HomeMy WebLinkAbout079-300-037"..,
POM ROGERS -� ----- ?10
42 Wahoo Ave., Oros lle, lot 3
Permit# 1329-75B P E M n 01- V V
( el SF) �.XI
AP ,•�� J
Permit# 2569 75B(type A flue) 7"�`�"
0?9-300-037 _
CHERYL LANTSBERGER
42 Westvein Way, ORoville l �/
onI: -'-,Carver-.._.
PErmit#2481-89B,P,E(addition)SF
2 PERMIT#94-1414BPE
STON'ICH, CHERYL o
42 WESTVIEW-WAY', OROVILLE p�
CONT: CARVER & WALBERG
ADD BEDROOM & BATHISF 1
i
F-
RESIDENTIAL
S
036-050-'142 PERMIT#94-1414BPE i
STONICH,'CHERYL f
C` 42 WESTVIEW WAY, OROVILLE
CONT: CARVER & WALBERG
ADD BEDROOM ;& BATH/SF
J=OK
O = Not OKNot ,
= Not Ready MOBILE
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
'
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft. -
/ /"Nat. or/ /" L" it./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card 6-1 Date Card B-1
Date
Card B-1 Date Card B-1
t
MISCELLANEOUS '-
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card 13-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
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 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed' v
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
-0�fpY
✓ = OK �s U�(�,�)
O=Not OK I
Not ApplicableNot Ready ESIDENTIAL
=
(Single & Duplex)
Date FRAMING (Continued)
----I ;-Anchors-Connectors
- - - ng. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng n
AZ-Firep+ace•Ties or Type A Flue -Fireplace Throat clearance
AttiG._Access: Size & Romex Protection -Draft Stop -Ins. Baffles
tAe'Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Date JdNDWLOOR (Plans) OK except ti's
G Zo g -Setbacks -Easements -Flood -Slope
2 tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
1 ienums & Ducts; Clearance- terial-Support-Ins.
14: rders-Sills-Anchor Bolt -Joists- nts-Cripples
15. Access & Ventilation
16. Insulation
Date Gard B-1 Date Card B-1
Date Card B-1. Date Card B-1
Date PLUMBING (Permit),OK except ti's
16.r Htr.: Vent -Access -Combustion Air -Baffle
--------- ------ - ---------------------------
Water Pipe: Tes & Anchor -Nail Pr
D.W.V.; T -Fittings & Anch -Nail rotection
Shower Pan: Test. First Floor -Tub Access
t Test Tub & Shower. -Second Floor -Tub Access -
----------------------------------------------------- --
-------- 21. Gas -Pipe: Size & Anchors ----------------------- - - - -
-------- ------------------ --------------------------------------
Date ZG Card B-1 Date Card B-1
--- --^------------_------------ -----------------
Date 1�/'Card B-1- Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. F' Lure & Transformer Clearance -Ins. Protection
--------- ----- -- ---------------------
--- - ec. Receptacles Spacing -Lights & Switches at Doors -- -
e Boxes & No. of Conductors -Stapled
------ ----------- ----- -- ---- - -- ----------------
--------------- -- - -
Romex Installed Close to Edge of Studs & C_J -- -
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
-------------------- - --------------------------------------------
ce Circuls in Kitchen & Conductor Size/GFI
22. Subfeed Wire Size ga Cu or AI-A.C. Wire Size ! ga
Cu or At
--------------------------------------------- ----
29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------------ ------------------
30 Service -Riser Conductors & Ground -Main Disconnect
31.E 1p Clearances Panels-Motors-Mech. Equip
- -- -- -- -- -- -- -
rhes Closet Light -Shower Light -Spa Light
--- - --
------------------------------
Smoke
--------------------------- Smoke Detector
--- --- - ----- -------------
Date Card -B-1 - -- - --Date--------- Card B-1 --------
----- -------------- -------------------------------
Date 1 Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except.#'s
4. A.C. Ducts Insulation & Support
---------- -------------------------------------------------------
35. Vent Fan Exhaust above insulation
----------------------------------------------------------------
36. Condensate Drain & Overflow: Size & Grade
-------------------------
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
----------- ---- - -- ---------------------------------------- -
38. Attic Access & Platform if Furnance in Attic
_------------------------------------- --------------------------------------
Date
Card -B-1 --- -- --------- Date --------- --- Card B-1 -----------
----------------------- -
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ti's
S's.., Proper Material & Anchors
--------------------------------------------------------
---
��. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
--- -
------------------
�1. aring Walls over Girders & Floor Nailing
----
--------------- ------------ --- ------------------------
2. D f Stop in Walls (rat proof)
--- -------------- -------------------------------------------------
Fi eSlops: Furred Ceilings -Stairs -Chases -Tub
--
----------------/- --- - - ---------------------
lA3.Headers & Beam -Size & Bearing
garage Fire Protection Framing
J-RFeperty-Line Firewall & Openings
Ex ors -One 3' -Check Garage -3rd Story, 2 Exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
-- - � lywood on Roof Overhang -Attic Vents -Rafter Outriggers
ding-Nailing Veneer
Stu_�.eo Mesh -Drip Screed -Fd. Vents-Underflr. Access
Protection -Skylights -Plastic
ar Walls; Nailing - Bolts
------------------------
Insulation-Walls-Ceilings
60. Infiltration -Walls -Windows
Date �/_Card B_1 Date Card B-1
Date Card -8-1--- Date Card B-1
Date FIN (Pla ) OK except ti's
1. leps-Door &Sidelight Protection -Landings -
Smoke Detector
Furnac : Vents -Clearance -Comb. Air -Connector -
Ir
arage: Above Floor -Ducts -Meth. Protection
- Bedroom Exiting
- 6- & Bath Fix res & Tub Access -Spa
-- - -
----- Elec rl_ bpanel; Breaker Sizes &Labels
-- airs is
- T`ErtSr Stove: Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
7 ' . Grnd.-Air Gap -Cooking Clearance
Z-7-&=0z_tfeM & Receptacles at Kit. Counter ----
------
Swing -Landing -Closer
------------------------------------
_ uct in Garage -Damper
74�-kd4r-f-Mr,-Vents-Clearance-Comb Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
Plb.. Elec. & Mech. Equip. Listed for Location
--------- --ceptac+es-in Garage: (G.F.I.)-Romex Protection
�n-Foam-Looked in Attic ❑ Yes
_____ -
Guard Rails & Deck Construction -Post Caps
----------------------------------------
en s rawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Y N Walks ❑ Yes ❑ No;
Planters ❑ Yes -❑ No ---�--
co: Brown -Finish
-uc---
C. Unit: Disconnect. Electrical, Plumbing
-=^- --- - ---
Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
------- ---------------------------------------- ---
84.,Wales_Jsconnect_Electrical, Plumbing
&6--E-xterior Elec. Trim; G.F.I. Receptacle -Underground
rtalion Throughout House
ss Protection
------------------
Corrections from Previous Inspections
89. a ers Tagged; Gas -Electric
- 9 Sewer Connected -C/O to Grade -HD Approval--
nergy Compliance Certificate -Other Certificates
------ M
- - --Dat-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:
Owner:
Permit No.
ENERGYC ERT I F ICATION
42 Westview, Oroville, CA.
LOCATION
DESCRIPTION
ROOF
Material_
Thickness (inches)_
EXTERIOR WALL
Material_ FIBERGLASS BATTS
Thickness(inches) 31" &• 6'4"
CEILING
Batt or Blanket Type FIBERGLASS BATTS
Thickness(iriches)_ 12"
Loose Fill. Type
Minimum Thicknesi(Inches)
Area covered(ft. )
FLOOR, ELEVATED
Material FIBERGLASS BATTS
Thickness(inches)_614"
FLOOR, SLAB
Material
Thickness(inches)
A.P. No.
OF INSULATION
Brand Name
Thermal Resistance (K Value)
Brand Netme SCHULLER INT.
Thermal Resistance(R Value)_R13&iR19
Brand Name SCHULLERINT. _
Thermal Resistance(R Value)_.,R-.. ,
Brand ' Name _ 4'
Number of Bags Wt per bug Tom_ w -'Lb.
Thernuit Resistance(R Value)...F_.„
Brand Name SCHULLER INT.
Thermal Resistance(R. Value)__ R19 i
Brand Nfane-
Thermal Resistance(R. Value)._ -._, {'
WIAth(inches)
FOUNDATION WALL - :3
Material _ Brand Name
k-
Thickness(inches); : Tha�u41� Resistance(R Value)
I hereby certify that the above insulat o was installed in the•aboye buililing
in conformance with the State of Califpru., Energy Requ temente;, ! i,i!1 +
LOERKE NSULATION CO., INC. 499150 _
I NA
STATE STATE CONTRACTORS LICENSE NO,'`.�:j'e
February 14, 1995 _
SIGNAT E OF INST LLA.TI AP LIGATOR DATE
}�
I hereby certify the above insulation and all required items as shown on
Building Department approved plans and attapWents have been installed as
required -by the State of California Energy Requ:Lrements.
A11"-'ment, devices"" -'and materials are of the quality prescribed or
specifically approved by the State of California.
FIRM IIy^INER ..(Ple p
SIGNATURE OF Qr RAL CONT WTOR/OWNER
are
CONTRACTOR'S LICENSE NO.'!
DATE -- -
' !'11111
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR 'TO FIN/11.
INSPECTION APPROVAL. AND A COPY SHALL BE POSTED WITHIN THE BUILDING
January 1984
i * 4'
Fiber Glass Insulation,
BUILDERS INSULATION STATEMENT
BLOWN INSULATION 42, 6'..10 'ef Qd
Manufacturer's minimum thickness to provide the level of insulation
resistance (R) Values as shown:
' R Values are determined in accordance with ASTM C-687 and C-236.
Conforms to Federal Specification HHI-1030A.
This insulation has been installed in conformance with the above recom-
mendations to provide a value of R using bags of insula-
tion to cover square feet of area. -
Insulation Contractor (Sign)
Company Name
BATTS AND BLANKET
R
INSULATION
R
INSULATION
VALUE
THICKNESS
VALUE
THICKNESS
R-22
61/2"
R-13
35/s"
R-19
6"
R-11
31/2"
Builder (Sign)
Company Name
Date
Meets Federal
Specification HHI-521E
Fiber glass balls or rolls have been installed in accordance with the
manufacturer's recommendation -to provide an R -Value of ZH in the
ceiling, in the exterior walls, in the floor or crawl space
per' eter.
