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064-460-020
64-46-20 60779OB',`P,;E-,M INTERMILL, .'Sam CONTRI:Jqtermill-Cohst. 14382 Sinclair Cir, Magalil 'a '(TEW Sf 664�4 60 -02' 0 -' 02=1,113 2=111 R0FBB1NSON4DEAN I43SINLAIR ClkC-E,,MA GALIA LPG LINE W/WATERI�EATER, DRY ER & CooKToP R-02- A 0 q bo 1002 01, o �a C- 3 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P RJMr�,T,��NO. (Rev. 12/96) APPLICATION AND PERMIT P� - 7/, _"5 ASSESSOR PARCEL NUMBER / „ • �/"0� , V /1 (V 20NING BUILDING PERMIT OWNER T LEPHONE d64 SO. FT. OCC. BUILDING VALUATION OWNER'S R S 1 n l A t C►rtG 1c F tc. CONTRACTO S ME LEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 144 t� •r `` 1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IM" Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities InstaIlatio ❑ Other ,❑ Describe W rk' LIP& •t In � " -e, / ar 1' V Or Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 w 71 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service p q OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ' ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DTIJNG OCOUP. OR ADDNS. ( a Acc. S. SO 3.5¢FT: �µpo�IpT' MULTI.OUTLETU'rs @7,50 PowER APPARATUS a SINGLE ourLEr cIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ I. 0 Ex. Occup. DFlxuTEE'A Amo°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 f rt with mply wih'those .provisions. Xr Date 3 (7 ,� Signature of Applicant - 0Owrier ❑ Contractor ❑ Agent ' An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OOMNST TMpE ,. „ TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD IS U This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have -'-- By PERMIT EXPIRES ON. I the applicable provisions Resolutions to do work been paid. f • QZ Date :T, Defer Receipt No. ? O WHITE-D.D.S.-B.D. AN R SS S R PINK -IN PE OR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541nMy o• (Rev. 12/96) APPLICATION AND PERMIT [/ ASSESSOR PARCEL NUMBER ` %1 �/��,%1 b IVB V V ZONING BUILDING PERMIT OWNER a `� 6 I nso PIN7 ONE SQ. FT. OCC. BUILDING VALUATION OWNER'S Mn` i�C, r Cir( CONTRALTO NAMELEPHONE CONTRACTORS MAILING ADDRESS ' CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS I '� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF P, Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 O Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Insfalla' ❑ Other f❑ ;t; t GJ �/� Des ribJ�e Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO- OR ADDNS. ( 8 ACC. BLOS. 3.5¢FT. NEW WONN•REES.IOT. MULTI -OUTLET @7,50 . CIRCUITS 8 SINGLER AOUTLET CIR. Ex. Occup. OUTLET OR FIXTURES @':50 114L @ .50 Ex. Occup. . EEDA RF.sID.OERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 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 f rf wit mp y wit yoserovisions. X _ Date ' D Sig ature of Applicant - 11 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ ST. TYPE ZPq_ TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD IS U 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. By Date Z PERMIT EXPIRES ON �ITE-D.D.S.•B.D. Date rReceiptNo. - " 60ANARYASSES90R PINK -IN PE TOR GOLDENROD -APPLICANT O.B.-1 OWNER BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your- name and bearing your signature. PIease complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES, NO 13 2, I HAVE P HAVE NOT 0 signed an application fora building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: —F9 I _ _ E:f d ADDRESS: 4 CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: 19 r - F / a ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: - DATE:_�`�0� r NOTE: This Owner -Builder Verification is required by Section 19831 and 198.2 of the California Health and Safety Code. This verification must -be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFOR1ti1ATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property. improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such,, a permit. Building permits are not required to be signed by property owners unless they are personally performing then own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business. license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are - sub . ect re,subject to several obligations including state and federal income tax withholding, federal social security taxes" workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mi rely, �A( &k--, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. T11 is Owner -Builder Information is required by Section 198.10 of the California Health and Safety Code - OVER Name RAY DAVID E & DONNA RAE Addr1 12681 SUSAN LN Addr2 I GARDEN GROVE CA 92841.4950 Addr3 Addr4 Comments 16446002000 CONVERTED 09/08/88 Creating D oc#1 1971 R 1686653 D ate Current D oc# 1601 R 37805 D ate 00/13/1661 Killing Doo# Date Asmk D esc PARADISE PINES S uplCnt Zoning R T 1 D well F Acres 0.00 N/C 064 Asmt # 064-460-020-000 . Fee # 064-460-020-000 Status JACTIVE Status Dake Tax 800 IPROP 8 PROPERTY TRA 000-014 Situs F14382 S I N CLAI R CI R CIAO Base D k 12/31 /2000 Land S tructure Fixtures O rowing Total L&I Fix. R P MH PP PP E xemc)ti AgPres 96,000 Etal 0 N otes 0 Bonds 0 Multi Situs Flag1 Flagg Asmk PP Pen Tax PP Pen Appeal Pending Split Pending Land S tructure Fixtures O rowing Total L&I Fix. R P MH PP PP E xemc)ti 24,000 96,000 0 0 120,000 0 0 0 0 Net 120,000 R!C#j T1R DtI RJC Slat PHY I OWN I EXP I TAX I H R N I AT T I SIT I APR. I [!CL I IN -I M n� n -a lnr le%nna J% +ti -7 +ti• nL J Find G� RESIDENTIAL Y< . TM_ f64-46-20 607-90B,P,E,M INTERMILLS, Sam w —_ CONTR IAermill Const. � 14382 Sinclair-Cir, Magalia (new sf) A14-9/ JOB FINALE Signature Owner: -e- Permit No. ENERGY CERT I'F ICAT ION (:;. Q-7 7,,D 14382 Sinclare, Magalia, Ca." Z/Z Z.0 LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Haterial Thickness(inches) EXTERIOR WALL Ha ectal -.Fiberglass Batts hickness(inches) 3111 CEILING Batt or Blanket.Type Thickness(inches) Loose Fill Type riherglass Minimum Thicknea@(Incites) » 3/411 Area.covered(ft.Z) 1400 FLOOR, ELEVATED Haterial Fiberglass batts Thickneas(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Owens-Cornina Resistance(R Value) R11 Brand Name Thermal Resistance(R Value) Brand Name. QwPns-Cnrn1na Number of Bags 22 Wt. per bag 35 lb. Thermal Resistance(R Value). -0 Brand Name Owens-Corning Thermal Resistance(R Value) R19 . Brand Name Thermal Resistance(R Value)_______^ Brand Name Thermal Resistance(R Value I hereby certify.that the above insulation Was installed in the above buildlpS in conformance with the State of Californ-ta Energy Requirements. LOERKE INSULATION M., INC. 499I50 . FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.