_ to, s
' S* ... . ............
es
e
a pprova
fe
VA Flood elevation letter (100 year f1l od) b C I*f rnia*r)gineer ...................
6 . Sanita
4Z ii �' tion and plot plan approvalumn07-Health Department . ............
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 . ...........
014-19. Driveway permit (construction approval required prior to occupancy). . . .
P;,;4;sWctio; r�q*JZ7-
20. Pre -inspection for required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ........................ tr.
23, Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
-34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone!' ?�� --f-Mand hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
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 prior
1. Index permit for above items No. -
2. Additional items required:
ance: (Circ!Mew item not checked above).
Contractor, designer, owner, was advised 6f above required data by _ phone mail Counter by Date
Contractor, designer, owner, was advised oi above required data by _ phone — mail' Counter by Date
Plans checked by Date Plans approved by Date-/
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
PERMIT NO: 72-93
Lake Oroville Area Public Utility District
1960 EWn Street
OROVILLE, CALIFORNIA 95966
533-2000
DISTRICT APPROVAL AND
VERIFICATION OF IN SPECTION
BUILDING SEWERS
This verification form must be submitted to the.Butte County Department of Public
Works Building Department prior to issuance of a building or occupancy permit,
whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy
of this verification form, signed off by Lake Oroville Area Public Utility District, must
be submitted to Butte County.
Date: September.7, 1993
Applicant: Frieda -E. Hart -Martin
Applicant Address: 19.9 Parson Lane, Orovillp, CA 95966
Applicant Phone No.:
533-0323
Property Location (s): 369 -Crane Ave...Oroville, CA 95966
A. P. No. (s):
Copley Acres.Sub. II Phase III Unit 3 Lot 48
36-80-55
Fees due: $400.00 LOAPUD connection fee, $900.00 SC -OR
regional facility charge -Totaling $1300.00.
Application for service approved:
L/�'UKRVO it&I eA'RE A
PU' ISTRICT
Inspection(s) made and successful test(s) observed:
Location:
M
Date:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
8 b ECORD ED IN OFFICIAL REC OROS
Reiurn to PPW- AGRICULTURAL STATENENT OF ACKNOWLEDGEI-ENT C F BUTTE COUNT XCALIFORNIA
.1 11 e FOR RESIDENTIAL DEVELOPNENT AT THE REQUEST OF
TITL.E CO.
MID VA
Section 26-8.1 of.the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit. 1986 MR 12 M W. 50
86- 7750
The property described herein is adjacent to land or included
.LEANOR KBECKER
within an area zoned for agricultural purposes, and residents of t h i)LERK -RECORDER FEE
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited'Pages
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural.purposes, and residents within said zones and on
a:djacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
Lots 1 through 70 as shown on that certain Map entitled, "COPLEY ACRES SUBDIVISION UNIT NO.
311.
bate: -3-12--667
STATE OF CALIFORNIA
PROPERTY OWNERS:
�X,d4(- Alwl �e . .
COUNTY OF-----,PUtte _f "'
On—March 1.1, 1986 , before me, the undersigned, a Notary Public in and for
said State, personally appeared BUR MAR 'IN
known to me to be the pe rson whose name is subscribed to the within instrument as the A ttorney in Fact of
FRIEDA HART MARTIN
and acknowledged that he bscribed the name of
FRIEDA TIN OFFICIAL SEAL
DANIEL F. HUNT
NOTARY PUBLIC - CALIFORNIA
thereto as principal 4 . nd PRINCIPAL OFFICE IN
own name as Atto e i F ct. BUTTE COUNTY
My COMMISSION EXPIRES OCT. 1, 1996
WITNESS my ha d al s al.
Signature
DANIEL F. HUNT
Name (Typed or Printed) (This area for official notarial seal)
19_, before
lly appeared.
me on the basis
actory evidence.
subscribed to
t
contaifie'd.*.:"
and official seal.
Public
END OF
116
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
Per Building)
(One Forth
School Distri6t Building Department No.
A.P. Number' Jurisdiction CRY County
Property Owner
Property Location/Address
"t Lot No.
Subdivison
Residential Development Sq. Footage 42,=;�70
No. of Living MHI Addition (Proup R)
Units
Comm , ercial/Industrial
New Addition
A04
15`uildingbepartmient 560fisentative
Sq. Footage
(Including Exterior
Roofed Areas)
Date
(Floor Plans reviewed by School District Personnel)
District Identification No.'
School District certifies that
5,,(AjYpIicani)
A 6-9.
(Street Address) (Phone Number)
V
(City) 4.] (State) (Zip Code)
has complied with the requirements Resolution No. by payment of
representing square feet.
CX ZZ.5
Scho6l District Representative Date
Paid'by Check Number /, Remarks:
Bank Number V-Xo:��/ r t
Paid by Cash
If, subsequent to'the School District Representative s.igrfin—g this Butte�County Schools Impact Fee
Certification Form, the School District is notified by lhe�,,applicablelocal Planning Agency that this project
is being reviewed under the Calif�rnia Environmental Q,Uality� Act idEQA), this project may be subject to
additional school fees to fully mitigate its impact on thc�sch6ol,district's schools.
T,
White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92)
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
8/91
Bldg. Permit
OWNER A. P. # -3 � -
GENERAL Plan Checker
oning requirements: (sideyards and.number of permitted living units).
� V�_i'(-,luation.
'�a
lans signed by designer.
-�V. Proper description of work on application.
_�Existing violations on property.
--sheet. (W.C. , fees,�:Health'.;�.- e-ve-1-oper Fees "license - -law,:,etc).
D
Recorded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map,
ustible, and foundations).
FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record fort).
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec.
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
1205).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article
Light fixtures, switches, receptacles, and exterior receptacles
210-8).
for main-
-tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
or gas equipment. 4
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and
Smoke detectors (Sec. 1210).
clearance.
r.LUMDlng fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
O'Standard bracing or engineered deSi2n (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
�tud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
Spegial Inspection required.
building
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
A-�.� Stairway details: landings, rise and run, head clearance, handrails
Sec. 3306).