Insulation Contractor (Sign) Builder (Si�
Company Name Company Name
�/�9�� fc�
29374 ¢
\ CSG -32-11-C 7/`tvm?r
CERTAIN -TEED PRODUCTS CORPORATION. P.O. BOX 860, VALLEY FORGE, PA. 19482
CERTAINTEED
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT,.GF'OEVELOPMENT SERVICES,,
1469 Humboldt Road, Chico, CA - (916) 891:-2751
7 County Center Drive, Oroville; CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307:1
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need addition- al explanation,,
pleas contact this office immediately.
6 --t A4-%_n'q(
91
-)4e C "17 2- ei( _e_
0 let. -
10 c (?-e> 4 Ad -0 C— -S
Zo
Date Inspector
REV 10/92
COUNTY OF BUTTE
t : 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
NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. �% ff
O7 DD Q-; 14 'ic[Z-.7 �/ n < !Z> !O!9 4
2) 1/ L1iV �— y—( 'Cal — 1-b —Z' " +4
c- AQ
Date Inspector
REV 10/9 '
u
COUNTY OF BUTTE
`.
BUILDING DIVISION
14
DEPARTMENT OF DEVELOPMENT SERVICES
146-9 Humboldt Road, Chico, CA - (916) 891=2751-
7 County Center Drive, Oroville, CA - (916)-538-75411
,
" .
747 Elliott Road, Paradise, CA.- (916) 87.2-6307
CORRECTION NOTICE
.`
OWNER PERMIT NO.
}
-
A routine inspection indicates that the following violations of Butte County Ordinances exist at
"
the above address and should be corrected. Please notify this office when correction of work
.
is completed. If you have any questions pertaining to this matter, or need additional explanation,
*`
please contact this office immediately.
C— / ApiY . fit/ L.:>13A" Q
,
/n1
L4, esp eI
A•v
crL�.Y vy,.. ,ter 4 _ yg k L11— A::' IJ crrJ
Y
Date Inspector
Tj
y .
REV 10/9
Date `Z� Inspector
REV t off• 2
t
-"
COUNTY OF BUTTE
0. V V at
BUILDING DIVISION
;DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751'
11C t 41
`. `
7 County Center Drive, Oroville, CA"- (916) 538-7541
;
747 Elliott Road, Paradise, CA - (916).872-6307 ,
CORRECTION NOTICE
°P
r
OWNtK PERMIT NO.
-`
•r
A routine inspection indicates that the following violations of Butte County Ordinancesexist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
!or.
please ctact this office immediately.
Date `Z� Inspector
REV t off• 2
-"
?� h
0. V V at
11C t 41
"T:X
°P
`s
Date `Z� Inspector
REV t off• 2
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION -AND PERMIT 9`t�_/ T
ASSESSOR PARCEL NUMBER
036-050-142
ZONINGBUILDING
.,
PERMIT
OWNER
CHERYL STONICH
TELEPHONE
SQ. FT. OCC. BUILDING ALUAtION
495 R
26,730.00
OWNER'S MAILING ADDRESS
42 WESTVIEW WAY OROVILLE
128 0
896.00
CONTRACTOR'S NAME
CARVER & WALBERG
TELEPHONE
534-0123
CONTRACTOR'S MAILING ADDRESS,
6655 L.WYANDOTTE RD OROVILLE 95965
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation Is
27,626.00
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 271.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 176.45
Energy Plan Checking Fee
$ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
42 WESTVIEW WAY
PERMIT FEE
$ 490.95
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
3 1 7.00 21.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
TNO.
F�:iLcZL 3
SUBDIVISION'S NAME
PARCEL MAP
U- Z�'j
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF �j{Duplex ❑ Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 O
Mobile Home S G W
Mobile
TYPE OF WORK
New ❑ Addition Q Remodel ❑ Utilities ❑ Installation O Other O
Describework: BEDROOM & BATH
PERMIT FEE
$ 71.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
ZOOA OR LESS
23.00
Main Service ( ZOOA TO IOOOA )
46.00 '
NEW CONST. DWELLING OCCUP.
OR AODNS. ( & ACC. BLOS. )
SO.
O 3.50 FT.17 30
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. y/�/-7 3 B" Classification P '�
❑ I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B 20 @ 1.0000
Ex. Occup' ( FIXED APPLNS. OR
OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
9"I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
ERMIT FEE
$
Contractor `
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in co equence of granting of this permit.
X-yi L r Dates - /r- J` -GJ
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
occ
CONST. TYPE
TOTAL FEE $ 645.25
HAZ.
D. FEE
IMP
_IMP
F1ooD
CDF PARCEL PD
HD
�
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
D
By.
I PERMITEXPIRESON
the applicable provisions
Resolutions to do work
been paid.
Date ! ��
D
(Date/
Receipt No. 163104 - 259.45//33L, IRr)
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR o GOLDENROD -APPLICANT
(P/Q + 82 = 348.45
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COUNTY OF BUTTE - DEPARTMENT OF D ,V-EU0PMENTSERVICES - BUILDING DIVISION
7 *CTU TY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET(9
OWNER
Proposed Building Use
Building Inspector
RIM
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . .................................. .....
2. Plot plans, 3/4 sets, signed by preparer of plans . ........................\ .. .
3. Complete plans, 3/4 sets, signed by preparer of plans . .................. `,.. .
4. Engineered plans and calcs, 3/4 sets, with wet.signature on plans . ............ .
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). .... nt
9. Mobilehome a a and m ufacturer's installation instructions, 2 sets. ...........
0. Fees of $........................................ �-
11. Impact fees as shown on attached schedule. .. ,......
12. California Department of Forestry plan approval fees
3. Flood elevation letter (100 year floo) by C I•fornia ngineer. .. . n
0�5.
4. Sanitation and plot plan approval ^ Ith Department. �N u
- .
City of Chico plumbing permit. ............. .
16. Plot plan and business license approval from City of Biggs/Gridley. ............. r
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.about (A) Improvements (B) Drainage. .........'. .
19. Driveway permit (construction approval required prior to occupancy). . .
Pre4nspeC60; requSt
20. Pre -inspection for required. . to Building lnspedor (Date),,
21. Contractor's license information. No., Name.St le, Classification . ti
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). ...:�;a:...•. .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization.
........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed `
and (B) Parcel meets zoning area and frontage requirements . ...............
'it -Existing violations/expired permits . ......................................
�an check list . .....................................................
34.
When you issue the permit, process as follows:" Mail to owner. Mail to contractor.
TelephoneL _nd hold for pickup at /� �('� office. Deliver with inspector.
Other
Parcel Creation 1
Acreage ApplicanO:�-- I Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted ' to Demit i ance: (Circle new item not checked above). i
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owne was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, r was 20vised of abov u'r d data by _ phone _ mail Counter by _ Date
Plans checked by Dat Plans approved by - �V Dat - -
Sets of plans on hold in File cabinet IF AP folder
Copy - Department of Public Works
ODUNTY •OF BUT E -DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE''(916) 538-7541
C ✓' to A.P.
OWNER �-
PROPOSED BUILDING USE (" DATE .
REC. # DATE REC
SCHOOL DISTRICT FEES
t
(paid at District Office).:.. ...... 14
2. SHERIFF FEES
(paid at Building Department)
Residential... x _$
unit amt.
Commercial (sgft)_ z _$
sq.ft. amt.
3. •URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x _$
# units- amt.
Commercial (per sq.ft) x _$
sq.ft. amt.
4. RECREATION DISTRICT FEES'
(paid at District Office) ................. .....
5. DRAINAGE DISTRICT FEES-
(Contact
EES(Contact Land Development Division).010 !�t ....
6. SRA FIRE - INSPECTION'An PLAN CHECK = 8 148
(paid at Building Department)
7., OTHER
8. OTHER
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT. DATE
y
J. f...
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
Pe form Per Building)
School District r ? Building Department No.
A.P. Number (/,--1%s0-� Jurisdict n City [] County
Property Owner F r l vi C,
Property Location/Address St V16 k lou, �l�`D. ✓r <
Subdivison Lot No.
Residential Development
No. of Living MHI Addition
Units
Commercial/Industrial
Building De
0 0
New Addition
(Floor Plans reviewed by School District Personnel)
Sq. Footage 1�9
(Group R)
Sq. Footage
(Including Exterior
oofed.Areas)
Date
District Identification No.
School District certifies that
CJ (Applicant)
(Street Address)
(Phone Number)
(City)" /(State) -(Zip Code)
has complied with the requirements of Resolution No. by payment of $
representingq p g
s uare feet. Check here if fee received represents "Full Mitigation".
School District Rep
Paid by Check #
Bank Number
Paid by Cash
Date
Remarks: /,4IV,& e.
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 Agency that this project
is being reviewed under. the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.wkl (a/ea)
,
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
r:c<vn^ (One Form per Building)
Y
A.P. Number---"„/9.� Building Department No.
School District e)P_01 1Ze_, City = County ® Jurisdiction
Property Owner L7W6kN-_--_
Project Location/Address LTJ ,s -,.J UTAV,
Subdivision Lot Number
Residential Development: N]
Sq. Footage 3.:�O
# of•Living MHI Addition (Group R)
Units
Commercial/Industrial: � 'Sq. Footage
New Addition (Including Exterior
Roofed Areas)
r7 /�r'q
Building 'DepartmenLt I `Eepresentative ' Date
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District Id No. .20-3
School District certifies that
(Applicant Name) U (Phone Number)
s �
(Street Address) Q
(City),. (State) ;(Zip Code)
has. complied with the requirements `of Resolution No. /.2—
by
yby the payment of $ (J,�CILr�, , representing square feet.
`-School District Representative Date
PAID BY CHECK NO.
BANK NO
PAID BY CASH
REMARKS: lei�(J
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
TJI® JOIST RESIDENTIAL FLOOR SPAN CHARTS
40 PSF LIVE LOAD, 10 PSF DEAD LOAD
(Example: Single layer glue -nailed wood sheathing and direct applied ceiling)
j./360 LIVE LOAD DEFLECTION (Code Minimum)
E
«Z`JOISTA,
,DEPTH
-YJOIST
SERIES&
DF, 18'-9" 17'-2"
16'-3"
15'-1"
zTJI®/15
OjT9 �+
TJI!/25.DF,
+` fX,f
9�h
TJIM�SOF;17�-9."
r 14'`ii;
14117
TJI°/15 DF
22'-4" 20'-5"
10 /15'DF,
15'-1 "
TJI!/25 DF .244;'.4; .1.21'
TJI°/35 DF, 25,-3„ VL 11 g"
20%2"M
wQt14�yYS'
c�!etir#r'Li;tJI!MSDF
. - TJI!/25bF, i...
11?M ",
�.
