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.NOTES RESIbEiNTIAL
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036-8001 �.9 .04-549i
-PERMIT NO. KR�&,N[Plf j
Z�KIETq
37.2 CRANE,OROVILLE,
C6t: ADONIS POOLS.
NEW POOL (GUNITE)
t
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIF�Y
USE PERM IT,CON DITIONS
SUB -STANDARD HOUSING LETTER
-65
JOB FINALED (Date)
Signature
0 = No, OK
- = NolApplicable
. = Not Ready
Card B-1 Date Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #Is
1'/' .
&ffEl�iompaction-Structure
z�o�ol
1 .
Zoning Requ irements-Setbacks- Easements
Elec.; Receptacles and Lighting, Distance-GFI
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
4.
Water; Location -Test- Easement Needed (Sketch)
9.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Cir. Test -Water Supply Test
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ P' L "ft./ 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 #s
1 .
Zoning Requ irements-Setbacks- Easements
2.
Footings; Size -Spacing- Marriage Line
3.
Gas; MH Test- Demand -Valve -Con nector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test- Reg ulator-Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1 .
Zoning Req uirements-Setbacks- Easements
2.
Footings; Size -Spacing- Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10. License Decals
11. Verify #'s 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 Requ irements-Setbacks- Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks, Girders and/or Joists- Decking- Braci ng -Stairs- Rai Is
4. Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg- Frg -Bracing
5. Alum. Awn.; Col u m ns-Connections-Spl ice- Decal-Enclosu res
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 13-1, Date Card B-1
Date POOL ans) OK except #s
1'/' .
&ffEl�iompaction-Structure
z�o�ol
etbaoks- Easements
Stability
Structure7 Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards- Ins. to Main Conduit
9.
Health Department Approval
10.
Cir. Test -Water Supply Test
Date Card B-1 11,oJ Date Card B-1
Date 7 Card B-1 ' Date Card B-1
/L� tluj_L_� '*
4 =. OK
0 = Noi OK
- = NotApplicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1 .
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
6.
Sternwalls, Garage; Steel- Blockouts-Wrapped
Garage Fire Protection Framing -RC Channel
6a.
Hold Downs and Special Anchors
Property Line Firewall & Openings
7.
Slab, Steel -Wrapped
Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
8.
Piers -Fireplace Ftg.-Steel
Stairs; Width- Headroom- R ise- Ru n- Land i ng- Fire Protection
9.
DW.V; Fall- Fitting -Test -2 Way C/0 -Sewer Test
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Siding -Nailing Veneer
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
12. E,ectric Underground
59.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
60.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
61.
15.
Access & Ventilation
62.
16.
Insulation
63.
Infiltration -Walls -Windows
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
64.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
65.
18.
Water Pipe; Test & Anchor -Nail Protection
66.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
67.
20.
Shower Pan; Test, First Floor -Tub Access
68.
21.
Test Tub & Shower, Second Floor -Tub Access
69.
22.
Gas Pipe; Sixe & Anchors
70.
23.
Fire Sprinkler; Test
71.
Fireplace or Stove, C learance- Hearth
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
Card B-1 Date Card B-1
Date
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 & G.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 Al-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
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
86.
Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
Date
87.
Card B-1 Date Card B-1
Date
88.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
36.
A.C. Ducts Insulation & Support
Glass Protection
37. Vent Fan, Exhaust above insulation
91.
38. Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Aftic
Date
94.
Card B-1 Date Card B-1
Date
95.
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Fire Sprinkler
41.
Sills Proper Materials & Anchors
Card B-1 Date Card B-1
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Card B-1 Date Card B-1
43.
Bearing Walls over Girders & Floor Nailing
Card B-1 Date Card B-1
44.
Draft Stop in Walls (rat prool)
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 Flue -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 X -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width- Headroom- R ise- Ru n- Land i ng- Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
59.
Glazing Area -Glass Protection-Skyl ig hts- Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #s
64.
Ext. Steps -Door & Sidelight Protection- Land i ngs
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 -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, C learance- Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swi ng- 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.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (FF.I.)-Romex Protection
80.
1 nsulation- Foam- Looked in Aftic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83.
Following lnstld./Drive 9 Yes U 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, Pibg-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 Gracle-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:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive * Oroville, CA - (530) 538-7541
CORRECTION NOTICE
r,> 1Y - 2- c/?/
R F PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. It you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Ir
Date / 2 z -�? Inspector Ao!::
1 7- V
REV 1019/
:Z��
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICEM (530) 538-7641 FAM (530)538-2140
WEBSITE: www.buffecounty.netIdds
PERMIT NO.
BP042491,
LICENSED CONTRACT ORS DECLARATION
I hereby affirm under penalty of pedury that I am licensed under
provisions of Chapter 9 (commencing with Section 7060) of Division 3 of
Issued Date: 09/15/2004 APN: 036-800-059-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: Lice se NumbeCPZW( �-1
Pite Address: 372 CRANE AVE ORO
D a I a: 9 �Iclontracto,;7
Map Index:
Description: NEW GUNNITE POOL MASTER # 01-507
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following'reason (Sec. 7031.5
Busin ss and Professions Code: Any city or county which requires a
permiteto construct. alter, improve, demolish, or repair any structure, prior
Owner: KRAMPITZ KEITH J & DEBBIE L
to its Issuance, also requires the applicant for, such permit to rile a
372 CRANE AVE
signed statement that he or she is licensed pursuant to the provisions of
6ROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Profession� Code) or that he or
95966
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
'I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
-Applicant: KRAMPITZ KEITH J & DEBBIE L
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees.
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not.build or improve for the purpose of
sale.),
1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contracton. ADONIS POOLS
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor�s) licensed
pursuant to the Contractors' State License Law.).
12 PHEASANT RUN COURT
(3 1 am Exempt under Article 3 of the Business and Professions Code
CHICO, CA 95973
530-891-1197
Date: — Owner:
License M 266839
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for -which this permit
Architect:
is issued.
Engineer:
Q I have and will maintain workers' compensation insurance. as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. Mywbrkers'compensation
insurraarner and policy number are:
Carrier:_
Total Square Ft: 0 S -F.
Policy M
Valuation: $0.00
Census Code:
13 1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I shou Id become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
)�a
forthwith comply with those provisions.
Date:
Tv 'T
WARNING: Failure to secure workers' compensation coverage. is
unlawful, and shall subject 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 attorney's fees.
CONSTRUCTION LENDING AGENCY
—This permit is hereby issued under the applicable provisions of the BiAte C.nunty Coda ?nrVor
I hereby affirm that there is a construction lending agency for the
Resolutiois tp dowork i di I d which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
&�o
Name:
v/ Date: .501-1,
I — — W I
PERMIT EXPIRES ON: 7,11( A 6
Address:
(E*te) f
U I hereby certify that th a use of this facility shall comply with Sections 25505, 25533, and 2553.4 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
Cl 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 of 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 ag ree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an�efficlall I hereby
f is !��docum
so
0 purposes.
authorize representatives of Butte County to n pon he above mentioned property for inspection purpo--
Print Name: ;ig
S natu
Date:
U owner 0 Contractor Q Agent for Owner CI Agent for Contractor
j
COUNTY, OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street ! Chico, CA - (530) 891-2751
7 County Center Drive * Oroville, CA - (�30) 538-7541
CORRECTION NOTICE
0 NER
PERMIT NO.
A routine inspection indicates that the following violations of bulle county Ordinances exist at the
a ' bove address and should be corrected. Please notice this office when correction of work Ii
Completed. If You.have any questions pertaining to this matter, or need additional explanation,
please contact. this office immediately.
Date Inspector
REV 101�941
"'Oel�:'mesh!'Jehdin
..re.ova
system.
Because this type of fence operates on tension, the mesh
fabric is tighter in colder weather and loses some tension in
warmer weather.
Engineers told us that a conventional single pole designed
gate would require constant adjustment. Removing a single
pole gate for a party and then having to re -install it
afterwards compounded the problem of a potential gate
failure.
Guardian Pool Fence Systems, Inc., has PATENTED a
Removable, Self -Closing, Self -Latching, Key -Lockable
Gate * System that does not depend on the tension of the
fence around it!
The gate is the most importantpart of any, fence,, systenflNe
.110f. C
eyr qc. J§'magp- I
I ki'bl' t
Silv'er;:Medal.: -in at :the International nventors
Convention in Geneva, Switzerland and won the ustralian
Design Award. This latch also meets the
Barrier Code requirements of the
NSPI and the U.S. Consumer Product
Safety Commission. The tension
adjustable hinges, made by the same
company, also won the Australian
Design Award. Without these parts we
might never have built this gate.
When the Magna -Latch and the
tension ad ustable hinges are used with
j
our PATENTED gate design, we
believe no other system on the
market today offers the level of Safety,
Versatility, Practicality and Protection
that this system provides.
Corporate Hea*uarters - Van Nuys, California
(818) 767 -S -A -FE (7233)
Toll Free:
(800) 366 -SAFE (7233)
Fax: (818) 908-9088
We aee�ep�.YiSa, MaStAT.Va,.A. A---*----,---'"- - -----
:3085 Willow Bend Drive
Chico, CA 95973
(530) 343-7044
(888) 388 -POOL
Pool Fence Systems
2a
Scolt McFarland
Acuordixig to goveFamd% statisks .drowning is the
nber one cause. of acdide.Atal death for oWldretr,puder
age , of, 5 in �, Caaorali, Ariz on a - aixd' Florida.'
dro
'6nundir the igebf,4 wn.. ;q
Tery 24,..hours, 11'childr
z u ,
V
U"
-_6 -s . . .. ;I � I--. P
gly retommenit 431I)g 1ENnD
we -011 eur,TAT
94 _08iDg Removable:(34j� Systeln fo
r optimum safety
All Guardian fences can reu�6vqd in wj�iates':by, an
P,
�'hdult'--The,seotions rojl��upinto,gmall,`buhdles for ease.of
ng
th f t
G,u ian, ence-irisfallati6ris
F—.7propylene sleeves in the deck to meet all local -and
national electrical codes.
All Guardian fences can be installed in your pool.deck
or customized to be installed in your lawn/planter area.