- SIWI&gLe., r ANg September 26, 1990 � �fiTURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the' Building Department approved plans and attachinents have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. uT�� 1`�ll�L CO (.57— F / (Please print) STATE CONTRACTOR'S LICENSE N0. 4NA&TU�WOF OENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE*POSTED WITHIN THE BUILDING. January 1984 V I ERYI F I C AT E OF"CONFORMANCE G. IH5S UNbERS16NED MA NUFA C TURER HEREBY CERTIFIES that ffie ' products' identified below and on attached sheets Nos. are marked with the � collective /mark of the American Institute, of Timber Construction (AITC) and are manufactured in arcordance with the manufacturing and fabricating, provisions of CHAPTER 25 OF = UNIFORM BUIIDING CODE FOR GU='LMMM UTIMBER AS MODIFIEDBY TCM RESEABiM REPORT No 3346.. and that such manufacture has been at our plant in Q=AGE GROVE, QPQGQN which • plant has a quality control system approved by the Inspection Bureau of the American Institute 12• of Timber Construction and inspected periodically by such Bureau. JOB NAME: S= HEADERS LOCATION: SACM. CALIFORNIA CUSTOMER'S ORDER NO. 449n -DATE _1011154R9 MFGR'SORDER No.4(;0f)-1'1n_1 WEYEMMUSM COMPANY AITC Certificate No. 11599 E AMERICAN INSTITUTE OF TIMBER CONSTRUCTION- SIGNAGNA COMPAN, LAMINATM TIMBER PRODUCTS 99 /0 Z—/ SUPER ADDRESS —HIGE9'M SO= '?eq TIT Q. VISOR TE TITLE' DA AI TC HEREB Y CER TIFIESthat the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER, CONSTRUCTION to use the AITC Collective -Mark in respect of products which comply with applicable provisions of said code and report(s), that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the lnqpoqtion Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing4 provisions of said code and report(s), in respect of manuf0tured at said plant.- Con- formance with the said code and reportW in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's certificate hereunder being that the said company is qualifiedto, produce a product meeting -the said code and report(s) and that its plant is periodically Inspected and verified by the AITC Inspection Bureau. AITC Certificate No. 11599 E AMERICAN INSTITUTE OF TIMBER CONSTRUCTION- Glulam Headers — .,� 1650 Series —.001' Description Weyerhaeuser Glulam Headers - 1650 Series are engineered to meet or exceed the design values of #1'solid sawn timbers and two-ply built-up dimension lumber used in header and short beam applications. They are manufactured with kiln -dried MSR lumber for maximum dimensional stability and won't warp, check, cup or twist. The 1650 Series Glulam Headers from Weyerhaeuser are manufactured in Cottage Grove, Oregon. Uses Weyerhaeuser Glulam Headers - 1650 Series are designed to fit a variety of residential applications: • Garage door headers • Patio door headers • Window headers • Entry door headers • Beams for applications up to 24' in length where appearance is not a requirement. Features Easy Installation - The 1650 Series Glulam Headers from Weyerhaeuser are manufactured with no camber; there is no top or bottom, allowing for fast, easy installation. Plus, their 3-1/2" and 5-1/2" width frames in easily with stud walls, eliminating the need for furring strips. No Checking, Cupping, Warping or Twisting - These glulams are engineered products with assured, predictable performance. The low moisture content -of the MSR lumber used in Weyerhaeuser Glulam Headers results in components with maximum dimensional stability. Competitively Priced - Weyerhaeuser Glulam Headers - 1650 Series are competitively priced with conventional framing timbers, without wild fluctuations in. price. No Cull - Glulams from Weyerhaeuser are guaranteed 100% usable, virtually eliminating callbacks. Code Approved - Each beam is clearly stamped with its code approvals (NER-267), and is certified by AITC. Backed by Weyerhaeuser Company's product warranty. SL 1682 12-89 Weyerhaeuser Advanced Building Components Specifications Widths 3-1/2", 5-1/2" Depths 7-1/2" - 18" Lengths _ Pre-cut in lengths of 17' and 24'. Other lengths available. Appearance Grade Industrial (one face may be rough sawn). Moisture Content All laminations are kiln -dried to less than 16% before fabrication. Species Douglas Fir Bending Stress Fb�= 1650 psi Stiffness MOE = 1.8 x 101 Horizontal Shear F h = .110 psi Compression (Bearing) F�. = 630 psi All of our Glulam Beams are identified with the AITC quality inspection mark and accompanied by a Certificate of Conformance to the American National Standard ANSI/RITC A190.1, Structural Glued Laminated Timber. Weyerhaeuser's conformance to ANSI/AITC A190.1 is your assurance of receiving a product of consistent high quality. Service Availability Weyerhaeuser Glulam Headers - 1650 Series are available at the Weyerhaeuser Customer Service Center near you, your stocking wholesaler, local building supply dealer, or retail lumber yard. For more information, write: Weyerhaeuser Engineered Components Tacorna, WA 98477 or call 1-800-424-3401 (206) 924-3399 Weyerhaeuser Glulam Headers — 1650 Series Section Properties Weyerhaeuser Advanced Building Components Depth (in) Width 3.1/2" 7-1/2 9 10.1/2 12 13.1/2 15 16.1/2 18 EI (x 100 million Ib -in') _ - Moment Capacity (h -lbs) Shear Capacity (It -lbs) Minimum Bearing (in) 2.21 _ 4512 4512 _ 2888 1.1/2 3.83 _ 6497 3472 1-1/2 6.08_ ^8843 - 4050 1-1/2-- _9.07 11550 4628 _ - 1-1/2 __12.9 17811 52_07 1-1/2 _ 17.7 18500 5786 - _ 3 -- _23.6 22623 6364 3532 _30.6 _ 27185_ _ 6942 --3 3 Width 5.1/2" 7.1/2 9 10.1/2 12 13-1/2 15 16-1/2 18 EI (x 100 million Ib -in') Moment Capacity (ft -lbs) :Shear Capacity (ft -lbs) Minimum Bearing (in) 3.48 7090 — 4546 1-1/2 6.01 10209 54.5_5 _ 1-1/2 9.55 13896 _ 6364 1-1/2 14.3 18150_ 7273_ 20.3 23274 8182__ 1-1/2 27.8 29071 _ 9092 37.1 _35551_ 10000 48.1 42719_ 10909 1-11 , 3 3 3 Maximum Uniform Load (PLF) Conversion Tables Convert from ROOF -15% Increase (3-1/2" Width) Span Depth (in) (lost) 7.1/2 9-'0-'/2 10-1/2 12 13.1/2 15 16-1/2 18 4 1604 2118 2746 3532 4543 5891 7778 10611 6 650 810 983 1170 1375 1597 1841 2110 12 297 421 564 698 806 919 1039 1165 16 154 233 314 405 507 620 721 802 17 127 206 277 357 448 548 657 744 20^ 76 - -134 197 255 -320 392 471 555 24 41 74 121 174 219 268 323 382 Conversion Tables Convert from FLOOR — 0% Increase (3-1/2" Width) Span Depth (In) (feet) 7.1/2 1 9 10-1/2 12 13-1/2 15 16-1/2 18 4 1394 1840 2387 3070 3949 5121 6762 9225 8 1564 703 853 1016 1194r 1387 1599 1833 12 258 365 490 606 699 798 902 1,011 16 114 200 271 351 439 538 625 695 17 94 165 239 310 388 475 570 645 20 - 55 v 99 160 221 277 339 408 482 24 29 54 89 136 189 232 279 330 Conversion Tables Convert from Replace with Weyerhaeuser #1 Timbers Glulam Headers —1650 Series _ 4 x 10 3-1/2" x 9" 4 x 12 - - 3.1/2- x 12" - 4 x 147- - _ --- - 3-1/2" x 13-1/2" 4 x 16 _-- -3.1/2" x 15" -- 6 x8 _ 5-1/2" x 7-1/2" 6 x 10 _ _ _ _ --6 5-1/2" x 9" _ x 12 5-1/2" x 10- 1/2" 6 x 14 ---- x 13-1/2" 6x 16 5-1/2" x 15" Convert from Two -Ply 1021 Built -Up Dimension Replace with Weyerhaeuser Lumber Headers Glulam Headers —1650 Series 2 x 6 3-1/2."