GGuardrail details (Sec. 1711 & 3306(j).
rick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
• Proper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
• Foam insulation - protection.
36" halls and stairways.
-4 Living area over garage complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
-16'.Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
31 -.'Attic access and ventilation (Sec. 3205).
U derfloor access and ventilation (Sec. 2516).
mbustion air for fuel burning appliances - L.P.G. requirements.
oise requirements on duplexes.
15. Energy design.
MT. F ashing at all exterior openings.
A f 2 7-. n
'Ol.-CDF responsible area requirements.
c? Cj
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4---�h XSla -+8+15/h COUNTY OF BUTTE
BUILDING DEPT
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-----------------------------------------------------------------------
MULTI-SPAN TIMBER BEAM DESIGN & ANALYSIS Page.-
------------------- ...... ------------- --------------
DESCRIPTION
---------------------------- :
--- Span 1 --:--Span 2 --:--Span 3 --:--Span 4 --:--Span 5--�--Span 6 --:--Span 7 --:--Span 8-:
ALL SPANS SIMPLE SUPPORT ?
H y/n
SPAN LENGTH ft:
10
12
12
END FIXITY.... Lef t
I
i
I I I I I I
Fix/Pin/Free = 2/1/0 Rt
I
I
I I 1 1 1 1
BRAN WIDTH ini
5.125
5.125
5.125
BEAR DEPTH in:
12.00
12.00
12.00
---- CALCULATED VALUES ---- :
-----------------------------------------------------------
----------------------------
F'b,- Modified Allow. psi:
2,400
2,400
2,400
fb - Actual psi:
798
1,065
1,065
F'v -,.Modified Allow. psi:
165.00
165.00
165.00
fv (actual) t 1.5 . psi:
90.20
94.06
110.69
Moment Left in -k:
-98.2
-131.0
Right in -k:
-98.2
-131.0
Max. Rom, Kid -Span in -k:
64.5
41;4:
96.9
I -Dist ft:
3'.87
5.68
7.28
Shears: Left k:
2.78
4.09
5.23
Right k:
-4.42
-4.55
-3.41
Reactions: Left: Dead k:
1.39
4.26
4.89
Live k:
1.39
4.26
- 4.89
Total k:
2.78
8.51
9.78
Rigbt:Dead k:
4.26
4.89
1.71
Live k:
4.26
4.89
1.71
Total k:
8.51
9.78
3.41
Max. Defl. @ Kid Span in:
-0.057
-0.030
-0.128
I -Dist f t :
4.33
_A. 60
6.72
------- DESIGN DATA -------
----------- ----------
----------
---------- ---------- ---------- ---------- ---------
Le: Unsupported Length ft
2
2
2
Fb - BASIC ALLOW. psi:
2,100
2.400
2,400
Fv - BASIC ALLOW. psi:
165.00
165.00
165.00 85.00 85.00 .85.00 85.00 85.00
8 . ksi:
1.,800
1 '800
1,800 1,800 1,800 �1 '800 1,800 1,800
LOAD DURATION FACTOR
1
.1
1 1.25 1.25 1,25 1.25 1.25
----- APPLIED LOADS -------
----------- ----------
----------
---------- ----------- ---------- ---------- ---------
USE LL THIS SPAN? Y/N:
I
I
I I I I i I
UNIFORM ...... DL plf:
360
360
360
LL plf:
360
360
360
PARTIAL ...... DL' - plf:
AL plf:
I -Left ft
I -Right f t
TRAP .... DL @ Left #/ft�
DL @ Right 1/ft:
LL @ Left - 1/ft:
LL @ Right #/ft:
I -Left f t
I -Right- f t
POINT ........ DL 1:
LL
X -Dist. ft:
DL
LL
X -Dist. f t
DL C
LL C
I -Dist. ft:
DL 1:
LL C
I -Dist. ft:
MOMENT ....... DL ft-#:
-------------------------------------------------------------------------
MU ' LTI-SPAN TIMBER BEAM DESIGN & ANALYSIS Page. <!SA
-- - ----------------------------------------------------------------------- f
DESCRIPTION )>
>> C4
--------------------------- :
--- S pan 1--: --Span'2--: --Span 3 --:--Span 4 --:--Span 57 -:--Span 6 --:--Span 7 --:--Span 8-:
ALL SPANS SIMPLE SUPPORT ?
N y/n
-
SPAN LENGTH ft;
8
13.5
4.75
END FIXITY . . . . Lef t :
I
I
I
Fix/Pin/Free : 2/1/0 Rt:
I
I
I
BE AN WIDTH in:
- 5 . 125
5. 1.25
5. 125
HEAR DEPTH in:
.12.00
12.00
12.00
---- CALCULATED VALUES ---- :
----------------------------------------------------------------------------------------
F'b - Modified Allow. ps.i:
2,400
2,400
2,400
fb - Actual psi:
935
935
890
Vv -Modified Allow. ps.i:
165.00
165.00
165.00
fv (actual) * 1.5 psi:
81.66
101.98
70.73
moment @ Left in-k�
-115.0
-109.4
a " Right in -k:
-115.0
-109.4
x ax. Kom. @. Kid -Span in -k:
23.6
84.6
0.0
I -Dist ft:
1.35
6.84
4.75
Shears: Left k:
i.68
4.89
3.63
Right k:
-4.08
-4.83
0.21
Reactions: Lef t : Dead k:
0.84
49
4. 23'
Live k:
0.84
4.49
4.23''
- Total k:
1.68
8.97
8.46
Right:Dead k:
4.49
4.23
-0.10
Live k:
4. 49.