Holes are drilled with diamond core drilling equipment to
avoid chipping or cracking of your masonry surface.
Guardian fences are available in both 4 foot and 5 foot
heights. Our 4 foot high barriers are available with 30 inch
pole spacing or 36 inch pole spacing. Our 5 foot high
barriers only come with 30 inch pole spacing for required
strength and stability.
Guardian fences are available with mill finish, black or
green powdercoated reinforced aluminum poles, and your
choice of two different locking mechanisms and two
different fabrics in three colors.
For photographs of various models
and more detailed information visit
our Web Site at:
www.guardianpooIfence.com
Non -Climbable, Removable, Key Locking
Self -Closing Gate: U.S. Patent # 5,664,7691
Specifications
Gate: Galvanized steelframe, coated in Plascoat with Mqgna-Loatch key,
Gates.are.availablejn black green,.or
lock A tension:aOjitsiable hinges,
in 'ni'll
J� bla&kbel oQr'tree'n't,
-.517. Q, �ZF __ ,� __ ". VIII __111 ---- __
�,r4� �,r � i '� V - 1?, , 1 .1 6 ".
S044higs.!�,3 6i16!'sp, 'higs Nfto— bi#jr)
chil 1"' iven�,to`,,usage
ccitoddldfs7�And* �oun dreh..,,�'
y qo 41 , c0n8fi eration, g
'Fa�� b ac , green or eige iruer oc��g 4ety
I
"Ve. put, to' tt-&,"n"s-"an-'&fi'sk 9wi.,�TA&j0QJen'e§
me�,s teqlUrea�ent$-Y,4� we have-. pur to c -am those which zai0hing Mec 4oaded
hanlsms:� zinc plated teflon �oatedxprhq
gotber.
latches or zih� pWed Vitt rinp
ag �f diffdreut :rnotertal.s and specIfiqaiiqw -to are installed isolate just the 5wimming Pool. * , s,,
11 - ; I fkr"w 4 or 5fpof MgP
mlio your'so - e to, your, personal" An
thr—location of your bonier mbat be =d"as a Iwx-mqdu;ctIvepokw*yt~ ste-ev"
lian fd=s. are valuparem and,vfq atuatdve� '-'p_mw &�ugh Wr?*r" rathex, then aa'I&oIa4Rn barftr-, sldmtro -'el t"
'?'1'313'O-LOC4'053 :FAB�R-'IC,,C-HARA-C-,TE-R-1,S'T,,IC.S
BO -LOC are leno,woven mesh fabrics comprised of22%1igh lenacity polyester yam
and'78% -flexible foamed,PVC. The yams are intimately bonded at -the crossover points
.and the degree of openness is dependent on the fabric construction.
Construction, 10 x.5 ends/inch
Coating: Flexible PVC
Core Yam: 1300 denier Polyester
Fabric W�jjg� 6.5 - 7.5 oz/ sq yd
Tensile Strength:
(ASTM D-5034) Warp: 161 lbs
Grab Method Fill: 118 lbs
Breaking Strength:
(ASTM D-5035)
I" Cut Strip
Tear Resistance:
(ASTM D-1 117)
Trapezoid Method
*Indicates direction of tear.
Tear Resistance:
Brealcing
Warp: 149 lbs/inch minimum
Fill: 104 lbs/inch minimum
Elongation
Warp: 28.2%
Fill: 23.9%
77.7 lbs Lengthwise
73.2 lbs Widthwise
(ASTM D-226 1) 26.2 lb s *
Tongue Method 12.8 lbs *
(12"/min)
*Specimens do not tear -reported values are resistance to yam movement
Burstina Strenp-th:
(ASTM D-3786) 236 psi
Ball Burst:
(ASTM D-3787) 188 lbs
Taber Abrasion:
(ASTM D-3884) 144
CS 10 Abrasive Wheels
Cycles to wear through to core yam
or 500 cycles
Fire RetardancY7 As required. After flame: Less than 3 seconds (typical)
a
I
,Char Length: Less than 4 inches (typical)
(Fed. -Std. 19 1,- Method -5903.2,'Vertical)
NFPA 701 (1999) Test I Flammability
Cold Crack: No cracking after.24 hours @ -400 F, 2" mandrel
UV Resistance:
(ASTM G53) 1000 hours QUV exposure - slight color deterioration
(Not applicable for fluorescent colors)
Specific Gravity: 0.60
Colors available upon request.
Typical Applications: swimming pool barriers, safety netting, debris netting & divider curtains.
Please Note: Above values represent typical data and are subject to slight variations. No warranty
is expressed or implied regarding the accuracy of these data.
C
-1
E
' ' 'B; � E "'S'O'
Is. B. _- A'R,`Nz` Z A -Z' - C1;A'TM,,.S
CONSULTING 'STRUCTURAL ':ENGINEERS
2236'BEVERLY BOULEVARD
CLARKSON W. PINKHAM LOSANGELES, CALIFORNIA 90057-2208
PRESIDENT (2 t3)382-2385 FAX (213)382-6885
April 30,2004
Guardian Pool Fence Systems, Inc.
14715 Aetna Street
Van Nuys, CA 91411-2702
Attention: Steve Sadinsky
Dear Mr. Sadinsky:
-ROBERT W. SPRACKLEN
VICE PRESIDENT
We have reviewed the strength of the Guardian System extruded aluminum posts to be used
for removable fencing. Posts are, extruded aluminum 606 1 -T6 alloy. Extruded sections have
an outside diameter of 1.00 inches, a perimeter wall thickness of 0.065" and three interior
radial web members set at 120' apart and having a thickness of 0.056 inches. Posts
supporting 5'�O" high fabric.are placed at 30" spacing. Posts supporting 4'-0" high fabric are
placed at 30" or 36" spacing. Posts are set,in 11/4" outside diameter polypropelene sleeves
placed in drilled holes in concrete. pool decks.
Extruded -aluminum posts as described above and having a I '/4"O.D. sleeve embedment of
31/2" in concrete pool decks meet requirements of Section 424.2.17.1.15 of the Florida
Building Code for chi . Id safety barriers.
Very truly yours,
ESS10,
4��
S. B. BARNES ASSOCIATES
CONSULTING STRUCTURAL ENGINEERS
CIO
Z3 No.- 1003
rn
LU _-,a
c:,_ 12/31/0
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Robert W. tra+cen
OF C Structural Engineer
Clarkson W. Pinkharn
Registered Engineer, FL.
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�S.R-BARNESASSOCIATES ��CONSULTING-STRUCT.URALiENGINEERS
=36'BEVERMBLVD. LOS -ANGELES, '(213) 382�2385 -9 'FAX.,(213)'382-6885 �JOBMO_
a�e.1A-RDV.iifA.1 _-4
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ShapeBuilder 3.0 04/30/2004 18:19:52
2 0 0 L' 5 : 0 5 P M
(GERTIF1 CA TTE Of �CAUBRATIONI.
ISSUED'BY: INSTRON CALIBRATION LABORATORY
-DATE OF ISSUE: 09 -SOP -03 CERTIFICATE NUMBER: 661751-4
Instran Corporatlon
Canton, MA 02021-1089
100 Royall St.
INSTRON Telaphone:(781) 828-2500
Fax: (781) 575-5750
Email: servicqjequestsainstmn, cam
I
INDEPENDENT TEXME TESTING
1503 MURRAY AVENUE
DALTON, GEORGIA 30722
Contact: KENTSUDDET14
P.O./Contract No.: 082503
11 r) - 2 3 0.1) P - 2
xw�q
Lab code:'200301-0
Page 1 of 8 pages
Date of Verification: 09 -Sep -03
Ambient Temperature: 731 deg F
Manufacturer:
VVE -_;V
Instron
Model:
4201
Serial No.:
C704
Type:
Electromeclwmcal
Type:
Multi Range
Capacity:
5000 N
Year of Mfg:
UNK
11 r) - 2 3 0.1) P - 2
xw�q
Lab code:'200301-0
Page 1 of 8 pages
Date of Verification: 09 -Sep -03
Ambient Temperature: 731 deg F
Manufacturer:
Instron
Model:
2512-146
Serial No.:
391
Capacity:
1000 1bf
Type:
Tension
!�) K - . I W,
J
k:
vLi
1. Digital Readout (Ibf) - PASSED"
2. Machine Chart (% mg) - PASSED"
This certifies that the forces verified with all machine indicators Oisted above) We Wn'�ffN ± 1 % accuracy, 1%
repeatability, and zero return tolemce. All tnwhine indicators were verified by Instron Corporation in accordance
with ASTM E4-0 1,
*0 witbin:k .5% accuracy and .5% repeatability.
"rho results indicated on this certificata and the fblto-ins�report relate only to the ite= verified, If them are methods or data i=Iuded chat am not cov"W bY
limitationa of use as a restilt of this verification will be indicated in the commeats. This
the NWIAP accreditation ithill be idatified in the w==u. Azy
report must not be used to claim product endors —cm by NVLAP or the United Stain gvvermnent This report shaU not be TepToduced, except in ffill,
without the approval of Instron Cw. ration.
4
M a 0 0 '5 06PM H o 2 3 0-5 P
ndependent 'T-exffle
P.O. Box 1948 1'503 Murray -Ave.
5t ic5(einc.
Dalton, Georgia 30722-1948 Fhone 706-278-3013 - Fax 706-272-7057 �Emmail: ittslab(gdalton.net
TEST REPORT
Customer* Cerny & lvey'Engineers, Inc. 'December:2, 2003
Subject: Sample(s) of fabric submitted for testing by the customer, and identified below:
Sample Identification: 1063 Leno
Test Method Conducted
ASTM D 3787 Test Method for Bursting Strength of Textiles*
Scope:
This test method describes the messumment for bursting strength with -a ball burst tester of textiles or garments
that exhibit a high degree of ultimate elongation.
Apparatus and Conditions:
Instron Model 4201 CRE Tensile Tester* Capacity 1000 lbs. Cclibration On 9-9-03
Conditioned @ 63% RH 70* F In Accordance With ASTM D1776
I" Diameter Steel Ball
5" X 5" Square Specimen
Test Results:
-Test Speed
12" Inches per
min.
Test Result
-Average
Bursting Strength
(10 specimens)
230.6 lbs.