-x 7-1/2" 2 x 8 3-1/2" x 7.1/2" - -- - 2 x 10 3-1/2" x 9" 2; 12 ---- - 3-1/2" x 10-1/2" - SI.. 1682 12-89 General Notes: 1. These tables apply to Weyerhaeuser Glulam Headers - 1650 Series only for straight• simple span applications under dry use service conditions. 2. Load values are for applied loading in pit. Beam weight of 35 pcf (lbs/cu ft) is already accounted for and need not be considered. 3. Deflection limits: roof applications= U180 for total load; floor applications= U240 for total load. Glulams used in floor applications should also be checked for U360 deflection limits for live load it live load is greater than 2x the dead load. 4. Shaded areas in load tables indicate pre-cut lengths of 17' and 24'. 5. Selected lumber section design bending stresses used were: Doug Fir # 1 - 1500 psi So. Pine #1 - 1450 psi Weyerhaeuser ROOF -15% Increase 5-1/2" Width Span Depth (in) (feet) 7-1/2 9 '10-1/2 12 13.1/2 1 15 16.1/2 1 18 4 - 25_20 3328 4315 5550 7138 9257 12223 16674 8 1021 1272 1544 1839 2160 2510 2893_ 3316 12- 467 661 887 1097 1266 1445 1633 1831 16 2.42 367 493 636 797 974 1133 1260 17 200 323 435 562 704 861 1033 1169 20 119 211 310 401 503 616 740 874 24 65 117 191 274 344 422 507 600 General Notes: 1. These tables apply to Weyerhaeuser Glulam Headers - 1650 Series only for straight• simple span applications under dry use service conditions. 2. Load values are for applied loading in pit. Beam weight of 35 pcf (lbs/cu ft) is already accounted for and need not be considered. 3. Deflection limits: roof applications= U180 for total load; floor applications= U240 for total load. Glulams used in floor applications should also be checked for U360 deflection limits for live load it live load is greater than 2x the dead load. 4. Shaded areas in load tables indicate pre-cut lengths of 17' and 24'. 5. Selected lumber section design bending stresses used were: Doug Fir # 1 - 1500 psi So. Pine #1 - 1450 psi Weyerhaeuser FLOOR — 0% Increase (5-1/2" Width) Span Depth (in) (feet) 7.1/2 9 1 10.1/2 1 12 13-1/2 15 16-1/2 18 4 8 12 16 17 2190 886 405 _ 179 147 2892 1105 573 314 260 3750 1341 769 4824 6205 8047 10626 14496 1597 1876 2180 2513 2880 952 1099 1254 1417 1589 427 376 551 486 691 -''610 845 746 982 895 1093 1013 20 24 87^ 46 155251 85 139- 347 213 435 297 533 641 757 364 438 518 General Notes: 1. These tables apply to Weyerhaeuser Glulam Headers - 1650 Series only for straight• simple span applications under dry use service conditions. 2. Load values are for applied loading in pit. Beam weight of 35 pcf (lbs/cu ft) is already accounted for and need not be considered. 3. Deflection limits: roof applications= U180 for total load; floor applications= U240 for total load. Glulams used in floor applications should also be checked for U360 deflection limits for live load it live load is greater than 2x the dead load. 4. Shaded areas in load tables indicate pre-cut lengths of 17' and 24'. 5. Selected lumber section design bending stresses used were: Doug Fir # 1 - 1500 psi So. Pine #1 - 1450 psi Weyerhaeuser Sam Intermill 14198 Monte Calle Ln. Magalia, CA 95954 LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 March 26, 1991 RONALD D. McELROY Deputy Director RE: Building Permit No. 607-90 Expiration Date 4-19-91 (A.P. No. 64-46-20 ) With reference to the above subject, our records indicate that your Building Permit expires on the above date. Building permits are valid for one year and should construction be.started but not completed by the .expiration date of the permit, the .permit shall be renewed.for 2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The, renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit within thirty days of the expiration date, �. it cannot be renewed and all work must cease until,a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the Paradise office. For your convenience, we are enclosing a renewal application form and owner builder. form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. JFG:aam Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Yours very truly, William Cheff Director of Public Works Glander iIef. Building Inspector Chico 196 Memorial Wav/891-2751 ParAHign - 7A1; Fii;,,,- Rel /Q79_Ain7 J=OK O = Not OK - = Not Applicable = Not Ready MOBILE' HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s \ f. �1. Zoning Requirements -Setbacks -Easements , ._12., Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete Q 1 - „ 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance '\ ) 1 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 B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEO S Date 'DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors 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 r Card B-1 Date Card B-1 Date i 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, Dista6ces-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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ' IDate Card B-1" Date Card 84 Date Card B-1 Date Card B-1 0 - AV A n V OK O = Not OK - = Not Applicable RESIDENTIAL (S = Not Ready Date UND FLOOR Plans OK except If's u,lzopxn'g-Setbacks-Easements?ood-Slope tg.,.Main; Soils-Elec. Gr .-/)h" Ftg. Depth i. g., Garage; Soils-Steel-Elec,f6 cl.