HomeMy WebLinkAbout066-270-012+' 066 27x0 012.
: 93,300 ,BPEM a
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HARDING,; JIM
IOPUEBLO DR, MAGALIA
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066-27-0-012
HARDING, JIM 93-300 BPEM )
�--f jE)SVUEBLO DR, MAGALIA
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OFFICE COPY
Address
GAS
F Meter By Date
Date
ELECTRIC
Meter By `�— Date
—:::OFFICE COPY
1 Address
i
Nd:B•a Y— Date I
ELECTRIC
Meter By Date
j
JOB FINALED (Date)
Signature JJ.�
J=OK
0• = Not OK
= Not Readyable .. MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except t#'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /•'Nat. or/ /"L"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 N'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 13=:1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK'except t1's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
•- 6.. Carports; Windows -Doors
- 7 `Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh -
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except H's
1. Setbacks -Easements I
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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J OK ,
�.
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single &LDuplex)
=
Date UNDER R (Plans) OK except #'s (r
oni -Setbacks-Easements-Flood-Slope
tg-, Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Ftg. arage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
tg., Porches & Decks; Soils- Leel-/ /Ftg. Depth
temwalls, Main; S lot ts-Wrapped
11,6terwalls, Garage; S -Blockouts-Wrapped
16a/Hold Downs and Special Anchors f -JJ Id, 5 h4f-4 Of, -J.
ireplace Ftg.-Steel
5'D. , Fall -Fitting -Test -2 Way C/O -Sewer Test
iw'uF as Pipe; Size -Anchors - yard gas piping: size -test
Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pi ms & Ducts; Clearance -Material -Support -Ins.
L4etirders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation -
16. Insulation
Date Card B-1114Date Card B-1
Date ;j ° 195 Card B-164--j.Date Card B-1
Date PLUMBING (Permit),OK except #'s
Water Htr.: Vent -Access -Combustion Air -Baffle
W ter Pipe: Test & Anchor -Nail Protection
----- --------
-18"
---------- -- --- -- -
D.W.V.: Test -Fittings & Anchor -Nail Protection
------------------------- -------------------
- - - --19. Shower Pan; Test. First Floor -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
-------- -----------------------------------
21. Gas Pipe: Size & Anchors
Date (� 9 _ Card B_1 --- -Date --- ---Card-B-1
-� �------- B-----
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
----------------------------------------------------------
Elec_Receptacles Spacing=Lights & Switches at Doors
------------
ze Boxes & No of Conductors -Stapled
--- --- --
---- - y4' -----Bons-----------------------------------------------------
11'_55)
-
---------- ---------------------
s4 - - - 5 Romex Installed Close to Edge of Studs & C.J.
<'C -------------------------------------------------------
Equip Ground made up w/Meth. Fastners-Bond Gas & Water
---- ------------------------------------ -----------------------------
27. 2 Appliance Circuts in Kitchen_ & Conductor Size/GFI
22. Subfeed Wire Sizer r ga Cu or AI-A.C. Wire Size r / ga.
_______ __ Cu - A
29. Range Circ. / ga. 63p��ri r_AICirc. / ! ga. Cu or Al.
Insulated Neral UW -Yes 0 No
-------- ------- - - - -- -- --- -
Service -Riser Conductors & Ground -Main Disconnect
-- ---- --- --- -------------------------------------------------------------
31. Equip. Clearances Panels-Motors-Mech. Equip.
--------------
----------------------------------------------------------------
Clothes Closet Light -Shower Light -Spa Light
. S-
moke Detector
----------- -- - -----------------------------------------------------
Card
Date �j� 3 Card B-1 -- Date ------------- ---- 8-1- -----------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A. C. Ducts Insulation & Support
------------- --------------------------------------------------------
Vent Fan Exhaust above insulation
-------- -----
-------- - -- - ---------------- - ------------------
36. Condensate Drain & Overflow: Size & Grade
-------------------- ------- --- -
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-------------------------------- --------------------------- -
38. Attic -Access-&. P.latform if Furnance in Attic
-------- ---
Date
Dat --------------
-------------------------------------------------------------
Card - Da
-- - -- --- Da-te------------- Card----1-
Date
Date
Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
3 .
Sils. Proper Material & ncho
Walls Studs -Nailing_ Spacing & racing Plates -Sound
------------- --------------------------
41.
-- - -
Bearing Walls over Girders & Floor Nailing
-----------------------------------------------
42.
Draft Stop i Walls (rat- p
----------- ------
------- - -
-n -roof)
-
--------------------------------- ------------------------
- ----------------------
Ceilings-Stairs-Chases-Tub
Ceilings- Sta i rs-Chase s -Tu b
--------------------------------------------------------
Headers & Beam -Size & Bearing
Date FRAMING (Continued) 'Re, -r- dart,✓ v �.
4 Hangers Post Caps -Anchors -Connectors
-- C ng. Joist-Rftr. ties-Purlin-roof Brac- thng.-Rfng.
---- Fireplace Ties or Type A Flue -Fireplace Throat clearance
_ 448. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
�9. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
---...... j�Garage Fire Protection Framing
51. Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
-- - 3. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Y� plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_Siding -Nailing Veneer
56 -$tactor Mesh -Drip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights- Plastic
58. Shear Walls: iling-Bolts
------------------
----- /59.-Insulatio all eilings
60. Infiltration -Walls -Windows
--------- -- - - - - - --
Date gO-Card B_t- Date Card B-1
Date �7 Card B-1 Date Card B-1
Date FINAL (Plans) except #'s
P-fxt. Steps -Door & Sidelight Protection -Landings
6;X Detector
------------- --- -
nace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
----------------------------------
§A'Bedroom Exiting
G F.I & Bath Fixtures & Tub Access -Spa
---- -- �Elec. Trim & Subpanel; Breaker Sizes & Labels
-----------
ta,rs & Rails
6 Fireplace or Stove: Clearances -Hearth
- -- . -- --- --5V- - ---------------------
6� Elec. Outlets at Wood Panel; Int. & Ext.
- -----------------------
y0'Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
- - Elec. Outlets & Receptacles at Kit. Counter - ---
7 Garage Fire Door: Swing -Landing -Closer
-
------------------- ------------------ -
73'.� Duct in Garage -Damper
7,1!GVtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75 Ib.. Elec. & Mech. Equip. Listed for Location
----------
Litlec. Receptacles in Garage: (G.F.I.)-Romex Protection
7,; -'Insulation -Foam -Looked in Attic 13 Yes
;uard Rails & Deck Construction -Post Caps
------------------------------------ ----
7WIdn.