28'-8" 26'-1" 24'-7"m
20'-10"m
:r
r
,TJI!/25 DF
29',-5",;yam x,26' ;1 :m a
1, 22'-11 r m / ml8.74!'m - :
m 31'-9" 28'-11 " 26'-1 "m 20' 10"m
U480 LIVE LOAD DEFLECTION
_�1_5
t JOIST ,',
JOIST ' r "t
DEPTHS
TJI'/15'DF
17'-0" 15'-6" 14'-8"
13'-7"
+` fX,f
9�h
TJIM�SOF;17�-9."
we «,416'72",.„ ;05'.37a-.;.
.14'-2"
18'-3' 15'-2"
10 /15'DF,
20'-3" 18'-5 17'-5"
15'-1 "
1TJI!/25.'DF
16'-9"m.
TJI!/35 DF -24'r1.1`"
11?M ",
TJI,1N ,
22'-10" 20'-9" 19'-7"
16'-2-
>�
4
TJI 725'pF,.
o,,g4' -0" A 21;10"
�11
TJI!%35'DF,
25'-11 " 23'-7" 22'-2"
20'-6"m
r. 1 ,
1- 6" i
TJI!M DF
; 26'y7'�c,; 1:24'�"�7�: 4;22'-10"m.,
.
28'-8" 26'-1 " 24'-7"(7)
20'-10"m
+
40 PSF LIVE LOAD, 22 PSF DEAD LOAD
(Example: Single layer glue -nailed wood sheathing with 11/211 lightweight concrete and direct applied ceiling)
U360 LIVE LOAD DEFLECTION (Code Minimum) U480 LIVE LOAD DEFLECTION
tiJOIST)`t,
"JOIST
-sDEP,TQA
SERIFS"
TJI!/15'DF i 18''7s� 16'-8"
15'-2"
12'-1"
9p�fg3
;TJI°/25.DF
1m I, 18'-3"
,1&16'-6".-
P
14'-9":_1'"a1
12'-1'
TJI®/15 DF, 20'-3"
18'-3' 15'-2"
;tiv l"�
TJI!/25 DF
TJI0/35.13F, .' 22,-10" 20'-9" 19'-7"m.
16'-9"m.
TJI!/35 DF -24'r1.1`"
TJI!/25 DF 21'-10'm
16'-9"17)
x 23.7 m
TJI!/35 DF, L25;,;11; V ;1�t 21'-0"m 16'-9"
TJI!/25 DF
TJI!/25 DF. 7•
ti' +
jJim/35 DF, 'i,28`14"-1 : #t+2�`:-3'm,
21,-0„m
16' 9"m
T 0:.4.V'
TJI°/25 DF 22'�"m
TJ -PEYi " t
21'-0"m
16'-9"m
'JOIST },01ST
DEPTH ix.
" " "`'fix
�SERIES1f � —
"" 'O.C:SPACINGV','''
`,.
15'-6"
14'-7„
'%; LAA;d
12'-1"
TJI°/25th i 17,'-9",•._,,
,. ,.,16-2,.,
14'-2"m1e1.
Z'r
.117
TJI®/15 DF, 20'-3"
18'-3' 15'-2"
12'-1"
TJI°/25 bF 21'-
TJI0/35.13F, .' 22,-10" 20'-9" 19'-7"m.
16'-9"m.
?+'+ r y
3 14 ..
TJI!/25 DF 21'-10'm
w,18'�"m ,.14'-9°m..
.
x 23.7 m
TJI!/35 DF, L25;,;11; V ;1�t 21'-0"m 16'-9"
r}-
ta',16
= s
TJI!/25 DF. 7•
22'3'm
18' 6':m
-
.,14' -9"m .
m ti " :3" 21'-0'a1)
16'-9"m
NOTE: Although the "U480 Live Load Deflection" charts will usually provide better floor performance than the "U360 Live Load Deflection" charts, the
resulting performance still may not be adequate for your project. See page 3 for "A WORD ABOUT FLOOR PERFORMANCE;' or contact your Trus
Joist MacMillan representative for assistance.
GENERAL NOTES:
1. Span charts assume composite action with single layer of the appropriate span rated glue -nailed wood sheathing for deflection only.
Spans shall be reduced 5" where sheathing panels are nailed only.
2. Spans are based on clear distance between supports, uniformly loaded joists, and include allowable increases for repetitive
use members.
3. For loading conditions not shown, refer to allowable uniform load tables on page 14.
4. Spans shown reflect the most restrictive of simple span or multiple span applications.
5. Long term deflection under dead load which includes the effect of creep, common to all wood members, has not been considered
for any of the above applications.Qspans reflect initial dead load deflection exceeding 0.33;' which may be unacceptable.
For additional information contact your Trus Joist MacMillan representative.
WEB STIFFENER REQUIREMENTS
6. End Bearings: Web stiffeners (see detail "K" on page 7) are not required at end bearings of TJI® floor joists listed in this guide except in
hangers when the sides of the hanger do not laterally support the TJI® joist top flange. (See detail "H1 " on page 7).
7. Intermediate Bearings: At intermediate supports where the joists are continuous span, web stiffeners are required only if the
intermediate bearing width is less than 5-1/4" and the span on either side of the intermediate bearing is greater than the spans
shown in the following chart:
JOIST, a 1,&-440 FPSJ yLIVE LOADJ,IO PSF, DEAD LOAD «; `tea Y140fPSF, LIVE LOAD, 22 PSF DEAD LOAD ,-4,',iQ
SERIES ; p� e:
JJIOAS'DF''; WEB STIFFENERS NOT REQUIRED WEB STIFFENERS NOT REQUIRED
„TJI®/2513F;r Not Required; t� 25' 1,: a,, , A20'-10".vim
9 Not Required Not Required 1 24'-2" 19'-4" 31'-3" 23'-4" 19'-5" 1 15'-6"
8. When using IUT9 hangers with this load/spacing condition the maximum joist span is 13'•9."
Page 5
LAS►y�i s
f�SlyAlF W11 Ko C� G s
CC 0474 20
Lo Lelf:�T EL� fe'Ku\►J moi �y'3 ,
b9 ` �3 �Jo
�1
l�•�9. i�l%z .
-75�c 2.1�3a 21
= 2 I I
/l2GUALL h-69 Y, 94.a2D(IS,
U �' :6T 10 l Ids , �avJ f a /2e U�l+eu s -o v (3 I N s -� aver
�i.`iu�
U-151tic
.BUTTE C®UNI F�!
IIS EP a
�U1LD Div
JV .�,\moi
LATERAL ANALYS S
z 1.ST-STb-Rv ul,*
V -2-i�.�� �- 3.sx 4.O -SX 100\/ 11,0-
-2-
1,0.2 Js 19 d- 21.1:-3 4- 2 2 z Ids.
U�-2-1�s �Z - /U� i3� f �s I �s,
� a �+oID �'� P�.y cd cc - svoE r w
al
rJ 3 `' KeAAI3ai. w , obk Ste. = 13c�1JU.s
3 x SG -7= Zc khs .-,i,t r I
. ,O�1�2�112•-�.l t r� 6
13q I� �� W
Prz.
l� = `� l�1JC i ✓ E fJ LcSIt(Y� ?. ( k) C) (Q'
2�c 40 _
C,2 12�-2) = 59 21bs
PL S9 2-161.
'
i92 Iry 4-G Won -4 UJW..-,**vzut
:IoxaX `
-`�(^ `R=z •'"'2 �Ij5 k,—,o 0CA�S cel N dQ'
YV1 i3� <V r.:�;592I�g -- gcT'L
`ua-c l��T (l q C� . I�S«� DCI -s a! t rl 10331 bs
r ..
475%- lbs c�v.5Nx ln" & dva . 4
CG
M
l
OL
�4I�S(Fd-OL
�5L3 Zoo 4�
OL
lea �j,4
44L1� ' bt iff0LL
LL=
[AJA%A-.
VOeNO (A <n
Lc- Z- 4o
2 A- -:30 VC4 112S UL
-
Low
-7
10 OL'4
111 11161 h OL t ql lk t U. [,C
E&JAt,
Cvl-u�
sa
Lap" C 1ot16) = is bt-4- -7
_
_.. _..._ _
;....
_... _._..... ... - _....- - - . _ - _. _......._...W
BE -A111 f1L• r.l' GI'! & AN1^11._.` l �, c __ rir_,
3
.......... .....:.._.......... ..... ..... ...
DESCRIPTION
:._:._...... .... ..... ....
.... _
........ _ ...... ..... _..... .......... _ ..... _..._....._.............. ...
-----=-- - - - - - - 7 - - - - - - - '-
-� --span 1-'1''Sodn
° ' -- '--S S S :
c'-i--5po'n � '.--Span 4--� Span 51--l-Span a--�--.pan 7--�--.•pan 1+-�.
ALL SPAINS SIMPLE SUPPORT ?
M vin
SPAN LENGTH ft;
9
6,5 ..-
-
END FI:XITY.... Left:
Fix!Pin/Free = 2i1/(r ; Rt:
1
1
I 1 1 1 1 1
BEAM WIDTH in:
-3.5
3.5
_.. .
BEAM DEPTH in:
7.50
.. 7.50
---- CALCULATED VALUES --:-:----=-------------=-----=------------
---------=----' -- .
t F'b -Modified Allow. Psi:"
1,300
1,300
:
fb - Actual psi:
598
598
F'v.= Modified Allow. psi!'
85.00
85.00
iv (actual).* 1.5 psi:
55.40
44.88
Moment @ Left.. in -k:
-19.0
° Rioht in -k:.
-19.6.
.
Max. Mom. @ Mid -Span in -k:
15.7
4.9
X -Dist, ft:
3.60
4.51
Shears: Left k:
0.73
0.91 .
Rioht Y.:
-1.09
-0.44
Reactions: Left: Dead. k:'
0.40
1..10
Live .k:
0.33 ::.
0..190
Total k: ,
.: 0.73.
2:00
Rioht:Dead k1
1.10
0.22
Live k:
0.90
0.18
Total k:
2.00.
0.40
Max. Defl. @Mid Span', in:
-O.OBO
X -Dist - ft:
4.02
4.51
------- DES16N DATA -=-----1
-------- :---'
---
-----1 ------ -;--- --:----------
Le:
Le: Unsupported Length ft:
2
.. 2
Fb BASIC ALLOW... psi,
1.,300.
_. 1,300
BASIC 'ALLOW.,- psi)
B5,00-
'.- .85.00.
85.00 85.00 _B5.60 `85.60 85.00. 95.00
E ksi:.
' 1,600
1,600
1,800 '- 1;840 1,800"'` 1800' 1,800 -. 1,800
LOAD DURATION FACTOR :
t
1
1.25 1.251.25 1.25 1.25 1.25
-=�-- APPLIED LOADS -------:---=-------:----------;---=------1----------;----------1----------:----------.:-
----
USE LL THIS SPAN? Y/,N1
1
' -UNIFORM...... DL_ plf:
111
Ill
LL plfi
-
91..