-/1'°/" Ftg. Depth 4. F!P., Porches & Decks; Soils -Steel-/ /Ftg. Depth t walls, Main; Steel -Bloc kouts-Wrapped temwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. SI , Steel -Wrapped iers-FirepfaCE'PR-) Steel - W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors ;J1,Mater Pipe; Test -Anchor -Regulator -Service Test tric; Underground Vit3. Pienums & Ducts; Clearance -Material -Support -Ins. ers-Sills-Anchor Bolts -Joists -Vents -Cripples Orl-5. Insulation Date Card B-1 Date -1 Card B-1 Date Sit --Yu Card B-1 Date Card B-1 Date PLUMBING Per K except ft's 16. Water Htr.; a ccess-Combustion Air -Baffle er Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor- ectio 19. Shower Pan;'Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors v Date /p Card B71 Date Card B-1 Date V Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except tf's 22. F' re & Transformer Clearance -Ins. Protection c. Receptacles Spacing -Lights & itches at Doors Size Boxes & No. of Conductors 25. Romex Installed Close to Edge of Studs & iton, 26. uip. Ground made up w/Meeh. Fasiners1 & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size f -#V . Cu or AI-A.C. Wire Size / Cu or, Al 29. Ra a Circ. /� / C or AI -Oven Circ. / / ga. Cu or Al. sulated NAutral Yes 0 No Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. thes Closet Light -Shower Light -Spa Light moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL .Permit OK except It's A.C. DyKs Insulation & Support Ve Fan; Exhaust above insulation 36. ondensate Drain & Overflow; Size & Grade Furnance=Vent; Access -Comb. Air -Return Air Vent-1V�butlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 lr Date Card B-1 Date Card B-1 Date Card B-1 nntp F (Plans) OK except ff's s, P per Material & Anchors al tuds-Nailing, Spacing & Bracing -Plates -Sound 4 . a ng Walls over Girders & Floor Nailing 42. ft Stop in Walls (rat proof) ov ire Stops; Furred Ceilings -Stairs -Chases -Tub 44/Headers & Beam -Size & Bearing ingle & Duplex) Date RAMING (Continued) Han s -Post Caps -Anchors -Connector 46. P11g. Joist-Rftr. ties-Purlin—roof Bra(-Jp1 s hth VFirgpiace Ties or Type A F epi ce Throat clearance t ' Access; Size & iromexdocrectio -Draft Stop -Ins. rm. Windows or Exiting Doors -Sill Hgt. & Dimensions Gara Fire Protection Framing perty Line Firewatl & Openings . Ext. oors-One T -Check Garage -3rd Story, 2 Exits 53.a' ; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers Sidin -Nailing Veneer cco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic. ails; Nailing -Bolts 9. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows I Date �`U v Card B-1 Date — '-`C Caro B-1 Date 77-2, -96 Card B-1 ;V.0, Date Card B-1 Date FINAL ns) OK except tt's trS oke Detector urnace; Vents -Clearance -Comb. Air -Connector - I arage; Above Floor -Ducts -Meeh. Protection toWd'room Exiting & Bath Fixtures & Tub Access -Spa Ele_c: Trim & Subpanel; Breaker Sizes & Labels Wr St ' & Rails Fire lace or Stove; Clearances -Hearth ec. Outlets at Wood Panel; Int. & Ext. 7n!.. T .Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance at Kit. Counter 7Qrt"ara ,e.Fire Door; Swing -Landing -Closer 7 .-c. Duct in Garage -Damper 7 . Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 7 Elec. & Mech. Equip. Listed for Location 7 ec-.Receptacles in Garage; (G.F.I.)-Romex Protection sutation-Foam-Looked in Attic 11 Yes 7 . Guard Rails & Deck Construction -Post Caps 7 n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive WAr9s`- ❑ No; Walks QY—es 13 No; Planters ❑ Yes 11 No moo; Brown -Finish C. Unit; Disconnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ater Well; Disconnect, Electrical, Plumbing $5!Sxterior Elec. Trim; G.F.I. Receptacle- Undeygffund entilation Throuahout House Ww-Gla Protection Cor ctions from Previous Inspections Gas t -Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date �_�—%j% Card B-1;jW Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 •,, =' 7 County Center Drive, Oroville — Phone: 538-754.1,. 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE W MIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of *ork is completed. If you have any question pertaining to this matter, or need additional explanation, 0ease /jcontact this office immediately. Cbl C� Date 41--,?— « /.� Inspector �. sl%i�wt^a+..Lr:+t++++r-...�, ,�,,.,. e•r .-a,..:.-+.--ae••ya-,r- _ _ ,..,y � .-.--..- -rte.. -r.,-, . - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS X196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541` 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance, ~ exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. WV- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS /k 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 53817541 747 Elliott Road, Paradise— Phone: 872-6307 ' CORRECTION NOTICE AC OWNER y� PERMIT NO. A routine inspection indicates that the�following'violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is have an you If completed. p y y question pertaining to this "tteor need additional explanation, please contact this,office immediately. Ori nt ► . " DUX '�'''""'�1 T�'roc, � `� •c �`�i91��,0��"oc�d.`'�� �H d°u � 4.� c� �oe c titr r v) A 'C l G ti 1 Date- fInspector 1'47 j .i.�r :rs+�rvw.a;+�i:x� 1`•'�"�`r`�".. _.r-''+r.�+u.vnt� �..a.�::ss.,�w.s,�:=ti COUNTY OF BUTTE . DEPARTMENT OF PUBLIC WORKS 19 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CPR ION NOTICE J DCDRAI'r Alrl A routine inspection indicates that the following violations of County -Ordinance . exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questionpertaining to. this matter, or need additional explanation, please ^^contact this office Immediately. awo- S N! �PA'Gtr- �i✓4'i�.� Da #-.K y,2 146 _ L dz 4,9 Z 6e'( 49 Date Inspector COUNTY OF BUTTE - DEPARTMENT OF: PUBLIC WORKS PER IT NO. 7,Co-ylnty Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT - v ASSESSOR PARCEL NUMBER 64-46-20 ZONING RT1 - U. BUILDING PERMIT OWNER Sam Intermill TELEPHONE 873-3412 SQ. FT. OCC. BUILDING VALUATION Wiq Op b R 59,440 OWNER'S MAILING ADDRESS - 14198 Monte Calle Ln, Ma alfa 95954 496 M 6,944 CONTRACTOR'S NAME Intermill-Const. TELEPHONE 32 COV 320 378 open 1.89 - CONTRACTOR'S MAILING ADDRESS Same Fireplace It All 1 000 CONSTRUCTION LENDER - UNKNOWN Sac Savings, Chico LENDER'S MAILING ADDRESS c Total Valuation $6 4 ,P,ilirig Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 171.