--------------------------------------
71Idn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
8V'Following instld.: Drive 0 Yes ❑ No: Walks C3 Yes 0 No;
Planters ❑ Yes ❑ No -- — --
81_9tacco Brown -Finish
iSC A.C. Unit: Disconnect. Electrical, Plumbing
8�e is Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84 jWater Well; Disconnect, Electrical, Plumbing --
85/Cxterior Dec. Trim; G.F.I. Receptacle -Underground
- ----------------------- -----
8�entilalion Throughout House
. - - - - - - - - - - - - - - - - -------- ------------------------------
it lass Protection
- -
----------------------
8orrections from Previous Inspections
----- ------ ----------
as T �Meters Tagged:
------------------------------
-
Gas -Electric
9 Water & Sewer Connected -C/O to Grade -HD Approval
- -- -- -- --- -- ---------------------
� nergy Compliance Certificate -Other Certificates
------ ---------- -------------------------------
Date &30-0' 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:
.i
Permit No.
owner: '
E N F. R G Y V E K 'a ,a e a u n a a v n
6210 Pueblo, Magalia, Ca.
LOCATION
DESCRIMON OF INSULATION
ROOF
Material .
-----------------
TI►icknoee(lncl�ea)
EXTERIOR WALL
tutorial
I6�R(IASS t3ATTS
`lhicknees(tuches) 3 5/8"
Brand Home
Thermal Resistance (R Value)
Brand Name QW05-CORNING
Thermal Resistance(It Value) R13_______
CEILING Brand Name
Batt or Blanket Type Thermal Resiutance(R value)_
Tt►ickneaa(iuchee) O�IkNS.('�RNI rr�, .__
Loose Fill Type FIBERGLASS Brand flame '
16" Number of Hage 42 Wt. per bag 35 lb.
Miniuwm Thicknea�(Incl►e2100 Ttjetmal Reaistance(R Value) R38.
Area covered(ft. )
FLOOR, ELEVATED
tutorial sill BATTS
6411
Tb lcknees(inches)
FLOOR , SLAB
Material
Thickness (incl►ea)
Widtl►(inclies)
FOUNDATION KALI.
tutorial
Thickness(inches)
Brand Name OWENS-CORNING
Thermal Resietance(R Value) R19
Brand News
Thermal Reeistance(R Value)
Brand Name
Ther ist ReaVatance(R Value)
T i1eraby certify that the above insulation was installed in the above building
in conformance With the State of Californ'14 BnsrBY Requlceweats.
499150
LOf`R STATE CONTRACTORS •LICENSE NO.
RM Nom/ NER
July 27, 1993 a
SIG TURK OFT STAL.LA ON APPLICATOR PATS
I I�ereby certify tl►o above insulation and all required itewa as shown on the
Building Dopartu:ent approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment$
device• and material• are of the quality prescribed or -are
specifically approved by the State of California.
STATE CONTRACTOR S- LICENSE NO.
FIRM "AMR/OWNER (Please Vint)
OF QENEML CONI RAC R OWNER OATS
SIGNA .
WITH TILE BUILDING PEQARTHENT_ rRIOR TO FINAL.
'j ��-t_.Lf ,.--ti-". � '-'�'�,l)-C•�t'�.�-rte--...-.`�^.-y..r r'-'�"cr'-.-.�.-,�,�r-�� - .-. .'z -,e-.7,_.,, :.,-..
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA -' (916) 891-2751
'a
7 County Center Drive, Oroville, CA - (916) 538-754.1
747 61iott Road, Paradise, CA - (916) 872-6307 '
` CORRECTION NOTICE
Q1Wl®t PERMIT NO. R
.j
Aou i bmWecdm iulieates that the following violations of Butte County Ordinances exist at
tft aboae adders and should be corrected_ Please notify this office when correction of work
ismaspicie ll.KV ulmveanyquestions pertaining to this matter, or need additional explanation,
onnftet Ills office immediately_
a Ir
�PA/i.K G1 �( hn((r7 LEn �".�/P�f' /L."/ �✓�G...1 .�iU /'h(./�,(..�`F�
I" 0 f/ii C' ./7 ! 0.0 V vl 90
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OVOUR PERMIT NO.
A routine btspeetion erdicates 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_ Ifyou have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
ho,o-F f�D
Date vl Inspector
REV 10W
COUNTY OF BUTTE - DEPAPTMENT OF PUBLIC WORKS
• County Center Drive - Orovirler California 95965 - Telephone: 916/538-7541
.`i APPLICATION,AND PERMIT
4lG P/� -M IIT NO. 010
ASSESSOR PARCEL NUMBER
066-270-012
ZONING
RT -1
BUILDING PERMIT
OWNER
Jim Hardin
TELEPHONE
877-04/23
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5581 Honey View Terrace, Paradise 95969
2,100 R 113 400.00
484 M 8,712.00
CONTRACTOR'S NAME
Owner
TELEPHONE
220 0 1,540.00
CONTRACTOR'S MAILING ADDRESS
272 C 3,536.00
Fireplace A 1,500.00
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $ 128 632.00
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 699.00
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee $ 349.50
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Ener Plan Checking Fee A
9Y 9 $ 20,00
Penalty $
BUILDING ADDRESS
Permit fee $683.50
gypueblo Dr. Ma alfa
PLUMBING PERMIT Filing Fee 15.00
Each Trap 13 5.00 65.00
Solar or heat pump water heater 20.00
LOT NO.
396
SUBDIVISION NAME
Country Club Est. Unit 4
PARCEL MAP
38-70
Water piping 1 7.00 7.00
Each qas water heater or vent 1 7.00 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 1 5.00 5.00
Building sewer 15.00 15.00
Mobile Home S G W @ 15.00
TYPE OF WORK
Newo Addition[-] Remodel❑ Utilities❑ Installation❑ Other F]
Describe work: New 3 Bedroom Single Family _
Permit Fee $ 114.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORRLESS 1 .18.50 18,50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
,91 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. 3`1�p�'1 Classification � G^2d
Fl 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 20GATO1000AI 37.50
NEW CONST. ( DWELLING OCCUP.&\ v 3.60sq.ft. 73.50
OR ADDNS. 1 ACC, BLDGS. / t1
NEW CONSTR ULTI.OUTLET
NON-RESID BRANCH CIRC ITS 5.00
/POWER APPARATUS 9)
-SINGLE OUTLET CIR.