.
PARTIAL.....'. DL' -Alf:.,
LL plfi
X -Left ft:
q-Rioht ft:
TRAP.....DL @ Left #/ft:
:.
. DL .@ Rioht #lftl
LL .@ Left #/fti
LL @ Ri4ht -#/ft:
X -Left ft:
X -Right it:
POINT...:.... DL ' #:
LL #:
' X' -Dista ft:
'.
DL # 1
;
LL
X -Dist. ` ft: '.
DL #:
' LL #:
X -Dist. ft:
:if '}s IQ -X
--
1 # lQ
#
10 ........iNIOd
I.
M 14b IW -X
:}T }Tal -X
:}T/# 40 IS # 11
[}T/# 10 18 A 10
}}/# }Tal # 19 ....081
'If1408-X ,.
I1T 401-X
MCI - 11
-
:T1d 14 ......-ltlIlBtld •
0EZ
ON
80Z•
80Z
ITId 1Q
t 1 t T
I T j,
t
MA ZNtldS SIR 11 3SIl -
:-------------------.------.----;-------=------------{=-=-------;----------1-----------:-------
Si1tl01.G3IlddV --•--
SZ 1 5Z'I
SZ'I SZ•t t
I
[ 8013VA'M ltlM Otl01
008'1.",..:.:008'1 =' 00911 008'I .
0081I 008'1•- 009'1 �:9'1.
:'Ot)
:151 3
00,98 `i 00`98 00158. 00,98
00'S8 00,1913. 00'98.
00'98
;tsd 'N011d 0[S�d = nj
MIT,
00c'I
:tSd 'Nolltl 3IStl8 -.q3
Z
Z
; }; 4}bual Pa}joddnsun :al a ;
{--------- [----=-----: -------=--1---------- -----=----:
----------: - -----
-------- 7--: ------- VIVO HMO -
ozlz
IL'T
:11 ISM
400'0-
91)0'0-
:ul. uedS pi # 'I180 •xeW
b9'0
Z1'Z
:1 Mai
ZU0
I1'1.
:1 aAll
l
6Z'0
I011
:} PeaQ}ybcW
ZI'Z
L9'0.
:1. Ie}ol .
IT'I
9£'0
:1 antl
1011
Zi'0
:1 Peaq :};al ..:Suot}3ea8
09'0-
80'1-
11 14018 .
tr0'I
L910 .
:1 11a1 :sJea4S
8:.'Z
Z911
:}T IsIO_X
t
019
I19
:1-ut uedS-PtW # •®oW •xeW
b'b-
:i-uI 1411tS d
6'6-
:1-ul };al a }uauoW
98'aa
b#'96:ISd
S'I 3 Igen}jeI n;
o0'S8
00'98
:tSd mo1IV PatTtPdW,- n,d
701
70(
:Isd ,Ienljv - QT
0pc'.I ' .
off' I
: tsd 'mol IV PatipaW - q; d
-=----=-----------------=---------------------------------------------------------------:----
S3111VA (30117131V:3 ----
0S'L
OS'L ='
:UI H id30 Wtl3A
S'z
S'E ..:
:ut H1QIq Wtl39
i. I t . j
t 1 I
I. ,
:18 WT/Z = 22.13/uld. Xtd
I I I I
I I I
I.:
:};al AlIXId 0N3
Hi9N31 NVAG
uJn
N`
18OddA5 31jW[S S:dtldS llH
uedS--:--a uedS--:--; uedS=_:__b uedS--:--� uedS--:--Z uedS--:--[
uedS---:---------------------------
NOIl IKS39
�.._..._..........._._... ..... .... ..... ..
l S"),A I k-) N 0 h1:= 1 E,=at1
_.. - --.......... _...... ..._. _ ..._
i.,IVs_I !-I_J�•ll.•-I:I .1. Nai.JcS
- .._..
_ .. ... _...
_
:#-1; 11
i}i iS tQ-t,
an_.1ro
Tv w� Opsn-0111)
�
�I PL
•
•
-
I r- z '
azJO
22k cc -(E 4 1
4x PST
Ll
Cq
f
- y
.w
f ��
............ ..... ..... .... .... _._..._.... _ - - -= - - -.... ..... .... ..... .... ..... ._.......... ..... .... .....
....
Q I3 L F ' I' E : (1 11 1_) t._: * t:; IA f _k. cl E_.
.-
uescnotion a ,e
_-
DESIGN DATA -- -----1----- 2----- ----.;----- 1----4 ----- 1----5 ----- 1 ---- 6----- ----7----
TIMBER SECTION --- --- --- --- --- --- --- .
....Depth in1' 11.5 11.5 13.5. 11.5
"Width int 5.5 5.5 5.5 -5.5
Le: Unsupp ft 1 2 ` 2 2 .2
Fb - AIlow ps-i V 1,360 1,300 1,300 1,300.
Fv - Allow. psi; 85 85 85 85
E k= -.i: 1600 1600. 1600 1600
LOAD DUR. FACTOR 1 1 1 1
Stress Ratio -i%1 1.649 0.895; 0.860 0.605
-- CENTER SPAN--1--No Good' ------ OK---�-----OK--------- 0K --------- OK--------OK---------OA- --
SPAN LENGTH it: 19.00 14.06; 16.00. 19.00
UNIFORM DL olf: 172. 17yy'' 172 101
LL W f1 308 30B 308 15
PARTIAL DL plfl r
LL Of:
X -Left ft;
X-Ri4ht it!
POINT... DL #1
LL #1
X -Dist.. it!.
DL #t
1. #1
X -Dist. 'ft1
DL #1
LL . it
X -Dist. it:
DL .#1
LL #1
X -Dist. .ft1'
-CANT. SPAN --- 1-----1 ----------- 2----=:1----3-----1 ---- 4 ----- 1----5 --- --;----6---=-1--=-7---
SPAN LENGTH. .ft1
PARTIAL DL. plfl`
LL plfl
X -Left it:
X-Richt "ft1
POINT... DL #1
LL #1
X -Dist. ft1
DL #1.
LL #1 i
X' -Dist. it',
---- RESULTS ----'----------='----------' --------' ---- =-'-------'------- ------
Mmaz @ Cntr in -k1 259.92 141.12 184.32 95.30.
X -Dist, it; 9.50 7.00 8.00 9.50
Moment @ Rt in -k1
REACTIONS... 1.
Left- Dead .#1 1,634 1,204 1,316. 959 V
Live 11 2,926 2.156 2,464. 713
Riohto Dead #1 1,634 1,204 1,37b. 960:
Live #1 2,926 2,156 2,464 712
---- STRESSES---1--No 600d!-1 ---- 2 ----- 1----3 ---- -1----4 ----- 1----5-----1----b-----1----7----'
Fb... Allow psi! 1,300 1,300 1,283 1,300
Actual psi.' 2,144 1,164 1,103 786
-- DEFLECTIONS--l-------=---l----------
----------:-----=
----l- --------'---=----
CENTER.. , ! .
Dead Load ` i n !
41.452
-ii 1 3
141
-0.E
..._ . .. ......... --....... __. _... _......_ ._.... _
I -I, Y?
L: F" ) I I':I
X -Dist. it:
9,5.
l,i,
8.1j
9.5
DL Rat i o !
504 ..
1.260 .
1,7166
K9
Live Load in!
-0.81G
-1,,2.39
-V.Z5z
-ii.197'
X -Di= --t, ft;
9.5
7.0
8.0
9.5
LL Ratio
282
704
7e3
1.15e
- Total Defl: in;
-1.262
-0:31?
-0.392
-0.46:
X -Dist. ft!
9.5
i.0
8.0
9.5
Total Ratio !
181
452
489.,..
493
CANTILEVER.,,..
Dead Load in!'
DL Ratio ! .-
Live load in:
LL'Ratio !
Total Defl. in!
__Total' -Ratio
Certificate of Compliance: Residential (Page 1 of 2) CF -1 R
�..L ToNici.I �ESirEnJCE,ei� S'f gel
0,4 /fo 0
Project Address /Bu lding Permit d
S�diN E �i i✓G a/ 119/6153`1 —3,L,:2 Plan Check / Date
Documentation Author Telephone
i /V 7- STG %i) �� Field Check / Date
Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area:
Building Type:
(check one or more)
Front Orientation: s god�
Number of Dwelling Unn"ft§:
Floor Construction Type:
/ 5 D ft,
Single Family Addition
Multi -Family -Existing -Plus -Addition
North / East / South est All Orientations
(Input orientation.in degre circle one.)
Slab meed Floor (circle one or both)
BUILDING SHELL INSULATION
caQveit & Wa►lBeRq
WwA ContnactoRs`/
6455 LoweR WyanOoz •1
000mile. Ca 95965
Ph # 534-0123 oR 533-7810
La# 414738
FENESTRATION . Shading Devices
Fenestration Area Fenestration Interior Exterior Overhang Framing Type
Orientation (sf) LI -Value roller blind, etc. shadescreen, etc. es/no metal/wood/vin I)
Front..... W sho c�E=Mvs e.5
Front..... (Lk)) �_ ov E) D►21�oe� - -
Left....... (l,/) .gyp "�S— C-P,�c�r<✓r 3c.i,u�s o EXis��-a
Left....... (IJ) ' • ca 0_ _ 1�oUc5 ' ouakLa iN�
Rear..... (E)_ . , �5�. _DQAPE~ 5 Nlo A!o Ex rsTin
Rear ..... ()
Right..... (5) / Flo ��.�nt= /Llo.v E A10_ I7%T.dL_
Right..... ( )
Skylight .......
Skylight .......
THERMAL MASS -
Type/Covering
Area Thickness ®�' �°�
slab/ex sed file etc. sf inches Localion/Descri tion kitchen, bath etc. , 1
Revised January 1992
Construction
Component
Insulation
Assembly Location/Comments
Type '
R -Value
U -Value (attic, to garage, typical, etc.)
Wall ..............
t'�.D "-') C;'CIU UDn tT'I OtN Q kc�
Wall.
Roof .............
12- 1
��
��;U93� t►.� Ei�CSTINC4 Exrerz(ore LA) V) (-,Ls
O;OaS-� SIN A� uFrwwj'
Roof .............
Floor....... ....
Floor....ge....
t�-1q1
- f\
p t✓,-,�---Q��p-tT,iar
D,o�
I
IIQ F_xi-: lTi 2xA Ft,oa2 4pts-r_5
Slab Edge....