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ' 14382 Sinclair Circle Ma alfa Permit fee ' $ PLUMBING PERMIT Filing Fee 10.00 _ • Each Trap 9 2.00 18.00 Solar or heat pump water heater 20.00 LOT NO. 7 SUBDIVISION NAME. PARCEL MAP Water piping 5.00 5,00 Each pas water heater or vent ' 5.00 USE OF STRUCTURE SFK] Duplex❑ Mobilehome❑ Other SF K:1SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00- ,00- Building sewer 5.00 5.00 Mobile Home I S FG FW 10.00e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ installation ❑ Other El Describe work: 3 RR _ Permit Fee $48.00 Contractor ELECTRICAL PERMIT Filing Fee - 10.00 Main service 600VOR LESS 100 AMP OR LESS 10.00 1 .00 Main service EA. ADD -L 100 AMP 2.50 2,90 CONTRACTORS LICENSE LAW I declare der 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 orce and effect. l Z _ License No �� Classification ❑Q I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Oc Pa NEW CONST. DWCC. BLDGS. OR ACDNS. A ( O 21�vZsgft 4ELLING 9.55 NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 @SOQ eAL®so \\ Ex. OCCUp. OUTLETS FIXED PIRESID IREA./ 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ` ❑ The permit is for $100.00 (valuation) or E4ess. FP/ihave 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,Appiicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such rovisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Heat Pump 6.00- , w Cooling 3T 6.00 Hood 3.00 3.00 -Ventilation 3.00 • it Fee perm$28.00 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. I also agre to save, indemnify and keep harmless the County of Butte against all liabili gments, costs, and expenses which may in any way accrue again id Coun 9ns quence of the gr ming of this permit. 3 D to �U Signature PP Owner tSX of Applicant Si nature - � Contractor Agent Elp An OSHA permit is required for excavations over 5'0" ep and molition`or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection -Fee- $ 30.00 CONST PE TOTAL FEES$ 727.5 ' HAz , CUA PARK SCHL ,FCD PAR D D Is _This permit is-nereby issued under Bions of the Butte County Code and/or - above or w work indicated abfor r EC PUBLI t -By PERMITEXPIRES DateWHITE-D.P.W., the applicable provi- resolutions to do fhbaid. fees have been RKS ' Date -0-99 1' eipt No. 'Rec YELLOW-ASSESSOR,PINK-INSPECTOR, GO ENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT PERMIT NO. AS ES RPA C GNU B ZON I BUILDING PERMIT - OR �� TELEPHONE $?3-3yt l SO. FT. OCC. BUILD"ING VALUATION � 5 � OWNER' MAI ING © r /� , d\ PS (5-ck /`/(_t CO�RAC TOR'S NAME TELEPHONE l_ 3,1 hO� Q C N TOR'S MAILING ADDRESS _ Fireplace (f OQ CO RUCTION LE 1c,ER E Vin UNKNOWN Total Valuation $ Filing Fee $ 1 LENDER'S MAILING ADDRESS N Q Permit Fee $ ARCT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ / A CHIT CT OENGINEER'S MAILING ADDRESS Penalty $ ^ �t BUILDING ADDRESS 7L, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 a ` Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME P CEL MAP Water piping 5.00 S Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Lj Q Building sewer 5.00 Mobile Home S G W 0.00 e TYPE OF WORK N4 Addition ❑ Remodel i ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I 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. License No. Classification El 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 NEW CONST.OR ADONS. / ( ACC. BLDGS. DWELLING OCCU y:¢sgft NEW CONSTR MULTI -OUTLET NO N.R ESIO BRANCH CIRCUIT S IRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OOcup(OUTLETS OR FIXTURES 20@50a eALO 30 FIXED Ex. Occup. OUTLETS PRESIO )REA.1 2.00 Temporary service 10.00 �Q Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under"penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating E Cooling g Hood 3,00 " Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte.against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 00 occ CONST TYPE'130 TOTAL FEE $ \S HAz CUA PARK SCHL FLD PAR Po HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 6. WNITC-D.P.W.. YEL W -ASSESSOR. PIN CTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER LCk�� ,-�'`If� i� 1�i�1 t 1 A. P. o. Proposed Building Use �fa �)� /� Building Inspector Date l 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) n 9. Mobilehome installation data including manufacturer's installation instructions. ^�.,.................................... 0. Fees of $� / . U ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees p .......................:.................. 13. La Sc of District fees paid ............ 14. Sanitation approval from �t t^_OLL I56 Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... =-�QI �. I ovements may be required. Contact Land Development Section DPW - rlveway permit (construction approval required prior to occupancy) 9" 170 20. Pre -Inspection for required Pre-Inspec. request to - Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... t_ 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... ucfn 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail 1,9 owner. Mail to contractor. Telephone nd hold for pickup at _ (1 AOffice. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date Date..K '-5- e-tfd The following data must be submitted prior to per��}�t is"ueircle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by D to Plans approved by (71-5`. Date - l Sets of plans on hold in ZFile cabinet AP folder Copy—DPW Plan.- Approved for: Hold final for: Sewage Disposal Water Supply ✓&-ra Final clearanc :bedroom . for.: Clearance for home. Other 'NOME * * * Sanitaria Water Supply Water Supply .....��.w.s:S.wF.z�si±+".:+6.1! L�Y_, ..,ra.m.L" ..... w....++ .... ..u/.v+r .. ...... :..._ '�_.^•5_:`..':_.-._...'=_.f � ... Tp.: Buildind Department FROM:.Environmental Health. SUBJECT: Sanitation Clearance owner Location AP# Plan.- Approved for: Hold final for: Sewage Disposal Water Supply ✓&-ra Final clearanc :bedroom . for.: Clearance for home. Other 'NOME * * * Sanitaria Water Supply Water Supply TO: Building Department FROM: Encroachment Permit Section 1 RE: Driveway Clearance. " location owner AP # Driveway permit. l�l� 2-� l has been issued for the above property. date si ature Return to DPW AGRICULTURAL STATEMENT OF. ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement. be recorded prior to issuance of a building permit. The property described.herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject. to inconveniences or discomfort arising from the use ,of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 79, as shown on that certain mapentitled "PARADISE PINES UNIT'6", which map was filed in the office of the Recorder of the County of Butte, State of California, August 26, 1970 in Book.35 of Maps, at pages 92, 93, and 94. 1 90-010408 R e c Fee 5.. 