#"Lo
Ex. OCCU OUTLETS OR FIXTURES 76d
p(
FIXED APPLN'S. \
EX. Occup. OUTLETS RESID )REA./ I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00Misc.
Wiring
g '15.00
Permit Fee $ 107.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�r 1 have placed on file with the County of Butte Building Department
1L� 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 1 15.00
Heating 1 9.00
Dual
Cooling
g 3 Ton 1 11.00 11.00
Hood 1 6.50 6.50
Ventilation 2 4.50 9.00
Permit Fee $50.50
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte 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 o,+�
� � . �,3
Signature of Applicant - Ownerj�P 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 $ 40.00
occ
CONST TYPE
TOTA FEE $ 1. /375.00 r
HA DFE S
IMP
FLO D
CDF
PARC L PD
HD -SSU
VV
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
k indica a
worv cr which fees have been paid.
I R OF PUBLIC WORKS
By - Date2-/g 9�
PEflMIf EXPIRES Date
Receipt No. 129736 $1,379.25//129737 $15.75
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
C0I4NTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 ILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 /
PERMIT APPLICATION DATA SHEET
OWNER/4) 44 0 r4 6 P. .tS�'��'` �/7�AM
Proposed Buil�hg seBuilding Inspector Date
IF
At time of peftit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items hav4 been submitted . ....................................... .
2. Plot pla4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
16�V8.
Energy Design Compliance and supporting documentation . ..................
_Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
eFees of $
1. Impact fees as shown on attached schedule . .............................. ?
12. California Department of Forestry plan approval/fees. ....................... .
�1_ Flood elevation letter (100 year flggr_) by,Cornia Engineer.................Sanitation and plot plan approval j�t�'• (� � T _ Health Department. .....:.....
. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
ontact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). .....npection+ague z- `33
Ne-Is
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ...........................
— Owner -Builder Verification (Given to owner , Mail to owner _) ............
Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use ..........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed i>
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
........................
33.
34.
When you issue the permit, process as follows:Ma' to�v r. Mail to contractor.
Telephone and hold for pickup at �f� office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit i
1. Index permit for above items No.
2. Additional items required:
ew item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Daten? —/ ,?-- -3
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
��I 6 83A
ld30 MO ine
rune :fo.uN6 Ca 2 7 ` l2
owner location AP
Driveway permit 2- -7
si ature
has been issued for the above property. 1.
date
F.H. USE ONLY
Plot Plan Auachcd
1h.
Floor -Han AuacheJ
Sent to IS. U.
TO: Building, Department
FROM: Environmenfal, Health
SUBJECT: Sanitation Clearance
Owner Location
Plan Approved for: Sewa;e Disposal Water Supply: Public
Clearance for bedroom ikgNk home. Other C
Hold final for:
Final clearance O.K. for:
NOTE:
Anniental
8/92
AP#
Private Well
(. _
COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541
NER A �LD/ J
OPOSED BUILDING USE
School Distric Fees -
(paid at District Office) ...........................
2. Sheriff Fees
(paid at Building Department)
Residential .......... x
unit amt.
Commercial(per sq.ft.) X =$
/%�/� sq.ft. amt.
�l/l.l 3. IIrban Area Fees
(paid at Building Department
A.P. N0.—
DATE Z d
REC . - # DATE REC
Residential (per unit) X _$
units amt•
Commerical(per sq.ft.) X =$
'// sq.ft. amt.
lf4. Recreation District Fees
(paid at District Office)
Drainage District Fees
(Contact Land Development)
6. Other
7. Other
.t time of per application, I was advised the above fees are required to be paid prior
.o issuance of the permit.
,PPLICANT
DATE Z
vvU11 I T vF oU I I c vF—Fnn t IVICII I UF FvvLly rrvnrw PERMIT NO.
/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT J
ASSESSOR PARCEL tJUNLBER
a-7 _0 ' o
ZO I G
BUILDING PERMIT
OWNER
c�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
'Z
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
Z
CONTRACTOR'S MAILING ADDRESS
Fireplace
(�
CONSTRUCTION LENDER -
UNKNOWN
Total Valuation $
Filing Fee
Permit Fee
15,00
$
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
$ l µ
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
$
1lingFee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO. W1
NAME
�(/ ���
ISUBDPARCEL MAP
� Z'0
Water piping
QIVISION
7.00 < 01lff1V1V
Each qas water heater or vent
7.00 Q
USE OF STRUCTURE
SFJ�Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W 1
615.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 04 _
Permit Fee
S
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS*
200A OR LESS
18.50
Main service 200A TO /DOOM
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 Classification1 C 2�
I, as the owner, or my employees with wages as their sole compen-
Fl 1,
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.�
DR ACDNS. (ACC. BLDGS.
3.60 ft.
sq.r
NEW CONSTR MULTI -OUTLET
NON•RESID BRANCH CIRCUITS)
@ 5.00
/POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76
EOFIXED PRR
CCU p• OUTLETS (ESID )EAJ
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
'15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 15.00
Heating
71 Q
Cooling
g
Hood
t 6.50
Ventilation
�Q
penult Fee
_
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrueHAz
against said County in consequence of the granting of this permit.
X Date
SignotC_of Applicant — Owner anrractar ❑ Agent ❑
urework
An OSHA permit is required for excavations over S'0" deep and demolition or construct-
ion of structures over 3 stories in height. X
Mobile Home Installation Fee S
Energy Inspection Fee $ 00,
o
CONSTUPE,
TOTAL FEE
DFEES I
IMP
I FLOOD
CSF
I PAr
I PO
D ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. ��73
WNITE-D.P.W., Y LOW•A!IeE33011, PINK -I ECTOR, GOLDENROD -APPLICANT
Return to -DPW AGRICULTURAL STATEMENT OF ACXNOWLEDGE`7Fr�1T
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code a4 G2
requires this acknowledgement be recorded Z4
prior to issuance of a building permit. mon
93-0069571Rec Fee MW
c5. 00
The property described herein is adjacent 1 Cash m 5.00'
to land or included within an area zoned - Recorded- I
for agricultural purposes, and residents Official Records I
of this property may be subject to -incon- County of 1- =
veniences or discomfort arising from the Butte 1
use of agricultural chemicals, including, -Candace J. Grubbs I'
but not limited to herbicides, pesticides, Recorder I
and fertilizers.; and from the pursuit 1:05pm 18 -Feb -93 I PUBL XX 1
of agricultural operations including,
but not limited to cultivation, plowing,.
spraying, pruning,. and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established 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:
Date: P�,,-
State of
PROPERTY OWNERS:
County of
On- a.-100- 1� 3- before me,.