FENESTRATION . Shading Devices
Fenestration Area Fenestration Interior Exterior Overhang Framing Type
Orientation (sf) LI -Value roller blind, etc. shadescreen, etc. es/no metal/wood/vin I)
Front..... W sho c�E=Mvs e.5
Front..... (Lk)) �_ ov E) D►21�oe� - -
Left....... (l,/) .gyp "�S— C-P,�c�r<✓r 3c.i,u�s o EXis��-a
Left....... (IJ) ' • ca 0_ _ 1�oUc5 ' ouakLa iN�
Rear..... (E)_ . , �5�. _DQAPE~ 5 Nlo A!o Ex rsTin
Rear ..... ()
Right..... (5) / Flo ��.�nt= /Llo.v E A10_ I7%T.dL_
Right..... ( )
Skylight .......
Skylight .......
THERMAL MASS -
Type/Covering
Area Thickness ®�' �°�
slab/ex sed file etc. sf inches Localion/Descri tion kitchen, bath etc. , 1
Revised January 1992
Xeirtificate of Compliance: Residential (Page 2 of 2) CF -1 R
Pro)eot Title c �J .SES i i�E it/C F-- dydyDate
HVAC SYSTEMS
External
Factor or,
Tank
Recovery Standby'
Note: Input hydropic or combined hydronic data under Water Heating Systems, except Design Heating Load.
Efficiency Loss (V
R -Value
Distribution
Heating Equipment
Minimum
Type and
Duct or
Type (furnace, heat
Efficiency
Location
Piping
Thermostat
pump, etc.)
(AFUE/HSPF
ducts/attic etc.
R -Value
Type
&.d jGc- .4e
A/o,,.j L�
Minimum
Duct
Cooling Equipment
Type (air conditioner,
Efficiency
Location
Duct
Thermostat Configuration
heat pump, evap. cooling)
(SEER)
(attic, etc.)
R -Value
Type (split or package)
y,
WATER HEATING SYSTEMS
Water Heater • Distribution
Rated' Tank
Number Input (kW Capa
in System or Btu/hr) (aallc
Energy
External
Factor or,
Tank
Recovery Standby'
Insulation
Efficiency Loss (V
R -Value
;5 3 Via.
1. For small pas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (rated input a 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For Instantaneous pas water haters, list Rated Input and Recovery Efficiency.
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply YAM Title 24, Parts 1 and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
Individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special Features/Remarks section.
Designer or Owner (per Business 6 Professlons Code)
Name: - Y.- , , G L':.. , _ /
71tle/Finn: —
Address:
fl2� �i i i i F f l'rd
Telephone:
Lic.8 _ ..... /
.(signatuyb) (date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(signature/stamp) (date)
Revised January 1992
Documentation Author
Name:Gui�y E Citi
Tide/Firm:
Address: ,3
5
Telephone: 5 3 — 72
(signatu ) (date)
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements
listed -on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
Space Conditioning, Water Heating and Plumbing System Measures
DESCRIPTION
§110.13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
Building Envelope Measures
/3
/3 §150(j): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
f *
§150(a): Minimum Raoeiling insulation.
Z
2
§150(b): Loose fill insulation manufacturer's labeled R -Value,
3
3 *
§150(c): Minimum R-19 wall insulation in framed walls (does not apply to exterior mass walls).
4 *
§150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
1, Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004: ducts insulated
S
§150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no
2. Exhaust Ian systems have backdraft or automatic dampers
greater than 2.0 perminch.
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
§118: Insulation specifiej or installed meets California Energy Commission quality standards.
�S
§114: Pool and Spa Heating Systems and Equipment
Indicate type and form.
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
7
§116.17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls
Ago
2. System is installed with:
a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
a. At least 36' pipe between filter and heater for future solar heating.
b. Manufactured fenestration products have label with certified U•value, and infiltration certification.
3. Pool system has directional inlets and a circulation pump time switch.
c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
B
B
§150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only.
q
9
§150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
/7 §I50(k): 40 lumensrwatt or greater for general lighting in kitchens and rooms with water closets: and
;p
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
Revised January 1992
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damps► 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, showerheads and faucets certified by the Commission.
/2 §150(i): Setback thermostat on all applicable heating systems.
/3
/3 §150(j): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater).
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (8-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
5. Piping insulated between heating source and indirect hot water tank.
/� * §150(m): Ducts and Fans
1, Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004: ducts insulated
to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust Ian systems have backdraft or automatic dampers
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated dampers..
�S
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no electric resistance heating and no pilot light.
Ago
2. System is installed with:
a. At least 36' pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation pump time switch.
17
/y §11 S: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no
continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.)
Lighting Measures
i9
/7 §I50(k): 40 lumensrwatt or greater for general lighting in kitchens and rooms with water closets: and
recessed ceiling fixtures IC (insulation cover) approved.
Revised January 1992
/9
DESIGNER H ENFORCEMENT
., Point System Summary: Climate Zone 11
�J 7bN / C1✓ ,.0 ES/ c�iU `T - ,-•�.�;r r r r �,• ii�
Project THIS Date
BUILDING DATA
Condfti Area /99g. 50 Number of Stories 0_
Sla aised Floor Q,a,s&o r-
Check all applicable Unit Type condition(s):
.] Single Family Detached (SFD) (] Addition Alone
I J Single Family Attached (SFA) I J Existing Building
(J Mufti -Family (MF) Existing -Plus -Addition
P -2R
SCORECARD
Measures (Point Scores
1. Gelling Insulation or .o
R -value 1361 U -value 10.0281 ,.
2. Wall Insulation or
R -value 1191 U -value 10.0651
& Raised Floor Insulation or . o '5? O
R -value 19 U -value 10.0371
4. Slab Edge Insulation or
R -value 101 F2 factor 10.751
5. Infiltration Any Ducts In Unconditioned Space? N) M
6. Fenestration Heat Loss VUmQ GLA=4 . 6oa 1, D -2
Type U -value 10.651 Total % Fenes.1161 Sum 1.6
7. Fenestration Heat Gain
Fenestration
North
Area %
North
/w) _
East
lye_
South
411— ate_
West
lc3 O . ?.f lC'• 9
Skylight
QCNY
Total
SCORECARD
Measures (Point Scores
1. Gelling Insulation or .o
R -value 1361 U -value 10.0281 ,.
2. Wall Insulation or
R -value 1191 U -value 10.0651
& Raised Floor Insulation or . o '5? O
R -value 19 U -value 10.0371
4. Slab Edge Insulation or
R -value 101 F2 factor 10.751
5. Infiltration Any Ducts In Unconditioned Space? N) M
6. Fenestration Heat Loss VUmQ GLA=4 . 6oa 1, D -2
Type U -value 10.651 Total % Fenes.1161 Sum 1.6
7. Fenestration Heat Gain
8. Interior Thermal Mass
9. Exterior Wall Mass
10. Heating System
11. Cooling System
12. Water Heating
SCShade open Eff. % Fenes. Shade Eff. Ratio
do
96 Exp, Slab 20
% Fenestration
North
ooaii x
East
. X53 x
South
, oz�,8 x
West
,0&8 ( x
Skylight
x
Overhangs?
QCNY
8. Interior Thermal Mass
9. Exterior Wall Mass
10. Heating System
11. Cooling System
12. Water Heating
SCShade open Eff. % Fenes. Shade Eff. Ratio
do
96 Exp, Slab 20
or D
Int Masa/CFA
Ext. Wall Maas
A UE a HSPF
(78% or 6.8)
X
Duet Eft. 1 story: Effective AFUE
0.83; 2r story: 0.881 or HSPF
i0,00
x 151 = T.1
SEER 110.01
Duct Effie. I1 story: Effective SEER
0.81; 2. story: 0.87711
System 1 50 , % F
afar pe nerp�y�acto�r - xt. Ins. R -value
1SGSOyj (0.531 1121
System 2
Heater Type(None] Energy Factor Ext. Ins. R -value
Auxiliary Input
(None1
Auxiliary Input
I
j�,R
Sum 7-9
O
Zonal Control
Adjustment 101
Zonal Control
Adjustment 101
Distribution
on
ISTDI
Distribution
(-�Pwhun tal; -3
Foran Revised January 1992/o �L c�ES/je omit-Go81
Point'System Summary: Climate zone 11
fu
,,,7�
Project Title
BUILDING DATA
Conditioned Floor Area /o . SO Number of Stories
SlabJRaised Floor ,o
Check all applicable Unit Type condition(s):
(J Single Family Detached (SFD) [I Addition Alone,
(J Single Family Attached (SFA) (-;< Existing Building'
(J Mufti -Family (MF) ( ) Existing -Plus -Addition
P -2R
SCORECARD
Fenestration
Area
% /
North
w/1
East
60
a, 60
South
2- 3c) or
IL t5_
West
IS91a
%5.9
Skylight
R -value 1381
U -value 10.0281
Total
/97
13.3 /
SCORECARD
Measures
Point Scores
1. Ceiling Insulation
2- 3c) or
R -value 1381
U -value 10.0281
-
2. Wall insulation
or
12-1)
�_
R+ value- I1-91
v
u -value (aossl
3. Raised Floor Insulation
e --)l or
—3
4. Slab Edge Insulation
R -value 1191
U -value 10.0371
or
_
R -value 10
F2 tactor 10.751
5. Infiltration
Any Ducts in Unconditioned Space? &N) (YJ
6. Fenestration Heat Loss
Type
U -value 10.651
Total % Fenes. 1161
Sum 1-6
7. Fenestration Heat Gain
% Fenestration
SCshade open
Eff. % Fenes.
Shade Eff. Ratio
North LO/� x
.77
.516�
East x
.77 _
O,?00
.9L0
0
South '.035" x
.7'7 =
,o���
.8(0
West x
.77
Skylight x
Overhangs? (Y[N1
=
8. Interior Thermal Mass
c,�o _ or
O
% Exp. Slab 2001
Int Mass/CFA
9. Exterior Wail Mass
a
0'
--3
Ext Wall Mass
Sum 7-9
10. Heating System
_ _ ? x
"93 =
�
FUE
0_
Zonal Control
AFUE or HSPS
Duct Et6c. 11 story:
Effective
170% or 6.81
0.83; 2. story: 0.881
or HSPF
Adjustment 101
11. Cooling System
d.00 x
, 8 :
= 8.
