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HomeMy WebLinkAbout058-390-001IJ r� 1 58 3 1 `_'37;72'-90BP,E;M WARREN, Ke ethI. 13290, St Ives Way, Oro' illi rR (new sf) j 58 39=01 92 _Y77 7_7 t w 2 WARREN ",Kenneth � x 43290 St4Ives W" Oro lle -(ist,;renewal/ -3772)''' @r058390'001 PERMIT#971892 BRADSHAWli,Richardi .. a _ 13290 St­'Ives Way;-Yankee Hi1I�°,„� al vGar'ag'e to lit Studio SFF t i a r i li C r , y 'c. ,1 RESIDENTIAL PERMIT'_ 058-390-001 PERM.IT#97-1892 BRADSHAW, Richard PERMITI .13290 St Ives Way,jankee Hill Conv Garage to Art St udio/Sf OWNER CONTR. ASSESSOR PARCEL LOCATION Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E :Temp. Gas Service Called PG&E. 'JOB FINALED (Date) g/2�/ t Signature W COUNTY OFBUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION Vz 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ��'J� ASSESSOR PARCEL NUMBER 058-390-001 ZONING SR BUILDING PERMIT 0 OWNER RICHARD BRADSHAW TELEPHONE 533-5335 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 13290 ST IVES WAY YANKEE HILL, 95965 462 — g 9,240.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace "All 1.500.00 Total Valuation $ 10. 40.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 13290 ST. IVES WAY Energy Plan Checking Fee $ YANKEE HILL 95965 $ PERMIT FEE S IAT NO.77T SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF b Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other M Describe Work: CONVERT (z ARgGF. TO ART STUDIO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service Toon oa 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Er 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. OR ADDNS. ( & ACC. BUDS. s° 3.5QFT: rNio F2 oT ANC 1 O1 L @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FOCTURES 20 @ 1.00 BAL O .50 Ex. Occu .ouFT." RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 36.15 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I 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 S 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' compen tion laws of California, and agree that if I should become subject to the work compensation provisions of section 3700 of the Labor Code, I shall for ith comply with "Be provisions. Date gneture of Applicant - ❑ Owner ❑ 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 $ • 0 3 CONT r TOTAL FEE $ 333.05 H.U. D EES IMP , FLOOD CDF PARCEL PD ._ HD ISS 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 �� PERMIT EXPIRES ON 2 z ate Receipt No. 224378 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF;$U�E DEPARTMENT OF DEVMOPMENT SERVICES -BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 r t PERMIT APPLICATION DATA SHEET OWNER: '�(�.�.) ASSESSOR PARCEL ER: - Proposed Building Use: Building Inspector: Date: At time of permit application, I w adv' the following data must be su miffed prior to permit ro ess' g and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- L16*ot plans, 3/4 sets, signed by the preparer of plans. ------------------------ ------------------ PP /4 signed Y P eP P�.----------------------------------------------------- � ❑3. Complete plans, 3/4 sets, si ed b the r arer of 1 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be sho a on plans. --_ engineered truss details and layout in duplicate (reA�red prior to plan review) No fazes!------ ---- -------- Energy'Design Compliance and supporting documentation. ------Q= --��-� -� a ---------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $­--- ---------------------------- ------ (�pact fees as shown on the attached schedule. ;: 11 �_ O: __------------------------------------------ ❑ 12. California Department of Forestry plan approval/fees.------ --------------------------------------------------- Ell 3. ---------------------------------------- ❑13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department.. -------------------------------------------- 0 15. City of Chico plumbing permit.---------------------------------------------------------------------------------- 1:116. ---------------------------- ❑16. Plot plan and business license approval from the City of Biggs.------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- 1:118. ------------------------- ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -------------------------- I;- 020. Pre-inspectionfor required Request to Building Inspector on (Date) 021. Contractor's license information. (NumberNameStyle, Classification). ------------------------------------ - ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 1124. Letter of signature authorization. --=--------------------------- -------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permit s.'----------------------------------------------------------=----------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---- ----------- D30. --------- ❑30. Other: ------- When you issue the permit, process as follows 4rMail to owner, 0 ` `il to con.�ttrt49 o Telephone 5.33" 533,5� and hold for pickup at �'""`�`` ffice. ❑ DeliW with inspector. Applic Date: Copy of Haz-Mat foam sent ❑ Health Department, ❑ Fire Department, ❑ Air Po tion Date:_ By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Dat Plans reviewed by: Date: - f - q Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, 13 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES 0 NO C1I HAVE E HAVE NOT ❑ signed an application for a building permit for the proposed work. have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: 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: ADDRESS: PHONE: CITY: 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: —� NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 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. �; OWNER BUILDER INFORMATION Dear Property Owner: Q.B.-1. 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 their 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 $300 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 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 contracgrs 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. i rely, i�-_ Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code- OVER ode OVER COUNTY OF OUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER CQ'^ O Q� ZONING BUILDINGPERMIT OWNER I TELEPHONE S SQ. FT. OCC. BUILDING VALUATION OWNERS IUNO ADDRESS rt _ - ONTRACTOR'S NAME TELEPHONE . CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation ARCHITECT OR ENGINEER LICENSE NO. —Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee all DID$ BUILDING ADDRESS3 ^/j �� ` /l Energy Plan Checking Fee $ PERMIT FEE i D, LAT NO. SUBDIVISIONS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF '°L Duplex O Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 2 3. 00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other Describe Work: t�/�y Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 1@20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20.' oa mss 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. 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 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 6 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mein Service 200A TO IOODA 46.00 NEW CONST. ( DWEWNG OCCUP. 3.5¢x. /�r OR ADDNS. 8 ACC. EHLDS. RESINEW D Y. BRANCMULT40. IT 97.50 POWER APPARATUS 8 SINGLE OUTLET CR. Ex. Occu OUTLET OR FO(TUREs 200I.0° SAL ® .w Ex. Occup. °F�E�°TSA •PPLM °F. 5.00 Temporary Service 23.00 Mobile Home Facilities • 20.00 Misc. Wiring 23.00 PERMIT FEE $ 3(p, / MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt t Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEES 3 FEES IMP I FLOOD I COF PARCEL po HD ss UE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Ye Receipt No. -3-7 WHITE-D.D.S.-B.O. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT �'��,.,�-. :; f � ` ' .�•.. ''-+� .+. _r^.�:.ti.".�ti,.�]s"'i�,^"'.��."^'tr.rn-v-•.:r"�--.•w;r•-Pte.:-...�.,,-''.�,,W �s, `, w ..w .f'Y.�. .. - BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM X%Xf CEIVED _ 3(One form per Building) � ©� 8 J 3/y� � ao/ EP 2 2 1997 ` rS I l�► School District. Building Department No. BUTTV (,01TNTY BUILDING DIVISION A.P. Number Sg 3� U' t Jurisdiction: City Nil County Property Owner Property Location/Address 1r - Subdivision Lot No. �% Residential Development Sq. Footage "46G,� No of Living - Mobile Home Addition (Group R) Units Installation Commercial/Industrial 0 New Addition (Street I 'I (Floor Plans reviewed by SchoefDistrict PcI(sonnel) Identificatio No.R5 i 1 �( School District certifi that Addr ss) j has compliYd with the requirements of Resolution No. - ( representing square feet z-. 6 . School District Representative Paidby Check # Remarks: A Sq. Footage lincwaing txtenor Roofed Areas) Z Da,re licant) (Phone Number) (State) (Zip Code) by payment of $ Z J- B 2926 $ ULL MITIGATION $ q_ Date IkTr- Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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.xls (2/97)dmm TABLE OF CONTENTS TOC Project Title.......... BRADSHAW CONVERTION Date........ 09/16/97 Project Address........ 13290 ST IVES WAY ******* YANKEE HILL *v4.50* Documentation Author... Robert A. Mangrum ******* B . idinq PerMit # Paradise Mechanical 5655 Almond Street lan Check / Date Paradise, CA 95969 916-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-1BRADSHW Wth-CTZ11S92 Program -TOC User#-MP1342 User -Paradise Mechanical Run-BRADSHAW TITLE 24 TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 3. FORM C -2R ................. 