001 l Check 5.00 1 r". Recorded Official Records { County of r Butte Candace J•. Grubbs Recorder 2:490m 15 -Mar• -90 BG.;•.'':`i March 15 , 1990 Date- PROPEkft j"INERS State of CAlif. ) On this the 15th day of March 19 90 , before SS. me, the undersigned Notary Public, personally appeared County of Butte ) SAM INTERMILL ®■®®oa■�®■■■■ecs■®dmet®atm$g IN WITNESS WHEREOF, I hereunto set my hand and official seal. No y Pub c Present A.P. No. 064-46-07020 EN® OF DOCUMENT Personally known to me. Proved to me on the basis ®®®■■®■.■■ma■®■■m■■a■e��® of satisfactory evidence. WAGERTY s to be the person(s) whose names) subscribed to No7�v ButteCou the within instrument and acknowledged that ® ""y�my26,1991 � executed the same for the purposes therein contained. ®■®®oa■�®■■■■ecs■®dmet®atm$g IN WITNESS WHEREOF, I hereunto set my hand and official seal. No y Pub c Present A.P. No. 064-46-07020 EN® OF DOCUMENT 5/89 RESIDENTIAL;PLAN CHECKING.GUIDE (S.F.,.DUPLEX & MISC. ONLY) Bldg. Permit OWNERA..P. 1�t1i� -r— GENERAL 4 . 'd4ing requirements: (sideyards and number of permitted living units). =2: Yaluat'ion. L-3/ Plans signed by designer. �. Energy Design and Compliance. •-5—.--Existing violati6ns on.property. �. Items on data'sheet. PLOT PLAN ,'OTComplete parcel size and dimensions. 41' Setback's, sideyards, easements, etc. i3-:-_0.ther buildings or structures. -rading, fills,, drai nage. �rood hazard pec.ial conditions on creation map or compliance document. 9: FAU & FAS road setback. FLOOR PLAN Complete to scale plan with dimensions. �Req,uired �equired windows for.light and ventilation (Sec. 1205,). windows for second exit (Sec. 1204). r/� kylights (Chapter 34-& Sec. 520.7).. . Human impact glass (Sec. 5406). equired room sizes., :ceiling heights (Sec.. 1207). 9! GFCIs in baths, garage,and exterior outlets (Article 210-8). 4�.—'Light fixtures, switches, receptacles, and exterior receptacles for maintenance 4f mechanical equipment. .9! Locations of water heater, .heating and cooling equipment, other electrical or as equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door. (Sec. 3304(e)). ;�ireplace and wood stove location, alcoves, and clearance. q3. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS X Foundation plan complete enough to construct building. v2/Floor construction details complete enough to construct -building. �Roof Elevations and wall.construction details complete enough to construct building. construction details complete enough to construct building. . ,_,5,&�Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOKOUT FOR � a rway details: landings, rise and run,.head clearance, handrails (Sec 3306). `2: Guardrail details (Sec.. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO.LOOK OUT FOR (CONY D) ,--4-',Ext.erior plaster - weep screeds (Sec. 4706). �Y roper roof pitch for roof covering (Chapter 32). (k:/Roof covering type - (fire hazard). W Rafter ties or bearing ridge beam. arage door or porch header sizes. tA! Adequate bracing. wing area over garage -.complete 1 -hour separation required on garage side including supporting walls and posts, etc. exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). ] is access and ventilation (Sec. 3205). je3. Underfloor access and ventilation (Sec. 2516). combustion air for fuel burning appliances. _�NjDoise requirements on duplexes. dobe soils - special foundation design. wining walls requiring design. ual shape, size, or split level house requiring lateral design. Flashing at all exterior openings. BUTTE CObNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM S (One Form per Building) A.P. Number, ^- *4--40 Building Department No. School District PC(Md,,Se City D County Jurisdiction Property Owner Project Location/Address /'lcq)01Ci re jt", Abial, Subdivision Lot Number V Residential Development: ® /� V/ � Sq. Footage (Ca # of Living MHI Addition (Group R) Units Commercial/industrial: New Building'"Department Representative Sq. Footage Addition (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School District Personnel) District I_d No. 0 o /,� �Q_ r,� -- D School District certifies that AA ACTQ Au '(Applicant Name) (Phone Number) (Street Address) (City) (1 (State) (Zip Code) has complied with the requirements of.Resolution No. by the payment of'$��,�io representing square feet. rg/c/n Sd,hool District Representative /Date' PAID BY CHECK NO. BANK NO I/— PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlllet California 98985 - Telephone: 918/538.7541 APPLICATION AND PERMIT A538A53t958QM OAACKL NQM59A 40NiNG BUILDING PERMIT SO. FT, OCC. BUILDING VALUATION M-0-p-awal 373=3412 t CONTRA winiftbacwMas Fireplace CON3TRUT'liM LENDER UNKNOWN Total Valuation Filing Fee $ 10.00 LENOER'3 MAILING ADDRE33 Permit Fee $ 1:71 Ap ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14382 5-bactstr eft. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. - O SUBDIVISION NAMEPARCEL D .E MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFS Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S.1 G JW I 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherij Describe work: 7gr rnneyla7 of Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee `\oo.00 ' Main service 8001 OR LESS I00 AMP OR LESS 10.00 Main service EA. AOO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I 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. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a A C.BI LOGS NEW � h¢sgft CONSTR.( U TCOUTLET NO "'1'ESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200300 eALsaoe FIXED APLNS. Ex. OCCUp. OUTLETS (RESID.)REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES Yfl.SO HAL. CUA PARK scHL FID I coc PAR PD I Ho. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By((]] Datte PERMIT EXPIRES Date 4--19 92 Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOL.OENROO-APPL I CANT .Certificate of Compliance: Residential 7 Climate Zone 11 r ' ProjectTlde Building? g,# Project Address 5JQ w i r/! Checked By /Data Documentation Author ( elephone Farorce hent Agency Use Only Glass Area % Gly BUILDING DATA/ ENoorth /33 Con ' ' ea Number of Stories sed Fl Number of .Units South' [n`§ingle Family Detached (SFD) [ ] Addition -Alone West A_ [ ] Single Family Attached (SFA) [ ] Existing Building T Total (] Multi -Family (MF) [ ] Existing -Plus -Addition BUILDING SHELL INSULATION' ' . Component Insulation . Locatfnn/Comments Type R -Value (atdl , .to garage, tTical, etc.)' Mandatory Measures Checklist: Residential MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the cOmpliw= approach used Items marked with an asterisk (•) may be superseded by more stringent complW= requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit locum c nM 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.. DESCR1P1lON DESIGNER ENFORCEMENT Building Envelope Measures • 62.