OATE NOTARY PUBLIC
personally appeared A14 .
NA ► OF SIGNER(S) -
,�l personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence
to be the person(s) - whose- name(s) is/are
subscribed to the within instrument and
acknowledged to me that he/
executed the same in his/her/their authorized
■■■■■■■■■■■■■■■■■■■■� capacity(ies), and that by his/her/their
iR�a • signature(s) on the instrument the-person(s),
• : Butte Cowry ; or the entityupo behalf of which the person (s)
v MyCorm:iss`o" lr8S ■ ac ed, execute the instru nt
■ April 2, 1M ■ ,
■■■■■■■■■■■■mm■■■■■■■ Wi m nd and o Icial seal.
SIGNATURE OF NOTARY
CAPACITY CLAIMED BY SIGNER
bQ,NDIVIDUAL(S)
❑ CORPORATE
OFFICER(S)
TITLES) _ "-
❑ PARTNER(S)
❑ ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ SUBSCRIBING WITNESS
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
GF -21220
Vk
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM �® 6A
(One Form Per Building) � . ?*
�I
School District �� Building Department No.
A.P. Number�i��� --�� �/� Jurisdiction 0 city lz;�Xcounty
Property Owner H A� 121�) b
Property Location/Address �7`-t/ �c• / Vl��p
Subdivison 3>� �4% Ur.'.� Lot No.
Residential Development
No. of Living MHI
Units
Commercial/Industrial 0
New
Building Department. Representative
Sq. Footage 2-10620
Addition (Group R)
Sq. Footage
Addition
(Floor Plans reviewed by School District Personnel)
(Including Exterior
Roofed Areas)
2 t
Date
Dist ict Identification No. ' 0�
School District certifies that
Applicant)
(Street Address) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
representing p�� square feet.
School Distfict Representative
by payment of $` ,
Date
Paid by Check Number �� Remarks:
Bank, Number
Paid .by Cash
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) feeformmkt (Qk)
RESIDENTIAL'PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
8/91
Bldg. Permit # 3co
OWNER A. P. #- 6 �
Pian Checker �S
GENERAL
Zoning requirements: (sideyards and number of permitted living units).
/Valuation.
r3: Plans signed by designer.
ar.-'Proper description of work on application.
-7--Existing violations on property.
Items
on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
ecorded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
-etbacks, sideyards, easements, etc.
Other buildings or structures..
rading, fills, drainage.
Vlood hazard.
. Special conditions on creation map,
stible, and foundations).
AU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
Pian? PT.AN
mplete to scale plan with dimensions.
equired windows for light and ventilation (Sec. 1205). -
Required windows for second exit (Sec. 1204).
;iquired
ylights (Chapter 34 & Sec. 5207).
man impact glass (Sec. 5406).
room sizes, ceiling heights (Sec. 1207).
"-GFCIs in baths, garage, kitchen, and exterior outlets (Article
Light fixtures, switches, receptacles, and exterior receptacles
tenance of mechanical equipment.
/Locations of water heater, heating and cooling equipment, other
�r gas equipment.
2r Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f)..
fireplace and wood stove location, alcoves, and clearance.
1 ----',-Smoke detectors (Sec. 1210).
t - Plumbing fixtures, water closet clearances and shower size.
DETAILS
210-8).
for main -
electrical
?" Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
/Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
a --Rafter ties or bearing ridge beam.
i��� arage door or porch header sizes.
�. Stud heights.
3 -'Adobe soils - special foundation design.
Retaining walls requiring design.
Special Inspection required.
building
t
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS.ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
Sec. 3306).
iGuardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30):
,,Exterior plaster - weep screeds (Sec. 4706).
groper roof pitch for roof convering (Chapter 32).
,Roof covering type - (fire hazard).
-insulation - protection.
36" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
,-Two exits on three-story dwellings (sec. 3303 & see*Mezannines - 1716).
tic access and ventilation (Sec. 3205).
t
derfloor access and ventilation (Sec. 2516).
mbustion air for fuel burning appliances - L.P.G. requirements.
:�:%ise requirements on duplexes.
ergy design.
.shing at all exterior openings.
. CDF responsible area requirements.
State of
County of "!::P—
On a—/00— 9 3
DATE
personally appeared
r -N . _ / NOTARY PU8LIG
XI personally known to me - OR - ❑ proved
®omsms®oom®®®■®®e®orale®
>It
REBECCA ARNOLD a
�r ®
NOTARY PUBUGCALIFORNIA
Butte County on
Expires
My Commission
Me
®
April 2,1953
'°r� ®o®mm■®mm®®®®®emamemm®
OF SIGNER(S)
to me on the basis of satisfactory evidence
to be the person(s) whose name(s) is/are
subscribed to the within instrument and
acknowledged to me that he/she/they
executed the same in his/her/their authorized
capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s),
ortheentity�Llpo behalf of which the person (s)
ace execute the instru nt
Wi m nd and o Icial s al.
'SIGNATURE OF NOTARY
CAPACITY CLAIMED BY SIGNER
tV,LNDIVIDUAL(S)
❑ CORPORATE
OFFICER(S)
TITLE(S)
❑ PARTNER(S)
❑ ATTORNEY-IN-FACT
❑ TRUSTEE(S)
❑ SUBSCRIBING WITNESS
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
G F-21220
EN® OF DOCUMENT
,k
,%
S�
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDG rF�1E►�iT
93-06951
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit. --
All that real. property situate in the County of Butte, State of California, described as
follows:
Date:
State of )
} SS.