O
SEER 110.01
Duct Eft. I sy
Effective SEER
Zonal Control
0.81; 2t story: 0.671
Adjustment 101
12. Water Heating
System 1 =�
53
is
_ive
STS
Heat r pe
n�erpy for
xt Ins. R -value
Auxiliary Input
Distribution
(SC350�
(0.631
(12J
(Novel
(STDI
System 2
Heater Type Nonel
nerpy aetor
Ext Ins. R -value
Auxiliary Input
DisTtribution
Point Total:
Form Revised January 1992
C� Point Goals
Shad! n Coefficient SC Worksheet - "v' = =-r'�n
9 ( )---�-�- -- Form S
Items 1 through 13 must be completed for glazing/shading combinations not found in Tables 0-11 or 4-5 of the RM by using
ASHRAE, documented manufacturers' data and RM Table 0-13 for the specific conditions indicated (#2, #7 or #8, #11).. For
instructions on filling out the worksheet, see Shading in the RM Glossary.
General Information
1. Glazing Type: .Cop °,5
2. SCglazing alone: �515
3. Framing Type (metal/vinyl/wood):
4. , Dividers (yes/no): h10
5. Framing/DividerFactor: 0 90
(from Table G-12)
6. Interior Shade Type: 5
7. SCInterior Shade' o s&
(SC of shade w/ clear single glass., This value must be
greater than or equal to 0.40. Set lower SCs to 0.40.)
8. SCWind+Int Shd:
(SC of glazing, frame & interior shade from Table 26
or 27, ASHRAE Handbook ofFundamentals, 1989.
This value must be greater than or equal to 0.40.)
Glazing, Interior Made & Framing
9. a55x a6) = i4gt
_ o
SC glazing alone.(# 2) FDF (0) SC Window Unit
10a. [(0810 x 0.25) '+ 0.75] x .5S x . o .. D = Where:
SCmax SC,,,in FDF (0) SCWind+Int Shd SCmax = larger of 02 and #7
or 10b. (from #8) SC nin = smaller of #2 and #7
SCWind+Int Shd
Exterior Shade Exterior Shade Type:
11. SCExterior Shade:. v8
(If no exterior shade, assume standard bug screens, SCExterior Shade = 0.87: This requirement does
not apply to skylights. If another exterior shade is substituted for bug screens, select value from
Table G-13 or manufacturer's data w/ clear single glass.)
Where:
12. [(_ -S7 x 0.25) + 0.751 x _ _ �'�%Y Scmaz = larger of #9 and #11
SCmax SCd` SC Shade Open SCndn = smaller of #9 and #11
Where: .
13. [(.87 x 0.25) + 0.75] x ��7 = o ,� �� SCmax = larger of 010a or #10b and #11
SCr SC�tin SC Shade CloseA SCrnin = smaller of #10a or #10b and #11
Revii4d January 1992
...Fenestration Worksheet: Heat Loss (Part 1 of 2)
Form WS -3R
Area -Weighted Average U -Value
Fenestration
U -Value
Description, Orientation
U -Value
Area
-x Area
x
Total:
L30.a5
,al
,11
/ 4SO aS
= 0 5 7 /
Total
Total
Average
U -Value
Fenestration
U -Value
x Area
Area
Total Percent Fenestration /3G.aS x 100 / /,59q,t50 = &, 8(o %
Total Multiplier Conditioned Total
Fenestration Floor Area Percent
Area Fenestration
Form Revised January 1992
Fenestration Worksheet: Heat Gain (Part 2 of 2) Form WS -3R
�-X7-crA /Ga.r� -Q/ e -
Protect Title Date
Orientation (circle one): North / East / South j West /-skylight
(Note: All values on Part 2 of Form WS -3R are for one orientation n y.).
Overhangs .
OH Factor OH Factor.
Fenestration Overhan Overhan Projection (Shade (Shade
Description Height Depth (H? Height (� Ratio Open) ' Closed)
C '
OH Factor' SC SC Shade
(Shade Shade Open (w/
Description Open) Open Overhang)
OH Factor SC SC Shade
(Shade Shade - Closed_(w/
Closed) Closed Overhang)
Area -Weighted Average SCShade open & Shade Effectiveness Ratio
Description
EW l , 1J
SC . SC SC Shade Shade
Shade Shade Shade Fenestration Open Eff. Ratio -
Closed° Open' Eff. Ratio Area x Area x Area
/X19g �6
87,ao / /,w,as=.(0(ogs
Orientation Total Orientation Total Average .
SC Shade Open Fenestration SC Shade
x Area Area Open
eS 2 &a.)4 '70,5a
,ate 2,so as�o
Orientation Total: 130 J 3 ,90
//6,75 / i.3.o= -6U 3
Orientation Total Orientation Total Average
Shade Eff. Ratio Fenestration Shade
x Area Area Eff. Ratio
Note: Shading coefficients should include overhangs if applicable.
Percent Fenestration Zo , a
Orientation Total
Fenestration
Area
Form Revised January 1992
x 100 / 1899,50 = 6" 9& %
Multiplier Conditioned Percent
Floor Area Fenestration
(per orientation)
,'hadirig Coefficient (SC) Worksheet _ _�� �' Form S
Items 1 through 13 must be completed for glazing/shading combinations not found in Tables G-11 or 4-5 of the RM by using
ASHRAE, documented manufacturers' data and RM Table G-13 for the specific conditions indicated (#2, #7 or #8, #11). For
instructions on filling out the, worksheet, see Shading in the RM Glossary.
General Information
1. Glazing Type: yjobla 6. Interior Shade Type:
.2. SCglazing alone: 77 7. SClnterior Shade: o,,3
3. Framing Type (metal/vinyl/w od): rd (SC of shade w/ clear single glass.. This value must be
4. Dividers (yes/no): 0 greater than or equal to 0.40. Set lower' SCs to 0.40.)
5. Framing/Divider Factor: 0 90 8. • SCWind+Jnr Shd:
(from Table G-12) (SC of glazing, frame & interior shade from Table 26
or 27, ASHRAE Handbook of Fundamentals, 1989.
This value must be greatee than or equal to 0.40..).
Glazing, Interior Shade & Framing
9. .712 x . _ L93
SC glazing alone (# 2) FDF (#5) SC Window Unit
10a. x 0.25) + 0.75] x 7 x -10 Where:
SCr ax 7 SGnin FDF (#5) SCWind+lnt Shd SCmax = larger of #2 and #7
or 10b. (from #8) a SCmin = smaller of 42 and #7
SCWind +lnt Shd
Exterior Shade Exterior Shade Type: + �D �� d t/E/Z yio�C►
11. SCExterior Shade: A?coG OD. 1--s-
(If no exterior shade; assume standard bug screens, SCEx/erior Shade:= 0.87. This requirement does
not apply to skylights. If another exterior shade is substituted for bug screens, select value from
Table G-13 or manufacturer's data .w/ clear single glass.)
Where:
12. [(, 6 x 0.25) + 0.75] x V. /4' _ el, 136 SCmax = larger of #9 and #11
SC„= SCWn SC Shade Open SCmin = smaller of #9, and #11
13. [(,"2 x 0.25) + 0.751 x l _Where:
SC,,, SCmin 0, 135 ' SCmax = larger of #10a or 010b and #11
SC Shade Closed � SCmin = smaller of #10a or #Idb and #11.
M
Revised January 1992
Fenestration Worksheet: Heat Loss (Part 1 of 2) .Form WS -3R
(,—r,7'OAlt CN .d,/»/-rf pAl Date
Project Title
Area -Weighted Average U -Value
Fenestration U -Value
Description Orientation U -Value Area x Area
x
x —
'
x —
s, , x
x a
Total:
:�2 4,
TotalTotal Average
U -Value , Fenestration U -Value
x Area Area
Total Percent Fenestration x 100 / /899.50
Total Multiplier Conditioned Total
Fenestration Floor Area Percent
Area Fenestration
Form Revised January 1992
s
.Fenestration Worksheet: Heat Gain (Part 2 of 2) Form WS -3R
Project Title
Orientation (circle one):orth ' East / South /West / Skylight
(Note: All values on Part 2 of Form S=3R are for one orientation only.)
Overhangs
OH Factor OH Factor.
Fenestration Overhan Overhan Projection (Shade (Shade
Description Height Depth (H? Height (� Ratio Open) Closed)
OH Factor' SC SC Shade OH Factor SC SC Shade
Description (Open) Open Shade Overhang) Closed) Closed Overhahade Shade ng)
x _ x =
x — x
x _ x
. x = ---�-= x _
Area -Weighted Average SCShade open & Shade Effectiveness Ratio
Description
4/02-4
MDieT.c/ CE x � S T i NG �
SC SC SC Shade Shade
Shade Shade Shade Fenestration Open Eft. Ratio'
Closed' Open' Eff. Ratio Area x Area x Area
0. 1375 1,436 = s %%
e le Cg, l J-7 = S co
�2,.�p_ 2
Orientation Total: aj e"2 s
J7 / "�o - o
Orientation Total Orientation Total Average Orientation Total Orientation Total Average
SC Shade Open Fenestration SC Shade Shade Eft. Ratio Fenestration Shade
x Area Area Open x Area Area EH. Ratio
• Note: Shading coefficients should include overhangs if applicable.
Percent Fenestration x 100 / %999.5-0 o?, /� %
Orientation Total Multiplier Conditioned Percent
Fenestration Floor Area Fenestration
Area (per orientation)
ForwRevised January 1992
4 Interpolation, Weighted Average & Addition Worksheet WS -2R
5 O U-�i—cS1l7ENCE 21 Sl 94
Project Title Date
a. The use of interpolation is illustrated in Section 4.3 of the Residential Manual (RM). Evaluate the expression
between the vertical brackets, make it positive (+) whether negative or positive and add the value to the "Low
Points" to obtain the Point Score.
b. Mixed raised floor/slab-on-grade construction is area -weighted according to point scores not U•values. Other
measures are weighted according to their respective values (e.g., U -value, HVAC efficiency) as explained in
Section 4.2.of the RM. Insulation may be weighted by R -value point scores or U -values.
c. Different slab edge types and duct conditions (duct insulation and location) are weighted by length. All other
measures are area -weighted as explained in Section 4.2 of the RM.
d. Compliance of additions with the point system is described in Section 4.4 of the RM.
INTERPOLATIONa
WEIGHTED AVERAGE
Weighted
Item TVDB 4 Tvoe I Type 2 ' Type 2 Type 3 Type 3 T^t!21 evara^a
Value Area Value Area
Value
[( oG5
)X( =4+(":54 )X('`_ )+(
)X(
)] / 02 o1J = c �o
Value
Value
Low
--for Low
Actual High
Low
GCu.IN�
for Low
for High
Item Points
Points
Value Points
Points
[(.s73"%
)X(4t95.o0)+(,Oq(n )X(11�Q)+(
Points
Points Polrjt,=
No. (A)
(B)
(C) (D)
(A)
(B)
(E) Scdre-
+
(
)X(
WEIGHTED AVERAGE
Weighted
Item TVDB 4 Tvoe I Type 2 ' Type 2 Type 3 Type 3 T^t!21 evara^a
Value Area Value Area
POINT GOAL OF EXISTING-PLUS-ADDITIONd
Existing Existing Existing -Plus
Building Building Addition Addition Addition Point
Point Total Area Point Goal' Area Area Goal
K( fes ) X (! o ) + ( 0 ) x
Form Revised January 1992
[( oG5
)X( =4+(":54 )X('`_ )+(
)X(
)] / 02 o1J = c �o
K-0(-5,K-0(-5,)X(63�Q)+(,y�i3
'
)X(. 107.0(iL)+(
)X(
GCu.IN�
[(.D_ ZJ
) X () +( `O I ) X (�lcl.5a) +(
) X (
)] l 1a1.SU = ,-.