4.23
-0.10
Total k:
8.97
8.16
-0.21
Max. Defl. @ Kid Span in:
0.009
-0.128
0.011
I -Dist ft;
6.51
6.75
1.81
------- DESIGN DATA -------
------ ----------
----------
---------- ---------- ---------- ---------- ---------
Le: Unsupported Length ft:
2
2
2
Fb - BASIC ALLOW. psi:
2,400
2,400
2,400
Fv - BASIC ALLOW. psi:
165.00
165.00
165.00 85.00 85.00 85.00 85.00 85.00
B ksi:
1,800
1,800
1,800 1,800 1'800 -1,800 1,800 1,800
LOAD DURATION FACTOR
I
1
1 1.25 1.25 1.25 1.25 1.25
----- APPLIED LOADS
----------- ----------
----------
---------- ---------- ---------- ---------- ---------
USE LL THIS SPAN? Y/81
I
I
I 1 1 1 1 1
UNIFORM ...... DL plf
360
360
360
LL Of
360
360
360
PARTIAL ...... DL plf:
LL Of
I -Left f t
I -Right ft:
TRAP .... DL @ Left 1/ft:
DL @ Right #/ft
LL @ Left #/ft:
LL @ Right 1/ft:
I -Left f t
I -Right ft�
POINT ........ DL 1:
LL I:
I -Dist. ft:
DL 1:
LL C
I -Dist. ft;
DL 1:
LL
I -Dist. ft:
DL
LL
I -Dist. f t
MOMENT ....... DL ft -1:
-------------------------
I -----------------------
---------------------
SQUARE FOOTING DESIGN
P age
-- --------------------------
DESCRIPTION >>
------------------------
>>
---- LOADING DATA ---- : --------
------- --------
------- ------
DEAD LOAD kl
4 * 49
7.89
LIVE to k:
4.49
7.89
SHORT TERM k:
SEISMIC ZONE (O=wind):
OVERBURDEN WT psf:
COMBINE LL+ST? y -/n:
Y
Y Y Y
Y Y
---- FOOTING DATA ----
LENGTH & WIDTH ft:
2.5
3
THICKNESS in:
18
18
OF BARS
5
5
BAR SIZE C
4
4
COLUMN SIZE in:
5.5
5.5
Vc psi:
2,500
2,-500 3,000 3,000
3,000 3,000
Fy psi:
40,000
40,000 60,000 60,000
60,000 60,000
BAR COVER in:
3.25
3.25 3 3
3 3
CONCRETE WT.' pcf.,
145
145 145 145
145 145
----- SOIL DATA ------
BASIC ALLOW. SP, psf:
1,500
1,500
SHORT TERM MULT.
1
1 1.33 1.33
1.33 1.33
DEPTH BELOW SOIL ft:
1
1
INCREASES ......
PER FT DEPTH psf:
300
300
WHEN BELOW .... ft:
1
1
PER FT WIDTH psf:
300
300
WHEN WIDER .... ft:
1
1
CALCULATED FORCES -: -------
------- ------- -------
------- -------
Max. Static SP psf:"'--1,654
1,971
Allow Static psf:
1,950
2,100
Max. Short SP psf:
1,654
1,971
Allow Short Term psf:
1,950
2,100
One Way: Allow psi�,,--
100.00
100.00
Vu/phi psi:
-2.41
1.28
Two Way: Allow psi!
200.00
200.00
Vu/phi psi:
8.91
19.07
Mn k-ft/ft:
18.91
15.82
Mu/phi: Actual
1.47
2.71
---- REINFORCING ----- --------
------- ------- --------
------- -------
Actual Bar Depth in:
14.50
14.50 14.50 14.50
14.50 14.50
MIN ALLOW. % STEEL
0.0014
0.0014 0.0014 0.0014
0.0014 0.0014
200 / FY %
0.0050
0.0050
Req'd Per Analysis
0-.0002
0.0003
USE ....... %
0.0014
0.0014
In^2 Req'd per Foot
0.244
0.244
Total Req'd in -2:
0.609
0.731
--- REBAR CHOICES -------- ------- ------- --------
------- -------
Quantity of: #4
4
5
#5
3
3
#6
2
3
#7
2
2
#8
2
2
#9
2
2
#10
1
2
---------------------- --------- ------- ------- -------- ------- -------
-------------------------
DEFAULT ACI LOAD FACTORS ---------------------
ACI 9-1 & 9-2 DL =
1.40
ACI 9-2 Group Factor 0.75
ACI 9-1 & 9-2 LL =
1.70
ACI 9-� Dead Load Fact b.90
ACI 9-1 & 9-2 ST
1.70
ACI 9-3 Short Term 1.30
.... Seismic = ST
1.10
UBC 2625(c,)4 "1.4"
Factor 1.40
..... .....
A N D C N 7 U
R A L \/V E A T H A 2
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916).538-2140
Michael Mooney DATE: October 15, 1993
5 Madrone Ave., Suite B
Oroville, CA 95966 RE: Lateral Design
Dear Mr. Mooney: A.P: 036-800�055 B.P.# 93-3194
With reference to the above subject, attached is:
FXX] Plan check list
Red marked calculations
Red marked plans
Other:
ACTION REQUIRED:
gXX]:' Comply with plan check list
gXX] Resubmit plans with revisions as required
Resubmit calculations with revisions as required.
Remarks:
If you should have any questions, please call (916) 538-7541 , between 3:00 & 5:00.
cc: Frieda Martin Very truly yours,
ahn �enr�y���--
Plan Check Engineer
,t;;.Permit Applicant: Frieda Martin D a t e 10/15/93
Permit # 93-3194
The above referenced building plans were reviewed bly this office.
Provide additional information and/or make appropriate revisions
to plans, s e cations, and calculations as follows:
/10 U' c
%Pf/ - 3 or— Coof 6 C &ar
O/V" 0
All engineering requirements are to be shown on the plans or on stamped and
el
signed detail sheets.
Provide shear transfer details showing connection of roof diaphragm to walls.
Provide details showing drag -connections required along roof boundary to shear
walls.
Engineer to analyze holdown anchor bolt capacity due to proximity to corner,
or specify a holdown with a listed capacity.
MICHAEL MOONEY
CIVIL ENGINEER
RCE 20647
Butte County ...October 20, 1993
Building Division
7 County Center Drive-
Oroville, CA 95965
Re: B.P.. # 93-3194
Frieda Martin
Attn. John R. Henry
Responding to request for correction/addit-ions for the above named
project.