County of }
Present A.P. No.
coew o or. pTTE
FEB 2 3 1999
PROPERTY OWNERS:
On this the -day of - .'.19 before me, the
undersigned Notary Public, personally appeared
�] Personally known to me. n Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.-
.~
Notary Public
n� .
qlZ-006 9 57 1 = Rec Fee
5.00
The property described herein is adjacent
to land or included within an area zoned
1 Cash
Recorded I
5.00
for agricultural purposes, and residents
Official Records I
of this property may be subject to incon-
County of i
veniences or discomfort arising from the
Butte i
use of agricultural chemicals, including,
Candace J. Grubbs 1
but not limited to herbicides, pesticides,
Recorder I
and fertilizers.; and from the pursuit
1:O5pm 18 -Feb -93 1 PUBL
XX 1
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established
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:
Date:
State of )
} SS.
County of }
Present A.P. No.
coew o or. pTTE
FEB 2 3 1999
PROPERTY OWNERS:
On this the -day of - .'.19 before me, the
undersigned Notary Public, personally appeared
�] Personally known to me. n Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged that
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.-
.~
Notary Public
n� .
7. Fenestration Heat Gain
% Fe est 'on . SCshaad'/o opw Eft. % Fenes. Shade Eff. Ratti'
North -5 x / / _ r(
04 x -�F- O .$
South 5-.o x
West � x /• 3 / - -
Skylight x� _ • ' rsp 3
Overhangs?, ( Y / N
8. Interior Thermal Mass or
9. Exterior Wall Mass
10. Heating System
11. Cooling System
% Exp. Slab 1201 Int Mass/CFA
Ext Wars X
AFUE or HSPF Duct Effic.11 story: Effective AFUE
[78% or 6.81 0.83: 2+ sto0.881 or1;i�P
�r _ X07' I
�j�X X •
SEER (10.01 Duct Ettim (1 story: Effective SEER
0.81: 2+ story: 0.81I
12 Water Heating
System 1 - S G 570 .0 -215 -
Heater Tpe Energ�aetor
System 2 0
, Heater Type (Novel Energy Factor
1. Ceiling Insulation
Number of stones
'
Point System Summary: Climate Zone 1:1 -
One
TWO
Three`
1.
Cellinq Insulation or
-48
-27
_^[
301
kLvalim 10.0261
2.
Wall Insulation or
R-30
3.
R-val 111191-
Raised Floor Insulation 0or
U -value 10.0651
R-38
_
R-v� ual 119-1
U -value 10.0371
4.
Slab Edge Insulation or
Numoer ot'stones L
.67
R -value 101
F2 tacwr 10.751
5.
Infiltration ' Any Ducts in Unconditioned Space? ( Y / N) [Y]
6.
Fenestration Heat Loss
12 • %
Famhfy
Type
U -value 10.651 Total % Fenes.1161
7. Fenestration Heat Gain
% Fe est 'on . SCshaad'/o opw Eft. % Fenes. Shade Eff. Ratti'
North -5 x / / _ r(
04 x -�F- O .$
South 5-.o x
West � x /• 3 / - -
Skylight x� _ • ' rsp 3
Overhangs?, ( Y / N
8. Interior Thermal Mass or
9. Exterior Wall Mass
10. Heating System
11. Cooling System
% Exp. Slab 1201 Int Mass/CFA
Ext Wars X
AFUE or HSPF Duct Effic.11 story: Effective AFUE
[78% or 6.81 0.83: 2+ sto0.881 or1;i�P
�r _ X07' I
�j�X X •
SEER (10.01 Duct Ettim (1 story: Effective SEER
0.81: 2+ story: 0.81I
12 Water Heating
System 1 - S G 570 .0 -215 -
Heater Tpe Energ�aetor
System 2 0
, Heater Type (Novel Energy Factor
1. Ceiling Insulation
R-0 -14 -9 -5
R-11 -3 .2 -1
R-19 0 0 0
R-30 2 1 ,
R is
Ext Ins. R -value
(1�1
Ext Ins. R -vane
N144
Auxriiary Input
(Ncriel -
Auxttiary,Input
Point Scores
0
O -
Zonal Control
Adjustment (01
Zonal,coautd
Adjustment 101
I�50
Distribution
(STDI
Distribution
Point Total:
4. Slab Edge Insulation
Numoer of Stones
R -value One Two Three
R-0 0 0 0
p.5 6 4 2.
R-7 7 4 2
6. Fenestration Heat Loss
-,I
Sum 1-6
0- 4P_
Sum 7-9
5. Infiltration (Duct Air Leakage)
Ducts In Unconditioned Soave ,, 0
No Ducts in Unoortotitoneo Soace 3
31
7. Fenestration Heat Gain (baseo on Shoe Eftecweness Rato)
Eft
Number of stones
'
R -value
One
TWO
Three`
R -o
-74
-48
-27
R-19
-5
-4
-2
R-30
-1
4
0'
R-38
0
0
0
2: Wall Insulation
Numoer ot'stones L
.67
.52
.51
Sim -
Single,.
Fen-
or
Family
Famhfy
MuBti-
R-0 -14 -9 -5
R-11 -3 .2 -1
R-19 0 0 0
R-30 2 1 ,
R is
Ext Ins. R -value
(1�1
Ext Ins. R -vane
N144
Auxriiary Input
(Ncriel -
Auxttiary,Input
Point Scores
0
O -
Zonal Control
Adjustment (01
Zonal,coautd
Adjustment 101
I�50
Distribution
(STDI
Distribution
Point Total:
4. Slab Edge Insulation
Numoer of Stones
R -value One Two Three
R-0 0 0 0
p.5 6 4 2.
R-7 7 4 2
6. Fenestration Heat Loss
-,I
Sum 1-6
0- 4P_
Sum 7-9
5. Infiltration (Duct Air Leakage)
Ducts In Unconditioned Soave ,, 0
No Ducts in Unoortotitoneo Soace 3
31
7. Fenestration Heat Gain (baseo on Shoe Eftecweness Rato)
Eft
Houses With Ducts (R4.2)
North
R-11
'7 A
.4'
R-13
-5 -4
-3
R-15
-4 -3
.2
R-19
0 '. 0
0
R-21
1 1 .
1
3. Raised Floor Insulation
.51
.87
Ina latim in Floor
52
i
Numoer ot'stones L
.67
R-0 -14 -9 -5
R-11 -3 .2 -1
R-19 0 0 0
R-30 2 1 ,
R is
Ext Ins. R -value
(1�1
Ext Ins. R -vane
N144
Auxriiary Input
(Ncriel -
Auxttiary,Input
Point Scores
0
O -
Zonal Control
Adjustment (01
Zonal,coautd
Adjustment 101
I�50
Distribution
(STDI
Distribution
Point Total:
4. Slab Edge Insulation
Numoer of Stones
R -value One Two Three
R-0 0 0 0
p.5 6 4 2.