(;ooQ_
[(.s73"%
)X(4t95.o0)+(,Oq(n )X(11�Q)+(
)X(
)] 118; _ .QY0.Z
POINT GOAL OF EXISTING-PLUS-ADDITIONd
Existing Existing Existing -Plus
Building Building Addition Addition Addition Point
Point Total Area Point Goal' Area Area Goal
K( fes ) X (! o ) + ( 0 ) x
Form Revised January 1992
=OK
h'0
>i0 t Y1 V r).
= Not-OK
- = Not Applicable s ,
' Ready MOSILE'.HOMES
MISCELLANEOUS
= Not
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES; (Plans)OK except #'s
1. Zoning Requirements-Setbacks-Easements
1. Zoning Requirements-Setbacks-Easements
2. Soils; Special MH Support-Sketch
2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel
3. Sewer; Location-Test-Fall-C/O-Concrete
3. Decks; Girders and/or, Joists- Decking-Bracing-Stairs-Rai ls
4. Water; Location-Test-Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- -'
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/• / Amp-Concrete
6. Gas; Location-Test-Wrap: / /"L" ft.
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures
6. Carports; Windows-Doors
/ /"Nat. or/ P'L" ft./--'/"LPG ----
7. Utility Clearance ' 3
7. Elec. • ',N
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing-Veneer-Stucco-Mesh
Card-131
Date Card-131 Date -
10. Roof; Shthg-Roofing
Card-81
Date Card-B1 Date ,.
11. Ext.; Steps-Doors-Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements
Card-81
Date Card-131 Date
2. Footings; Size-Spacing-Marriage Line " '
Card-B1
Date Card-61 Date
3. Gas; MH Test-Demand-Valve-Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearances
Date
POOLS (Plans) OK except'#'s
5. Drain; MH Test-Fall-Flet Connector '
1. Setbacks-Easements -
6. Water; MH Test-Regulator-Connector
2. Soils; Compaction-Structure Stability
7. Water and Sewer Connected-C/O to Grade-HD Approval
3. Pool Structure; Steel-Connections-Thickness-
8. Gas and Electricity Tagged
Dead Men -Lining
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert: of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries-Terminals-Listed
7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater
8. Elec.;Ground ing; Equip. w/5'-circulating Equip.-Pool Lghtg.
Card-B1
Date Card-B1 Date
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card-B1
Date Card-61 Date '
9. Health Department Approval
10. Plumb.; Cir. Test-Water Supply Test
Card-B1
Date Card-B1 Date
Card-B1
Date Card-131 Date
T
UK
0 = Not
- =Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready I A
Date UNDWLOOR (Plans) OK except #'s
yc ing-,-)etoacKs;-Casements-ri000-Slope
20"Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De
-eYFtg., Garage; Soils -Steffi /" Ftg. Depth
'4. F!9,, Porches & D" s; Soils -Steel-/ /"Ftg. Del
peSternwalls, Main; Steel-Blockouts-Wrapped
_6.Btemwalls, Garage; Steel- Blockouts-Wrapped
7. Slab: Steel-WraDoed
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 0�� Date :K� )/,8%Card-B1 Date
Card -131L -1M Date`. :4049Card-131 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -61 Date
Card -131 Date Card -61 Date
Date ELECTRICAL (Permit) OK except #'s
Fixture & Transformer Clearance -Ins. Protection
23_Etec. Receptacles Spacing -Lights & Switches at Doors
4. ,Size Boxes & No. of Conductors -Stapled
S�cfinex Installed Close to Edge of Studs & C.J.
6. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
4Z_Z pp ianceCircuts in Kitchen & Conductor Size/G.F.I.
2 . ire lie'/ / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. // ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
3 uctors & Ground -Main Disconnect
earances Panels-Motors-Mech. Equip.
32_CAethes-Cf6set Light -Shower Light -Spa Light
3 . e etector
Card -131 CA-) Dat and -B1 Date
Card -131 k3 Date f Card -131 Date
Date MECHANICAL (Permit) OK except #'s
'Q 34. A.C. Ducts Insulation & Support
f 35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
9. ills, Proper Material & Anchors
Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
/ fearing Walls over Girders & Floor Nailing
aft Stop in Walls (rat proof)
3. re Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
Date FRAMING (Continued) ' '
- c ors -Connectors
6. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47Zreplace Ties or Type A Flue -Fireplace Throat Clearance
8. Attic Access Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire r _. tion Framing
I & Openings
52.E . Doors -One T -Check Garage -3rd story, 2 exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
ed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
Bolt
9� 59. Insulation-WOK-C&-l-
60.
nsulation-W -C60. Infiltration -Wal Is-Wndws
Card -131 Dat!q,_Card-131 Date
Card -B1 Dat QCard-B1 Date
Date FINAL (Plans) OK except #'s
6• . F,A!Steps-Door & Sidelight Protection -Landings
6 . Smoke Detector
6 . urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
--64--Bedroom Exiting
:fig. , .I:-& Bath Fixtures & Tub Access -Spa
6 . Elec. Trim & Subpanel; Breaker Sizes -Labels
6•Y. Stairs & Rails
681fireplace or Stove; Clearances -Hearth
6 . lec. Outlets at Wood Panel; Int. & Ext.
7 it. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
--74-Elec_Outlets & Receptacles at Kit. Counter
Z2 --Garage Fire Door; Swing -Landing -Closer
-Z3-k..C. Duct in Garage-Damper
-74-Wtr: Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In afage; Above Floor-Mech. Protection
75,151b., Elec. & Mech. Equip. Listed for Location
,6..Elec.-Receptacles in Garage; (G.F.I.)-Romex Protec.
717-6sulation-Foam-Looked in Attic ❑ Yes
78 uard Rails & Deck Construction -Post Caps
dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes o; Walks ❑ Yes -ffNo;
Planters ❑ Yes ❑ No
.84. Stucco; Brown -Finish
-82-A.-G.-Unit; Disconnect, Electrical, Plumbing
88"Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
-8"iter Well; Disconnect, Electrical, Plumbing
,80Exterior Elec. Trim; G.F.I. Receptacle -Underground
entilation throughout House
87. -G) -ass Protection
8 eCorrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90-1Nater-& Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card-Bley Datet:2�ard-B1 Date
Card -B1 Date Card -B1 Date
Card -81 Date Card -131 Date
Comments at Final:
I; N li-It C' Y G 4i_It_'1' I F �I"Us A`'1' 1 U N_.. _.. _._.._.._ ...�_�
LOCATION
Ut;SURi!''l'lUll 01" 1N9111ATloll
11ntr.rinl _ _
w
'1'It.tcknesn (incltcn)
F;!t'I'lilt 1.(tlt WALL
tial:crIn 1. F _ib(,j--c
'1'l1.LCktlr.nA(i11c11eA)���� ��
Ct° It..ltl(:
IlnCt or 1111111ket 'l:yl+e F iberyl.asss
'I'lltcic+,enA(1.ttclteA)+ /�
11
Loose F l.lt 'I'ype� I'-Lbcrgl.ass
Aren
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tlnt•.cr.l.n (___ I� .i. Uc,ry.l_�_�s
'1'hLcic•tens(it►ahch) l �� •
i"I,UI)It, SI.AII ,
tlnterla1. _
'I'It 1 cicttenn (1.tu�ltes) --��-`
14J.,Itlt((.t+c11r!n)_---
F'01111PA'l'It)N WALL
11rtterin1 _
'1'h Lcic+tctt � (inclien )
A. Y. No.- -
l.Irnnd Nnme _ _
'1'Itetmnl Itenf.etnnce (IL Vnlue) .
Ilrnud tinnte Cer.tai.tt'1.'eed'
'1'Ite"Inl 1tenintntice(It Vnlue)
Urmid finme CertainTeed
Therinnl ltesiAtnnce(It Vnlue) D
lir.nttd Mine Certairil'eed
Humber of1m."n Wt. per ling 25 lb.
_ pct........_.. � -
a+civua i�en1W:UlMC(R Vnlue)_
ltrnnd tlntne Cer la i.tt'1'eed
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In cottCc�r,+cance unittle
with 1:11e State uf,(',tl.ifortrinwl>wergytlte juirenI Chn�nbove Irtf.lcll.ng
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y nl,l+toved by the nre (if Cllr, tlunlity Itrencrlbed or acct.
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.i:ulunry 19114
1'
() 9-6/01 zh
0
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovTfle, Caljiornl`a 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT -
PER IT NO.
^NUMBER
ASSESSOR CEL
a/
ZO ING
BUILDING PERMIT
O WN E2jl�
T (LE'PHOONE
SO. FT. OCC. BUILDING VAL ATION
OWNER'S MAILING ADD SS
CONTRRAACATOR S NAME
TELEPHONE
y .tea
CONTRACTOR'S MAILING ADDRESS
_ 12,6. �Zo
Fireplace v� 060—
CONST UCTION LENDER
UNKNOWN
Total Valuation 1$19600-
$j96LENDER'S
Filing Fee
$ 10.00
LENDER'SMAILING ADDRESS
Permit.Fee
$ �
ARCHITECT OR ENGINEER -
LICENSE No.
.Plan Checking Fee
S
Energy Plan Checking Fee
$
ARCHITECT OR.ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS —3Permit
� v -
fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. -
SUBDIVISION NAME
PARCEL MAPWater.
C56-
piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSFG W
0.00 ea.
TYPE OF WORK
New ❑ Addition k Remodel ❑ Utilities ❑ InstallationO Other ❑
Describe work:
Penult Fee
$ %
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
V OR
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury '(check one):
'
�I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
7
License No.�/�y `7��5 Classification a.Q�ta/ 3-/
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.5 ,/z¢sgft
DR ACDNS. I ACC. BLDGS.
NEW CONSTRESID" NCH CIRCUITS)2.50ea
NO RE BRANCH CIRC ITS
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCcU OUTLETS OR FIXTURES 20050
p� SALO 30
Ex. Occup. OUED P
OUTLETS (RESID )REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 /4' eE
Penult Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
_have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,. should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against d County in• nsequence of the granting of this permit.