Average
Bursting Strength_tS
highest results)
237.5 lbs.
*CRE Tensile Tester was used In lieu of CRT model that is specified by the test method.
L. Kent Suddeth
1 "
Executive Vice President
Otir letters and rrpors arc for the exclusive use ofthe customer to whom they are addressed, and Eheircornmunicaflon to Any others or the
use orthe name ofincirpendent Textile Testing Service, Inc.. must receive our prior wrirten appvoval. Our leners and repons apply only to
lhc sample tested and are not necessarily indicative ofthe qualities ofapparantly identical or similar products. Thcreports and lenersaAd
lhc name ofthe Independent Textile Testing Service, Inc., are not tobe used under any circumsuances in advertising to the general public. LH2
0 1�1 0 / 5': 0 P M N o 2 "1 0 Fi
L
Independent 3-ektile
sc
P.O..Box 1948 , � s 1 1503 Murray Ave.
ce,.Inc,
Dalton, Georgia 30722-1948 — 'Phone 706-278-3013 -- Fax'706-272-7057 - 1 -mail: ittsiab@dalton.net
TEST REPORT
Customer:'Cemy & Ivey Engineers, Inc. 'December 15, 2003
Subject: Sample(s) oi fabric:submitted,for:testing by the customer and identified below;
Sample Identification: 1063 Leno
No Sizing or Finish Applied
Test Method Conducted
ASTM D $034 Breaking Strength and Elongation* of Textile Fabrics
Scope -
This test method covers the grab test procedures for determining the breaking, strength and elongation of most
textile fabrics. Provisions are made for wet testing.
Apparatus and Conditions:
Instron Model 4201 CRE Tensile Tester**
No Pretension
11" Front clamp Serrated Face
No Wet testing Performed
Test Results:
Capacity 1000 lbs. Calibration On 9-9-03
3" Back Clamp Smooth Face
Average Time to Break 20.0 ± 3 Seconds
Conditioned @ 66% FtH 709 F
Jest Option
G, Grab Method / 4"
inches. per min.
Fabric Orientation
Test Result
-Average
Breaking Strength (5 specimens)
Warp
172.6 lbs.***
-Average
Breaking Strength (11specimens)
Fill
137.1 lbs.***
No elongation data was recorded
Meets ASTM D76
Testing was perforned an 3 specimens for Informational purposes pertaining to the breaking strength and elongation when the
break occurs In the Ume period of 20 ± sec. The test method calls for 5 specimens In the warp direction and 8 specimens In the
filling direction.
L, Kenvsuddeth
Extic�ltive Vice President
Our leticr5 and reports art for the exclusive use of tho customer to whom they ar. add, rsscd, and thcir communication to any others or the
use of the name ol'IndependentTcxtile Testing Service. Inc.. must receive our pri0l'writtenapproval. Our letters and reports apply only to
the iample tested and are not necessarily indicative orthc quulities of apparently identical or sirnilar products, The reports and IUMTS and
the name of!he Indeprndcnt Textile Testing Service, Inc., ary not to be used under any circumstances in udvertiging to th.- general pwblic.
U,2 IOM011011
I
31 0 Fj : 06PM No , 2305 P - 6
Inde endent.,) Textile
P.O.'Box 1948 -Service,.Inc. 1503 Murray Ave.
Dalton, Georgia 30722-1948 .,- Phone'7067278-3013 Fax 7o6-272-7057 &mail: ittslab@dalton.net
"TEST REPORT
Customer: Corny & lvey,Engineers,.Inc. December. 2,1003
'Subject:'Sample(s) of fabric Submitted for,testing by the customer�and identified below -
Sample Identification: 1053 Leno
No Sizing or'Finish Applied
Test Method Conducted
ASTM D 6034, Breaking Strength and Elongation of Textile Fabrics
Scope:
This test method covers the grab test procedures for determining the breaking strength and elongation of most
textile fabrics. Provisions are made for wet testing.
Apparatus and Conditions:
linstron Model 4201 CRE Tensile Tester*
No Pretension
V Front clamp Serrated Face
No Wet testing Performed
Test Results:
Capacity 1000 lbs. Calibration On 9-9-03
3" Back Clamp Smooth Face
Averagelime to Break 4.0 Seconds
Conditioned Q 65% RH 700 F .
Jest Option G: Grab Method 112" Inches per min.
Fabric Orientation
Test Result
Average Breaking Strength (5 specimens)
Warp
132.1 lbs.
Average Breaking Strength JS specimens)
Fill
152.2 lbs.
Average Elon gatlon
Warp
110.0%
Average Elongation
Fill
80.0%,
*M602 ASTM 076
Note: Questions pertaining to "Breaking Point". below Is the actual method description.
5.5 Comparison of result from tensile testing machines operating an different principOes Is not recommended, When different types 6f
machines are used for comparison testing, constant4ime-to-break at 20 ± 3 s Is the established way of producing data. Even then the
data may differ significantly.
8.0 Although a constant -rate roL-Wensign-Is Dimfortgd In theses orocedure , In cases of dispute, unless there Ij jareentent to the
contrary between the purchasel and. the xyglillig a constant -time -to -break 120 ± 3 9) lot* be used.
6.1 Tensile testing machine, of the CRI, CRL.1or CRT type conforming to Specifloatlan D76, with respect to force InIlcatlon, working
range, capacity, and elongation Indicator, and dlisloned for operation at a speed of 12: ± .5 In./min. or, a variable speed drive, change
gears, or interchangeable weightz as required to obtain the 20 ± 3 2 time -to -break.
L. Kerdr Sud'deth
Executive Vice President
Ow letters and reports are for the exclusive use ofihe customer to whom they are addressed, and their communication to any others orthe
usc of ihe name ofIndependent Textile Testing Service, Inc., must receive our prior written approval. Our letters and reports apply only to
i . ncsarnpic t.-sted and arc not neccasarily indicativc ofthcqualitics ofapparcritly iticntical orsirnilar products. 71eeporrs and letters. and
thc name i5ftSc Indcpcndent Tcxtile Testing Scr,.iuc, Inc,, are not to lac used under any. circumstances inadvartising to the Sencral.public. LH2
a y 2 0 0 � Fj : 0 6 P M, 2 :3) 1) Fj P
ER _NGINEER""
-C T NYe IVEY"E
CONSULTING 'ENGINEERS - 'TEST[ NG,LABORATORY
'-'56150-'PEACHTREE -PARKWAY, NORCROSS, GA -30092
-TEL*770-449-6936 - �-FAX77704368-11-48
.Serving.Our Client5 WWW.CERNY-ANr)IVEY-.COM
:Since 1967
Tuesday, January 06,1004
Georga Hart
Bo -Tex
175 Industrial Rd.
Hogansville, GA 30230
SUBJECT: Engineering Report 23300
ASTM D5034-95 Test Report lefter of certification
Bo -Tex Fabric - 1053 Leno.
Evaluation for use in pool safety fence systems
Dear Mr, Hart:
The Bo -Tex 1053 Lono pool fence fabric is used as part of the 0
Inc, assembly. After review of the resulting test report and attached backup information, the Bo -
Tex 1053 Leno woven fabric complies with D5034-95 and the applicable parts of section
424.2.17.1.15 of the 2002 edition of the Florida Building Code.
A copy of the test report for the ASTM D5034-95 grab method is enclosed with this letter
of certification. Also enclosedis the testing machine certification documentation confirming
the test method follows all the req . uirements of ASTM D5034-95. If you have any question's or
need additional information, please contact us. -'kkkQ1
Tgr
Respectfally Submitted,
:cj Ne.27493 P*,
STATE OF
Robert N. Kenney, P.E.
Vice Pre -�aff En
7SY" oF 0 R
Vice President, Senior aff En nee`1N,,
0 N A
CC: Don Fields
Growth Management Department
Building Division
201 S. Rosalind Avenue
Orlando, FL 32802
CC:
4
Ni Y - 2 2' 01 0 1 07PM Y :� 'YVEY iL,'N,GTN'jE`EiFZ to . 2 3 0 ' P
.—IN
CONSULTING 'ENGINEERS - TESTING �LABORATORY
"5650'PEACHTREE;PARKWAY,,NORCROSS,,GA:30092
'TEL'770-449;6936 iFAX-770�368-1148
Serving Our Clients WWW..CERNYANC)IVEY.COM
.Since 1967
Tuesday, January 06,1004
George Hart
Bo -Tex
175 Industrial Rd.
HoaansviUc. GA 30230
SUBJECT: Engineering Report 23300
ASTM D3787-89 Test Renort letter of certification
Bo -Tex Fabric - 1053 Leno
Evaluation for use in Doolsafet-� fence systems
Dear Mr. Hart.
The Bo -Tex 1053 Leno woven mesh fabric is used in the
assembly. After review of the resulting test report, the Bo -Tex 1053 Leno woven fabri
complies with ASTM D3787-89 and the �pplicable parts ofsection 424.2,17.1.15 of the 2002
edition of the Florida Building Code,
A copy of the test report for the ASTM D3787-89 is enclosed with this letter of
certification. If you have any questions or need additional information, please contact us,
CC: 'Don Fields
Growth Management DePartment
Buildina Division
201 S. Rosalind Avenue
Orlando, FL 32802
CC.
4
Respectfully Submitted,
,� 4��
Robert N. Kennev, P.E.
Vice President, Senior !
ci No 27493 VC%*
� nL- . 1j,
NN
C)
H
?00L 0 /PM 4 M
- �.v` `7 QTSK�TN` E,,F;No.2305j:,-K1
'4
CONSULTING -ENGINEERS
PARKWAY, -NORCROSS, -GA,30092
Z650;PEACHTREE
'TEL*770-449�6936 - FAX-770,36a�1148
-serving Our, clients WWW.CIERNYANDIVEY.COM
,S117ce 1967
'Tuesday,.January 06, 2004
George Hart
Bo -Tex
175 Industrial Rd.
Hogansville, GA30230
SUBJECT: Engineering Report 23300
ASTM G155-00 Test Report letter of certification
Bo -Tex Fabric - 1053 Leno *
Evaluation for use in pool safet� fence systenIs
Dear Mr. Hart:
Bo -Tex 1053 Leno pool fence fabric is used in the assembly,
After review of the resulting test report and attached bac
kup inform t on, the Bo -Tex 1053.Leno
woven fabric complies With 015�-00'and the applicable parts of section 424.2,17.1.15 of the
2002 edition.of the Florida Building Code.