R-7 7 4 2
6. Fenestration Heat Loss
-,I
Sum 1-6
0- 4P_
Sum 7-9
5. Infiltration (Duct Air Leakage)
Ducts In Unconditioned Soave ,, 0
No Ducts in Unoortotitoneo Soace 3
31
7. Fenestration Heat Gain (baseo on Shoe Eftecweness Rato)
Eft
Houses With Ducts (R4.2)
North
Method A
(Slab -on -grade
East
Poem
One
South
West
SkytlgM
%
.87
.67
S2
.51
.87
.67
.52
.51
.87
.67
52
.51
.87
.67
.52
.51
.67
.66
Fen-
or
to
to
or
or
to
to
or
or
to
to
or
or
to
to
or
or
or
am.
more
.86
.66
less
more
.86
.66
less
more
.86
.66
less
more
.86
.66
less
more
less
can
•69
-62
;55
-48
-41
.38
•34
_
-27
-•24'
.-20 ` •17
-13 ,
-10
40%
-77
-58
-52
-47
18'.
-5
-4
•3
-2
-21
-20
•15
- 12
.26
-23
-7_1
2
-36
-.32.4
44
-16
45
• 50
16%
-4
-4
-2
-1
-18
-16
-13
-10
-21
-19
-13
-9
•31
.27
.19
-14
-65
-AA
1d%
-4
-3
-2
-1
-14
-13
-11
-8
-16
.14
-10
-7
-26
-23
-i6
-11
•55
-38
12%
•3
•2
-1
-1
-it
-10
-8
-6
-12
-10
•7
-4
•21
-18
•13
-8
46
.31
11%
•2
-2
-1
0
-10
-9
-7
•6
.10
-8
.5
•3
•19
-16
•11
-7
-41
-28
10%
-2
-2
-1
0
-8
-8
-6
-5
.8
•7
.4
-2
-16
-14
-9
-6
-37
•25
9%
=2
-1
-1
0
-7
-7
-5
-4
-6
-5
.3
•1
.14
-12
-8
-5
-32
-22
80/.
-1
•1
-1
0
-6
•5
-4
-4
•4
•4
.2
0
.11
-10
-6
-4
-28
•19
7%
•t
•1
0
0
-5
-4
-4
-3
-3
•3
•i
0
.10
-8
-5
-3
•24
-17
6%
-1
-1
0
0
-4
-4
•3
-2
-2
-2
-1
0
•8
-7
.4
•2
.20
•14
5%
-i
0
0
0
•3
-3
-2
-2
•2
A
0
0
-6
-5
•3
-1
•16
•12
4%
0
0
0
0
-2
-2
•1
•1
•t
-1
0
1
-4
-4
•2
0
•12
•10
3%
0
0
0
0
-1
•1
-1
0
0
0
0
1
.2
-2
0
1
•9
•7
2%
0
0
0
1
0
0
0
0
0
0
1
1
0
0
1
2
-6
-5
1%
1
1
1
1
1
1
1
1
0
0
0
0
1
1
2
2
•3
•2
0%
1
1
1
1
1
1
1
1
0
0
0
0-3
3•3
3
0
0
8. Interior Thermal Mass
Houses With Ducts (R4.2)
9. Exterior Wall Thermal Mass'
Method A
(Slab -on -grade
Construction Only)
Poem
One
LJ -Value
Two
Three
Exposed
Story
Detached
Stones
Stones
Total
1.31
1.21
1.11
1.01
.91
.81
.76
:71
.66
.61
.56
.51
.46
.41
.36
.35
Percent
or
to
to
to
to .
to
to
to
to
to
to
to
to
to
to
'pr'
Fene5tranon more
130
1.20
1.10
1.00
.90
.80
.75
.70
65
60
55
.50
.45
-.40
1853
50%
••100
•76
•69
-62
;55
-48
-41
.38
•34
-31
-27
-•24'
.-20 ` •17
-13 ,
-10
40%
-77
-58
-52
-47
-41
-36
•30
-27
-25
•22
-19
-i6
43 '
-11
-8
•5
35%
-66
49
44
•39
-34
•29
•25
-22'
.20
.17
.15
-12
•10
-7
•5
-3
307.
.54
40
-36
•31
•27
-23
-19
•17
-15
•13
*41
-8
-6
-4
-2
0
28Y.
-50
-36
-32
-28
-25
-21
•17
-15
-13
•11
-9
-7
.5
•3
•1
1
261/6
-45
-33
-29
•25
-22
-18
.14
•13
•it
.9 .
•7
.5
-4
.'4
0
2
24%
-41
•29
-26
-22
-19
-16
-12
-11
-9
-7
-6
-4
. -2
•1
..1
3
M.
-36
-25
-22
-19
-16
•13
-10
-8
•7
•5
-4
.2
-t
1
2
4
20%
-31
-22
-19
•16
•13
•11
-8
-6
•5
-4
-2
4
1
2
3
5
18%
X27
-18
•16
-13
11
-8
-6
- -1
-3
-2
•1
1
2
3
4
6
16%
> C'22
p •i4
-12
-10
' -8-
-6
-3
-2
-1
0
1
2
3`
'4
.61
7
14%
18
-11
-9
•7
-5
-3
.1
0
t
2
3
1
5.
6
1
8
12%
•0
•7
-6
-4
-2
•1
1
2
3
4
4
5
6
7
8
9
10%
-8
-t
•2
•1
1
2
3
4
5
5
6
7
8.
8
9
10
80/6
-4
0
1
2
3
4
6
6
7
7
8
8
9
9
t0
11
8. Interior Thermal Mass
Houses With Ducts (R4.2)
9. Exterior Wall Thermal Mass'
Method A
(Slab -on -grade
Construction Only)
Poem
One
Wall
Two
Three
Exposed
Story
Detached
Stones
Stones
0
0
-3
0
-2
3
-1
10
0.40
-2
5
-1
0.60
-1
20
6
0
12
0
7
0
30
12
1
1.20
1
13
1 .
40
18
3
11.
2
21
1
50
1.80
4
18
3
2600
2
60
14
s <
85%
3
7.2.
2
70
3
6
2
4
90%
2
80
8
8
5.