Detail E/2 was added in response to Item 2, Detail B/2 was revised
in response to Item 3, and Detail B/1 was added for Item 4.
Anchor bolt values from Simpson Catalog C -91H -1 are included.
.Thank you for your consideration.
Yours,
Michael Mooney
5A Madrone Avenue
Oroville, CA 95966
4
0
Anchor Spacing
MINIMUM3
CONCRETE
STRENGTH (psi)
ANCHOR MAXIMUM 1.5.6,71
ALLOWABLE TENS111) 11,11 '' 1) 1111
A I B C an d E:
b
DIMENSIONS
d4 S1
ZleMINIMUMFOR
12
R,
ANCHORS ACTING IN
REBAR
TYPICAL
dc
TENSION ATTHE
— 1
6
SAME TIME.
4 1
—
IeMINIMUMTOEND
N ANCHOR
12
OF CONCRETE.
Typical
Holdown Anchorage
6
13/41 3 1 —
CONCRETE R SURFACE
%
.J
e e e e
4
V.-
.4-)
d
C AANDD B
- ----------
J-BOLT L -BOLT HEX HEAD THREADED
*3d for . **12d for Anchor 0 BOLT ROD WITH
p to 11' Anchor 4d for Anchor A TWO NUTS
d for I 'W *3d—Anchor 0 up to l' AND
and 11/4'Anchor 4d —Anchor 0 over 1' WASHER
Anchor A Must Be Bent Without
_RR OF Cracking on the Outside of Bond Portion
1.
NCHOR
AND
NALLER
TEST
ECTION
Ireaded
Shown;
Similar
HDANDHOLDOWN
ANCHORAGE DESIGN
In a continued effort to provide current and accurate wood
connection information, we have completed testing on a wide range
of concrete anchors. The anchorage configurations are designed to
be made by others and used with Simpson Strong -Tie holdowns.
Match the anchor diameter of the holdown with the appropriate
configuration on this page. (To locate manufacturers of anchors for
use with existing concrete, contact code authorities.)
This information is provided so you can compare options and
select a concrete anchor that best suits your needs. THE DESIGN
ENGINEER FOR THE JOB MAY SPECIFY AN ALTERNATE
ANCHORAGE SYSTEM PROVIDED THE ANCHOR DIAMETER
IS THE SAME.
Five basic anchor types are listed in the table: three hooked,
smooth rods; one standard hex head bolt; and one straight
threaded rod with two nuts and a washer (see illustrations). Anchor
types C, D, and E are ICBO listed (report nos. 1211 and 4448).
Anchor types A and B are the result of extensive tests and
analysis at the Simpson facility witnessed by a code certified
independent testing agency. Test assemblies were constructed to
simulate continuous concrete foundations to determine the pullout
strength of the anchor only. For each configuration, one fourth of
the average of five ultimate loads is shown in the table.
This information must be used in conjunction with other sound
engineering principles to develop a complete structural system.
ANCHOR
DIA
MINIMUM2 MINIMUM
EMBEDMENT END DISTANCE
to dc
MINIMUM3
CONCRETE
STRENGTH (psi)
ANCHOR MAXIMUM 1.5.6,71
ALLOWABLE TENS111) 11,11 '' 1) 1111
A I B C an d E:
b
DIMENSIONS
d4 S1
12
R,
2500
REBAR
TYPICAL
3975
o'
— 1
6
OKA
4 1
—
STANDARD
WIDE
N ANCHOR
12
2500
ER TEST
SECTION
6
13/41 3 1 —
Threaded
—
S
Rod Shown;
L Similar
1.
NCHOR
AND
NALLER
TEST
ECTION
Ireaded
Shown;
Similar
HDANDHOLDOWN
ANCHORAGE DESIGN
In a continued effort to provide current and accurate wood
connection information, we have completed testing on a wide range
of concrete anchors. The anchorage configurations are designed to
be made by others and used with Simpson Strong -Tie holdowns.
Match the anchor diameter of the holdown with the appropriate
configuration on this page. (To locate manufacturers of anchors for
use with existing concrete, contact code authorities.)
This information is provided so you can compare options and
select a concrete anchor that best suits your needs. THE DESIGN
ENGINEER FOR THE JOB MAY SPECIFY AN ALTERNATE
ANCHORAGE SYSTEM PROVIDED THE ANCHOR DIAMETER
IS THE SAME.
Five basic anchor types are listed in the table: three hooked,
smooth rods; one standard hex head bolt; and one straight
threaded rod with two nuts and a washer (see illustrations). Anchor
types C, D, and E are ICBO listed (report nos. 1211 and 4448).
Anchor types A and B are the result of extensive tests and
analysis at the Simpson facility witnessed by a code certified
independent testing agency. Test assemblies were constructed to
simulate continuous concrete foundations to determine the pullout
strength of the anchor only. For each configuration, one fourth of
the average of five ultimate loads is shown in the table.
This information must be used in conjunction with other sound
engineering principles to develop a complete structural system.
ANCHOR
DIA
MINIMUM2 MINIMUM
EMBEDMENT END DISTANCE
to dc
MINIMUM3
CONCRETE
STRENGTH (psi)
ANCHOR MAXIMUM 1.5.6,71
ALLOWABLE TENS111) 11,11 '' 1) 1111
A I B C an d E:
b
DIMENSIONS
d4 S1
12
5
2500
3055
3975
— 1
6
113/41 3 1 — 1
4 1
—
12
12
2500
4690
—
6
13/41 3 1 —
4 1
—
9
9
3000
—
—
3315
6
1 7/h — I —
—
12
12
1 2000
1 —
3315
—
17/8 —
—
5
2500
4085
4180
—
—
6
r6
13/4 31
4
3/4
4
14
2500
4745
5700
—
—
6
13/4 3 —
4
�4
1
—
11
3000
—
—
—
4770
6
2 3/a
4
14_
2000
—
4770
6
23/b
15
5
2500
1
1 58162
1 1
1
112/41 1 i
44
1
15
1
5900
6— 0
4
8
1,/4 4
15
1 g5
20206
0
1
1 — 1
6080 1
6
123/41 — 1
15
15
2000
1 —
1 6080 1
— 1
6
123/41 — I
20
5
2500
7950
8425
1 —
— 1
10
113/4131/2 6 iA21
4 1
151
20
20
2500
9700
101001
—
— 1
10
113/4 31/� 61/21
4 1
15
11/8
30
5
2500
—
113M-
—
—
10 123/4 31/2 6 1A21
4
15
30
30
2500
—
142a1O0
—
10 23/4 31/2 61/2
4
15
15
15
3000
—
—
15550
6
23/4 — —
—
30
30
2000
15550
—
6
23/4 — —
—
20
1 3000
—
17500
6
23/4 — —
—
Ll 1/4
?@ 1
2?2
1 2000
15040
—
6
23/4 — —
—
1 30 1
30
1 __Z2_0OU0___�
17500
—
6
23/4 — —
—
1 . Loads may not be Increased for short-term loading.
