HomeMy WebLinkAbout005-402-004I
M*ORALEY Frank 4581E
� �s-Boa-�=
1362 Mar -tin Street, Chico,'
ICONTR: Aluminum Builders, 709B S11 ter ; S tr
Yuba City
I (alu-minum siding) —6 C.
12
U61
1,
IDENTIAL
5-402-04 2596-91B,P,E,M
MORALES, Paula
1362 Martin St, Chico
cont: Steve Deadmond
(new sf)
JOB FINALE
Signature
04K&F
ICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By= Date/-��
--
OFFICE Copy
Address 1362
IA -1
GAS
Meter By
ELECTRIC Date
Meter -B .. 4--7—
Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS ,Z
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541 r
747 Elliott Road, Paradise, CA - (916) 872-6307 :x
-v
CORRECTION NOTICE
/✓1 DEAL-F� `Z-���� � �
OWNER PERMIT NOc Y=•
i
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address d should be corrected. Please notify this office when correction of work
is completed. ou have any questions pertaining to this matter, or need additional explanation,
please co act this office immediately. Li
ij
z
f
' COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville - Phone:'538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
zs-yA-
OWNER
T 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.
Date J6- /()- 9'1 Inspector
f
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile - Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER 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
whe�corre of work is completed. If you have any question pertaining to this
matadditional explanation, please contact this office immediately.
..
191, '
Date_ /4' Z Tr Inspector �/t2'
YW It e [
Permit No.
ENERGY CERTIF IC'A-TYON
362 Martin Street Chico Ca. A.P. No.
LOCATION
.DESCRIPTION OF INSULATION
ROOF
Material
Thicknees(inches)
EXTERIOR WALL
Material FIBERGLASS B ATTSS/8��
Thickness (incites)
Brand Name
Thermal Resistance (R Value)._____
n�_ic ��c rnRN i Nf;
Brand Name ��. ••
11hermal Resistance(R Value) R_ 13 _
CEILING
Type FIBERGLASS BATTS
Brand Name
OWENS-CORNIN
Value) R30
Batt'or-Blanket
Thickness(inches)
91j
Thermal
Resistance(R
n�.�c��c rnRNTNf
Loose Fill Type
'Tlticknee�(Incltes)
Flpcor` �S
1�4_� '
Brand Name
Number
per
Recistance(R•Value)aR O�lb.
Hi�;imumags
1039
maI
Area covered(ft.
)
FLOOR, ELEVATED
Material
Tit ickneee(incise 9)
FLOOR, SLAB
Material
Thickness (incites)
Width (incites)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
grand Name
Therml Resistance(R Vatue)_________�
1. hereby certify that the above insulation was installed in the above building
in conformance with
the State of Califotna LaerSY Requirements.
LOERKE I NSIi_.A I I.ON C0.1 INC.
499150
FIRM NAME/OWNER STATE CONTRACTOR S LICENSE NO.
December 18 1991
SIGMA � RE OF INSTALLATION APPI.ICATOR
DATE
tems as
own
I Isereby certify tits ab�ovedinsulation
andand
attachiaenterequired
lsaveibeen inetlalledoaetile
Building Department app plana
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
r
FIRM NAME/OWNER (Please print)
STATE CONTRACTORs3 LICENSE NO.