5
3
3
90
8.3
9
11
6
.7'
3
100
2
10
8.7
6
13
4
9
7
Method
B
+6 to
16 or
Int
AC
Stan Fim
•15
. Raised Floor
Mass
Effective
Stories
One Story House
-.32
Stones
of 1.6
ICFA
One
Two Three
One
Two
Three
0.0
-11
-8
-6
-i
-1
0
0.1
-10
4
-6
0
0
0
0.3
-9
-6
.5
1
1
1
0.5
-8
-5
.4
2
2
2.
1.0
-6
-3
-1
4
4
5
1.5
-4
.1
1
6
6
6
20
-2
2
4;
B
8
8
2.5
1
3
5
9
9
9
3.0
3
1
5
11
.10
10
4.0
4
6
7
13
13
13
5.0
4
6
8
14
14
14
6.0
5
7'
9
15
15
15
7.0
7
8
10
16
i6
16
8.0
8
9
11
18
17
17
10. Heating -System
Houses With Ducts (R4.2)
9. Exterior Wall Thermal Mass'
Suotatal
Evenor
_ Single-
Single.
Muni
Wall
Family
Family
Family
Mass
Detached
AttaQhed
Sum of 1.6
0.00
0
0
0
0.20
3
3
2
0.40
7
5
4
0.60
9
8
6
0.80
12
10
7
1.00
14
12
9
1.20
17
13
10
1.40
18
14
11.
1.60
21
17
13
1.80
23
18
14
2600
24
19
14
10. Heating -System
Houses With Ducts (R4.2)
Htaaa Size (ff2)
Suotatal
SEER
Watorttam+g
then to
Houses With Ducts (R42)
7.9
-30
-17 .5
Spin
Prig
-25 or
-24 to
Sum of 1.6
+6 to
16 or
Gas
Split
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
HSPF HSPF less
•15
•5
-+5 '
+15
more
78%
6.8
6.6
0
0
0
0
0
0
80Y.
7.0
6.8
1
1
1
1
0
0
85%
7.4
7.2.
5
4
3
2
2
1
90%
7.8
7.6
8
7
5.
4
3
1
95%
8.3
8.0
11
9
.7'
5
4
2
100%
8.7
8.5
13
11
9
7
4,
2
+6 to
16 or
Effective AFUE or HSPF
AC
less
•15
(AFUE or HSPF s duct dncienc7)
+5
Effective
more
One Story House
-.32
Sum
of 1.6
Gas
Sold
Pkg
-25
-24
-14
.4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
_
HSPF KW
less •
-15
-5
+5
+15 more
One Story House
-1
0
0
0
0
0
33%
2.9
2.8
-62-
'-S3
44
-34
-25
-16
407.
3.5
3.4
-40
-34
-28
-22
.-IS
_-10
507.
4.4
4.2
-19
-i6
-13
-10
-7
-5
60 if, "
51
5.1
-4
.4
-3
-2
-2
--1
64%
5.6 '
5.4
0
0
0
0
0
0
70%
6.1
5.9
6
5
4
3
2
1
80%
7.0
6.8
13
11
9
7
5
3
90%
7.8
7.6
19
16
13
11
8
5
100%
8.7
8.5
24
20
17
13
10
6
Two or Three Story,
House
-8
-3
0
7.0
33%
2.9
Z8
a
-58
-48
-37
-26
-15
400/6
3.5 ,
3.4
-46
-39
-32
-24
-17
-10
50%
4.4
4,2
-24
-20
-16
-13
-9
-5
60%
5.2
5.1 •
-9
-8
-6
-5
-3
--2
69%.
6.0
5.8
0
0'•
0
0
0
0
70%
6.1
5.9
1
1
1
1
0
0
80%
7.0
6.8
9
8
•6
5.
3
2
WY.
7.8
7.6.
15 .
13
10
8
6"
3
100%
8.1
8.5
20
17
14
11
8
4
Zonal Control Adjustment
System Type
Resistance
6
4
3
2
. 1
0
Other
3
3
2
1
1
0
1.1. Cooling System
Ad juz=ent for Ho Tads insulation
_ - Nrmoer of Water Heaters
water Heater Tvoe Ojte . Two
SG50 V - .5
SG 1-5 .3 b
SE •5 -9
HP -2 4
M
Have Stze Adjustment
Houses With Ducts (R4.2)
Htaaa Size (ff2)
Suotatal
SEER
Watorttam+g
then to
Sum of
7.9
-30
-17 .5
Spin
Prig
-25 or
-24 to
-14 to .4 to
+6 to
16 or
AC
AC
less
-15
•5
+5
.15
more
10.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
12.0
1i.6
8
6
3
9
1
n
13.0
12.6
11
9
6
4
2
0
14.0
13.6
13
11
8
5
2
0
15.0
14.6
• 16
12
9
6
2
"0
8
11 9 0.
Effective SEER
'8 .
SG75
At
0.48
(SEER z duct efficiency)
1. -1 --12
-7
Elf SEER
Sum of
7.9
3
6 5 -5
Solit
. Pckg
-25 or
-24 to
-14 to -4 to
+6 to
16 or
AC
AC
less
•15
-5
+5
.15
more
One Story House
-.32
-19
5.0
4.9
-29
•23
•17
-11
-4
0
6.0
ss
-16
-13
-9
-6
-2
0
7.0
6.8
-7
-6
-4
-3
-1
0
8.0
7.8
-1
0
0
0
0
0
8.1
7.9
0
0
0
0
. 0
0
9.0
8.7
5
4
3
2
1
0
10.0
9.7
9
7
5
3
1
0'
11.0
.10.7
12
10
7
a
2
0
12.0
11.6
-15
12
9
6
2
0
13.0
12.6
18
14
• 10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.0
14.6
22
17
12
8
3
0
Two or Three
Story House
1G
5.0
4.9
-35
-27
-20
-13
•5
0
6.0
5.8
-21
-17
•12
-8
-3
0
7.0
6.8
-11
A
-7
-4
-2
0
8.0
7.8
-4
-3
_ -2
-1
-1
0
8.7
8.4
0
0
0
0
0
0
9.0
8.7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
4
1
0
1260
11.6
13
10"
7
5
2
0
13.0
126
16
12
9-
6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
2D
16
11
7
3
0
Ad juz=ent for Ho Tads insulation
_ - Nrmoer of Water Heaters
water Heater Tvoe Ojte . Two
SG50 V - .5
SG 1-5 .3 b
SE •5 -9
HP -2 4
M
Have Stze Adjustment
Htaaa Size (ff2)
Suotatal
leas 1000
Watorttam+g
then to
Pam Score
1000 1499
-30
-17 .5
-25
-14 .4
-20
-11 -3
-15
A .3'
-10
-6 .2 .