2. Anchor embedment length is based on a single -pour concrete
foundation. Double -pour foundation systems, masonry walls,
and masonry footings must be evaluated by the designer.
3. Concrete compression strength is the minimum allowed for the
anchor load. No special inspection is required for foundation
concrete when the structural design is based on a strength no
greater than 2500.gW (1988 Uniform Building Code section 306[all).
4. Concrete edge distance it. is for concrete exposed to earth or
weather; for concrete cast against and permanently exposed to
earth, de = 3" plus halt the anchor diameter.
5. Anchor bolt E must be ASTM A307 or better. All others must be
A36 steel or better.
6. The configurations in the illustrations are the minimum to develop
the load given for anchors A and B. Refer to the code for other
minimum desip,64� criteria.
7. Test data for I diameter anchors were not available at time
of printing.
RP6RETRO
PLATE
Heavy steel plate fits on the outside Or masonry buildings
sl N
So and helps tie the walls to the roof or floor structure with
6 a 3/4" diameter bolt.
MATERIAL: Ve" steel
D,
e FINISH: Simpson gray paint
nical RP6
RP6 installation INSTALLATION: Use a 3/4" diameter rod
6' -�
OPTIONS AVAILABLE: Hot -dipped galvanized; specify HDG.
10 0 Copyright 1991 SIMPSON STRONG -TIE COMPANY, INC.
Point System Summary: Climate Zone 11
1. Ceiling Insulation R3 r or .
-v ue 1381 U -value (0.0261
2. Wall Insulation 11 or
- R -value 1191 u -value (0.0651
3. Raised Floor Insulation or
R -value 1191 U -value 10.0371
Point Scores
4. Slab Edge Insulation or
R -value 101 F2 factor 10.751
5. Infiltration , Any Ducts in Unconditioned Space? ( Y / N) (Y]
6. Fenestration Heat -.Loss /� • 7 f 3 3
t', Type U value 10.651 Tow % Fenes. [161 sum 1.6
7
Fenestration Heat Gala
Number of stones
43
% Fenestration
SCshade open
Eff. % Fenes.
North .r r x
, %
-74
East ��_ x
Duct Effie. 11 story:
=
South .5 •O X
0.83: 2+�sto : 0.881
or HSPF
_
West d. S x
{
-1
Skylight
Effective SEER
Overhangs? (Y / N )
0
2. Wall
8: Interior Thermal Mass
Number of stones
or
R -value
% Exp. Stab (201
Int Mas31CFA
9. Exterior Wall Mass
10. Heating System
11. Cooling System
12. Water'Heating
System 1
Heater Type
(51,3501
Shade Eff. Ratio
Est Wall Mass
Number of stones
43
R -value
One
Two
/
x
-74
AFU or HSPF
Duct Effie. 11 story:
Effective AFUE
rr 6.81
(78%
0.83: 2+�sto : 0.881
or HSPF
(
{
-1
SEER 110.01
Duct Effie 11 story:
Effective SEER
0.81: 2+ story: 0.871
Energy Factor Ext Ins. R -value Auxiliary Input
(0.531 1121 INonel
0 -
Sum 77-9
Zonal Control
Adjustment 101 O
ZonaGConttd
Adjustment 101
Dismbucon
ISTD]
-b�
System 2
Heater Type (Novel Energy Factor Est Ins. R -value Auxtiiary input Distribution
1. Ceiling Insulation
,rR-0
Number of stones
43
R -value
One
Two
Thiee.-
R-0
-74
.48 ..
-27,,
R-19
-5
-4
-2..
R-30
•1
-1
0
R-38
0
0
0
2. Wall
Insulation
Number of stones
tt.
R -value
Singw
Single.
R-0
-14 -9
Family
Family
Mul4i-
•1
R-19
0 0
0
,rR-0
�.,.,-72 •57
43
R -11'r
11.71. - -6
-4
R -i 3 •5
' •4
-3
R-15
, -
%wr -4 -3
.2
R=19
0 ' " 0
0
R-21 �`
1 1
1
3. Raised
Floor Insulation -
16%
-4
Instllation in Floor
. f
.1
Number of stones
tt.
R -value
One Two
Three
R-0
-14 -9
-5
R-11
-3 •2
•1
R-19
0 0
0
R-30
2 1
-3
7. Fenestration Heat Gain (based on Shade Effectiveness Retool
Eff North East South Wast
% .87 .67 .52 51 .87 .67 .52 .51 .87 .67 32 .51 .87 .67 .52
Fen- or to to or or to to or or to to or orto to
estra- more .86 .66 less more .86 .66 less more .86 .66 less more .86. .66
ton
*"W.,
.51 67 .66
or, .or or
less more less
189.
-5
.4 -3
-2
-21
-20
-15
-12
•26
-23
-16
-12
•36
; 32
-23
-16
•75
•31
16%
-4
-4
.2
.1
-18
-16
.13
•10
.21
.19
.13
•9
•31
•27
•19
-14
-65
d4
14%
-4
-3
.2
.1.