5 HVAC SIZING ............... 8 Ise y��� NSW. x V S CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... BRADSHAW CONVERTION Date........ 09/16/97 Project Address........ 13290 ST IVES WAY ******* YANKEE HILL *v4.50* Documentation Author... Robert A. Mangrum ****,*** Building Permit # Paradise Mechanical 5655 Almond Street Plan Check / Date Paradise, CA 95969 916-877-8882 Field Check/ Date Climate Zone........... li Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-1BRADSHW Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-BRADSHAW TITLE 24 GENERAL INFORMATION Conditioned Floor Area..... 462 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 180 deg (S) Number of Dwelling Units... .25 Number of Stories.......... 1 Floor Construction Type.... Slab On Grade Glazing Percentage......... 21.9 a of floor area Average Glazing U -value.... 0.47 Btu/hr-sf-F BUILDING SHELL INSULATION Component Frame Cavity Sheathing Insul Assembly Type Type R -value R -value R -value U -value Location/Comments Wall Wood R-17.8 R-0 R-17.8 0.065 FRONT WALL, LEFT WALL BACK WALL Roof Wood R-11 R-19 R-30 0.031 ROOF S1abEdge n/a R-0 R-n/a R-0 0.500 FLOOR FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type Door Front (S) 53.0 0.400 2 Blinds.Lt None Yes Vinyl Window Left (W) 16.0 0.750 2 None None None Special Window Back (N) 12.0 0.400 2 None None Yes Vinyl Skylight Front (S) 20.0 0.490 2 None None None Vinyl THERMAL MASS Area Thickness Type Exposed (sf) (in) Location/Comments S1abOnGrade No 462 3.5 SLAB FLOOR CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... BRADSHAW CONVERTION Date........ 09/16/97 MICROPAS4 v4.50 File-1BRADSHW Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-BRADSHAW TITLE 24 Minimum Equipment Type Efficiency Furnace ACSplit HVAC SYSTEMS Duct Duct Thermostat Location R -value Type 0.800 AFUE Attic R-4.2 . Setback 10.00 SEER Attic R-4.2 Setback SPECIAL FEATURES/REMARKS COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... RICHARD BRADSHAW Company. OWNER Address. 13290 ST IVES WAY YANKEE HILL, CA Phone... 533-5335 License. Signed. . (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... Robert A. Mangrum Company. Paradise Mechanical Address. 5655 Almond Street Paradise, CA 95969 Phone... 916-877-8882 Signed.. *✓`�� ��-/�-9`% (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF -1R Project Title.......... BRADSHAW CONVERTION Date........ 09/16/97 Project Address........ 13290 ST IVES WAY ******* Documentation Author. Climate Zone........... Compliance Method...... YANKEE HILL Robert A. Mangrum Paradise Mechanical 5655 Almond Street Paradise, CA 95969 916-877-8882 it MICROPAS4 v4.50 for *v4.50* ******* 1995 Standards Building Permit # Plan Check / Date Field Check/ Date by Enercomp, Inc. MICROPAS4 v4.50 File-1BRADSHW Wth-CTZ11S92 Program -FORM MF -1R. User#-MP1342 User -Paradise Mechanical Run-BRADSHAW TITLE 24 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. BUILDING ENVELOPE MEASURES Design- Enforce- *150(a): Minimum R-19 ceiling insulation. er I% ment 150(b): Loose fill insulation manufacturers labeled R -Value. Vsb *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. N - 150(i): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150ng): Vapor barriers mandatory in Climate Zones 14 and 16 only. Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Project Title.......... BRADSHAW CONVERTION Date........ 09/16/97 MICROPAS4 v4.50 File-1BRADSHW Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-BRADSHAW TITLE 24 SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 150(i): Setback thermostat on all applicable heating systems. .i 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 (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees 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 fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 780W thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches 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.�� 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.). LIGHTING MEASURES Design- Enforce - 150(k): 40 lumens/watt or greater for er ment g general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. %J COMPUTER METHOD SUMMARY Page 5 C -2R Project Title.......... BRADSHAW CONVERTION Date........ 09/16/97 **** Project Address........ 13290 ST IVES WAY *** YANKEE HILL *v4.50* Documentation Author... Robert A. Mangrum ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check / Date Paradise, CA 95969 916-877-8882 Field Check/.Date Climate Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-1BRADSHW Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-BRADSHAW TITLE 24 GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height..... 462 sf Single Family Detached Addition Alone Front Facing 180 deg (S) .25 1 ReducedYear Slab On Grade 1 3696 cf 462 sf 462 sf 462 sf 21.9 % of floor area 0.47 Btu/hr-sf-F 8 ft MICROPAS4 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 22.11 13.54 8.57 Space Cooling.......... 13.34 21.40 -8.06 Total 35.45 34.94 0.51 *** Water Heating not calculated *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height..... 462 sf Single Family Detached Addition Alone Front Facing 180 deg (S) .25 1 ReducedYear Slab On Grade 1 3696 cf 462 sf 462 sf 462 sf 21.9 % of floor area 0.47 Btu/hr-sf-F 8 ft COMPUTER METHOD SUMMARY Page 6 C -2R Project Title.......... BRADSHAW CONVERTION Date........ 09/16/97 MICROPAS4 v4.50 File-1BRADSHW Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-BRADSHAW TITLE 24 BUILDING ZONE INFORMATION Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) (cf) Units itioned Type (ft) (sf) HOUSE Residence 462 3696 0.25 Yes Setback 2.0 n/a OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments HOUSE - New 1 Wall 123 0.065 17.8 180 90 Yes W.19.2X6.16 FRONT WALL 2 Wall 152 0.065 17.8 270 90 Yes W.19.2X6.16 LEFT WALL 3 Wall 164 0.065 17.8 0 90 Yes W.19.2X6.16 BACK WALL 4 Roof 462 0.031 30 n/a 0 Yes R.30.2X4.24 ROOF PERIMETER LOSSES Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments HOUSE - New 5 S1abEdge 86 0.500 R-0 No FLOOR FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE - New 1 Door 53.0 2 Vinyl Slider 0.400 180 90 0.88 0.58 Blinds.Lt 2 Window 16.0 2 Special Fixed 0.750 270 90 0.88 0.78 None 3 Window 12.0 2 Vinyl Slider 0.400 0 90 0.88 0.78 None 4 Skylight 20.0 2 Vinyl Fixed 0.490 180 90 0.88 1.00 None Surface HOUSE - New 1 Door 3 Window OVERHANGS AND SIDE FINS Window— Overhang Left Fin Right Fin— Area Left Rght (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght 53.0 6.6 8.0 2.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 12.0 4.0 3.0 2.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... BRADSHAW CONVERTION Date........ 09/16/97 MICROPAS4 v4.50 File-1BRADSHW Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-BRADSHAW TITLE 24 Mass Type HOUSE - New 1 SlabOnGrade THERMAL MASS Area Thick Heat Conduct- Surface (sf) (in) Cap ivity R -value Location/Comments 462 3.5 28.0 0.98 R-2.0 SLAB FLOOR HVAC SYSTEMS System Type HOUSE Furnace ACSplit Minimum Duct Duct Duct Efficiency Location R -value Efficiency 0.800 AFUE Attic R-4.2 0.830 10.00 SEER Attic R-4.2 0.810 SPECIAL FEATURES/REMARKS HVAC SIZING Page 8 HVAC Project Title.......... BRADSHAW CONVERTION Date........ 09/16/97 P t Add 1329 ******* .L. %-.f ress........ 0 ST IVES WAY YANKEE HILL *v4.50* Documentation Author... Robert A. Mangrum ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check /. Date Paradise, CA 95969 916-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-1BRADSHW Wth-CTZ11S92 Program -HVAC SIZING User#-MP1342 User -Paradise Mechanical Run-BRADSHAW TITLE 24 GENERAL INFORMATION Floor Area ................. Volume ........ ............ Front Orientation.......... Sizing Location............ Latitude ... ...... ........ Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 462 sf 3696 cf Front Facing 180 deg PARADISE 39.8 degrees 30 F 72 F 99 F 75 F 34 F Yes Yes Yes 0.3.0 HEATING AND COOLING LOAD SUMMARY Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 3610 1261 Glazing Conduction ............... 2008 1147 Glazing Solar .................... n/a 3581 Infiltration ..................... 2258 768 Internal Gain .................... n/a 0 Ducts...... 788 676 Sensible Load .................... 8663 7433 Latent Load ...................... n/a 2230 Minimum Total Load 8663 9663 (S) Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designers responsibility to consider all factors when selecting the HVAC equipment. insulation Certificate BUILDING OWNER: ^ BUILDING LOCATION: Description of Installation BUILDING PERMIT ROOF�� Material Name Thickness (inches) Thermal Resistance (R -Value) CEILING IIc 4�t/r/1GZe Batt orrlan�tType Brand Name Thickness Cinches) Thermal Resistance (R -Value) te3d Loose Fill Type Brand Name Contractor's minimum installed weight/fe lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL Material Thickness (inches) 5 ' z' Brand Name - Thermal Resistance (R -Value) / RAISED FLOOR � Brand Name Material Thickness (inches) Z Thermal Resistance (R -Value) , SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the CaliforgLWAdministrative Code. r license Number S ignantre and Title Date SZZ-Ontractor (Insulation Installer) license Number S ignature and Title Date THIS CERTIFICATE MUST .BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 V=OK O = Not OK NotRepa4y 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 -00 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TestAVrap; / /'L'fL / /Nat. or/ 11 -"ft./ /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 )emend-Vake-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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Onty: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings _ 12. Braced Wall, Panels Date Card B-1 Date Card 13-1 Date Card B-1 DateCard 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, Distance -GA 5. Elec.; Pool Ughtino; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/S-Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche IDate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O= Not OK RESIDENTIAL - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Fig. Depth 3. Ftg. Garage; SoilsSteel-Elec. Gmd/ /' Fig. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main;'Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/OSewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. PienMTS & Ducts; Clearance-Mawrial.Suppon-Ins. QO. Girders -Sills -Anchor Bolts-JoistsVents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Cab B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection V 24. Elec. Receptacles Spacing -Lights & Switches at Doors �i2S- Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / as Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral n Yes n No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet UghtShower UghtSpa Light 34. Smoke Detector Date Property Line Firewall & Openings Card B-1 Date Card B-1 Date Stairs; Widih-Headroom-Rise-Run-landing-Fire Protection Card B-1 Date Card B-1 Date Siding -Nailing Veneer MEC LAICAL (Permit) OK except #'s Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. 13�A'.C. Ducts Insulation & Support Shear Walls: Nailing -Bolts 36. Vent Fan, Exhaust above insulation Insulation -Walls -Ceilings Frjj/ 3-0 . 37. Condensate Drain & Overflow, Size & Grade Date Date Date 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet ps-Door & Sidelight Protection -Landings Smoke Detector 39. Attic Access & Platform if Furnace in Attic R-cee VeRle GI b, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection room Exiting G�F&tures & Tub Access -Spa �. Tnm & Suboanel Breaker Sizes & Labels us&RR Date ireplace or ove Clearance -Hearth Card B-1 Date Card B-1 Date nd.-Air Gap -Cooking Clearance Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Wtr. Htr; VentsClearance-Comb. Air Con r-P.R.V. In Gara e' Above Floor -Meeh. Protec 40. Sits Proper Materials & Anchors cles in Garage ( 1) Romex Protection +iLYWalls Studs -Nailing Spacing & Braces -Plates -Sound j_ -42. -Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred CeilingsStairs-Chasers-Tubs Headers & Beams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) Han s -Post Caps -Anchors -Connectors 4 lin . ' t-Rftr Ties-Purlin-roll Brac: Truss-Shting.-Rfng. ire ace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Widih-Headroom-Rise-Run-landing-Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings Frjj/ 3-0 . Infiltration -Walls -W indows Date Date Date Card B Date Card B-1 Card -1 Date Card B-1 INAL (P ) OK except #'s ps-Door & Sidelight Protection -Landings Smoke Detector 65 R-cee VeRle GI b, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection room Exiting G�F&tures & Tub Access -Spa �. Tnm & Suboanel Breaker Sizes & Labels us&RR ireplace or ove Clearance -Hearth d71 -12415F Outlets at Wood Panel, Int. & Ext. nd.-Air Gap -Cooking Clearance 73 74, EI es at Kit Counter Garages Fa- naQ;i c.. , a .ging-Closure 7 76. Wtr. Htr; VentsClearance-Comb. Air Con r-P.R.V. In Gara e' Above Floor -Meeh. Protec „ Iec. & Mech. Equip. Listed for Location �`- 78 cles in Garage ( 1) Romex Protection W. nsulation-Foam-Looked in Attic i TE ec _ truction-Post Caps 1. -Clearance Fdn. -Earth Looked under Floor n Yes 82s 0 No/Planters 0 Yes 0 No ims C. Unit Disconnect, ec - g__ p is Fireplace -Clearance to Openings er e , Disconnect, Electrical, Plumbing House Protection Compliance Certificate -Other Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: . ; RESI.®ENTIA.L 58-39-01 ti' 3772= ... - c 90B,P,E,M a .'WREN, Kenneth 13290. " (new sf) Ives ,Wgy,^ OrOVille ' ti ±: �/�lgL �j o,e; �G f�G�•c �s-rrC�ee�1y — �r �y 7 OFFICE COPY x Address X " l.. - - GAS'".. Meter BY'14 Date k , Lc h / c�� 1 �'r2 /moi �s� t Meter -By - Address k cyJ t r 'ELECTRIC Meter By '` Date JOB FINALED (Date) 5 C � _ r ! Signature. r ENERGY INSTALLATION CERTIFICATE Building Owner KF_N WA1ZtZE �J Building Permit # c/Z " 531 Building Location J2;7-90 ST. 1VpS WAYS ORO�/ILLE GA. 9:5 9!e'S DESCRIPTION OF INSULATION ROOF Material 26' Y2 . GDM PbS i % j0A/ Thickness(inches) EXTERIOR WALL Material ZX4 ' DAF. : Leyoix sla/ JG Thickness(inches)%Z CEILING Batt or Blanket Type ZoTta Thickness(inches) 14) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) 14pp Sp. rT. FLOOR, ELEVATED Material BgTT 5 Thickness(inches) coil FLOOR, SLAB Material Thickness(inches) Width (inches) FOUNDATION WALL Material Thickness(inches) Brand Name FU. M Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) R-319 Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) IL- lq Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, - •2s consistent. -wit -h- approved building depart-t-ment---plans--and -at-tac-hment-s--and- con- forms with requirements of Chapter 2-53 of State of California Energy Requiremen K_ EAr 1.J. R-9 AJ CO" 67- U4 4-7--. ZIAI .-0-37,39,96- F IRM NAE/OWNER STATE CONTRACTOR'S LICENSE NO. z -z$-, q NATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. JkEt4 WA 1ZIeF/�/ 00n/57-9-446T/0nl 13-.37 3 9 '95 - BUILDING CONTRACTOR/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. ( FIRM NAME) GNATURE OF BUILDING CONTRACTOR/OWNER AGG Lf -%EMP I -1697'-W4 ! A11*z GON.o ;V_ HVAC FIRM NAME/OWNER (Please Print) z -z 6-- 9.3 DATE -P- 53'? qo2. STATE CONTRACTOR'S LICENSE NO. z-zo-93 SIGNATURE OF HVAC 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. SEPTEMBER 1988 v=6K O=Not OK Not = Not Readyable 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: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. 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 B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -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 Card B-1 Date Card B-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 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK - = Not Applicable ' Not Ready RESIDENTIAL (S = Date UNDERFLOOR Plans OK except #'s ing-Setbacks-Eas�me lood-Slope Ftp Main; Soils -Flet Grn tg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth Ste walls, Main; Steel -Bloc kouts-Wrapped temwalls, Garage; Steel -Bloc kouts-Wrapped 6a. d Downs and Special Anchors . Slab; teel-Wrapped -4_� iers- ireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas,Pipe; Size -Anchors ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground Pienums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joist -Ven ripples 15 Insulation c _ Date z6Y.1-91 Card B-1 Date 9 J ?'1 Card B-1 Date L // Card B_-1 Date Card B-1 Date PLUMBING Permit OK except #'s grif Water Htr.; Vent -Access -Combustion Air -Baffle ater Pipe; Test & Anchor -Nail Protection .W.V. es fittings & Anchor -Nail Protection p�5F"ower Pan; Test, First Floor -Tub Access est Tub & Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELE RICAL Permit OK except #'s Fixture & Transformer Clearance -Ins. Protection ZRI�c. Receptacles Spacing -Lights & Switches at Doors W. Size Boxes & No. of Conductors -Stapled 1,CRomex Installed Close to Edge of Studs & C.J. . quip. Ground made up w/Mech. Fastners-Bond Gas & Water ti;2 Appliance Circuts in Kitchen & Conductor Size/GFI 8. Subfeed Wire Size / / 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 0 Yes No Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32--GkAhesCloset Light -Shower Light -Spa Light J33-S—moke Detector Date IZ 2 Card B-1 Date Card B-1 Date Card B-1 / ate Card B-1 Date MECHANICAL (Permit) OK except #'s 12A­4rC-Ducts Insulation & Support tent Fan; Exhaust above insulation p�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 #'s Is, Proper Material & Anchors / eS-�40. ails Studs -Nailing, Spacing CBracing- ates-Sound Bearing Walls over Girders & Floor Nailing z&52. Draft Stop in Walls (rat proof) kE32ftire Stops; Furred Ceilings -Stairs -Chases -Tub 4. Headers & Beam -Size & Bearing WN ingle & [duplex) Date FR ING (Continued) ' an Dost Caps -Anchors -Connectors g. Joist-Rftr. ties- Puri in—roof Bra T ng.-Rfng. iireplace Ties o Flue ireplace Throat clearance 8. ttic Access; Size Mex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 9:t:-flrepeR�ine Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ,153 --Stairs; Width -Headroom -Rise -Run -Landing -Fir Protection Q 4. wood on Roof Overhang-Atti ter Outriggers hiding -Nailing Veneer 56.-64nc,ccr-NMh-Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts t.