•5
a A
o -
0 - 0_
5
3 1
1B
6 2
15
9 3
20
it 3
25
14 4
House Size Adjustment
Ham Site (fr)
Subtua)
15M
2000
Watermeanng
to
or
Poen Score
1999
mora
-30
0,
3
-25
0
2
.Z0
0
2
-i5
0
t
-10
0
t
5
0
0
OWn"ton systeer2
5
0
0
10
0
-1
i5
0
t
20
0
=2
25
0
-2
Zonal Control Adjustment
All 6
- 5 4
2 1
0
12- Water Heating
Oce Water Hesty -
No AuzMary Crafts
OWn"ton systeer2
Rearc Systems
waw
camates
Energy
STD
MR Pipe No
Tinter Deme
Heater Tvoet
Zones
Fatsnr
POU- Imad ON
SG50
All
am
0
3 1.• -9
-5
0
0.63
'6
8 6 -4
05
.
0.n
8
11 9 0.
'4
'8 .
SG75
At
0.48
-2
1. -1 --12
-7
-2,
038
3
6 5 -5
-1
4
ass
7
10 8 -1'
3
7
SE
AS
097
-2D' •
-12 ' -17 41.
-.32
-19
0:83
-17
4 -13 .98
-28
-16 '
IG'
AD
090
2
S 3
IS
N
0.43
-21.
-12 "
HP
6-i1,U,15
180
4
7 5 -5
-1
4
Two Water Hesu rs -
No A=Mary Credits •
SG50
IID
am
-7
.4 -6 -17
-12
-7
0.63
1
5 3 -8
-4
1
0.73
6
.10 8 -2
2
7
SG73
AN
0.48
-12
-g -11 -22.
-17
-12
-1
3 0 -11
-6
-1"
'
,0.58
0.68
4:1
6
4 7 v.4
-14
1 6 1
'35
-
SE
AD '�1
0.87.
.22
10 a f6'
r- F
16
7",12"' -3928
Y°'moi S
1G
1E
0.93
-21
-12
HP
6.11.13,15
1.80
.1
3 1 •10
4
0
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lownse residenlial 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 cheddist only.
DESCRIPTION I DESIGNER I ENFORCEMENT I
Building Envelope Measures
' §150(a): Minimum R-19 ceiling insulation.
§150(b): Loose fill insulation manufacturer's labeled R -Value.
• §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass wails).
• §150(d): Minimum R-13 raised floor insulation in Named floors; minimum R-8 in concrete raised floors.
§150(1): Stab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no
greaser than 2.0 pernvinch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116-17: Fenestration Products, Exterior Doors and Infiltration/Extiltration Controls
a Doors ano windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U -value. andinfiltrationcertification.
c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§150(g): Vapor bamers mandatory in Climate Zones 14 and 16 only.
§150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110.13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§150(j): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined intenonextenor insulation (R-16 or greater).
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculadng sections of hot water system.
4. Cooling system piping below WF 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: duan insulated
to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems nave backdraft or automatic dampers
3. Gravity venuiaung systems serving conditioned space have either automatic or readily accessible.
manually operated dampers..
§114: Pool and Spa Heaung Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no eiectric resistance neating and no Pilot light
2. System is installed with:
a. At least 36' circ between filter and heater for future solar heating.
b. Cover for ouldoor pools or outdoor spa
3. Pool system nas cirectional inlets and a circulation oumo time switch.
§115: Gas-fired centrai turnaoe. pool heater, spa neater or housenotd cooking appliance have no
continuously During ptiot light. (Exception: Non-esecmcal cooking appliance with pilot < 150 Btwhr.)
Lighting Measures
§150(k): 40 lumenswat, or greater for general lighting in kitchens and rooms with water closets: and
recessed ceiling tixtures iC i insulation coven approved.
COMPUANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to compty'with Title 24, Parts 1 and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special Feattrres/Remarks section.
Designer or Owner (per Business & Professions Code)
Name:
-Title/Firm:
Address:
Telephone-
Lic. s:
(signature)
Enforcement Agency
Name: _Zy_\ i
Documentation Author
Name:
Tide/Firm:
AddresR "
Telephone:
(date) (signature)
Title:
Agency:
Telephone:
(signa e s pmp) (dates
(date)
Certificate of Compliance: Residential' Climate Zone 11
BUILDING DATA
Conditioned or Area
SlaCIGisid FloiP
Single Family Detached (SFD)
] Single Family Attached (SFA)
[ ] Multi -Family (1F)
B UU.DING SHELL INSULATION
% /10 11-U/11
Number of Stories
Number of -Units Z
[ ] Addition Alone
[) Existing Building
[ ] Existing -Plus -Addition
Component Insulation Loc2tiion/comme.-nts
Tvoe R -Value (wic. to etttraEe, "L -PL
GLAZING
Shading Devices
3 -
Building Permit N
14,1
Checked By/ Date
Enforcement Attenev Use Only
Glass Area % Glass
North g S
East O
South 105
•O
West
Skylight
Total /
Glazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation _ (sf) (single. double) (Toiler blind. etc.) (shadenrmt. etc.) (ve=htol (rneal/woodl -
North
North ( )
East ( )
East ( ) � —
South ( ) -
South ( )
West ( )
West ( )
Skylight.......
TIIERMAL MASS
Type/Covering Area Thickness
(slab/extdosed• tile. etc.) (so (inches) Location/Description (kitchen. bath. etc.)
Fm
I
AG
l� Ivfirimum
Duct
Type Uumace• air Efficiency
Location.
Duct
_ conditioner. he»t Dumy) AFWFSEER.HSPF)
(attic, etc.)
R -Value
7�,
149, o
p1bey",.
Thermostat Tyne
_�-q C,
Heat Pump
(split or nkal
IIOT WATER SYSTEMS Tank
R Value
Svstem Type (storage gas. etc.) Capacity Number Energy Factor Ext. Tank Tns- iii stri heti nn
- r 1
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)