-14
-13
.11
-8
.16
.14
.10
•7
•26
-23
-16
-11
•55
-38
12%
•3
•2
.1
-1
-11
-10
-8
-6
-12
.10
-7
-4
•21
.18
.13
-8
46
.31
11%
-2
-2
.1
0
-10
-9
-7
•6
•10
-8
-5
-3
-19
-16
•11.
-7
-41
•28
10%
-2
-2
-1
0
-8
-8
6
.5
4;
.7
-4
•2
.16
-14
-9
-6
•37
-25
9%
'-2
-1
.1
0
-7
-7
-5
.4
•6
.5
.3
-1
-14
.-12
-8
-5
-32
-22
_ 89.
-1
-1
-1
0
-6
-5
-4
-4
.4
.4
-2
6
-11
•10
6
-4
-28
-19
79.
-1
-1
0
0
-5
-4
-4
•3
-3
-3
-1
0
.10
-0
:5
-3
-24
-11
✓
6%-.
-1
-1
0
0
-4
-4
-3
•2
-2
-2
-1
0
-8
-7
-4
•2
-20
-14
5%
-1
0
0
0
-3
-3
•2
-2
•2
-1
0
0
4
-5
•3
-1
-16
•12
4%
0
0
0
0
-2
-2
-1
•1
•1
•1
0
1
-4
-4
-2
0
-12
-10
3%
0
0
0
0
-1
•1
-1
0
0
0
0
1
-2
-2
0
1
•9
-7
2%
0
0
0
1
0
0
0
0
0
0
1
1
0.
0..
1
2
-6
-s
1%
1
1
1
1
1
1
1
1
0
0
0
O
1
1
2
2,
-3
•2
0%
1
1
1
1
1
1
1
1
0
0
0
0
3
3
3
• 3
0
0
Pont Total: �I
4. Slab Edge Insulation
Numoer of Stones
R -value One Two Three
R 0 0 0 0 S. Infiltration (Duct Air Leakage)
R-5 6 4 2 Duas In Unconditioned Space 0
R-7 7 4 2 No Ducts in Uncortdltroned Soace 3
6. Fenestration Heat Loss 1.
Total 1.31
Percent or
nestranon`more
1.21 1.11
to to
130 -1.20
1.01
to .
1.10-1:00
.91
to
.81
-to
90
.76
to
.80 •.75-=rf70�
U-vdue
.71 .66 .61
to to to
65•-'x`60
.56
to
.51 .46 .41 .36 .35
to to to to or
--55- 50. 45...40 --Mess-
509.
'--100
-76
69
-62
•55
48
•cit
•38
-34
•31
-27
-24
' -20
-17 _-13
-10
409.
•77
-58
-52
-47
-41
-36
-30
-27
-25
•22
-19
.-16
-.13
•11 .•
•8
•5
35%
66
-9
-14
-39
-34
.29
-25
-22
.20
.17
-15
12 �
- -10
.7 -
-5
.3
30%
-54
40
-36
•31
•27
•23
•19
•17
.15
.13
-11
6
6
•4
.2
0
28%
-50
-36
-32
-28
•25
-21
-17
-15
-13
-11
-9
•7-
•5
•3
-1
1
269.
-45
-33
-29
-25
-22
-18
-14
-13
-11
.9
•7
.5
.4
-2
0
2
24%
-41
•29
•26
-22
-19
-16
-12
•11
-9
•7
6
-t
-2
•1
1
3
229.
-36
•25
•22
-19
-16
•13
-10
-8
-7
-5
-4
-2
•1
1
2
4
20%
-31
•22
•19
-16
-13
-11
6
-6
.5
.4
•2
-1
1
2
3
5
18%
•27
•18
-16
-13- •11
-8
6
-t
-3
-2.,
-1
1
2
3
. 4
6
16%
•22
-14
-12
--10'
•8
6
-3 `
.2
-1
•• 0'
- -1
2
3-
"4
6
7
14%
-18
-11
-9
-7
-5
-3
-1
0
1
2
3
4
5
6
7
8
12%
-13
-7
6
•4
-2
-1
1
2
3
4
4
5
6
7
8
9
1011.
-8
-t
-2
-1
1
2
3
4
5
5
6
7
8
8
9
10
81.
4
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
8. Interior Thermal Mass
` Exterior
4 Single.
Method A
(Slob -on -grade Construction Only)
Percent
One
Family
Two
Mass
Three
Excwed
Ston
0.00
Stories
0
Stories
0
3
-3
2
.2
7
-1
10
0.60
-2
8
.1
0.80
.1
20
7
0
14
0
9
0
30
13
1
1.40
1
14
1
40
21
3
13
2
23
1
50
200
4
19
3
85%
2
60
4
5
2
3
1
2
70
7.6 8
6
5
4
3
2
80
8.3
8
9
5
5
3
90
100%
9
8.5 13
6
9
3
100
2
10
-1
6
4
0.68
(AFUE or HSPF x duct efficiency)
Method
B
3
Eff SEER
Int
of 16
Slab Floor
Raised Floor
Mass
Split
Stories
-24
-14
Stories
/CFA
One
Two
Thrie
One
Two Three
0.0
-11
-8
-6
.1
-1
0
0.1
-10
-7
-6.
0
0
0
0.3
-9
6
-5
1
1
1
0.5
-8
-5
-4
2
2
2
1.0
-6
-3
.1
4
4
5
1.5
-4
-1
1
6
6
6
20
-2
2
4
8
8
8
25
1
3
5
9
9
9
3.0 .
3
1
5
11
10
10
4.0
4
6
7
13
13
13
5.0
4
6
8
14
14
14
5.0
5
7
9
15
15
15
.7.0
7
8
10
16
16
16
to
8
9
11
18
17
17
9. Exterior Wall Thermal Mass -
` Exterior
4 Single.
Siegle- '
- MWti
Wall
Family
Family
Family
Mass
Detaated
Atmcited
•25
0.00
0
0
0
0.20
3
3
2
0.40
7
5
4
0.60
9
8
6
0.80
12
10
7
1.00
14
12
9
1.20
17
13
10
1.40
18
14
11
1.60
21
17
13
1.80
23
18
14
200
24
19
14
10. Heating•System
leas
1000
WaterHemigthan
Subtotal
to
Pott Score
Hooses With Ducts (R-42)
11. Cooling
System
47
.5
•25
-14
Sum
of 1.6
With Ducts
(R-4.2)
Gas
Spirt
Pkg -25
-24
-14
-4
+6
16
AFUE
HP
HP or
to
to
to
to
or
-
HSPF HSPF less
-15
-5
+5
+15
more
78%
6.8
6.6 - 0
0
0
0
0
0
809.