SIGMA'URE 0 GENERAL CONTRA R OWtER
DATE
NT
'1'IIIS CERTIFICATE
FAPPROVAI SANDEON R COPYL311A1.I.IIBEIIFOSTEDDING WITIIINPTi E HUII.DINGR TO FINAL
INSPECTION
January 1904
J=OK
O=Not OK
= Not Applicable
• ' = Not Ready
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: / /" C'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 #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
y �1 {3. Gas, MH Test-Demand-VAlve-Connector, l
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 •t
10. Cert. of Occupancy
�f
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 #'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 #'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
T 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
i�
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh `
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card 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
T 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
•tel=OK
' 0.= Not OK
= Not Applicable RESIDENTIAL (;
= Not Ready
Date UND F OR (Plans) OK except 's
. Z g -Setbacks -Easement lood-Slope
. F Main; Soils-Elec. GM. -II -V" Ftg. Depth
F ., Garage; Soils-Steel-Elec. Grnd.- Z/" Ftg. Depth
tg., Porches & Decks; Soils-Steel-1,VFtg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stem IIs, Garage; Steel-Blockouts-Wrapped
6a. d Downs and Special Anchors
lab; S el -Wrapped
8. Pie -Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
jr11. Water. Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Dat Card B-1 Date Card B-1
Date Car 1 ate Card B-1
Date PLU ING (Perm it),OK cept 4's
�f�� - at Htr: ccess-Combustion Air -Baffle
-yyam�- -----------------
1 ater Pipe: T Anchor-NaWl5rot tion -
i.V.: Test- itti2goOg Anchorotection
hower PanMt First Floor -Tub Access
!V5.o�O5.Tub & Shower. Second Floor -Tub Access
--- - ----------------
21. Gas Pipe: Size & Anchors
DateCard B-1
Date-'-Card-B_1 _ _%�_� ��
-:-j- ----------- -
-- 71 +-------------------
DateCard B-1 Date Card B-1
Date EL -CAL (Permit) OK except tr's
2 F' re & Transformer Clearance -Ins. Protection
---------- ---- --------------------
----
- - --
2 c;. Receptacles Spacing=Lights & Switches at Doors -------------------------------- ----------------------------
24. 5-ITo & No. of Conductors -Stapled
2 Ro x Installed Close to Edge of Studs & C.J.
----------- ----------------------------------- ----- -------------
�D�-Z quip. Ground made up w!Mech. Fastne - and ater
----- ---- -------------------- - --
--- -------------
2 Appliance Circuts in Kitchen & Conductor Size/GFI
------------------------------------ =-------------------------
2e.-S-55773-w,
--------------
u ee i -re -Tie / r ga. Cu o / 9a.
Cu or AI
a. Cu or Al.
ated Neutral ❑Yes- -- -❑_No
Ge'-----------3-.-Service-Riser-Conductors & Ground -Main Disconnect -----------------
___---------- ;32.
Equip. learances Panels-Motors-Mech. Equip.
C es Closet Light -Shower Light -Spa Light
------------aLigSmoke Detector
-- -- -- ------------------------------------------------------------------
Date L -3��
Card B-1 16 Date Card B-1
Date /%J-7-�j�
----------------- ----------------------------------- ------------
Card B-1" Date Card B-1
Date ME
ICAL (Permit) OK except h's
3
C. Ducts Insulation & Support
------------ -
-- ---- ----- ------------------------------------------------
Vent Fan: Exhaust bove insulation
-a -
3
nde
onsate Drain &Overflow: Size & Grade
--
-_ - ------ 37.
----
---- - -
F ance-Vent: Access -Comb Air -Return -Air Vent -115 outlet
-----------------
---- ------------------------------------------
3".
Attic _Access _&. Platform if Furnance in Attic
------------------------------ -- -------------------=----------------
Date / / Card B 1 Date Card B_1
Date -q Card B-1 Date Card B-1
Date FRA G (Plans) OK except h's
3 ., S/iy�. roper Material & Anchors
------------
-- - - 4i�Wa Is Studs -Nailing Spacing & Bracing -Plates -Sound
4 - ---------------------------------------------------- -
--------
Be g Walls over Girders & Floor Nailing
---------------------------------------
4 raf top in Walls (rat proof)
43. it ops: Furred Ceilings -Stairs -Chases -Tub
--------------- ---------------------------------------
41.14eaders & Beam -Size & Bearing
tingle A Duplex)
Date FRAMING
tinned)
45. Hanger -Post nchors-Connectors
r4061ng. Joist-Rftr. ties-Furlin- Br - thng.-Ring.
replacg Ties o e A ue,;Fireplace Throat clearance
ZL A<ic- Access; Size & Romex Protection -Draft Stop -Ins. Baffles
--- 41LBdr .:-Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
---- ---- 55. Sidin - ailing Veneer
- - esh-Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
_ 58. Shear Walls: Nail' g -Bolts
f / 59. Insulation -W s -Ceilings
60. Infiltration -Walls -Windows
Date �s?•,3-q/ Card B_,Vj2 o_ Date Card B-1
Date/6 /Q�CCard B -1-V6 Date Card B -1B -1-V6 Date Card B-1
Date FI A (Plans) OK except tt's
1 xL Steps -Door & Sidelight Protection -Landings
Sm ke_D_etector
b3. rnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
- - --- ---- 4. edroom Exiting
-
V. MOutlets
h Fixtures & Tub Access -Spa
--- -- Subpanel; Breaker Siz Label
i s
------------------------ --
r Stove: Clear nces-Hea
- ts at Wood Panel; Int. & Ext.
Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance
71. c. Outlets & Receptacles at Kit. Counter - --
Garage Fire Door Swing -Landing -Closer
---- ---------
73. A. r'Duct in Garage -Damper
Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
................ arage: Above Floor-Mech. Protection
Plb. ec. & Mech. Equip. Listed for LQgifftion
lec. Receptacles in Garage: (_ ex Protection
--------- Insulation -Foam -Looked in Attic ❑ Yes _
78. Guard Rails & Deck Construction -Post Caps
49,Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under FI or ❑ Yes
�f----------------------
Following mstld.: Drive Yes ID No; Walks ❑ Yes ❑ No;
ffffff��� Planters ❑ Yes ❑ No _ --
--10 iucco Brown -Finish -
V2A--.C.Unit: Disconnect. Electrical, Plumbing
-------------ents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Ope.'
ter Well; Disconnect, Electrical, Plumbing -
------- ---- --
E rior Elec. Trim; G.F.I. Receptacle -Underground
86.
entilat ion Throughout House
ass Prot_e_ction--------------------_
Correctio from Previous In
spe ns
�
-----------------
st-Meters Tagged; lectri
-- --------------------
ater & Sewer Connecte Grade -HD Approval
ergy Compliance Certific e:Other Certificates-
Date - -.� and B-1 Date Card B-1
-i.�r------- - ---------- -
Date �� q'd Card B-1 U L3 Date Card B-1 -
Date Card B-1 Date Card B-1
Comments at Final
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7- County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMI N ��
ASSESSOR PARCEL NUMBER
ARA -402-004
ZONING
A R
BUILDING PERMIT
OWNER PAULA MORALES
TELEPHONE
SO. FT. OCC. BUILDING VAL ATION
1314 R 62,13d
OWNER'S MAILING ADDRESS
1362 MARTIN ST CHICO
255 M 4,590
CDNTRACTDWESTERN SIERRA CONST
T343HLEP8384 ONE
60 C 780
CONTRACTOR'S MAILING ADDRESS
3311 NORD AVE CHICO
Fireplace tr tt 1,500
CONSTRUCTION ION LE
SAVINGS CHICO
UNKNOWN
Total Valuation $
69,000
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ 340.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $ 170.00
Energy Plan Checking Fee $ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING A1362 DRESSMARTIN ST CHICO
Permit tee $ 535.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap 0
1 2.00 18,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME __[PARCEL
MAP
Water piping
5.00 5 -on I
Each pas water heater or vent
5.00 9-00
USE OF STRUCTURE
SF LXX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 nn
Mobile Home S I G I W
-00ea
TYPE OF WORK
New EX Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: 3 BDRM _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00
in -nn I
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions C de my license is in full rce and effect.
License No. � l Classification.
I, as the owner, or my employees with wages as their sole compen-
El 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
LINOCCUP.8i)
aR ADDNST C DWEACCLSLOGS. I
yzQsgft
NEW CONSTR ULT'.OUT LET
NO N.RES'D BRANCH CIRC ITS
2.50 ea
POWER APPARATUS .&)
SINGLE OUTLET CIR.
/
Ex. OCCup\OUTLETS OR FIXTURES
eALoao
5AL030
Ex. OCCUp. OUTLETS FIXED P(RESID )R
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �yirin 9
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 CertificateCoolin9
of Consent to Self -Insure.
IC7• 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
J provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating DUAL PACK
6.00
21 TON
2
6.00
Hood
3.00 3.00
Ventilation
permit Fee
$ 25,00
Contractor
t
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
1 to building construction, and hereby authorize representatives of the County of
Ik Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemni and keep harmless the County of Butte against
all liabilities, judgments, ts, and expenses which may in any way accrue
against sai ounty ' co quence of the granting of this permit.
X e Date
Signature of ApplicXOwner ❑ Contractor ❑ Agent ❑
An OSHA permit ired for excavations over 5'i)" dee and demolition or construct-
ion of structures ovories in height.