A copy of the test report for the ASTM 0155-00 is enclosed with this letter of certification,
Also enclosed is the sample mounting methods for the testing machine to ensure all surfaces
receive at least 90 percent- of the maximum irradiance. If you have any questions or need
additional information, please contact us,
K E N
C
Respectfully Submitted -q.
Q
No 27493
Robert N. Kenney, P. E, STATE OF
Vice President, Senior Saff En 0 R..1.
L
N 4
CC: Doj!'Fields 1411 411tMOOV
Growth Management' Department
Building Division
201 S. Rosalind Avenue
Orlando, FL 32802
CC:
.0000MUMMMP.
0"M"M�_
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
WESSITE: www.buttecounty.netkdds
PERMIT NO.
BP042491
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: 09/15/2004 APN: 036-800-069-000
the Business and Professions Code, and my license is in full force and
effect.
1,- -3 icepse um
LicenseClass: Li N beC;�?�S-�
Site Address: 372 CRANE AVE ORO
Date: -0 4�6ontractor:ZJ)e��r/S
Map Index:
Description: NEW GUNNITE POOL MASTER # 01-507
OWNER -BUILDER DECLARATION
1 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
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: KRAMPITZ KEITH J & DEBBIE L
to its issuance, also requires the applicant for such permit to file a
372 CRANE AVE
signed statement that he or she is licensed pursuant to the provisions of
OROVILLE, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95966
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
C3 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044. Business and Professions
Applicant: KRAMPITZ KEITH J & DEBBIE L
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon. and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
L3 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:. ADONIS POOLS
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor�s) licensed
pursuant to the Contractors' State License Law.). '
12 PHEASANT RUN COURT
0 1 am Exempt under Article 3 of the Business and Professions Code
CHICO, CA 95973
530-891-1197
Date: Owner:
License #: 266839
WORKERS'COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
(3 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
Engineer:
0 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insure mer and policy number are:
Carrier._
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
Policy #:-
(3 1 certify that in the performance of the work for which this permit is
issued. I shall not employ any person in any manne . r so as to
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:
Applican
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensafion, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This pemit is hereby issued under the applicable provisions of the BiMe County C0dF1 PnOt/Or
I hereby affirm that there is a construction lending agency for the
Resolui ioJs tpr dowork indicated f which fees have been paid.
Fv
7
performance of the work for which this permit is issued (Sec 3097 Civ.)
A: 17,
W A
Name:
__
B -.
1 Date:
Address:
PERMIT EXPIRES ON: 91A-14 ��
(EAteJ I
-.I-
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 2553.4 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 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 of 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 comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an ffi * If docu m hereby
.y.errtcfa13
.s.
authorize representatives of Butte County to h mentioned property for inspection purp .
,pon I e above ose
-
�
LV 1,4A�VM,
t
Print Name: Sign
Date:
0 Owner Q Contractor El Agent for Owner 0 Agent for Contractor
Z7 -2e)
(,614,—1
BUTTE COUNTY 2�— ZZ — ( c� ct t
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE TffLL BE REO UIRED A T TIME OF APPLICA TION
"PLEASE PRINT CLEARLY"
,A�PLICANT NAME
OWNER
L�/
Z77
s 1��C=
Address
City
city
city
Co
Star
Phone
:
5 7 —
Fax
E-mail
Z
,A�PLICANT NAME
CONTRACTOR
Name
Aon 'V/ 5
Addriss
Zip
City
rw .01 (27—
city
Co
Sta�r,
Zip��
Phon,��,,,9,_
/5,;y
E-mail
Z
State License Number
_evc 2 1
,A�PLICANT NAME
WR6W1fE_C_T1YNG1NEER
Name
city
Address
Zip
City
F
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
,A�PLICANT NAME
Na
Addres
city
State-,
C -:14
Zip
I Yes
F
E-mail
—A?,PrICANTAI
,L,NAT-UR,E—_,
For office use only:
Zoning
Property Address
Flood Zone
Cross S
SRA
I Yes
No
Occ.
Tyo Const.
Subdivision Name
Map Book
I Page
Planner
I Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
KTORMSWILDING FORMS\BldgAppISubRqmts.doc Page I of 2
PERMIT
NO.
C) // -2,41 q
BP
BIN #
LOCATION
AP#
Property Address
C.,
Cross S
WORKER'S COMPENSATION
Policy Number 1?//;7
Carrier
'3�:- '.,
If hiring anyone other than li�ense contractors, a certificate of worker's
compensation must be shown at the time of permit issuance. _j
LENDING AGENCY
Name
Address
Description or Scoq9f Work:
1, ! �11
Sq. Footage
0 Structure Built without Permits
El Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
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
permit 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: TP. Amount: tZ. q2— Bldg
SRA
.Ali
Receipt —Sheriff
e <'H 22*1q SMIP
Other
Dat'. .25-04 4&? 92— Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
0 1. Site plans, 3 or 4 sets, signed by the preparer of the plans; No graph paperl
171 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 3. Engineered truss details and layouts in duplicate (if required). No faxesl
0 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or frid plans, all in duplicate.
r_1 7. Metal bldgs: (A) Metal Bldg Plans, (B) Frid plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
0 8. Flood Elevation Certificate, wet -.stamped and signed, in duplicate (if required).
El 9. Site plan and business license approval from the City of Biggs.
1-1 10. Letter of intent for non-residential buildings.
0 11.. Detached Accessory Building Form filled out by the owner (if required).
0 12. Hazardous Material Form (for Commercial Buildings only),
0 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
0 1 . Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
El 2. Impact Fees.
0 3. California Department of Forestry plan approval (if required).
El 4. NPDES Form.
r_1 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
El 6. Contractor's license information. (Number, Name Style, Classification).
El 7. Worker's Compensation Carrier and Policy Number.
0 8. Owner -Builder Verification (if required).
0 9. Letter of Signature authoflzation (if required).
0 10. Recorded copy of Agricultural Acknowledgment Statement.
0 11. El Grant Deed, El M.H. Title/Statement of Facts, 0 Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Ketunds can oniy be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits. refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSMILDING F0RMS\131dgAPp1SubRqmtS.doc Page 2 of 2 REV 7-27-04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: (j, L_)FbbW8ESS0R PARCEL NUMBER -(-),5
Proposed Building Use: Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1- 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans.
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxes!
0 5. Letter from Engineer or Architect for truss design review.
0 6. Energy compliance design and supporting documentation in duplicate.
0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
El 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 9. Metal bldgs: (A) Metal Bldg Plans, (8) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
0 11. Site plan and business license approval from the City of Biggs
0 12. Letter of intent for non-residential buildings
0 13. Detached Accessory Building Form filled out by the owner
0 14. Hazardous Material Form
15. Sanitation' and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable.
16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
13 17. Fire Sprinklers ............................................................................................
0 18. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by_..
0 19. Soils Report and/or Engineered Foundation required .............................. " .......... ........
0 20. Erosion Control Plan Required ........................................................... * ........... ........
0 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
0 22. City of Chico Plumbing permit ........................... .......... * ..........................
23. California Department of Forestry plan approval 0 paid. Sent by:
24. Planning approval (A) Use: �K(B)Parking: _(C) Parcel Check:
25. Contact Land Development about Improvements, Drainage ........................
26. NPIDES Form.. rywtewf.lo .. 6v_ 0 cr C4 44. 60 0 e4. ....... 14�
0 27. Encroachment Permit for driveway from the Public Works De�_ . ...................
pt .....................
0 28. Pre -Inspection for required .......
0 29. Contractor's license information. (Number, Name Style, Classification) ...................
0 30. Worker's Compensation Carrier and Policy Number ....................................... -
0 31. Owner -Builder Verification (_ Given to owner, -Mailed to owner) .....................
0 32. Letter of Signature authorization ......................................... " ............. * .........
0 33. Recorded copy of Agricultural Acknowledgment Statement .................................
0 34. Manufactured home utility clearance ...............................................................
0 -35. Existing violations and/or expired permits .........................................................
0 36. Deed Restriction .........................................................................................
0 37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
El 38. Other:
0 39. Other:
When issued Telephone 73 1�/ 9 - CZ&oer and hold for pickup.
I have been informed.of-the goove items-and.requiFements for obtaining a building permit.
-2 r
Applicant�_�,��_ Date-:
1. Inde4erAif applica- rion.-®r'the above items mm-beied: . VLr) Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by - Date:
Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by Date.
Plans reviewed by: Date: Plans approved by: VT1 Date
Structural reviewed by: ---Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
Department
C o u n t Y
J. Michael Crump, Director
of Public
o f B u t t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville. CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination ' System (NPDES) Phase
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement. . rLESS THAN 1 ACREJ
Project Description:
Project Location and/or Parcel Number:
� AM
19
By signing below, 1, . the project owner/owher's agent, certify that this project WILL NOT DISTURB
I'acre or more of land and that 1, therefor ' e, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
0�4
Less than I Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/12/04
RESIDIENTIAL
036-80-0-059
93-2050 BPEM
MARTIN, FREIDA
HART
372 CRANE AVE,
OROVILLEC
NEW SF
_3
rlo21 IV
OFFICE COPY
Address
GAS
t
Meter By
ELECTRIC
Meter 't �—�
�a 7e—�
V OK
0 Not OK
Not Applicable
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)
S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
Gas; Location -Test -Wrap: / P'L"ft.