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(bY Loose fill insulation manufacturer's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation -water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zona 14 and 16 only. §2.5317: tnrlltratiort/ExriItradonConuols a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joins and penctruions caulked and ses1eA §2.5352(e): Special infiltration barrier installed to comply with 62-5351 meets CEC quality standards §2.5352(d): Installation of Futplaces 1. Masonry and rectory -built fireplaces have: a Tight fitting• closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations - §2.5352(h) and 2-5315: Setback therrroatas on all applicable heating systems. • 12-5316(3): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment• water heaters. showerheads and fauccu certified by the CEC- §2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior . insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. • - - §2.5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.53526): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas rued appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers, fmu=ers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT m This certificate of oompliance lists dr.building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chagttjr 2. Subchapter4. Article 1 of the California Administrative code, This certif cafe has been signed by the individual with overall design responsibility and the building owner. who shall ( HVAC -SYSTEMS INirximum Duct retain a copy of it and tem mit the certificate to my subsequent purcltaserof the building. Type `(furnace, air. tEfficiency Location Duct Output Manufacturer / Model # Designer Building Owner { conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) ti Name: it' um Teck/ rm: _57 -7_ ,,:. » Address: Address: Tetepho= TC In i' Maximum Furnace Heating Output: 26 Btuh �:: .. t.ic. #: tiz HOT WATER SYSTEMS Q�� '*'~ ,✓� �^ �G Tank Manufacturer/Model # (sign.turc) (date) (si aWrc) (date) QVctPm Tsrr%P /etmenw oea aIte N. rgnneity tnr ar1T1mverI a mall s csal Feats ' >.a7rm' pe � SPECIAL 7G� TURES/REMARKS (Add extra sheets if necessary) Documentation Author Enforcement Agency C/ f � i Name: Name: .�.: Titk/Farm Agcwy' Address: - Telephone '<3 Wall .............._ .. -. Roof ............. Roof ............. Floor ............. Floor ............. –��—— . Slab Edge..... GLAZING. Shading Devices } Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single, double) ¢otter blind. etc.) (shadeaeree%etc,) tyeslno) (metaltwood) North ( ) DAL-' • North. .. East ( ) e East ( ) South ( ) 7 _157 South West ^ West.41 - ' THERMAL MASS c Type/Covering y Area Thickness (slab/exposed, tile, etc.)(sf) (inches) Locadon/Deseription(kitchen. barb, etc.) Mandatory Measures Checklist: Residential MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the cOmpliw= approach used Items marked with an asterisk (•) may be superseded by more stringent complW= requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit locum c nM 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.. DESCR1P1lON DESIGNER ENFORCEMENT Building Envelope Measures • 62.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(bY Loose fill insulation manufacturer's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation -water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zona 14 and 16 only. §2.5317: tnrlltratiort/ExriItradonConuols a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joins and penctruions caulked and ses1eA §2.5352(e): Special infiltration barrier installed to comply with 62-5351 meets CEC quality standards §2.5352(d): Installation of Futplaces 1. Masonry and rectory -built fireplaces have: a Tight fitting• closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations - §2.5352(h) and 2-5315: Setback therrroatas on all applicable heating systems. • 12-5316(3): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment• water heaters. showerheads and fauccu certified by the CEC- §2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior . insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. • - - §2.5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.53526): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas rued appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers, fmu=ers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT m This certificate of oompliance lists dr.building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chagttjr 2. Subchapter4. Article 1 of the California Administrative code, This certif cafe has been signed by the individual with overall design responsibility and the building owner. who shall ( HVAC -SYSTEMS INirximum Duct retain a copy of it and tem mit the certificate to my subsequent purcltaserof the building. Type `(furnace, air. tEfficiency Location Duct Output Manufacturer / Model # Designer Building Owner { conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) ti Name: it' um Teck/ rm: _57 -7_ ,,:. » Address: Address: Tetepho= TC In i' Maximum Furnace Heating Output: 26 Btuh �:: .. t.ic. #: tiz HOT WATER SYSTEMS Q�� '*'~ ,✓� �^ �G Tank Manufacturer/Model # (sign.turc) (date) (si aWrc) (date) QVctPm Tsrr%P /etmenw oea aIte N. rgnneity tnr ar1T1mverI a mall s csal Feats ' >.a7rm' pe � SPECIAL 7G� TURES/REMARKS (Add extra sheets if necessary) Documentation Author Enforcement Agency C/ f � i Name: Name: .