-59. Insulation -Walls -Ceilings r -6—infiltration-Walls-Windows Date 27 'i/ Card B-1 n, Date Card B-1 Date i�_�� 1 Card B-1 Date Card B-1 Date FINAL (Plans) OK'exce t #'s t. Steps -Door & Sideoht Protection -Landings Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garaae: Above Floor-Ducts-Mech. Protection /,e6. G.F.I. & Bath Fixtures & Tub Access -Spa J6 . lec. Trim & Subpanel; Breaker Sizes & Labels 'fs & Rails o ireplace or Stove; Clearances -Hearth & . Elec. Outlets at Wood Panel; Int. & Ext. Kjt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance C -Irl. Elec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing-LandingI r J ---Act m Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. InGarage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 6. ec. Receptacles in Garage; (G.F. -Romex Protec '6n sulation-Foam-Looked in Attic ❑ Yes ait—cuard Rails & Deck Construction -Post Caps 9. dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive esNo; Walks O Yes o; / Planters O Yes lu No own- mish A.C. Unit; Disconnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings `84'Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ve tilation Throughout House Glass Protection 88. Co ctions from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval energy Compliance Certificate -Other Certificates Date / Card B-1 Date Card B-1 Date and 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) lye C L4 -1051 /a -fen, adz-- 416., L.A Date -a Inspector AW A REV 11/91 COUNTY OF BUTTE DEPArRTIVIENT OF PUBLIC WORKS • 1 469"Aurnboldt 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 ;A' f2h 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 ntact this office immediately. N'-77 lye C L4 -1051 /a -fen, adz-- 416., L.A Date -a Inspector AW A REV 11/91 X1:1 Date Inspector ; FEV 11/91 '�' ILA COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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{ 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. r ,t X1:1 Date Inspector ; FEV 11/91 '�' OWNER PERMIT NO. 6 A routine inspection indicates that the following violations of Butte County Ordinances exist at !:r 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. '3 .i 6 `) !� <�^Gig A le- Date L Date Inspector .A REV 11/91 '�� yLLt,, • �9 �i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 89172751 - s 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, "Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. 6 A routine inspection indicates that the following violations of Butte County Ordinances exist at !:r 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. '3 .i 6 `) !� <�^Gig A le- Date L Date Inspector .A REV 11/91 '�� ��.Y %'� �.r.- a}ry�.l..v...•�ntggry.,.sy,.�.lvwGy�,S�w-w 1+1+. .�Y: A�r��t'V COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7. County Center Drive, OroviIIe — Phone: 538-7541 `` f 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT N0. A routine inspection indicates that the following violations of County Ordinance r exist at the above address and should be corrected. Please notify this office F ; when correction of work is completed. If you have any question pertaining to this x matte need additional explanation, please contact this office immediately. "- a L fe J. ,�•5y :Q �r2 t r r't '+A S'Y'JJ �1 ,y �h Date —Z._ Inspector �y Y rt` -co"+ -e ^'f-tri:,.��;,.-�.-Y:['3i%^�¢�1•�-�.K7ia.e1'R-.,�-+i-a. _ .. -�„_. ,,. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 a, 7 County Center Drive, OroviIIe — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWN PERMIT N0. ' A routine inspection indicates that the following violations of County Ordinance �4} exist at the above address and should be corrected. Please notify this office +l when correction of work is completed. If you have any question pertaining to this j; mattp, or need additional explanation, please contact this office immediately. ;a 'j.v i Date Inspector _ *' COUNTY OF BUTTE „-DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 Courity Center Drive, Orovi Ile — Phone: 538-7541 447 Elliott Road, Paradise— Phone: 872-6307 _ t CORRECTION NOTICE ,.I -ems► _ _i_ 7 -7 7 Z UWNER I — PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have:any�.question pertaining to this matter, or need additional explanation, please contact this office immediately. t ley -r /fill" T I • y • 3 .X / i +{ t �.h '-Date �l / Inspector _� '.T _ it COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS __...__ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 EIIiokt'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 i r when correction of work is completed. If you, have any question pertaining to this i matter, or need additional explanation, please contact this office immediately.' x i� r .t t� 44 v� r, 1 f I Date Inspector/' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. J ASSESSOR PARCEL NUMBER 58-39-01 ZONING SR_ _ BUILDING PERMIT OWNER KENNETH W. WARREN 707 TELEPHONE 987-2044 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9738 HCR 82, MIDDLETOWN CA 95461 FIRST RENEWAL CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee @ 2 FEE $ 164.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13290 ST IVES WAY OROVILLE Permit fee $ 179.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME __JPARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: IST RENEWAIJ90-3772 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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. OR ADONS, l ( DWELLING OCCUP.&ACC. BLDGS. I ) 3.6a sq.ft. NEW CONSTR ULTI.OUTLET NON-, BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLINIS Ex. Occup. OUTLETS IRESID )KEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ L.22ntractor 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 Countyof 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 aid County in consequence of the granting of this permit. Date Z_7-9-92. sig ature 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 S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 179.00 HAZ DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab f r which fees have been aid IR OF PUBLIC WORKS 4Z By Dat PE EX IBES Date 2-1— Receipt No. WHITE-D.P.W., ELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Callfornla 96985 - Telephone: 918!538-7541 APPLICATION AND PERMIT KENNETH W. WARREN OWNER'S MAILING ADDRESS 9738 HCR 82, MIDDLETOWN CA 95461 CONTRACTOR'S NAME OWNER CONSTRUCTION LEND' LENDER'S MAILING AC 1 ARCHITECT OR ENGIN ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDR LOT NO. I SUBDIVISION NAME USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SR` TELEPHONE 707 987-2044 TELEPHONE UNKNOWN SPECIFY ARCEL MAP TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1 ST RENEWAL/90-3772 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 ❑ 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 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. 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. Receipt No. IDR721 —6't 79 o-" (st rc.r►ewa� PERMIT NO. BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation $ Filing Fee Permit Fee @ z . FEE Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G 1W T RENEWAL $ 15.00 $ 164.00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 1$,50 Main service 200A TO t000AI 37.50 NEW CONST. DWELLING OCCUP.51 OR ADONS. ACC. BLOGS. // 3.60 sq.tt. NEW CONSTR ULT' -OUT LET NON-RESID BRANCH CIRC ITS 5.00 POWER APPARATUS e SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee Contractor $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 179.00 HAZ I D FEES I IMP I FLOOD I COf I PARCEL I PD I HD I ISSUE This permit is hereby issued under 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 Date PERMIT EXPIRES Date 2-1--93— COUNTY OF BUTTE - 'Department of Public Works ,Y 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 Attention Property Owner: _ An 'owner -builder" building permit has been applied for in your name and bearing your signature. L Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) YE•S 2. I (have/have not) HA r signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address A City Phone Contractors License No. 4. J plan to provide portions of this work, but I have hired the following..person to coordinate, supervise, and provide the major work: Name /V / Address / A City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed. Property Owne Social Securit umber 4-3/—q¢ Date — Z f — 9z- NOTE: Z NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER CONING SR BUILDING PERMIT OWNER _ Kenneth W. Warren 707 TELEPHONE 987-2044 SO. FT. OCC. BUILDING VALUATION 13 3 R 5572 . OWNER'S MAILING ADDRESS 9738 HCR 82, Middletown CA 42M 5880.00 CONTRACTOR'SNAME Owner TELEPHONE 14 COV 140.00 CONTRACTOR'S MAILING ADDRESS Fireplace M 2500.00 CONSTRUCTION LENDER , UNKNOWN Total Valuation $ 64240.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ . ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 164.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS- Penalty $ BUILDING ADDRESS Camelot S r Vl Rch Permit fee $ 517.00 PLUMBING PERMIT Filing Fee 4110.00 St Ives Way Each Trap 111 2.00 22.00 Solar or heat pump water heater 20.00-, LOT NO. 147 SUBDIVISION NAME / ���- PA CEL MAP ��� 5 Z- Water piping 5.00 5,00 Each qas water heater or vent 5.00 1 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK NewU Addition Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: 3 bed Permit Fee $ 52.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VAMP OROR LESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 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. 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) E]I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING oCCUP.&) OR ADDNS. ACC. BLDGS. 