/ P'Nat. or� P'L"ft.1 -/"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Reiquirements-Setbacks Easements
2 Footings; Size-Spacing-Marriagei Lin a
3.. Gas; MH Test -Demand -Valve -Connector,
4. Electricity; MH Test-Crosaovars-Breakere-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. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1.1oning Requirements -Setbacks -Easements
2. Footings; Sol ls-Size-Depth-Spaclng-Connectors-SteeI
3. Decks; GrIders and/or Joists-Decklng-Bracing-Stairs-Ralls
4. Wood Awn.; Posts-Boams-Rftra.-Connectors
Shthg.-Rfd.-Bracing
S. Alum. Awn.; Columns-Connections-Splice-Docal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nail I ng -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. - Ext.; Steps-Doors-Landingi
Date/Initials POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volta-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test-Water'Supply Test
V = OK
0 = Not OK
Not Applicable RESIDENTIAL
Not Ready
Date/InifliolvUNDERFLOOR (Plans) OK except #'a
A Zoning -Setbacks -Easements -Flood -Slope
Main; Soils Elec. Grnd.-/ f' Ftg. Depth
LeFtg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. ��rs-Fireplace Ftg.-Steel
T7' D.W.V.; Fall -Fitting -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. Plenums & Ducts; Clea rance-Material-Su ppo rt- Ins.
14. Girders -Sills -Anchor Bolts-Jolsts-Vents-Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'a
la Watopi4tr.; Vent -Access -Combustion Air -Baffle
i�_*er Pipe; Test & Anchor -Nail Protection
Test -Fittings & Anchor -Nall Protection
'-If Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas PiDe: Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
Z -A-' -2&-t-
-loc. Receptacles SpacIng-Lighte & Switches at Doors
r --M. Size Boxes & No. of Conductors -Stapled
26.- Rqmex Installed Close to Edge of Studs & C.J.
-46-Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
2w-g-Appiiance circuts In Kitchen & Conductor Size/GFI
I
Z8.-Subf-e-e-d Wire Size ga. Cu or Al-A.C. Wire Size ge.
Cu or Al -
029�-_ ange Circ. / ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neu ral 0 yes 0 No
_V.-§ervice-Riser Conductors & Ground -Main Disconnect
EcquJi: Clearances Panels-Motors-Mech. Equip.
32.-161_ottres Closet Light -Shower Light -Spa Light
63 j-L_ej.3a-_Smoke Detector
Date/Initi4,1D MECHANICAL (Permit) OK except #'a
q,".C. Ducts insulation & Support
Vent Fan; Exhaust above insulation
�ndensate Drain & Overflow; Size & Grade
3T.-5weiance-vent; Access -Comb. Air -Return Air Vent -115 outlet
�&-Attic Access & Platform if Furnance In Attic
Date/jrfitil9s FRAMING (Plans) OK except #'a
ils_Proper Material & Anchors
4 ".ails Studs -Nailing, Spacing & Bracing -Plates -Sound
AT.-Bqaring Walls over Girders & Floor Nailing
raft Stop In Walls (rat proof)
J,&�.Fire Stops; Furred Ceilings -Stairs -Chases -Tub
- 4"eaders & Beam -Size & Bearina
Single & Duplex)
Date/initials FRAMING (Continued)
Lee!& �6ngers-post Caps-Anchors-Connectars
I �Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
/;031repiace Ties or Type A Flue -Fireplace Throat clearance
4§,*ffrc_Access; Size & Romax Protection -Draft Stop -Ins. Baffles
49-61-rm-- . Windows or Exiting Doors -Sill Hgt. & Dimensions
507"ffa-rage Fire Protection Framing
5,1-Pi6perty Line Firewall & Openings
_52-f-xt. Doors -One T -Check Garage -3rd Story, 2 Exits
63 -Stairs; Width-Hsad room -Rise -Run -Landing -Fire Protection
ywood on Roof Oveyhang-Attic Vents -Rafter Outriggers
A&'Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
5Z g Area -Glass Protection -Skylights -Plastic
y
5 ar Walls; Nailing -Bolts
59. lnsulatloj!� �11s-_Celllngs ;C-_ (q
I --. 'Rd L
60. Infiltration -Walls -Windows
/O/bA'3 LAn. W. Steps -Door &Sidelight Protection -Landings
I I - ��
. moke Detector
1,,6. Furnace; Vents -Clearance -Comb. Air -Connector -
age; Above Floor-Ducts-Mech. Protection
LA5.,Ar.f.l. & Bath Fixtures & Tub Access -Spa
LA. - Elec, Trim & Subpanel; Breaker Sizes & Labels
f,e68,1 Fireplace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Fixt. & Appliance; Grnd.-Alr Gap -Cooking Clearance
Ejec. Outlets & Receptacles at Kit. Counter
I LAr.Gara Fire Door, Swing -Landing -Closer
. uct In Garage -Damper
r. Htr.; Vents -Clearance -Comb. AJr-Connector-P.R.V.
marage; ove Floor-Mech. Protection
1.75101b., Elec. & Mach. Equip. Listed for Location
I c. Receptacles In Garage; (G.F.I.)-Romex Protection
I- sulation-Foam-Looked In Attic 0 yes
7&-6v&Pd~S-8rdack Construction -Post Caps
,r?9. Fd"-Vaat&4,GfawI Hole Door-Draina & Wood -Earth
Clearance Looked under Floor- 9 Yes I.,
80. Following instld.; Drive Za"?es 13 No; Walks PlIhs 13 No;
Planters 0 Yes 0 No
thlr'Stucco; Brown -Finish
LA��.A_C. Unit; Disconnect, Electrical, Plumbing
LSrVents Above Roof; Plbg.-Appllance-Fireplace.-Clearance to
qz8A_A(aler1X§n; Disconnect, Electrical, Plumbing
4LA�t6rlor Elec. Trim; G.F.I. Receptacle -Underground
1K. Ventilation Throughout House
Lhl'Glass Protection
88. Cojxedions from Previous Inspections
O�-7 f 41
)W�s Test -meters Tagged; Gas -Electric
1 416. Wafer & Sewer Connected -C/0 to Grade -HD Approval
L-017 Energy Compliance Cortificete-Other Certificates
Comments at Final,
&OUNTY OF BUTTE
BUILDING DIVIMON
DEPARTMENT OF DEVELOPMENT SERVICES
.1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916.) 538-7541
747 Bliott Road, Paradise, CA - (916) 87276307
CORREQ-TION NOTICE
51
ER PERMIT NO.-,
AroutineknWecti incficates that the following violations of Butte County Ordinances exist at
the abave and should be corrected. Please notify this office when correct ion of work.
iscoar4illeted- you have any questions pertaining to this matter, or�need additional explahati�n,
pka@e this office im ediately.
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
AL.I 93- 2-0s(N
6WI`�'ER 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 a . xplanation,.
please ontact this office immediately.
1 Z"
4
LAMM& �Ar�
me
4'
Date A�9 Inspector J21144
REV 10/9
0-9/02/93 . 08:02 1&1 916 371 6919 WEYERHAEUSER SAC'
M INEERED.M.001131SYST
IG
. N00,16724
Certificate -
[a 001/002
THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products
identified below and marked with a collective mark of AMericab Wood Sy!;tems (AWS) were man-
ufactured in accordance with the specifications indicated below.
NANSI Standard A190.1-1983, for Structural Glued Laminated Timber
0 NER 267
Proof loaded end Joints
Job Name
Job Location A
Customer's Order No. SAC 15998 Date 6-2� Mfgr's Order No.
Signature
TItle
_,A�YIIJAony Dr9eper
Company Address ___V=ghrrT_eT_egUnDa1e
IT IS HEREBY CERTIFIED that the structural glued laminated tirriber produ:tion of the above-narned
manufacturer which carries a collective mark of American Wood Systems (/�WS) 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 verify the quality of glulam construction and
the adequacy of glue bond.
IN, \ ot
lluuu
............
�P?,?0114
SEAL I
k-) - (,0&/X 9
b
Michael I-1 O'Halloran
Executivo Vice President
1-1.1— 11'r%nr) �ZvC�Trvq _ A Rr:(ATrr) CORPORATION OF AWRICAN PlYWOOD \51S(Dr7,1AT(0I"1
CUS
MiUPAU,j r i YPL7
qriLES I NUO I CE 1 o.- 0
PO BOX 1265
i02�; b-ITERPRISE BLUE)
J T S A C RA I -I E NT 0 C n 95691
ES
LD OU I I DERS SUPPLY
TO 2560 FEATHER RII)ER BLVD
DROViLu--- Co 95965
(-)S riBOUE
�JEYLRHAEUSEIR
PO BOX 39000 DEPT 0163Q,
SANFRONC I SC -'O CA 94139-1639
i, I J, M-1, � 11, 1, 1 SALES HER
0.4 3 D
23075070 08/02 0 13 0 (.5
DA P.Q. NO.
UU/ Uu/ �-.f tj2900 DICK SD o o / o
TrFOAS AGw--i-,Knr-.�i r
1.1% 10TH PROX (-)DF,NET 11 -FI -I PRO"l<
DEDuc,r 2.72 IF FAID ElY 09/10/
FC)B E) E ST I 1\1 OT 10 N
SH I P I IllsTIR: [.JEYEI-,'I-ir)ELJ'-:;t--IR EGILI I PHENT
UILDERS SUPPLY
)IVISION OF COLLINS PINE COMPANY
?560 FEATHER RIVER BLVD.
OROVILLE CA. 95965
PHONE: 916 534-1242
S
0 BUTTE LAND DEVELOP.
L 195 PARSON LN.
D
T OROVILLE, CA 95966
0
TIME:
LOADED: DEL: DATE:
DATE INVOICE -No.
08/09/93 P 170805
BUTT57
CUSTOMER NO.
SALESMAN
CUSTOMER ORDER NO.
DATE ORDERED
DATE DELIVERED
DELIVERY ADDRESS
10
j 0084
08/09/93
08/0.9/93
QUANTITY
ITEM NUMBER
UNIT
DESCRIPTION
PRICE
AMOUNT
5-1/8X12X141 GLU LAM 149.000
149.00
5-1/8X12Xl8l GLU LAM 189.000
189.00
oel
338.Oe
24.51
.012
.00
362.51
.00
�362.51
CHARGE.
NON -TAX IVIDSE.
TAXABLE IVIDSE.
SALES TAX
MISC. CHARGE
MISC. CREDIT
GRAND TOTAL
CASH REC'D
ACCOUNTSARE DUE AND PAYABLE ON -THE IOTH AND PAST DUE ON THE I ITH OF THE MONTH FOLLOWING DATE OF PURCHASE. LEGAL ACTION TERMS: NET CASH. NO DISCOUNT
MAY BE INSTITUTED FOR COLLECTION. A LATE CHARGE OF 1 112% WILL BE IMPOSED EACH AND EVERY MONTH ON ALL PAST DUE BALANCES.