Mobile Home Installation Fee $ 30.00
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FE $ 695.10
E
E
r,Az.
Vf
cuA
PARK L
FLD
PA
PD
I HD,
t/
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 aid.
p
DIRECTO F PUBLIC WORKS
By _Date
PE14616 EXPIRES Date ��G-- ���
�i
Receipt No. ! 7�� ��
WHITE-D.P.W., YELLOW -ASSESSOR, NK -INSPECTOR, GOLD ROD -APPLICANT 61
rn_NwiF"�� ] •�'�' Fc.. ..��- 7'waif[ �'��t�� .,�'7iFe".?,: �-
COUNTY OF BUTTE - DE1?AR1 MENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE`-,OROVILL'E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
z %_ 14 ) _ � Permit No.
OWNER �yUU �i`Tl � A. P. No. /"- "•� ��Z-CY�/
Proposed Building Use a *� Building Inspector C) Date % .?
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 ..........................................
rgy Design Compliance and supporting documentation ..........
e nt of Intent for Non -Heated and AC Buildings ..............
gineered truss details and layout in duplicate (req�ited-prior to plan check)
Mobilehome installation data includin manufiact tis -installation
instructions »+ .... ...
10. Fees of $AIIA-
11. Chico Urban Area fees paid 0,014C:� /l? ......... . ... . . .
Park fees paid ...................................
� h ('C lJ School District fees paid ............ .
V15.4.
Sanitation approval from 14 cc en Health Department
. 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: ......
Z 18. Improvements may be required. Contact Land Development Section DPW
19. 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 ...
k425
. Certificate of Workmans Compensation Insurance ..................
. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ...................................
Telephone 3`/ 3—tY36PC/ and hold for pickup at 00�6 office.
Other
Applicant
Mai I to contractor.
_Deliver w/inspector.
Date_7-26
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.subm.ittedforto ermit iss
1. Index permit for above items No.
2., Additional items required:
e ne\v. iteNnot g ecked a ve).
igner, owner, was advised of above required data by _k'phone_mail_co
, designer, owner, was advised of above required data by—phone—mall
Plans checked by
�5ets of plans on hold in
Copy—DPW
Plans approved by
File cabinet AP folder
date P /
to �J `
TO Buildina Departmentµ _
FROM:--- 'Environmental Health
SUBJECT: Sanitation Clearance
_..T),;:�Ca 0 on_i� ____ 1 11(02 fYh�
Owner Location
.Plan Approved for. t Sewaqe D+sposal
Fold final for:
R
Final clearance O.R. for:
Clearance for � bedroom home. Other
-(-10--2--
Water Supply
Water Supply
Water Supply
NOTE ***
r 5
Sanita ian Date
,�, _,,.. ... , .. ,,...,.. ..... , -,,,., ,,,, ."' n' 'r�rw,•^��.Wa1,R'i�v�f 'trM*' .':,'T3 ;�S'l,Ji Y � 1rx►rr^(�`n•°410')4.. .7.-,s+•� _•r..
• r
BUTTE COUNTY PARRS DEVfWPMENT:FER CERTIFICATION FORM
CHICO AREA RECREATION.AND'•PARK DISTRICT
Assessor ParcelN ber (s) �� 05 " llV�
Property4;Owner //T �.
Project Location/Address �� /fel f ,/y ,�T • C� f
Subdivision Lot Number(s)
' s
Residential Development: (check one)
New Development _Alteration/Addition _Mobilehome(s) _Non -Residential
to Residential
Total Number of Dwelling Units '
Comment:
• I,x
Buil ing De a tment Representative ate
Chico Area Recreation and Park District(CARD)„certifies that
�`• (Applicant Name) ter” (Phone Number)
A)(t Cft
(Street Address)
e LC_L CA asclaRl
(City). (State) (Zip Code)
has complied with the requirements of Butte Co. Resolution No. 90-140 by
payment for dwelling units @ $1,189 for total payment of $
CARD Representative
PAID BY CHECK NO.
BANK NO.
PAID BY CASH
RECEIPT N0.
Date n
REMARKS:
Co F SJ `�-r�o+J q - QR l
Distribution: White --Applicant
Pink --CARD
park.fee (form revised 11/90)"",,,
Yellow --Butte Co. Building Dept.