2'h¢sgft 34.83 NEW CONSTRESID. RANCH TLET NO N•R ESID BRANCH CIRC ITS CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(oUTLETS OR FIXTURES .20@090 FIXED APLNS. Ex. Occup. OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 67.37 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E]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 FiIingFee 10.00 Heating 60000 6.00 3 ton Cooling g 6.00 Hood 1 3.00 3.00 Ventilation 2 3.00 6.00 permit Fee $ 31.00 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 agree to save, indemnify and keep harmless the County of Butte against a liabilities, judgments, costs, and expenses which may in any way accrue against id County in consequence of the granting of this permit. A� Date !! ! Si ature 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 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 C CONST TYPE TOTAL E,$ 97.33 HAZ CR ._UA - PARK �- SC L FLD PA D SUE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF BLIC By PERMIZXXPIRES Date the applicable provi- resolutions to do have been paid. WORKS %� Receipt No. 84180 249//'F`5 2Z L -' � o WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLICAN OeY1 5 Q%1 •• i%',l ? •- r `. . ti ..r' .. , r t'. . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIkCE?CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERN`t APPLICATION DATA SHEET Permit No. OWNER A. P. No. 0A Proposed Building Use rur'-O S0v Building Inspector 1e-7_7 Date /o 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 .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions s ��g..............o2k / -SK-40. Fees of ........................ 11. Chico Urban Area fees paid ....................................... 2. Pam fees paid.... ......................................... �-4-- L •-,iC/ ASS ?A4. 3. U41°.' �- Sch of District fees paid .............. Sanitation approval from 0����-� Health Department ,ms=sl 5. 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: ...... 8. Improvements may be required. Contact Land Development Section DPW -1e!V9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... �24. Recorded copy of Agricultural Acknowledgment Statement ......... �� %�U -S. 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. TelephonelG�41)7-� and hold for pickup at � office. Deliver w/inspector. Other .' i Applicant�FLCCf'2y�%� �4- .Date A Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date 7' By The following data must be submitted prior to per is ua c : ( ircle new ite n Che a a 1 1. Index permit for above items No. - 2. o. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone ail_counter byl&..date Contractor, designer, owner, was advised of above required data by_phone_mail }count r y date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder /97306 As°° TO Buildinv Department s FROM: Environmental Health SUBJECT: Sanitation Clearance _._Pr 91, Q- 1 de, b C, - - vner Location APf Plan Approved for: Sewage Disposal �_ Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply ' 4 Clearance for bedroom mobil o . Other NOTE Sanitarian Da e ro— OaFD 6-b�ny ��r�� _ ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS- (54u Gl/ tC�Qi7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 PERMIT N0. i APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 OWNER ZONING 5 - BUILDING PERMIT >N rr� i19 C—Sr O TEL % ZO SO. FT. 0 C. BUILDING VALUATION OWNER'S M ILING ADDRESS 4917 k<g C �lnnr©Lo,� +�VQ CONTRACTOR'S NAME TELEPHONE W 11 oV 8� •.. DSO l YO - 0 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace 2 Op - ma Total Valuation Is 2 O, C5 d LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ Z$' c® $ CQ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ O Penalty $ BUILDING ADDRESS n Permit fee W v PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 .2-1.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP ,. USE OF STRUCTURE SFV Duplex[] Mobilehome❑ Other sPECI FY Water piping 5,00 0 Q Each qas water heater or vent Gas piping system 1 - 5 outlets 5.00 p 5.00 56 o Building sewer5.00 Mobile Home is G W 0.00 e TYPE OF WORK New, Addition❑ Remodel(:] Utilities❑ Installation ❑, Other ❑ Describe work: , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR I- S Main service B001 0AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ - I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness and Professions Code and my license is in full force and effect. License No. Classification E]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 Main service EA. ADD -L too AMP 2.50 NEW CONST • DWELLING OCCUP.E OR AODNS. ( ACC. SLOGS. , /z¢sgft 53 NEW CONSTR. ULTI.OUT LET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20070t e AL030a FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.� 2.00 Temporary service 10.00 0 00 Mobile Home Facilities 15.00 Misc. Wiring 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 Filing Fee 10.00 Heating_� x'00 Cooling OO Hood 3,00 O Ventilation �� Permit Fee $ m m i 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. XThis Date Signature of Applicant-­�;-OWner❑ •Comrocror ❑ Agent❑ An OSHA permit is required fol excavations over 5'0" deep and demolition or construct- ion of structures o((ver3 stories in height. Mobile Home Installation Fee $ t Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ cuA PARK scH� Fro R Po PA Ho I3 permit is nereby issued under sions or 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. D F 7 =y' o�='; = -• WHITE-D.P.W.. YELLOW-A36E330R..•PINK-INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 01MR-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement 0es or no) 2. Iave have not) signed an application for a building permit for a proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address \ City Phone _ Contractors License No. 4. �I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security N ber (9g7 Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must_ be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:. 916-538-7541 Kenneth W. Warren 9738 HCR 82 Middletown, CA 95461 With reference to the above subject: " Attached is: OTHER DATE 12/19/90 RE: BP.APPL. #3772-90 New Single Family Home A.P. # Application for permit Mobilehome Utilities Installation Sheet. Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced XX We need the following. information: Permit application signed and completed where indicated with all copies returned. XXX Fees of $ 448.33 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement.. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section'(DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial.Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte. County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER The plans for your building permit have been approved. The balance of fees is aii we neeT now to issue your permit. Thank you. Should you have any questions concerning the above, please contact of this office. Yours very truly, William Cheff Director of Public Works Glander JFG/aj % Chief Building Inspector e JAPIAB(EGIRDER TR'JSSTOSUPPORT TRJSSSPANS ASTABULATED BELOW G 27' 0 2A (4/4) VII 3 25 1 7/17/74 BC 6 SA PF /11 OF H 4 GIPCER R:O IP.ED CONO. I DOUBLE MEMBER CIDER TRUSS SECT. A•A COND. If SEC. A.A DOUBLE MEMBER GIOER TRUSS WITH ADD-ON TO BOTTOM CHORD ATTACHED AS SHOWN ff—DOUBLE CONDJII m SEC. A•A MEMBER uIDER TRUSS WITH ADD-ONS TO 8OTTOM CHORD ATTACHED AS SHOWN G::C(R SPIN SUPPORTED TRUSS SPAN �S �c V SF BOTTOM TOP a0AA0 CHORD CHORD a001AGi NAILING SIIE SUPPORTED TRUSS SPAN BOTTOM 1I CHORD gy 59 HF ■ DF NAILING �3 TOP ■OA.w CHORD SIIE roorAOE SUPPORTED TRUSS SPAN BOTTOM TOP CHORD CHORD IIOAAD 9S HF Il 0 NA41NG ,�ji 512E a007A't IA• 01 ct' :' l0' 0' .. 214 64 h0 h e4 .. 5 n•J9' a• 5r1 0• .• 2T4 h9 60 0 6n 0 44 1 0 0 h0i 01•• 17 J• 41, 5'-55-'=7'�, .. cz• 7. 1 50' t. .• 214 .2To 1 73 7R fn . 59. p• 1• Ln 1 60 0 f) -F—'+♦ e4 11 1 2x4 A9 2% 601 Am 60 60 0 0 N 6 ♦. •♦ IA' 0' 41' 1' IS' S' °' 7Ta A2 54,A5A 0 +• e• A• 6 214 A7 5n 73 •. u 1-r).' 0' }_F •-1-n•= ,=y.9-•--4-•..._ , 41 210 92 0 7 0" c 9 1 if 2 1 % 4 c . t4. 1. 1_3-6 a•— 5' :14 96 c 9• 116 51 } It It ?)('4 11 cA 44 51, •. 14 1 22 t•• 1t' 7' S} A Ito 1C1 0 1 c 4 Z ?3' C' ).° c 31' 3' b' 7Y4 106 3"' 2' 0n 7 1 Y4 12 42 h do ?• 6• 214 lin 35 If R 1 3 4 4 c 42 2f' 2'I 7' I 2T4 115 33 9 5 9 1 a c c 0 =t' �,• ?5' S' ^?' 1' 1 21c 12^ 11 B 3 3 A' n 10 2Y4 e• 2l'I'•' 1 !' I len Ile P'i I A 31 q 4 e 1 S ;'-O.v C -OPS A.`•'O 400 -ON SPLICE jOINT5 TO ?E STAGGERED ON ADJACENT MEA!BERS. LA7fPALLT CPAC! GIPOEP 70 400$ DIA•NiAN %YHf PE INOICATED .c, 9-7.2.s9 71 or 7.211 2r; ?2 tic I 2x6 ?2 2x4 Crock 1 71 L 51, i T-510, R-5, 8x9 2k4 x -7 3" 2x6 •2 4 o 19hhe 1/41r T-712 R -7.2x+2 RN -6, 4x13, 5G 1I/411 T-381 R -3.2x7, 5 - 1./20+• 2 oqual panvly i Glrrinr Cnnn Cn,. SYMMETRICAL AHO -VT •tis •o: G - 27 _ 4 28 (4/4 ) VII "'t 8/15/78 S-25-1 :Is aT. TX CK.5T Hill -vv 1ngCE9 CONI 1 CO'10 III R ■ 5550 R : 6351 ?I= 1630 P1= 1949 Pte 2775 P2= 3425 P3: 2269 P3= 2952 U1:-12395 UI. -I5499 U22 -800A U2:-10084 L1■ 11759 L1: 14704 L2: 11759 L7a 14704 Hie 2775 H1- 3425 w2c -4368 K2= -5416 w3: 5064 K3= h311 T-710, R-7. 2x9 13, IDI T-514, R -4,8x15 T-34, R-3, 2r.4. 5 GENERAL NOTES: 1. Multiple Memben: at Teo cho,d 1 -:.tis :o Y <•r_ .;In 16C nsi4 its -,g •eci a 12" oc ._1 2:--- c-0,C, a+4 Idd oM to Dt jo,+rd wl;h lSC'Idtfu;yt•rc °� -n:•+c'rC Iuticred a. pant) poiM11*1 a1 thovn o+ Cna•7 I. Braelnq: Ttnows v and t�,so-; :; k o -r; -e: Ind provided by e:.Nra. I0tu7n sssu^•:s :D= cam:•c :a:r•a+ sracinq a1 malinsum 3'-D'* o c I . 