THIS LATE CHARGE IS LIOUIDATED DAMAGES MEASURED BY THE TIME THE MONEY IS WRONGFULLY WITHHELD PLUS ADMINISTRATIVE COSTS
RELATED TO COLLECTION AND ACCOUNTING FOR A LATE PAYMENT. SINCE IT WOULD BE IMPRACTICAL IN EACH INSTANCE OF DEFAULT TO
ESTABLISH THE ACTUAL DAMAGES BY ACCOUNTING PROCEDURES. BUILDERS SUPPLY AND THE BUYER HAVE AGREED IN ADVANCE THAT I
1/2% EACH MONTH IS A FAIR COMPENSATION FOR LATE PAYMENT. ALL MERCHANDISE RETURNED FOR CREDIT MUST BE ACCOMPANIED By ACCEPTED AND
THE ORIGINAL INVOICE . NO EXCEPTIONS. RETURNS WILL BE SUBJECT TO A MINIMUM 15% RESTOCKING CHARGE. NO RETURNS ALLOWED GOODS RECEIVED BY
AFTER 30 DAYS.
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
11 J,,California 95965 - Telephone: 916,-'538-7541
7 County Center Drive -'Orovi e
APPLICATION AND PERMIT
PERMIT NO.
2_0 6-0
ASSESSOR PARCEL NUMBER
036-80-0-059
ZONING
11AR
BUILDING PERMIT
OWNER
FRIEDA HART MARTIN
ITELEPHONE
533-9323
SQ.FT. OCC. BUILDING VALUATION
1696 R
91,584
OWNER'S MAILING ADDRESS
195 Parsons Lane, Oroville 95966
800 M
14.400
CONTRACTOR*S NAME
same
TELEPHONE
119 C
1,547
CONTRACTOR'S MAILING ADDRESS
Fireplace A
1,500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
10q.031
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 632.50
ARCHITECT OR ENGINEER
I- NO.
Plan Checking Fee
$ 316-25
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
379 Crane Avenup, Orovillp
Permit fee
$ QIR-79
PLUMBING PERMIT
FilingFee 15.00
Each Trap
91 s.00 45.00
Solar or heat pump water heater
1 20.00
LOT NO.
52
SUBDIVISION NAME
Copley Acres Unit #3, Phase
PARCEL MAP
122-27/28
Water piping
I 7.00 7.UU
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [:X Duplex F_� MobilehomeF_� Other
SPECIFY
Gas piping system 1 - 5 outlets
t7.00
5E —T4—. D-9—
.00
Building sewer
15.005.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New L_XX AdditionL_J Remode I E] UtilitiesD InstallationE5 Other
Describe work: 3 bedroom
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 15.00
Main service 600V OR LESS
200A OR LESS
.18.50 18.50
Main service 200A TO 1 OOOA)
37.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
TP and Professions Code and my license is in full force and effect.
License No. J 193(e 7 — Classi ficatio, 0-1
0 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
N E W CONST. (DWEL.LING occu2419
OR ADDNS. ACC.BLDG S.
3.ro sq 87.35
NEW CONSTR MULTI.OU TLET
NON-RESID, BRANCH CIRCUITS)
@ 5.00
(PO ER APPARATUS.&)
SiNWGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
20 @ 76cl
AL_ 6) 4F;44
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO. I E A.)
3.00
Temporary service
15.00 15.00
Mobile Home Facilities
15.00—
Misc. Wiring
'15.00
Permit Fee
$ 135.85
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 15_
00
Heating split system_
9 -nn
Cooling
Hood
6.50
Venti lation
Permit Fee
$ 47
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to. all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the abo * ve-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilit.ies, judgments, costs, and expenses which may in any way accrue
again3?said County in consequence of the granting of this permit.
X _44 , , P�, ,, Date
f Z�, entge I I F*1 lv�
Signature of Applican t — Owner L ContractorEl Agent/n tf
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
I—
Energy Inspection Fee $ -
40 00-
OCC
--R 3
CONST TYPE
ITNT
-
TOTA L FEE $ 1,307.60
1
All
0 PEYS
MP
I FLOOD
I CDF
I PARCEL
X
I PD4
HD
I IYUF-
T his permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
0,) R, 0
By LPU9LIl
PERMIT EXPIRES D ate—&_ ---J
applicable provi-
resolutions to do
have been paid.
WORKS
Date 7/28/93
145316
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT
O�Z C" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
p �q 7 County Center Drive - Croville, California 95965 - Telephone. 91G 538-7541
oi� it V APPLICATION AND PERMIT 1667 t-'
PERMIT NO.
ASSESSOR PARCEL. NUMBER
eco- osi
ZONING
;,74 le_
BUILDING PERMIT
OWNER
4ri-
-Ff -ke I,+ / Vi
TELE -PHONE
-
11- FT. OCC.1 BUILDING VALUATION
_55,3
OWNER'S MAILING ADDRESS -
195 Ptr_5d.A1S LAJ 6,e-061 5��5? 4��
goc> A4 f Y'4
LO
CO ACT OR'S NAME
&AA j5
TELE
CONTRACTOR'S MAILING ADDRESS
Fireplace (-A
fs-oo
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
16)'?.031
LENCER'S MAILING ADDRESS
Filing Fee
$ 1 15.00
Permit Fee
$ 3.,-2 S_ 6-1)
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee
$ 3 1 &. .25
Energy Plan Checking Fee
$ ;26, 00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 37 Ae 0
Permit fee
$ 7,65-75
PLUMBING PERMIT
FilingFee 15.00
Each Trap
5.00 .,Z
Solar or heat pump water heater
20.00 --
LOT NO 7—S.
-1-11 -i- NAME a 7--�PARCEL
&0Zr,3 JA4VL,
MAP
ZY
Water piping
7.00 7. coo
Eachqas water heater or vent
7.00,1�6 ero
USE OF STRUCTURE
SY3�r DuplexFj MobilehomeFj Other
SPECIFY
Gas piping system 1 - 5 outlets
5.001 5_c>c-
Building sewer
15.00
Mobile Home I S I GJW
@ 15.001
TYPE OF WORK
New�g- AdditionL—' Remode I E umitiesi—I installationF—! OtherEJ
Describe work: _-5 E3 (Z
I I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingEFee 15.00
main service 600v OR LESS
200A OR LESS
So
18.50 C)
8.�E
Main service 200A To 1 OOOA)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. 0 W E L L ILN G 0
OR AOONS. ACC G S.5,
3.r.4 sq.ft.1 -7 2
N E - T
W '_QN-5TR
- MULT'-OUTLF
NON-RE51D, BRANCH CIRCUITS
@ 5.00
(POWER APPARATUS
SINGLE OUTLET CIR.&)
Ex. Occup(OUTLETS OR FIXTURES
20 @ 760
AL 0 4rA
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.) EAJ
3.001
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00
I
I
Permit Fee
$ 13 5. &5 -
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
17 The permit is for $100.00 (valuation) or less.
F-1 I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
0a
Cooling ?Zt T6
Hood
6.5 0
Ventilation
Permit Fee
$ 6XI
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte agains,
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit
I (,
X Date , p /,.? 5 �/q Z
Signature of Applicant – Owner E:1 Contractor E] Agent Fj / el —
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
Energy InspectionqFee
$
cc C y
'TOTA L FEE $
FLOOD
CDF
I PA:�Vl PO PTSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Ay
Receipt No. ___ /�/_ 16
YELLOW-^SSCSSOR. PINK-INSPrC OR, GOLDENROD-APPLI CANT
�COUNTI�OF BUTTE - DEPARTMENTOFDEVELOPM ENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER f-fA, At-ri/i A. P. No. 636 - 800 - ols�l
Proposed Building Use f 3 Ale- Building Inspector Date 1:2
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 . ......................
A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). . . . i
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees of $ . . . . .. * . . . .,:t� ... t. .
O.V./ . 1 -1 ............ X;E!
11. Impact fees as shown on attached s*c*he*dule. S ..... . ;6e*1e**
12. California Department of Forestry plan approval/fees .........................
13. Flood elevation letter (100 year fl nia Engineer ...................
14. Sanitation and plot plan approvaI7 Health Department . ............ ...
15. City of Chico plumbing permit .......... V ................................
16. Plot plan and business license approval from City of Biggs/bridley . .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Developmentabout (A) Improvements (B) Drainage .............
Af4:56fC 19. 'Driveway permit (construction approval required prior to occupancy) ......
r" echo off
20. Pre -inspection for required. tpo Bu;iltng ln�spe;�ctuor (Date)
21� Contractor's license information. (No., Name Style, C13ssifi,(cat* n
Certificate of Workmans Compensation Insurance. ZX,91'
23. Owner -Builder Verification (Given to owner _, Mail to owner ............
AA--),Ei5C24. 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.
Wh ou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone s'
and hold for pickup at oi?Q � J),e- office. Deliver with inspector.
Other
Parcel Creation _2;� ALI, 4 12-f4U.
Acreage Applicant Date
Copy of Haz-Mat form se I nt Health Dept. Fire Dept.,,,t�Air Pollution Date
Copy of plans sent Health Dept. Fire Dept;/- C Date By
The following data must be submitted prior rmit i uan ircle nl&20���above).
1. Index permit for above items N 7-
2. Additional items required:
Contractor, designer, owner, was advised of above required data 4 - phone mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone mail Counter by Date
Plans checked by Date Plans approved by 42 Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
I e
COUNTY OF BUTrE — DEPARTMENT OF PUBLIC WORKS — BUIIJ)ING DIVISION
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541
ICE
PROPOSED BUILDING USE
A-16 -
A. P. NO. U -:S
DATE
REC. # DATE REC
1. School District Fees 0 11fo 69�q
(paid at District Office) ..........................
2.. Sheriff Fees
(paid at Building Department)
Residential ........... x
uhit " amt.
Commercial(per sq.ft.) X.
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) x =$
# units amt.
Commerical(per sq.ft.) x
sq.ft.. amt.
4. Recreation District Fees
(paid at District Office) ...........................