7.0
6.8 1
1
1
1.
0
0
85%
7.4
7.2. 5
4
3
2
2
1
90%
7.8
7.6 8
7
5
4
3
1
95%
8.3
8.0 11
9
7
5
4
2
100%
8.7
8.5 13
11
9
7
4
2
-5
-1
Effective AFUE or HSPF
0.68
(AFUE or HSPF x duct efficiency)
(SEER z duct efficiency)
Effective
3
Eff SEER
Sum
of 16
0.87
Sum
Gas
Split
Pkg -25
-24
-14
.4
+6
16
AFUE
HP
HP or
to
to
to
to
or
+S
HSPF HW less
-15
-5
+5
+15 mons
One Story House
5.0
4.9
-29
33%
29
28 -62-
-53
-cid
-34
-25
-16
409.
3.5
3.4 -40
-34
•28
-22
-16
-10
50%
4.4
4.2 -19
-16
-13
-10
-7
-5
60%
5.2
5.1 -4
-4
-3
-2
-2
-1
64%
5.6
5.4 0
0
0
0
0
0
709.
6.1
5.9 6
5
4
3
2
1
80%
7.0
6.8 13
11
9
7
5
3
90%
7.8
7.6 19
16
13
11
8
5
100%
8.7
8.5 24
20
17
13
10
6
Two or
Three Story House
6
3
0
14.0
33%
29
28 -69
-S8
-48
-37
-26
-15
40%
3.5
3.4 -46
-39
-32
-24
-17
-10
50%
4.4
4.2 -24
-20
-16
-13
-9
-5
609.
5.2
5.1 -9
-8
-6
.5
-3
-2
69%
6.0
5.8 0
0
0
0
0
0
70%
6.1
5.9 1
1
1
1
0
0
-4
-3
-2
•1
6
5
3
2
-90%.."7:8-'7.6,5-t3.-10
0
0
0
0
100%
8.7
8.5 20
17
14
11
8
4
0
10.0
Zonal Control Adjustment
6
5
System
Type
1
0
11.0
10.7
10
8
Resistance
6
4
3
2
1
0
Other
7
3
3
2
1
1
0
I
House Slee Adjustment
Hours Size (ft )
Sutxotal
leas
1000
WaterHemigthan
Subtotal
to
Pott Score
1000
11. Cooling
System
47
.5
•25
-14
.4
Houses
With Ducts
(R-4.2)
-15
SEER
.3
-10
Sum of 7-9 •
.2.
.5
Spirt
Pckg
-25 or
-24 to
-1410
-4'10
+6 to
16 or -
AC
AC
less
-15
S
- +5 '
X15
mora
10.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
120
11.6
8
6
5
3
1
0.
13.0
126
11
9
6
4
2
0
14.0
13.6
13
11 .
8
5
2
0
15.0
14.6
16
12
9
6
2
0
-5
-1
.' Effective SEER
0.68
7
(SEER z duct efficiency)
.
3
Eff SEER
SE
All
0.87
Sum
of 7.9
-01
.32
Spit
Pckg
-25 or
-24 to
.14 to
-4 to
+6 to
16 or
AC
AC
less
-15
-5
+S
.15
more
One Story House
5.0
4.9
-29
•23
-17
-11
-4
0
6.0
5.8
-16
-13
-9
6
-2
0
7.0
6.8
-7
-6
-4
-3
•1
0 .
8.0
7.8
-1
0
0
0
0
0
&1
7.9
0
0
0
0
0
0
9.0
8.7'
5
4
3
2
1
0
10.0
9.7
9
7
5
3
1
0
11.0
10.7
12
10
7
4
2
0
120
11.6
15
12
9
6
2
0
13.0
126
18
14
10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.0
14.6
22
17
12
8
3
0
Two or
Three
Story House
5.0
4.9
-35
-27
-20
-13
-5
0
6.0
5.8
-21
-17
•12
6
-3
0
7.0
6.8
-11
A
-7
-4
.2
0
8.0
7.8
-4
-3
-2
•1
.1
0
8.7
8.4
0
0
0
0
0
0
9.0
8.7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
4
1
0
120
11.6
13
10
7
5
2
0
13.0126
16
12
9
6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
20
16
11-
7
3
0
I
House Slee Adjustment
Hours Size (ft )
Sutxotal
leas
1000
WaterHemigthan
Subtotal
to
Pott Score
1000
1499
-30
47
.5
•25
-14
.4
-20
-11
.3
-15
-9
.3
-10
-0
.2.
.5
-3
.1
0
0
0
5
1
1
to
6
2
t3
9
3
20
11
3
25'
14
4
House Size Adjustment
House sae (1t-)
Subtotal
15M
mop
Water Heating
to
or
Pott Score
19M
more
-90
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
13
0
1
20
0
-2
25
0
-2
Zonal Control Adjustment
0.38
•.
1
All 6
5 4
2 1
0
Number ci Water Hmem
0.68
12. Water Heating
9
7
-4
1
8
Water Heater Tvoe One TWO
SE
One Water Heater - No Ancillary Ctsdlts
0.87
•22
.14
-19
46
-33
Olatneiaion syatam2
SGSO .2 .5
. am
-16
.7
Reoic Svnutn
Water
t lIflnu s
Enrgy
STD
HWR Pipe
NO
Timer Demo
Hewer Tvosl
7cm
Fac,
POU Insuf
Cut
SE •5 -0
1E
scam
Aa
0-31
0
3 1
-0
-5
0
HP -2 .4
HP
0.63
5
8 6
-4
0.