1. Mange": Are to to 1 -:td .n ecco,:a-:e ..:% te%,—, 0efiCn toad. ane supoored Irv$. $Da+t - .. ^O(l. rs X a- 1 Ig.13 reduirtd. 1. lumber-. A:I q;rde, r*t•npt •1 1+1:: De c' ^ .,- �•,:: Ind specie as no:td ,- •,,Dec-.vt SL•eyJR:: ^T,u$f S,­ :olumn I---$ $ o1"—,1t $h-11 DESIGN LOADING: ' pal. D.L L ,,C.,c,c aTl. .25 C.S.I.° V 8 C -`7$ *3 load du,rl.on Ilporl '"r>Ce 71 L' 2 \\'2 I••, 1 1 1 P3 P2 BUILDING A P Pli f C: PIV/w4 edNNI e I on •• A s.`(., t of al.•w. w Me. Io. II t,.f p,1.,nYrO.n,r1 •..I an0.,. 01, I.1eviMe.. Iplb-,: POs(7:DhINe: I.,NI . •br-ws1 ,Yo.r1..., ,•r:',:,: '/'\�.' `� ..on.'nL.P<.LAwo-.r.......La1...nr...a.L....17-...I-Ia1r7..In.1.w..<n.or.oe.. noL H.Io-..rs•. aNON..,.:.1n1.. N.1. n co•1a o, ..n.<.•N.w..•.I.n -.. TRUSS,^✓AL' 4 -b n. w0. o•,I„"D'1'r.nnl.w .71".•0'a.pl-..,•11•p,.nar./1"e...wnnne4.,o1,1.r Ql, on. on„no1+„ o-cnl.-o'c.fl t 1710,- rs:• a<•, oo.,..r... r 1o1..I p. :..7s I .p 7..1+.,.w < e-.p.,n.l....ss . 7s .. ra...,...I,. /5 n'4 r1„I.e ip s R O N E L OET?.01T 'P•: 5,...1.••ert..'A 1�,•wr..n•..-w •.•n lni.A.e-o r,1.•tb4. r-••n,l 'I p• •• ,;/. SPECIES 4 GRACE MOX- 0/8 SPANS No 1[4 1 *ROV 1:; inuT WM 111. IN I I If . I ll.r. I I;II 2X4 T/C 2X4 B/C 1W, 1IL 1111 1— I11Y 0 1 Ill It il'lll `IIU'.11111111- l1.11 !"LJ!' L"111"I"i`111t. I 0 0 b G L A 5 F I ------------------------------------- O.S.STR. MC -15 0•5 5 T R R - L A R C M 20 7 20 7 " 2 0 7 20 7 "is ;/4 DA- SYNM. SEL .STR. MC -15 -1 DENSE mC-l5 20'- 7" 20 7: 20*- 7" 20 7 Ily any ABOUT SEL .STR. 20'- 7" 20 7"alit ;% I OEN5E 20'- 7" 20*- 7" Cly, - 1 NC -[S 20'- 7" 20'- 7" "a ollst) tf cr c.o'4 k" 1. 324S -2 CENSE MC -15 Rl R2 DENSE ' 20'- 7" 20 7 20' 7" 20 7" 20':- 7" 20'- 7" -4, o PLATE ROTATED 90 DEO. mc -IS .220'- 7" 7 20 " 7" 20 7" nnRVL')20'- ".2 ---------------- ------------ -------- M E M - F 1 R - - - - - - - - - - - -- ------------Orr --------- 5EL .5 TR 20'- 77, 20'- 7- "S ."tri O t1`` rtC .1 20'- 7" 20 7- -2 20'- 7" 20 1" - - - - - - - - - - - - - - - - -------------------- ... `. 5 P R U C E- P I N E- F 1 R - - - - - - - - - - - - - - - - --------------------M SEL•STR - 20'- 7" 20 7- 12 .1 20'- 7- 20 7" -2 ------------------------------------- 20'- 7" IS S" M 5 R (FOR SPECIES LISTED ABOvE.O!`ILT) ------------------------------------- 2400E-2.OE 20'- 7" 20*- 7" 2250E-i.9E 20*- 7" 20*- 7" 210OF-I -BE 20'- 7" 20 7" 3 1950E -i .7E 20'- 7" 20 7" 12 I8OOF-1.6E 20'- 7- 20'- 7" 165OF-i.5E 20'- 7" 20'- 7" ISOOF-1.4E 20'- 7- 20'- 7- 145OF-1.3E 20'- 7" 20 7" ------------------------------------- 247S T-- 7 H E 6 m E m S E R 5 (EQUAL OR BETTER) uF -------------------------------------- - 2 S 3245 26' 7" 2X4 -3/STUO OVERALL 5PHN Up D_ 0 LOADS :..pos' 97 THE A I iE L CLI; I C REC POS. 0 PESPO 0 A FA9RICATIOl. rA5RICi1;IOf1 SHR in AScEhf.l!'4 [Hq T;IE LOAO.5 UTILIZED ON rH:,; oisi(.;l -`FF.') TI -E STRUC TlIkE AND LIVE LoAOz IMPO�;Ea Of 74T LOCAL BUZLUIPO�--21:E C:�! -.4 1 S 10,. - S 81 TY S A.SUr.EO FOP. '.MENSIONAL RCCURACr. VER1j'T ALL PRIOR L� C6;PLY WITH -.HE -DUALITY CONTROL MANUAL' OF THE TRUSS ;L:;7E LIVE LORD .... MAX. �Pnlf 20'-7 - 0" CODE B UBC SPACING U.. 24" 0-c 8/2 /89 P IN RU M fell Rijn Elf SWAL I.RI.:SCO 5 SHALL SERrPLIEq TO MANUAL. CONNECTOR PLATES S11014.4 FACES :.qst(TUI E ARE TRUSHAL IS. 18. OR S=-c1FT1E&OEAO LORD •••• 104 RUSHAL .,LijrE BOTHOFR'THE, TRUSS Ar jncHsio tit T.All TRUSS JOINTS SHALL PE: iIc.i!T_F I INC .13 nLL PLACES S :00::::,,: 3 SHALL -OE FULLT .IF- U�01`91?10,,DlEr. UR14PF E -I I Oil To F. U E' BRACT l;p1OO I S�SES: CO4m'NCr;'i'Fj'f E116E OOED. rE 50.. ERECTIll TPU SES ARE CHU I UIJEO TO SEEN rp.r�r.r�- T`N.--�L AOVi_-E s jj�wms n?uIRL ).rO,HPREVE?lEr.RATOPI'LIllO HP10 "Olir.!;.5 u... RE F ER I" I N 0 i A�:D RECO M-NoArtaflZi 1pf Lr LATERAL 8RRC(tio CEILING O.L.- _._ Sy M S STEMS TRUSNAL STANDARD r = .u3s r. 'P ETASUS "OTED 5'4 THIS DRAw"10-THE TOP CHORD 15 ASSUMED PEOMAE3 OF !:;3iyIOUAL TO BE LRIERALLY TOTAL • 40.0,...,. 3. W, ,HE' SE STATED. tFE BOTTOM 8FnCEO By SH�f�jiR:NOTUfILESS CHORD IS ASSUMED 70 BE LRTERTILL-, BRACED IF RIOID CEILIllO 119TERi-_ PSF CEILINO r To I;PECTL THE 007 C�.qp.o tF6s--E S SHALL NOT BE PL ill OIHERWiSE. LATEIRALLT 6RRCECTHE !Sz.;TCHFo BOTTOJI CHORD AT INTERVALS NOT- EYC 0 _01. USUCTION TAKEN ".CED - D A Y Ell IRONMENT THAT WILL RUSE THE MOISTURE CONTENT OF THE HOOD PO &P CAUSE COIMECT R Co 7, 0 E R O.IOV fp. .8925 STERLINC ST. .�Ar 2 ;1 L I:EO TO nA[:17AIII Ul;iFORM CEILING Ea I LIE,,'Z-ED anc . w4 cH is ijoT A STRUCTURAL REOUIREMENT OF THE 51._1111 BE '4 1 G I ." �DINC.I MTRAND PROPER APPEARR110E. HHEII DESIRED. CAMBER !S BtSl ­FERMT 25z DURATION FACTOR SUITE TE XISO MIN 75063 SC -20-6/3 -40* 4/2 4/4 F ArFLiCA;;�-:; I)F WE PI E 110E NO THEREFORE 15 OUTSIDE THE SCOPE OF RESPONSiBM77 oT_;Russin-1. SPECIES 3 GRADE MAX. U/A SPANS ------------------------------------- 2X4 T/C 2X4 B/C 0 0 U G L R S F I R- L A R C H ----------------------- O.S.STR. MC -15 34'- 7" 34'- 7" D.S•STR. 34'- 7" 341- 7" 5EL•STR. rlC-15 34'- 7" 34'- 7" °1 DENSE nC-i5 34'- 7" 34'- 7" 5EL•STR. 34'- 7" 34'- 7" °1 DENSE 34'- 7" 34'- 7" °I MC -15 34'- 7" 34'- 7" °2 DENSE MC -15 34'- 7" 34'- 7" Al 34'- 7" 34'- 7" °2 DENSE 34'- 7" 34'- 7" °2 MC -15 34'- 7" 34'- 7" °2 ------------------------------------- 34'- 7" 34'- 7" h E n- F I R ------------------------------------- SEL•STR• 34'- 7" 34'- 7" °1 34'- 7' 34'- 7" °2 ------------------------------------- 33'- 9" 33'- 6" S P R U C E- P I ------------------------------------- N E- F I R 5EL.STR. 34'- 7" 34'- 7- .1 34'- 6- 34'- 5" °2 ------------------------------------- 30'- 7" 30'-10" i1 5 R (FOR SPECIES ------------------------------------- LISTED A30YE ONLT) 240OP-2 -0,1 34'- 7" 34'- 7" 22SOF-1.9E 34'- 7" 34'- 7" 210OF-I.SE 34'- 7- 34'- 7" 195OF-1.7E 34'- 7" 34'- 7" ISOOF-I.SE 34'- 7- 34'- 7- 1650E -1-5E 34'- 7" 3a'- 7" 150OF-1.4'E 34'- 7" 34'- 7" 145OF-1.31' 34'- 7" 34'- 7" H E B -1 E n B E R 5 (EDU=L OR BETTER) ------------------------------------- 2x4: °3/STUO S -P -F iOP CHURU SPLICES: TS -I 2445 TO 34'- 7• BOT CHORD SPLICES: OS -I 2445 TO 34'- 7' -,.t,+ VL aoiESLo k ........... /F or 0 NUIL: LUCIIIE IIIICH-PtTFILL SPLICES AT 1/4 PANEL LENCTII ./- 12 SYnn. �- ABOUT 4045 PLATE ROTATED 90 DEC. 2445 34'- �-T 2445 iO 34'- 7' 3245 34'- 7 :! IS iME RESPCUSIOIU :1 OF O!P.EPS :0 ASCER N11F THnr IIIE LOBOS W ILIZED OH TRIS OESICU ACEI OR EXCEED IME IU AL OF Ao LO -13S ::POSED or nIE SlRUCrCRE i:,u IRE LIVE L0nn5 IMPOSED 8r Art LocRL nu n Dlnn cMnr m; utsroz- !'nL BRICAIIO eEl'nrOS. nI• FCSrOnST01U tr IS MSnnEO rOR n:rlEN910HI1L IIr-CUPCCT. VEPIFr ULL Ul!'. Uta:; rFa OF. 'l FABPICtILMEO FI.bP.l C.1l :UN jn4LL COnPL: 41111 IME 'uUnLIrY COIITROL hRIIRnL' OF IIIE IF.U'iS PL IIIE I'SIiiuIE 11PI) A:IO INE IRUSNOL 7RUSCOn nn:NPl. COII::ECTOP PLATES SHOIIN ARE TRUSNnL IG. 10. OR 20 DIIUE RS SPECIFIEB. A IES SNAIL OE APPLIED t0 80:M FACES CF NNE TRUSS AT EACM JOINT. ALL TRUSS JOINTS SIInLL BE TIGHT FITrIrIC 'ELAFOINGPLL P LIEP�ORRPl L EREC TIOMTBP ni (oCEHHtCHEiS RLH4Af S�TREOUI RUSSE30ARE EVEATOYTOPP IIEO MOSR U EEK FUOn(SO;NO ABEFEr IO '6."+%.C: NG N000 TRUSS°S: CCnnENi.R; ANv REc, tlDArIO:IS' ITPI). Ot1LT LnIEARL BROCINO REOUIREO C° Ih01v:DUnl tRU55 nEn:E ERS IS IID IED On iHIS PnN IHn, taE IOP CHORD IS nSSUAED TO 8E IRt ERALLT BRACED 9T SHER:NI NC UNLESS 7T r.E PVISE STArEO. ir.E 6CItC.n Cr.OP^ IS ASSUMED TO 8E LATERRLLT BP.ACEO IF RIOIO CEILIn0 MATERIRI IS RTinCHEO )SPE CTLr t0 THE 80t tOn EMon OIMEF.415E. LATE RALLT BRACE THE BOitOn CHORD Rr IitrE Rvnt.S NOT ExCEE-1110 '0'-0'. ..0 S`_ES SHALL NOT BE FIRCEO IN A::r Err IFONrErf iMPT HILL CRUSE rNE nOISTURE CON T ENr OF Tn- HOOD r0 E7CEEO 19x )•:O/CP. CRUSE C011:•EC(OP PLATE COc.P.OS10R. CM SEP. NII)CH IS IIBT R STRUCTURAL REOUIREnEur OF •HE ".'.USS. Ani 9E J;IL ZED IO nA Art Rtu urtFORn CEIl i.NO HEIGHT AIO PROPER AP P(NROIICE. Ht1Ell DESIRED. CFIMOCR IS BEST UE:ERntuEO nlCl v.S r- r! ICnrin1: nF 1 PEP IC CE A:10 :HEREFORE IS OUTSIDE TAE SCOPE OF AESrnM-.lO(LIT: !IF IP.USm11 . VE15A. LIVE LORD.... lF>•0,..... DEAD LORD.... 7 •0...... TRUSWAL CEILING D.L.• 10 •0,.../. SYSTEMS rorRL 33 •0...... " 5 PSF3CEILINO REDUCTION TAKEN 8925 STERLIIIC ST. 25% DURATION FACTOR SUITE ISO IRVINC. TX 75063 nAx. SPAN COUE SPIIC Inu=0/2 34'-7.0" I UBC 24" 0•C R TRUSWRL_STANDARD T-34-6-33* 4/3 4/4. V2. ' I AN A�(e - Git COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:. 916-538-7541 DATE 11/14/90 KENNETH W. WARREN ME 9738 HCR 82 : B.P. #3772-90 MIDDLETOWN CA 95461 A.P. #58-39-01 With reference to the above subject: \ " Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced L1 We need the following information: Permit application signed and completed where indicated with all copies. returned.. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check dxemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked.in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville., for Completed Owner -Builder Verification form.. Recorded copy of deed -showing Recorded copy of agricultural acknowledgement statement. OTHER T NFFT) A TRTT4C T.AynTTT FRf)M TNF TRTTCC MFr_ IgA Roop FRAMTmC PMNgRnwINC TRUSS SPANS & LOCATION OF GIRDER TRUSSES. PLEASE INDICATE HEADER SIZES; YOUR PLANS CALL FOR A 7:12 ROOF PITCH, TRUSSES SAY 6:12 Should you have any questions concerning the above, please contact LINDA (BTWN 3-5) of this office. Yours very truly, William Cheff Director of Public Works.. �J.F�. Glander JFG/aj i Chief Building Inspector Return 90-51116 to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Section requires prior to FOR RESIDENTIAL DEVELOPMENT 26-8.1 of the Butte County Code this acknowledgement be recorded issuance of a building permit. - Rec Fee Cash '7'-00 7.60't �,41, ';•� X :..y occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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 discomfort from normal, necessary farm operations. All that real :property situate in the County of Butte, State of California, described as follows: , X-" I -,e � e t� �� � � Date: %. a B 7 U PROPERTY OWNERS: State of y SGL ) On this the l�?kA day of Mdye_mb-e,— 19'90 , before me, the Zvi�6 ) SS. undersigned Notary Public, personally appeared County of ) / , , %/ / , /f Personally known to me. FS;� Proved to me on the basis of satisfactory evidence. OFFICiAL:SEAlt o be the person( -s whose na:ne(�.) f $ SANDY A.K ubscribed to the withininstrument and acknowledged that NOTARY PUBLICORNIA .�,,0,���nounty xecuted the same for the purposes therein contained. IN WITiNESS co,r,miestonEx�t993 ]HEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public 90-051116 The property described herein is adjacent to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace -J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 12:00pm 28 -Nov -90 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which Rec Fee Cash '7'-00 7.60't �,41, ';•� X :..y occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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 discomfort from normal, necessary farm operations. All that real :property situate in the County of Butte, State of California, described as follows: , X-" I -,e � e t� �� � � Date: %. a B 7 U PROPERTY OWNERS: State of y SGL ) On this the l�?kA day of Mdye_mb-e,— 19'90 , before me, the Zvi�6 ) SS. undersigned Notary Public, personally appeared County of ) / , , %/ / , /f Personally known to me. FS;� Proved to me on the basis of satisfactory evidence. OFFICiAL:SEAlt o be the person( -s whose na:ne(�.) f $ SANDY A.K ubscribed to the withininstrument and acknowledged that NOTARY PUBLICORNIA .�,,0,���nounty xecuted the same for the purposes therein contained. IN WITiNESS co,r,miestonEx�t993 ]HEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public ��-a���� ���^ �� - 9 Q-51116 All that certain real property situate in the County of Butte, State of California, described as follows: Lots 147, 148, 149 and 150, as shown on that certain Map entitled, "CAMELOT SPRING VALLEY RANCH", which Map was recorded in the office of the Recorder of the County of Butte, State of California, on September 10, 1971 in Book 38 of Maps, at pages 51, 52, 53, 54, 55 and 56. This Deed is made and accepted upon the covenants and conditions set firth in Declaration of Protective Covenants, Conditions and Restrictions, recorded September 10,-1971 in Book 1699 of Butte County Official Records, at page 621.; in Book 1702 of Butte County Official Records, at page 213; and in Book 1751 of Butte County Official Records, at ,page 666; all. of which are incorporated herein by reference to said Declaration wit -Ili the same effect as though fully set forth herein. Together with and reserving therefrom those appurtenant easements provided for and described in the aforementioned -Declaration of Protective Covenants and Conditions and Restrictions. Also conveying and transferring to grantee hereunder, that proportionate share of any and all riparian, appropriative or prescriptive water rights inuring to the benefit of, appurtenant' to, or held by the lands and real property hereby conveyed to grantee, immediately prior to the conveyance herein. Grantor does not imply or expressly grant any easement or right of way across other lands owned by grantor for the enjoyment: or, use of any such water rights upon the land herein conveyed. ENh EN® OF DOCUMENT c.0 Cj N L7 c.0 rn c.. m BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One°Form per Building) A. P. Number',; Building Department No. School Districts („ f - < ';c `, City County Q Jurisdiction Property Owner c Project Location/Address Subdivision Lot Number Residential Development: a a Sq. Footage l ) (> ), # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building. Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. 910120 School District F certifies that (Applicant Name) i' (Phone Number) ( Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. b the payment of ��� ��'/ �� y p y $ ;��>�.,��/ representing <�%`� square feet. o School District Representative Date PAID BY CHECK NO BANK NO-� REMARKS: PAID BY CASH white'applicanf, , yellow building -department, pink -school district SCHOOL.FEE (8/88) 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F.; DUPLEX & MISC. ONLY) Bldg. Permit # OWNER -0 / GENERAL - ;�oning requirements: (sideyards and number of permitted living units). .�Valuation. - -Plans signed by designer. Energy Design and Compliance. - -5'. Existing violations on property. Items on data sheet. PLOT PLAN Complete parcel size and dimensions. etbacks, sideyards, easements, etc.• ther buildings or structures. Grading,. fills, drainage. - - Flood hazard: 'Special conditions on creation map or compliance document. FAU & FAS road setback. FT nnu DT A TAT bmplete to scale plan with dimensions. 12: Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). &6—Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). -!` Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. !irLocations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. tGarage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). ucTURAL DETAILS A`./Foundation-plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. ISCELLANEOUS ITEMS LOOK OUT FOR • Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). • Guardrail details (Sec. 1711 & 3306(j)). Brick -o 7stbne­veneer..(Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) exterior plaster - weep screeds (Sec. 4706). ssff, iPfoper roof pitch for roof covering (Chapter 32). l� Roof covering type - (fire hazard). .J�"Rafter ties or bearing ridge beam. �arage door or porch header sizes. dequate bracing. 40 -.-Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. -1-1--Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). is access and ventilation (Sec. 3205). aZ-. Underfloor access and ventilation (Sec. 2516). combustion air for fuel burning appliances. Noise requirements on duplexes. 46• Adobe soils - special foundation designs staining walls requiring design. -Ie-�Unusual shape, size, or split level house requiring lateral design. 1-�3�"llashing at all exterior openings. , (A -10'v Certificate of Compliance: Residential Climate Zone 11 Project Title / 3 7 7a — ct 0 /'J�.�-i�l �(��(/✓ej� BuildingPermitif 1/ Project Address "3j oZy �s 4/ / y / ��-f/ e S �/(/ y ro Checked By / Date Documentation Author Tele. one Enforcement Agency Use Only BiJII.DING DATA Glass Area % Glass North 6 d Conditio�0.131oqr Area / 3 9 3 Number of Stories �_ East o'Z Stab "'sed Flood Number of -Units South r / Stn Family Detached (SFD) [ ] Addition Alone West �. 3 • / [ ] Single Family Attached (SFA). [ ] Existing Building Skylight D • (o [ ] Multi -Family (MF) [ 1, Existing -Plus -Addition Total BUILDING SHELL INSULAMM Component Insulation Locaflon/Comments _ Type R -Value (atdc, .to garage, al, etc.j Wall... ....... Wall ................ ' Roof ............. 1---- Roof..- -*-*- Floor .............. Floor.......... Slab Edge..... . .- GLAZING Shading Devices Glazing Ama Glass Type Interior Exterior Overhang Framing Type Orientation (sa (single, double) (yoller blind etc.) (shadescreaen. etc.) (yes/no) (Met!!/wood) North (.) --C2 daub/e North East ( ) / / East ( ) - South South ( ) West ( ) West. ( ) I Skylight....... -.� ---- THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (so (inches) Locatiotl/Dcseription (kitchen, bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE; SEER,HSPF) (attic, etc.) R -Value (Btu] Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # SPECIAL FEATURES/REMARKS•(Add extra sheets if necessary) or anomved equal 4U e, v p �4 `o�N vc�0 v. -100 Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measure regardless of the compliance approach used. Items marked with an asterisk (•) may be supersedod'Ey 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 speafreations for the mandatory measures whether they are shown elsewhere in the documents or on }his checklist only. DESCRIPTION DESIGNER ENFORCEMENT . Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b} Loose fill insulation manufacturer's labeled R -Value.. • §2.5352(c): Minimum wall insulation in fumed walls R-11 weighted average (does root apply to estuior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pmn/iinch. §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 Zones 14 and 16 only. §2.5317: Infiltration/Ezfiltration Controls - a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weathcrstripped: all joints and penuntions caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with §2-5351 moots CEC quality standards §2-5352(d): Installation of Fueplaces 1. Masonry and factory -built fvcplaces have: " a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and coned 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 siring: attach calculations. §2-5352(h) and 2.5315: Setback themwstas on all applicable heating systems. • §2.5316(a): Ducts constructed, installed and insulated pas Chapter 10, 1976 UMC - - §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -feed space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/Werior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Excepdon 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 fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Clapter 2. Subchapter 4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and ax ismit the certificate to any subsequent purdtaser of the building. Designer Building Mer Name: Nairne:N ET) -i W. WA fLIZE K1 rtkJFirmL rlltfFUm: ' Adorers: Address: 973A NG1Z— SZ N]►oQLEowN,C-A- 955,1&/ Tekphone: Tekphonc t•ic. 8: /o -z � � 10 (signature) (date) (signature) (date) Documentation Author Enforcement Agency".. g y Name: None rtk/1 tt Aeency. Address: :' . Takphonc _ 1. Ceiling Insulation Insulation in Floor -3 -1 0.80 Number of stories Single R -value One Two Three R-0 -103 -49 -32 R-19 -8 - -4 .2 R-30 -2 -1 -1 R38. 