5. Drainage District Fees
(Contact Land Development) .........................
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
T DATE
APPLICAN ";o �"' P
v_--- �7Z� L�
�q
4
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District )/86ilding Department No.
A.P. Number 0 57 Jurisdiction Cit y County
PropertyOwner
Property Location/Address 3 r),Z
Subdivison Lot No.
Residential Development ;sq*. Footage
No. of Living MHI Additioh� (qroup A)
Units
C.olmmercial/industria '§q. Footage
! . (including Exterior
ow Addition,
Rooted Areas)
Y
Building Department Repi
(Floor Plans reviewed by School District Personnel)
District Identification No.
& 11U�A4, choo istrctcert iesthat
(Applicant)
A'
(Street Address)' APhone Number)
(CRY) (State)
hasco m plied with.the requirements of Resolution No. 91-157--)
r9pres enting square feet.
L2
DisitrictRepresentative -
Paid by Check Number Remarks:
Bank Number
Paid by Cash
(Zip Code)
by payment of $
Date
4--
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agendy-that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fuliv miti-gate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.wki (4/92)
It, - -
PERMITNO: Ad-c).q
Lake Oroville Area Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95966
533-9000
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BU I LDING SEWERS
i
This verification form must be submitted to the.Butte Co,unty 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: July 27, 1993
Applicant: Frieda -E. Hart Martin -
Applicant Address: 195 Parson Lane, Oroville, CA 95966
Applicant Phone No.: 533-9323
Property Location (s): 372'Crane Ave., Oroville, CA 95966
Copley Acres Sub II, Phase III Unit 3 Lot 52
A. P. No. (s): 36-80-59
Fees due: $400.00 LOAPUD connection fee and $900.00 SC -OR
reRional facilitv charye.
Application for service approved:
PUBLIC
Inspection(s) made and successful test(s) observed:
Location:
M-
WILLE AREA
LITY DISTRICT
Date:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
.Mandatory Measures Checklist: Residential MF -1F
I
NOTE: Lownse•restoenhal buildings subiect'to the Standards must contain thesemeasures
regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this che�,list is incorporated into the permit documents, the features
noted shall be considered by all games as binding minimum com0ronent performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
Building Envelope Measures
• §I50(a): Minimum R-19 ceiling insulation.
§150(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 raised floors.
§150(l): Slab edoe insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no
greater than 20 oermiinch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§11617: Fenestration Products, Exterior Doors and InfiltratioNExfittration Controls
a. Doors and windows between conditioned and unconditioned spaces oesioned to limit air leakage.
b. Manufactured fenestration products have label with certified U -value. and infiltration certification.
c Exterior doors and windows weatherstripped; all joints and penetrations caulked and seated.
§150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(f): Special infiltration barrier installed to comply with §151 meets Commission duality standards.
§150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces nave:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2 No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures .
§110.13: HVAC equipment, water heaters, snowerheads and faucets certified by the Commission.
§150(1): 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. sciar hot water tanks) have insulation
blanket (R-12 or greater( or oomoined intenoriexterior insulation (8-16 or greater).
2 First 5 feet of pipes closest to water heater tank non -recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping oetow 55°F insulated.
5. Pioino insulated between heating source and indirect hot water tank.
§1501m1: Ducts and Fans
1. Ducts constructed. installed and sealed to comply with UMC Sections 1002 and 1004: ducts insulated
to a minimum instailed value of R-4.2 or ducts enaosed entirely within conditioned space.
2. Exhaust fan systems nave backdrah or automatic dampers
3. Gravity venaianno systems serving conditioned space have either automatic or readily accessible.
manuaily operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certifieo with 78% thermal efficiency, on -ori switch, weatherproof operating instructions.
no electric resistance neaama and no pilot light.
2 System is installed with:
a. At least 36• pipe oetween filter and heater for future solar heating.
b. Cover for outcoor cools or outdoor spa.
3. Pool system has caectionai inlets ano a circulation pump time switch.
§115: Gas-iirea centra., turnace. pool neater, spa neater or household cooking appiianoe have no
cvnanuousry During plot light. (Exception: Non-eiecprcal cooking appliance with pilot < 150 Btu/hr.)
Lighting Measures
§150(k): 40 lumenswart or greater for general liohtina in kitchens and rooms with water closets: and
recessed ceiling axtures C iinsulation covert approved.
COMPLIANCE STATEMENT
DESIGNER I ENFORCEMENT
This certificate of compliance lists the building features and performance spedfiations needed to compy'with Title 24, Parts 1 and 6, of
the Cal forma Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by rite
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 Feattues/Remarks section,
Designeror Owner (pw 6usineae a Prote..ions coder
Name:
Address:
Telephone:
(x..:
(signature)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(dare)
(signature/stamp) (gate)
Documentation Author.
Name:
Tide/Firm:
Address:
Tete one:
(signature) (data)
Certificate of Compliance: Residential Climate Zone 11
prolectTlde [ w r
� 3 �ao5o
Buildirt P it A
Checked By Date
. Fntomentent Agency Use Only
Fenestration
BUMDING DATA Are
ert�ioned Floor Area Number of Stories North lL 4
Slab/Rmsed Floor Number of .Units � East a
`[ South ]Single Family Detached (SFD) [ ] Addition Alone West 61 z
[ ] Single Family Attached (SFA) [ ] Existing Building
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition Skylight O
Total 1=12 1,7
B UILDING SHELL INSULATION
Component Insulation Locadonleommsrits
Type R -Value (Salic, to garage, DateL em)
FENESTRATION
-Eenestration Area
Orientation (SO
Shading Devices
, Type Interior Exterior Overhang Framing Type
(single, double) (roller blind eta) (shadesQeen, etc.) (yeshto) (metal/wood)
YoIzh ( )
Capacity Number
Type (furnace, air
North ( )
East ( )
Location
Duct
East ( )
(A F uE , SEER,HSPF)
(atIIc, etc.)
South ( ) (�—
7,4-
.��17,4-
South ( )
West ( )
West ( )
Skylight....... Q_
THERMAL MASS
Type/Covering
Area Thickness
(sl/ab/exaosed, tile, etc.)
(SO (inches)
Location/Desc_riottion (kitchen, bath, etc.)
Ti le �(J/AVZ
a 3a
�6�t/�h � !' c-/ a-l�
HVAC SYSTEMS
I I OT
Minimum
Duct
Capacity Number
Type (furnace, air
Efficiency
Location
Duct
conditioner,. tent vutno)
(A F uE , SEER,HSPF)
(atIIc, etc.)
R -Value
7,4-
.��17,4-
IIOT WATER SYSTEMS
'lank
Svstem T (storaRe gas. etc.)
Capacity Number
SPECIAL FEATURES/REMARKS
Heat Pump
Thermostat Tyne (split or nkg)
tQ
R Value,,,, i
Ener Tdc--tor Ext. r- . " Di crr; hxxr; �,.,
r-
Point System Summary: Climate Zone 11 Point scores
1. Ceiling Insulation 9W or
R -value (s61 U -value (0.0281 O
2. Wall Insulation or
U -value (0.0651
3. Raised Floor Insulation or
R -value (191 U -value 10.0371
4. Slab Edge Insulation or
R -value 101 F2 factor 10.751
5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) (Y]
G. Fenestration Heat Loss
Type U -value (0.651 Total % Fenes. (161 Sum 1.6
7. Fenestration Heat Gain
% Fenestration SCshade open Eft. % Fenes. Shade Eli. Ratio
North x 77 - 0 v 00
East x
South 3 . x
West 3 - 7 x
Skylight . 4 x = p
Overhangs? ( Y / N )
8. Interior Thermal Mass or
%Exp. Slab (201 Int. Mass/CFA
9. Exterior Wall Mass
Ext Wan Mass Sum 7-9
10. Heating System . 17? x
AFUE or HSPF Duct Effie. 11 story: Effective AFUE Zonal Control
(78% or 6.81 0.83; 2+ story: 0.881 or HSPF �Adiusttrianr rpl ' 1• - s'
17. Cooling System
Id x
SEER 110.01 Duct Effie- 11 story: Effective SEP A Zona4Contml -
0.81; 2+ story: 0.871 Adjumnent 101
12. Water Heating
System 1 56,50'
Heater Type Energy Factor Ext. Ins. R -vacua Auxiiiary Inout Distribution
(SG501 10.531 1121 (None) ISTDI O
System 2
Heater Type (None) Energy Factor Ext. Ins. R -vacua Auxitiary input Distribution
Point Total:.
1. Ceiling Insulation
3. Raised Floor Insulation
Numosr of stones
North
R -value
One
Two
Ttiree V
R-0
-74
-48
•27
R-19
-5
.4
-2
R-30
-1
-1
0
R-38
0
0
0
2. Wall Insulation
.67
S2
.51
Single•
Single -
,52
.51
Family
Family
WUtl-
R-value
Detached
Attacted
Famdv
R-0
-72
-57
-43
R-11
-7
-6
-4
R-13
-5-4
to
-3
R-15
.4
-3
•2
R-19
0
0
0
R-21
1
1
1
3. Raised Floor Insulation
4. Slab Edge Insulation
Numoetr of Stones
R -value One Two Three
R-0 0 0 0
R-5 6 a 2
R-7 7 a 2
6. Fenestration Heat Loss
7. Fenestration Heat Gain (based on Shade Eftecuveness Ratio)
En
Insulatlon in Floor -
North
Numtter of storm
R -value
One Two Thre
R-0
-14 -9 -5
R-11
-3 •2 -1
R-19
0 0 0
R-30
2 1
4. Slab Edge Insulation
Numoetr of Stones
R -value One Two Three
R-0 0 0 0
R-5 6 a 2
R-7 7 a 2
6. Fenestration Heat Loss
7. Fenestration Heat Gain (based on Shade Eftecuveness Ratio)
En
1.21
to
130
North
1.01
to
1.10
.91
to
1.00
ESM
.76
to
.80
llydue
.71 .66
to to
.75 70
South
.56
to
60
.51
to
55
Wsst
.41
to
45
Skylight
.35
or
less
.87
.67
-52
S1
.87
.67
.52
.51
.87
.67
S2
.51
.87
.67
,52
.51
.67
.66
Fen-
or
to
to
or
or
to
to
or
or
to
to
or
or
to
to
or
or
or
Issue- more
.86
.66
lass
more
.86
.66
less
more
.86
.66
less more
.86
.66
less
more
less
Iron
-31
-27
-23
-19
-17
-15
-13
-11
-8
-6
.4
-2
0
287.