�.: Titk/Farm Agcwy' Address: - Telephone '<3 1. Ceiling Insulation U -value -48 -69 Number of stories " R -value One Two Three R-0 -103 -49 42 R-19 -8 -4 -2 R-30 -2 .1 -1 R-38 0 0 0 U -value -21 -14 t 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -52 Number of stories -9 Single- Single - One Two Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 2 --' - 15 0.80 -153 -114 -76 0.50 -91 -68 -46 E 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 j 0.02 19 14 10 0.00 24 18 12 0 -1 0.70 i a 3. Raised Floor Insulation 2 1 Insulation In Floor 0.60 6 Number of stories 2 R -value One Two Three i R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 5.Inriltration (Air Leakage)_ Specification Points Standard 0 6. Glass Heat Loss Total U -value -48 -69 -64 -- _---0.60 . -144 -70 -46 Skylight 0.50 -120 -58 -08 Single 0.40 -95 -46 -00 less 0.30 -69 -34 -22 -24 0.20 -43 -21 -14 t 0.10 -17 -8 -5 35 0.08 -11 -6 -4 1 - 0.06 .6 -3 -2 -13 0.04 -1 0 0 -58 0.02 4 2 1 12 0.00 10 5 3 .2 Controlled Ventilation Crawlspace 13 27 -52 Number of stories -9 -2 R -value One Two Three -15 R -o -11 -7 -5 1 R-5 -4 -4 3 7 R-11 -2 -2 -2 -5 R-19 -1 -2 -2 -40 4. Slab Edge Insulation 4 2 --' - 15 Number of Stories -37 t R -value One Two Three 21 • R-0 0 0 0 10 R-5 8 5 2. 0 R-7 8 6 3 -29 F2 factor 1 6 11 16 X0.90 -4 -3 -1 7 0.80 -1 -i 0 -1 0.70 2 2 1 16 0.60 6 4 2 13 0.50 9 6 3 6 0.40 12 8 4 5.Inriltration (Air Leakage)_ Specification Points Standard 0 6. Glass Heat Loss Total -14 -48 -69 -64 U -value East Percent -West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -07 -26 -14 -0 8 35 -75 -29 -19 .9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 .7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 8 3 _ Effective SE or HSPF 2 2 (SE or HSPF x duct effrdency) 7. Shading (Shade Open) -- - Effective Percent Clan (Percent glass x SC) Effective ' -14 -48 -69 -64 %Glass North East South -West Skylight 18 5 1 4 1 na 16 4 2 5' 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na - 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2. 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 •2 0 na = not allowed 2 3 4 ! 3 IB. Shading (Shade Closed) 177fective Permit Glass (Percent Alan x SC) Effe&m %Gnus. Nall Esq South West SkyW 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -01 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 -0 -11 -15 -14 -08 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 11 7.0 6 -4 0' 2 3 4 ! 3 0 na . not allowed 9. Interior Thermal Mass Interior Slab Floor Raised Floor Mass Stories Stories /CFA One Two Three One Two Three 0.0 -8 -5 -4 .2 -1 -1 0.1 -8 -5 -0 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass -24 to -14b Exterior Single- . Single - 16 or SEER Wall Family Family Multi Mass Detached Atbched Family 0.00 0 0 0 -13 0.20 3 2 1 -11. -9 0.40 5 4 3 6.6 0.60 8 6 4 -2 0.80 10 8 5 0 0 1.00 13 10 7 8.0 1.20 13 12 8 4 1.40 12 13 9 14 12 1.60 10 13 11 10.0 1.80 10 12 12 10 200 10 11 _ 13 23 19 11. Heating System 12 8 12.0 SE or HSPF 26 22 18 - (assumes ducts In attic) 9 13.0 Sum of 1-6 29 24 _ -1 _ 25 or -24 6 -14 b :4 to +6 to 6 or . SE HSPF less -15 -5 +5 +15 more J 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8' 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 -7 0.95 8.71 20 18 15 13 11 8 3 _ Effective SE or HSPF 2 2 (SE or HSPF x duct effrdency) ' Effective -25 or -24 to -14b j ro +6 to 16 or SE HSPF less -15 -6 +5 +15 more 0.30 2.75 -73 -64 -56 47 -38 -30 na 3.41 45 -39 -34 -29 -24 48 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment HP -HWR System Type 4 3 3 Resistance 10 9 7 6 4 3' Other 6 5 4 3 2 2 12. Cooling Syst,!m SEER (assumet ducts In attic) Sim of 7-10 -25 or ,24 to •-t4 b 4 to +6 to 16 or SEER less •15 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -0 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 =- 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 ,. Effective SEER (SEER xduct of iclency) Sim of 7-10 Effective -25 or -24 to -14b -4b +6110 16 or SEER less -15 -5 +5 +15 more 5.0 -30 - -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 4 6.6 -5 -4 -4 -3 -2 2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 ' Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed =Stories One -5 -4 4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached I Unit Size (SO Water i 199 ' 1200 1700 2200 2700 Heater Credit or y j to to to a _Type Type,fess 1.1699 2199 2699 more SG None , 0 .0 0 0 0 or Solar 12 '' 8 6 5 4 HP -HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB . -25 -16 -12 -10' -8 POU 48 _-12 -9 _7- -6 IG None -5 -3 -2 .2 -2 Solar 7 - 5 4 3 2 POU 3 2 1 1 1 IE None -28 19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 4 -3 Multi -Family (individual units) Unit Size (sq Water 699 700 1200 9700 2800 Heater Crept or b to to Of Type -Type less _,1199 1699 2199 more SG None 0 0 0 0 0 l or Solar 14 7 5 4 3 ; HP HWR 9, 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None 45 -23 -15 -11 -9' Solar 2 1 1 0 0 HWR --23' -12 -8 -6 '-5 WSB -25 -13 -8 -6 -5 Noe 5. IG -8 -4 3 - Solar :6.•; 3 2 POU 1 0 _ .0 . 0 L-0- E None -00 -15 -10 -' -8 -6 Solar ' 18 9 6 4 4 ^: POU ; --8 -4 -3 _ -2 _2 j Interior Mass/CFA IT," 7 PAS .1 n.T•utMc•..x� t TYPE I AASS (UIMC & 4.2, Le: exposed s1r`I (e.rpee.A .�.n� _ ti 0% 5% 10% 1S% 20% 25% 30% 35% 40% 45% 50% 55% 60% 66t 70% 75% 80% 85% 9o% 95% 100% 105% 110Y. 115% 120% 125' 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 25 27 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 27 2.9 11 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 15 17 3.9 4.1 4.3 4.5 4.8 S 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.S 2.7 2.9 9.t 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 25 21 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 WY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.0 4.1 4.3 4.5 4.7 4.0 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 56 59 6.1 63 65 67 90%' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 6.4 66 68 95% 1.61.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.l 1.9 21 2.3 25 28 3 3.2 3.4 3.6 8.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105Y. 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 66 68 7 110Y. 1.9 2.1 2.3 2.5 27 29 ' 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.83 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 6.6 58 6 6.2 6.5 6.7 6.9 7.1 73 M% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating X_R or R -value [38] 1.1 -value [0.030] te // or R -value [ 11) U -value [0.098] or -value 19] U -value [0.037] Point Scores or R -value [01 F2 factor [0.77] Standard 0 Type [double] U -value [0.65] 4o Total Glasi [ 16] Sum 1.6 % Glass SC Eff. % Glass X X0.2 =� l•PS X ' % Glass SC Eff. % Glass X O X ---L- �- a X X _ •• TYPE 1 MASS AREA _© $ InteriorNass/CFA COND. FLOOR AREA TYPE 2 MASS AREA Exterior Wall Mass ND. R AREA .4 X SE or HSPF Duct Efficiency [0.78] Effective SE or [0.7216.6] HSPF [0.5615.15] __LtX i410 -L = SEER 1931 Duct Efficiency [0.74] Effective SEER [7.031 Type [SG) Credit [none] Point Total.