0 0 0 U -value R-19.- _.8 _ 6. 0.50 -176 -84 -54 0.30 -102 -49 32 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 Insulation in Floor -3 -1 0.80 Single Single R -value 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 30 0.30 -69 -34 • .=.0:80....v..,.�.....-.153,.,r-.�.��:._.-114�.�_:.-...-76_._. 0.20 =43 -21 '.'0.50 '-91 _.._ .. -68 -46. '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 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation F2 factor 0.90 Insulation in Floor -3 -1 0.80 Number of stories -1 0 R -value One Two Three R-0 -17 '- - 8 -5 R-11 -3 -2 -1 R-19 0,: -0 0 R-30 3 1 1 U -value .31 to 0.30 or ---:-0.60 , -144 70 46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 =43 -21 -14 0.10 :17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 12 Number of stories -58 R -value One Two Three R-0 11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation -2 6 Number of Stories 26 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points smneard 0 - 7..Shading (Shade Open) - Efreetlre Percent Glass (percent SIM x SC) Effective • Exterior Slab Floor Raised Floor Effective Percent Glass t; East 6. Glass Heat loss :West Skylight 18 5 Total 4 1 na 16 4 U -value 5 Percent na 14 4 .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 37 -26 -14 3 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 J. 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 A 9 -1 10 13 '15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) - Efreetlre Percent Glass (percent SIM x SC) Effective • Exterior Slab Floor Raised Floor Effective Percent Glass %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 -8 -7 -23 3 IB. Shading (Shade Closed) Exterior Slab Floor Raised Floor Effective Percent Glass Wall Stories Family (;event Iliacs x SC). Stories Effective !CFA One Two Three One %Gleba NoM Etat South West Sky6gllt 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 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 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 1 1 -4 0 2 3 4 3 0 na . not allowed 8 10 11 11 9. Interior Thermal Mass Interior Exterior Slab Floor Raised Floor Mass Wall Stories Family Multi Stories Detached !CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -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 2.5 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 1.1 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 I 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 Exterior Single- ., , Single - Ince orW-ss/CFA Wall Family Family Multi Mass Detached Atmched Family 0.00 0 0 0 1 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 . 1.80 10 12 12 2.00 10 11 13 i 11. Heating System SE or HSPF (asalmes ducts In aide) Zonal Control Adjustment System Type Resistance 10 9 7 6 4. 3 Other 6 5 4 3 2 2 l 12. Cooling Syst.!m % Glass 6 x SC Sum of 1.6 Ince orW-ss/CFA b. East c. South r -5 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 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 0 10.0 Efrective SE or HSPF 2 2 1 (SE or HSPF x duct efficiency) 4 Effective -25 or -24 to -14 b .4 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 9 0.30 2.75 -73 -64 -56 47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 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 System Type Resistance 10 9 7 6 4. 3 Other 6 5 4 3 2 2 l 12. Cooling Syst.!m % Glass 6 x SC Eff. % Glass Ince orW-ss/CFA b. East c. South r -5 -4 -4 -3 -2 SEER Two +_ 3 3 :• 2 2 (assumes ducts In attic) SE or HSPF Duct Efficiency [0.78] Sam of 7-10 [0.77!6.61 HSPF (0.56/5.151 Single -Family Iletached and -25 or •24 to 0410 -4b +6 to 16 or SEER less -15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 �_. 8.5 -9 -7 -6 -5 -4 3 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 6i Solar -1 r Effective SEER -1 0 0 (SEER xduct eftkency) HWR -18 -12 Sun of 7-10 4 -6 25 Effective -25 or -24 to -14 to -4b +6 b 16 or SEER lass -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 % Glass 6 x SC Eff. % Glass Ince orW-ss/CFA b. East c. South One -5 -4 -4 -3 -2 -2 Two +_ 3 3 :• 2 2 2 1 SE or HSPF Duct Efficiency [0.78] Effective SE or [0.77!6.61 HSPF (0.56/5.151 Single -Family Iletached and Attached SEER [9.51 Duct Efficiency (0.74] Unit Size (sq 5L Water 109 1200 1700 2200 2700 Healer Credit or b to to . or Type. Type less 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 0.6 WSB 5 3 3 2 2 2.1 POU 8_ _ 5 4 3 3 SE None -37 24 -18 -15 -12 5 Solar -1 -1 -1 0 0 1 • HWR -18 -12 -9 4 -6 25 WSB -25 -16 -12 -10 -8 4 POU -18 _ -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 1.4 Solar 7 5 4 3 2 29 POU 3: 2" 1 1 1 IE None -28 -19 -14 -11 -9 30% Solar 8 5 4 3 3 1.6 POU -10 -6 -5 -4 -3 3.2 Multi -Family (individual units) 4.1 4.3 4.5 4.7 Size (sQ •700 5.1 Water 5.6 58 nh 1 1700 2200 Heat20 er Credit or Io to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3.2 WSB 9 4 3_ 2 2 4.6 POU 9 5 3 2 2 SE None -45 -23 -15 `r .:11 -9 2 Solar 2 1 1 0 0 3.5 HWR -23 -12 -8 3 '-5 4.9 WSB -25 -13 -8 -6 -5 60% - 2QU _23 12 _8-- .6 -5 IG None -8 -4 .3 _2 ' 1 ,2 3.8 Solar 6 3 2 1 1 5.2 POU 1_ 0 - 0 0 65% IE None -30 -15 -10 _ -8 -6 2.6 `27 Solar 18 9 6 ' 4 4 4 POU . -8 . -4 -3 -2 -2 Interior Mass/CFA r7re 7 M55 % Glass 6 x SC Eff. % Glass Ince orW-ss/CFA b. East c. South ;? x / , / x _ ��- d. West e. Skylight 3•/ x C - x = = U 5 L ND. FLOOR AREA SE or HSPF Duct Efficiency [0.78] Effective SE or [0.77!6.61 HSPF (0.56/5.151 'I .7-U 'e.7vet.d .'_b' SEER [9.51 Duct Efficiency (0.74] Effective SE [7.03] 5L f TYPE 1 WS WIMC a 4.2, ie: exposed slab) 0%__6% 10% 1S% 20% 25% 30% 35% 40% 45% 50% 55% 60% 6ft 70% 75% 80% 851. - 90% 95% 100% 105% 110% 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 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 S.3 IV, 0.2 0.4 0.6 0.8 1 • 1.2 1.4 1.6 1.9 21 23 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.0 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 21 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 2.2 24 26 2.8 3 3.2 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 401. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 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 25 27 3 3.2 3.4 3.6 9.8 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 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 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 ' S 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 `27 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5,3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 22 2.5 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 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 S.7 5.9 6.1 6.3 6.5 80Y. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 56 5.8 6 6.2 64 66 85Y. 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.a 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 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 5.S 5.7 5.9 6.2 6.4 66 68 951. 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 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 6.9 100Y. 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4. 3.8 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 7 105% 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 6.6 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 5 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 2.8 3 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 5.6 58 6 6.2 6.5 6.97.1 73 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 $.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 .6.7 6.7 7 ' 7.2 74 Point system bummary: Climate 'Lone 11 SCORE CARD 1. Ceiling InsulationR 3F 2. Wall Insulation 3. Raised Floor Insulation 4. 'Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) Measures or R -value 1381 U -value (0.030] R+L� Or R -value [I. I) U -value [0.098] .80 or R-value[1 1 U -value [0.037] Or R -value 101 F2 factor 10.77) /3./ Type [double] U -value [0.65] % Total Glass (161 % Glass SC Eff. % Glass 77 X= �/•-� X �(S -3.1 x = a 3 • .3 1'J Point Scores t� O 0 a. North % Glass 6 x SC Eff. % Glass Ince orW-ss/CFA b. East c. South ;? x / , / x _ ��- d. West e. Skylight 3•/ x C - x = = U 5 L 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 Sum 7.10 f3 �I Point Total: / TYPE 1 MASS AREA Ince orW-ss/CFA = B COND. FLOOR AREA TYPE 2 MASS AREA EzteriorWall Mass ND. FLOOR AREA SE or HSPF Duct Efficiency [0.78] Effective SE or [0.77!6.61 HSPF (0.56/5.151 q. SEER [9.51 Duct Efficiency (0.74] Effective SE [7.03] 5L Type [SGJ Credit [none] Sum 7.10 f3 �I Point Total: / "1.0- '.!