•50
-36
-32
-28
18:
-5
-4
.3
-2
-21
-20
•15
.12
•26
-23
-16
-12
•36
•32
-23
-16
-75
•50
Is-,-
-4
-4
-2
-1
-18
-16
•13
-10
-21
-19
-13
•9
•31
-27
•19
-14
.65
-44
14;.
-4
•3
.2
-1
-14
•13
•11
-8
•16
-14
-10
-7
•26
•23
-16
-11
•55
•38
127.
-3
•2
-1
-1
•11
•10
-8
-6
-12
-10
-7
-4
•21
-18
-13
.8
.46
-31
119E
-2
-2
-1
0
-10
-9
-7
-6
-10
-8
-5
-3
-19
-16
•11
-7
-41
-28
101.
•2
-2
-1
0
-8
-8
-6
-5
.8
-7
•4
-2
•16
-14
-9
•6
•37
-25
91.
=2
-1
•1
0
-7
-7
-5
-4
.6
•5
-3
-1
-14
-12
-8
-5
-32
-22
8%
•1
-1
•1
0
-6
•5
-4
.4
-4
-4
•2
0
•11
-10
-6
-d
•28
-19
71.
-1
-1
0
0
-5
-4
.4
•3
-3
•3
-1
0
-10
-8
-5
-3
-24
-17
6%
-1
-1
0
0
-4
-4
-3
•2
-2
-2
-1
0
•8
•7
-d
-2
•20
.14
5%
-1
0
0
0
-3
-3
-2
•2
-2
-1
0
0
•6
-5
-3
"1
-16
-12
4%
0
0
0
0
-2
•2
•1
-1
•1
-1
0
1
.a
-4
-2
0
-12
-10
3%
0
01
0
0
-1
-1
-1
0
.0
0
0
1--2
Z
0
1
.9
•7
2%
0
0
0
1
0
0
0
0
0
0
1
1
0
1
2
-6
-5
1%
1
1
1
1
1
1
1
1
0
0
0
0
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
5. Infiltration (Duct Air Leakage)
Ducts to Unconditioned Space 0
No Ducts in Uncmdetoned Soave 3
Total 1.31
Percent or
Fenestration more
1.21
to
130
1.11
to
1.20
1.01
to
1.10
.91
to
1.00
.81
to
.90
.76
to
.80
llydue
.71 .66
to to
.75 70
.61
(:T5
.56
to
60
.51
to
55
.46
to
.50
.41
to
45
.36
to
40
.35
or
less
50%
-too
-76
-69
-62
-55
-48
-41
-38
•34
-31
-27
•24
-20
.17
-13
-10
40%
•77
-58
-52
-47
-41
-36
-30
-27
-25
-22
-19
-16
-13
-11
-8
•5
35%
-66
49
-44
-39
-34
-29
-25
-22
-20
•17
.15
•12
-10
•7
-5
-3
3011.
-54
-40
-36
-31
-27
-23
-19
-17
-15
-13
-11
-8
-6
.4
-2
0
287.
•50
-36
-32
-28
-25
-21
-17
-15
-13
-11
-9
-7
-5
-3
•1
1
261.
-45
-33
-29
-25
-22
-18
-14
-13
-11
-9
-7
-5
•4
-2
0
2
24%
-tl
-29
-26
-22
-19
-16
-12
-11
-9
-7
-6
-t
•2
-1
1
3
221.
-36
-25
-22
-19
-16
-13
-10
-8
-7
-5
-1
-2
-1
1
2
4
2D%
-31
-22
-19
-16
-13
-11
•8
-6
-5
-4
-2
-1
1
2
3
5
18%
-27
-18
-16
-13
-11
-8
-6
•4
-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
-t
-2
�l
1
2
3
-4
4
5
6
7
8
9
10%
-8
.4
.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
Method A (Slab -on -grade Construction Only)
petcertt One Two Three
Exoosed Ston Stones Stories
0
0.00
-3
0
-2
0.20
-1
10
2
-2
7
-1
4
-1
2D
8
0
0.80
0
10
0
30
14
1,
9
1
17
1 .
40
1.40
3
14
2
1.60
1
50
13
4
23
3
14
2
60
19
5
4
3
100%
2
70
13
6
9
4
4
2
80
(SEER x duct efficiency)
6
-17
5
-W
3
90
Effective
9
an
6
Sum of 1-6
3
100
Gas
10
Pkg
6
-24
4
-4
+6
Method
IS
HP
HP
Ind
to
Slab Floor
to
Raised Floor
Mass
5.0
.Stones
less
-15
Stones
+5
/CFA
One
Two Three
One
Two
Three
0.0
-11
-8
•6
-1
-1
0
0.1
-t0
-7
.-6
0
0
0
0.3
A
-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
'6 -
5
11
10
10
4.0
4
6
7
13
13
13
5,0
4
6
8
14
14
14
SO
5
7
9
15
15
15
7.0
7
8
10
16
16
16
8.0
8
9
11
18
17
17
9. Exterior Wall Thermal Mass
Exterior Single- Single.
Wall Family Family
Mass Detacrted Ahacted
Muni
Family
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
V
10. Heating System
Houses With Ducts (R42)
Sum of 1.6
Gas SPIrt Pkg -25 -24 -14 .4
AFUE HP HP or to to to
- HSPF HSPF less -15 •5 +5
+6
to
+15
16
or
more
78%
6.8
6.6-
0
0
0
0
0
0
80%
7.0
6.8
1
1
1
1
0
0
85%
7.4
7.2.
5
4
3
2
2
1
901.
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
(SEER x duct efficiency)
Effective AFUE or HSPF
-17
Eff SEER
-W
(AFUE or HSPF x duct efficiency)
-16
Effective
Al
an
Sotn
Sum of 1-6
-25 or
-24 to
Gas
Split
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
5.0
HSPF NSPF
less
-15
-5 -
+5
+15 Moro
One Story House
6.0
5.8
•16
•13
-9
-6
33%
29
28
-62- '-53
•7
-4a
-34
-25
-16
40%
3.5
3.4
40
-34
-28
-22
-16
_-10
501.
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
70%
6.1
5.9
6
5
4
3
2
1
801.
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
5.0
33%
29
28
-69
-S8
-48
•37
-26
-15
4001.
3.5
3.4
-46
-39
-32
-24
-17
-10
50%
4.4
4.2
-24
-20
-16
-13
-9
-5
60%
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
80%
7.0
6.8
9
8
6
5
3
2
901.
7.8
7.6
15
13
10
8
6
3
1001-
8.7
8.5
20
17
14
11
8
4
18
14
Zonal Control Ad)usrment'
6
3
System Type
15.0
14,6
20
.16
11
7
Reststance
0
6
4
3
2
1
0
Other
3
3
2
1
1
0
11. Cooling System
Hour with Ducts (R4.2)
SEER • Sum of 7.9
Soln Pcxg -25 or -24 to -14 to -4 to
AC AC less -15 -5 +5
+6 to
+15
16 or
more
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
0.87
-20
Effective SEER
-41
32
-19
(SEER x duct efficiency)
0.93
-17
Eff SEER
-W
-?8
-16
Sum of 7-9
Al
an
Sotn
PcKg
-25 or
-24 to
-14 to
-4 to
.ti to
i 6 cr
AC
AC
less
-15
-5
+5
+15
more
One Story House
7 5
-5
-1
4
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
-d
-3
-1
0
8.0
7.8
-1
0
0
0
0
0
8.1
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
-8
-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
13.0
126
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
Adjustment for No Tank Insulation
Nt mbw of Waterhleasra
Water heater Tvoe One Two
SG50 -2 -5
S(375 -3 a
SE •5 -9
HP -2 1
Have Stra Adjustment
Horse Size le)
Submw
Witter Heating
Pont Score
lass
etas
1000
1000
to
1499
30
-17
•5
•25
-14
.4
-2D
-11
-3
-15
-9
3
-10
-6
-2
-5
-3
1
0
0
0
5
3
1
10
6
2_..--
15
9
3
20
11
3
25
it
t
House St W wdjttstmmt
House sae (it)
Subtotal 15M 2000
WaswHo mcg to or
Pont Scare 1999 mom
30
0
3
-25
0
2
-2D
0
2
-15
0
1
-10
0
1
.5
D
0
0
0
0
5
0
0
10
0
t
15
D
'
20
0
-2
25
0
-2
Zonal Conllroi Adjustment
All 6 5' 4 2 1 0
12. Water Heating
one Wtsar Hester - No AUZMary Credits
Oltatasai Systae2
Ramc Svstents
Water camaas Enngy STD MR Pin No Tlmsr Dstnd
Hester Tvoel zones Factor POU Intl Cot
Sam
Al
am
0
3 1
-0
-5
0
0.63
5
8 6
-4
0
5
0.73
8
11 9
0
4
8
SG75
Al
0.48
-2
1 -1
-12
-7
.2
t1,58
3
6 5
-5
-1
4
to
7
10 8
-1
3
7
SE
Al
0.87
-20
-12 -17
-41
32
-19
0.93
-17
-0 -13
-W
-?8
-16
IG'
Al
an
2
5 3
IE
AI
0.93
-21
-12
MP
6-11,13.15
1.80
4
7 5
-5
-1
4
Two Watt Heaters - No Am illm? Credits
SGSO
Al
053
•7
1 -6
-17
-12
-7
0.63
1
5 3
-8
-4
1
0.73
6
10 8
-2
2
7
SG75
Al
0.48
-12
-0 -11
-?2
-17
-12
0.58
.1
3 0
-11
-6
-1
M68
6
9 7
.4
1
6
SE
Al
o.97
-22
-14 -19
-46
-35
-22
0.93
-16
-7 -12
-39
-28
-15
IG
Al
0.80
-A
-1 -3
IE
Al
0.93
-21
•12
HP
6.11,13,15
1.80
•1
3 1
-10
-6
0