S
-6
0
0.73
8
11 9
0
4
8
SG75
At
0.48
-2
1 -1
-12
-7
-2
038
3
6 5
-5
-1
4 •
0.68
7
10 8
-1
3
7 _
SE
All
0.87
-20
-12 -17
-01
.32
-19
0.99
-17
-0 -13
38
-26
-16
,IG'.
Aa.
080-
2-
,S• 3
MP
6.11,11,13
180
4
7 S
S
-1
4
Two Coater Realm -No AUZMary Cradles
SGw
All
am
-7
.4 -6
-17
-12
-7
0.63
1
S 3
a
•4
1
0.73
6
10 8
-2
2
7
SG75
All
0.48
-12
-4 ,11
-22 ,
-17
-12
Adjustment for No Tank Insulation
0.38
•.
1
0
-11
-0
-1
Number ci Water Hmem
0.68
6
9
7
-4
1
8
Water Heater Tvoe One TWO
SE
All
0.87
•22
.14
-19
46
-33
-22
SGSO .2 .5
. am
-16
.7
-12
-39
-28
-15
SG -IS -3 -6
1G
AN
0.80
.4
•1
.3
SE •5 -0
1E
AC
0.93
-21
-12
HP -2 .4
HP
6-11.13.15
1.80
•1
3
1
t0
-6
0
'/'Mandatory Measures Checklist: Residential t MF -1 R
li
NOTE: Lownse residential buildings subject to the Standards must contain these measures rega'-dless of the compliance
approach used. Items marked with an asterisk (') may be superseded by mordPstringent (�ompliance 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 DESIGNER ENFORCEMENT
Building Envelope Measures
• §150(a): Minimum R-19 ceiling insulation.
§I50(b): Loose fill insulation manufacturer's labeled R -Value.
• §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
• §150(d): Minimum R•13 raised floor insulation in framed floors; minimum R-8 in concrete rased floors.
§150(1): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no
greater than 2.0 pemvinch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116.17: Fenestration Products, Exterior Doors and InfiltratioNExfiltration Controls
a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified 1.1 -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a Closeable metal or glass door
b. Outside air intake with damper and control
j c. Flue damper and control
l 2. No continuous burning gas pilots allowed.
Space Conditioning, water Heating and Plumbing System Measures
§110.13: HVAC equipment. water heaters, showerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§150(j): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined intenonextenor insulation (R•16 or greater).
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (8-4 or greater).
3. All buried or exposed Piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
S. Piping insulated between heating source and indirect hot water tank
• §150(m): Ducts and Fans
1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: duan insulated
to a minimum installed value of 8-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems nave badkdrah or automatic dampers
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible.
manually operated campers..
§114: Pool and Spa Heating Systems and Equipment
1. System is cerdfiea vnth 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no electric resistance neanno and no pilot light.
2. System is installed with:
a. At least 36' cipe oetween filter and heater for future solar healing.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has d rection inlets ano a circulation Pump lime switch.
§115: Gas-iireo centra: furnace, pool heater, spa neater or household cooking appliance have no
continuously burins piiot light. (Exception: Non-efecrncal cooking appliance with pilot < 150 Btwtu.)
Lighting Measures
§150(k): 40 lumenswag or greater for general lighting in kitchens and rooms with water closets: and
recessed cedino fixtures iC iinsufation covers approved.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to compty'with Title 24, Parts 1 and 6; of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special FeattuesJRemarks section.
Designer or Owner (oii 91Jalnew a Protmalons code) Documentation Author.
Name: Name:
Tide/Firm: Tide/Firm:
Address: Address: '
i
Certificate of Compliance: Residential Climate Zone 11
Proiect nue
PreJect Address
Documentation Author Telephone
BUILDING DATA
Conditioned Floor Area as 7v Number of Stories
Sla%li'sed Floor Number of .Units
Single Family Detached (SFD) (] Addition -Alone
(] Single Family Attached (SFA) (] Existing Building
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition
B UIIMING SHELL INSULATION
Component Insulation , LocatforVC.omme:xts
Roof.............
Roof ..........».
Wall ..............
Wall..........
Floor .............
Floor ............. .
Slab Edge ....:
FENESTRATION
_.Fenestration Area
Building Permit If
Checked By/ Date
Etforoettent Aiteaey Use Only
Shading Devices
Type Interior . Exterior Overhang Framing Type .
Norrh
Are %
North
North ( )
East
.� •? 3
South
Location Duct
West
East ( )
Skylight
(�
Total,
at — • y- �� ',Z
Shading Devices
Type Interior . Exterior Overhang Framing Type .
Norrh
hiinimum
North ( )
Duct
Type (furnace, air
East ( )
Location Duct
conditioner. hent Dump)
East ( )
(attic, etc.) R -Value Th`eer](/m.osta���t Tyne
South
SOULh ( )
West ( )
West ( )
Skylight.......
---
THERMAL (MASS
'
Type/Covering
Area Thickness
(slab/exposed. tile.
etc.)
(SO (inches) L ocation/DescriOGOn (kitchen bath. etc.)
Telephone: Telephone:
Lir. s:
IiOT WATER SYSTEMS Tank
(signature) (date) (signature) (date)
Svstem T (storage as. etc.) Capacity Number
Enforcement Agency
Name:
Title:
Agency: SPECIAL FEATURES/REMARKS
Te)epnone:
(signarurerstamp) Coate)
Heat Pump
hiinimum
IiVAC SYSTEMS
Duct
Type (furnace, air
Efficiency
Location Duct
conditioner. hent Dump)
CAFUE, SEERASPF)
(attic, etc.) R -Value Th`eer](/m.osta���t Tyne
Telephone: Telephone:
Lir. s:
IiOT WATER SYSTEMS Tank
(signature) (date) (signature) (date)
Svstem T (storage as. etc.) Capacity Number
Enforcement Agency
Name:
Title:
Agency: SPECIAL FEATURES/REMARKS
Te)epnone:
(signarurerstamp) Coate)
Heat Pump