Date
Signature of Applicant - Owner ❑ Contractor C9— Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ ?moo
TOTAL PERMIT FEE $ / '7 S
OCCUP.
CONST. PC
ISCIIOOLIPFFARCELI
PO
/
NO
"-
E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-'
resolutions to do
fees have been paid.
WORKS
ate /l
�"��-?b
(/3
Receipt No. 1 �L� 2
wNITE-O.P.W.. YELLOW-ASD(SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTIIAEN-T`eFPJJBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,'CALF' O' RNIA 95965 - TELEPHONE: 916/538-7541 d
PERMIT APPLICATION DATA SHEET
Permit No.������
0WNERC'1�E2_uL L-�4A_14FizAl-f A. P. o. 24 -
Proposed Building Use�22� 7-r�� Building Inspector. ,. Date � � _Z
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
i Chico Urban Area fees paid ........................................
Parkfees paid .....................................................
r2.'���,r- School District fees paid ................ .
13. Sanitation approval from elgtC3 �-��Ct� Health Department 54,1-
14.
4W14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Ins ection for re ulred , , . , Pre-Insperequest to
p q •Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 53!j—,0123 and hold for pickup at office. Deliver w/inspector.
Other
Applicant,—,., y Date --7—
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuan e: Cir e p w item
1. Index permit for above items No. /
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone --- rnail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by 4-1;� Date Plans approved by Date J
Sets of plans on hold in File cabinet AP folder Q /
Copy—DPW
_ FORM 7.'
'ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET.
PACKAGE "A!'_ (Additions)
Owner ( n 1S Climate Zone
Permit" # �,Floor-� Area 3 ��
The following data -showing mandatory and required features of Package "A" shall -
be installed for additions to dwellings.•• -Additions to dwellings include room` '
additions, converting garages and.patios to living -areas, house moves that add
footage.,and attic coriversions,.and any space that-is:.existing.non-conditioned
space that is converted -to conditioned space. Remodeling'of existing.conditioned
space is not included. ;
y ZONE 11. ZONE 1
APPLIES TO NEW AREA '
® CEILING R=30 38
® WALL R-11 R- 9
® FLOOR R-11 R-1
SLAB _ `R-7 ..R-
0 GLAZING U-.65 -(Dual)' U .65. ual) `
SHADING
SOUTH - .OPTIMUM OVERHANG•
or .36 Shading:Coeff.icient
WEST .36 Shading Coefficient
LOOSE FILL INSULATION, (Densit Y
o INFILTRATION.CONTROL (Weatherstrip.doors, certified windows, caulking)"
VAPOR BARRIER (Zone 16')
DUCTS PER UNIFORM MECHANICAL" CODE '-',Ch: 10`
LIGHTING KITCHEN,& BATH.NOT LESS THAN 25 LUMENS/WATT.
MAXIMUM GLAZING 16% OF -.AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR�CONDITIONING AND 'HOT WATER -SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK '
' OF .THIS SHEET.y'
OTHER
12/85
1
*1 HEATING. VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating °
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*1 (B) Cooling
❑ . Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(8), and fill out the
following: _
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
S19A OF BUILDING DESIGNER OR APPLICANT
(cooling capacity at 95°F)
❑
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑
Other
(describe)
DOMESTIC WATER SYSTEM
❑
(A) Gas Only
Gallons
(brand and model
number) (tank size)
13.
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ * 2
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand
and model number) (collector area)
(collector orientation)
(collector tilt)
❑
Location of Solar Panels
❑
Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(8), and fill out the
following: _
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
S19A OF BUILDING DESIGNER OR APPLICANT
_ - n
' ye tl
PERMIT NO. 1329=75B,P,E,M
P
.E
MH UTIL.
".PERMIT NO. ✓ ' Com`
v
PERMIT EXPIRES
OWNER Tom Rogers-
CONTR.
1. ��LOCATION (A.P. 36-05-68 )
�F
1=
42 Wahoo Ave:, lot 3, Oroville
t
-,t
:I
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
u Called PG&E
i Temp. Gas Serves
i
f Called PG&E
JOB
FINALED f
(Signature)
5
r
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Reinf. Steel Final Y L111
r (J "--Fixtures
Bond Beam U FIRE SPRINKLERS Motors
Framin Zr Test Water Htr.
Stucco Final Subpanels
Mesh —II % MECHANICAL Grd. Fault Prot.
Scratch Heating Service j�
Brown Cooling Temp. Pole
Finish �, Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE R MARKS OR CORRECTIONS
el -
l� /"-Ci V SGL e . di�J �l wa-,1-74�
Mal, w/ 9/;
J � /
BUILDING ' _
BUI
DING-(Cont'd)
PLUMBING
Setback 14—
Z - ?--s—
Firewall
Soil Piping
Forms
Parapets
1 st F.loor
Main Bldg.
Restroom Finish
2nd Floor
Footings
• 7_S
Windows
_ - Z
3rd Floor
Stemwal l
Sidinci
To out
-- //^ 70
• Slab
Roof Sheathing
Water Piping
j�-e0i - -7'v
Piers
Roofing
Sewer
Garage
Fdn.. Vents
Fixtures
Footings
- y 2 - s
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically Y
handicapped
Heaters
J Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final -
Sanitation
Patio
FIREPLACE
Final
Footings
ooting k
ELECTRICAL
Masonry Walls
T o / _
�1
`� //'. i
Rough 42S -1 Y2
Reinf. Steel Final Y L111
r (J "--Fixtures
Bond Beam U FIRE SPRINKLERS Motors
Framin Zr Test Water Htr.
Stucco Final Subpanels
Mesh —II % MECHANICAL Grd. Fault Prot.
Scratch Heating Service j�
Brown Cooling Temp. Pole
Finish �, Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
DATE R MARKS OR CORRECTIONS
el -
l� /"-Ci V SGL e . di�J �l wa-,1-74�
Mal, w/ 9/;
J � /
COUNTY OF BUTTE - DEPARTMENT OF'-PUBLICvo
7 County Center Drive'— - Ovoville,' California 95965
ti
Telephone: 534-4541
APPLICATION AND PERMIT.
-
BUILDING
Owner �'��S
SO. FT. OCC. BUILDING VALUATION'
Mailing Address ��.
�p f
+`
r '?97f65_
/�
TelephlN .d
'
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee'
Plan Checking Fee&/or Penalty
Telephone No. -
Permit Fee
$
$ ey «
Building Address �� ��
PLUMBING %No.
@
FEE,
PERMIT FILING FEE ,QQ
Each. Trap 311 1.50
Repair drainage or vent piping
1.50
Water piping_ 1:50 1,.5-6
Each gas water heater or vent 1.50
A.' P. No. 36 —0S —(O
'
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
FA
R t
FireDept.
FireZone
- Use Pe'rmit
Building sewer 5.00 — p O
EQA
Parking.
Plans.
Parcel
Declaration
rcel Ma
60' R/W
Im ro ements
p
Lawn sprinkler system 2.00
Bldg.4fons Recd
�� arcel*A royal
Plan Approval
Permit Fee' '
$
"7 00
$ C
NEW ADDITION ❑ UTILITIES ❑ -OTRER ❑
ELECTRICAL
No.
@
FEE
'
-PERMIT,FILING FEE $3.00 .3 r0®
'
Main servi6e incl: 1 meter 3,66
Additional meters, each
1.00
Sub -panel (12 or less) (moret4arr-Q) g,5-0
Single Family Duplex ❑.' Mobil Home ❑ • Others ❑
R , Cook -top. or Oven •1.00 /r .00
Wate Heater or Spac eater
1.00 6,00
Light fixtures /3 20 bol 25 3
s., swi s & fix ouyf s 3 pt 3 0
CONTRACTORS LICENSE LAW >
I am licensed under the provisions I of Chapter 9, Div. 3, of the .'
State of California Business & Professions Code under the name
�style oU,`,,
461
HoZ, Ex. F n or F. A. Furn. Motor
1.00
p v
Evap. c6b-er, gar. di p. or DEW_ 3 1.00 3,00
Air conditioner or heat pump
Water pump
Mobil Home Facilities , 5.00
Temp. Power Pole 5.00.
•
License No G Classification
Misc. wiring '
❑ I am exempt from the Contractors License Laws of the State of Califomia:
Permit Fee
$
$ p
-
WORKMEN'S COMPENSATION INSURANCE t
1 am aware of the provisions of Section3700 of,the California Labor
Code which requires every employer to be -insured against liability
for Wor en's Compensation.
have placed on file with the County of Butte a.certificate of
Workmen's Compensation Insurance.
I 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 Workmeri's Compensation Laws of
California.
MECHANICAL
No.1
@
FEE
PERMIT FILING FEE $3.00 -5-66
Heating
Cooling
Ventilation 5' 3<Ov
Hood / 2.00 Qp
Permit Fee $ 8, oa
$
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
'
TOTAL PERMIT FEE
$� ZZ < O -
=t —.11—L'vc`� ui uiv wunty ui DUIM to erste+ Upun the This permit is hereby issued under the applicable provisions of
above-mentioned property for inspection purposes. ' the Butte County Code and/or resolutions to do work indicated
` above for which fees have beempaid.
X Date r DIRECTOR PUBLIC WORKS
Signature of Permitee or ent
By Date o
Receipt No.
white-D.P.W. - Yellow -Assessor _ Pink -Inspector _ Goldenrod-Applicantullding permit expires Date ............................................
J
COUNTY OF BUTTE 'DEPANTMENT OF PUBLIC WORKS
7 County Center Drive ;— OroyiIIe, California 95965
Tel ephpne: 534-4541
APPLICATION AND PERMIT
MIN
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of -Permit ;V
fPermitee r Agent
Receipt No.--5-��d"
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
wilding permit expires Date � ��'%
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address
w
Telephone N
Fireplace (,
t`zi .O(J
Contractor
Total Valuation
Mai I i ng Address "
Permit Fee
00
Plan Checking Fee &/or Penalty
Tlephone No.
e
_
Permit Fee
$
pU
Building Address Z
PLUMBING
No.
@
FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
t
Each gas water heater or vent 1.50
)
A. P. No. �tA�
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
FtIles
Wt
SwA44ation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No,
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
—
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesbal X25
Receps., switches & fix outlets2
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
tK:?6
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
���4 (/
License No. T Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of Califomia.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE -
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Work en's Compensation.
ave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I 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 Workmen's Compensation Laws of
California.
MECHANICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of -Permit ;V
fPermitee r Agent
Receipt No.--5-��d"
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
wilding permit expires Date � ��'%
0
p Is�piyr. 'in `FFd . .
,�' e
,f