Goldenrod --City of Chico Building Dept.
r
E
AE ,
1
L '
.NOT COMPARM WITH
` CJRIGINAL DOCIINAENT
91'037013
21
SEP � � .g 1991
Return to DPW
AGRICULTURAL STATF*IFPdT. OF ACF,d0I.'LEDCEMEr7
FOR R.ESIDEI,TL'�L DEVELOPIfE�'T
Section 26-8.1of the Butte Count Code
be recorded y requires this acl:nocoledgement
prior to issuance of a building permit.
The property described herein is adjacent to land or included
Within an area zoned for agricultural
this ro property purposes, and residents of
P P ty may be subject to inconveniences or discomfort arising
from the use of agricultural chemicals
Pesticides, and fertilizers; including, but not limited to herbicides',
but not limited to cultivation,
pursuit of agricultural operations including,
sionally generate dust,. smoke, noise g' spraying' prunin
tural zones i.• , and odor, g� and harvesting which occa-
h1ch haves'
a Butte County has established agricul-
residents within said zones priorityand on use for
reproductive agricultural d b
inconvenience or discomfort from normal eprep purposes, and
e prepared to accept such
necessary farm operations. _
All that real property situate in the County of Butte, State of
described as fO1lo1os:
California,
LOT 6 AND THE SOUTH HALF OF IAT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED
WOOD BLOCK", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE, 110.
B.
13.
OF BUTTE, STATE OF CALIFORNIA, ON MARCH 14, 1910, IN BOOK 6 OF MAPS, AT PAGE(S)
Date: AUGUST 7., 1991
State of CALIFORNIA
County of BUTTE ) SS
..••...s•a..•...v....e..n.........•.••.......
•OFFICIAL SEAL
QOAI_D l.. MU! -KEY
5i
NOTARY PUBLIC -- f_A! IFCRNIA
• "`t. 'i� '.J PRINCIPAL OFFICE. IIV
a BUTTE COUN'rY
My Commission Expires October 16, 1991
....................
lam- 67-, ---/0 0ey
PROPERTY OWNERS:
On AUGUST 12, 1991
the undersigned • before me,
for said a Notary Public in and
State ppersonal) appeared
PAULA _�'IORALEZ AND !KANCTEE A !vlO
personally known to me (or proved to me
on the basis of satisfactory evidence) to
be the person(s) whose name(s)
scribed to the within is/are sub-
scribed
to me that instrument and ack-
the same, he/she/they executed
WI TNTESS mL1)"11'L1,,c'p' n"f,/ oficial seal.
Signature�' ;
(I .
"yf'�' . ... ✓.�• * - V Pr7;r., f-tr.r , ^•.K.rs;+.�• �_.� �� !r:V, :./ ii :. .nar, w�-.. ... .. . r,ai•'•-•-:r J
BUTTE COUNTY SCHOOLS DSVELOpMENT FEE CERTIFICATION FORM
�.! (One Form. per. Building)
005- �oZ-cby
A.P. Number Building Department No.
School District iCO City n County Jurisdiction
Property Owner
` Project Location/Address �;3% /0/w4 5 7f- ch
+L Subdivision Lot Number
Residential Development:
Sq. Footage
# of iving MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
t New Addition (Including Exterior
Roofed Areas)
Buil ing.Dep rtment Representative Dfate
wh
•r. •..*****fir**fir*#*�Ir**•kik**********�r**,k**********************�t*************
'(Floor Plans reviewed by School District Personnel)
�f
District Id No
VUSchool District certifies that
9
t* (Applicant Name) r - (Phone Number)
�31�1 � Q1J� _ •� w•
4 (Street Address)
(City) (State) (Zip Code)
//
.,' has complied with the requirements of Resolution No. L�
/ oZ
r. by the payme of .$ [�C�� 9� representing square feet. ��
3�r, .3 V ✓
Sc o 1 Di ri Representative Date
PAID BY CHECK NO.
BANK NO 9
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
v _
ri5. f. I
91-037013
Recorded
Official Records
County of
Butte
Candace J. Grubbs
R d
c'
I Rec Fee 5.00
1 Check 5.00
I
I
I
I
I
i ecor er
9: 57am 6 -Sep -91 14 XX 1 �.
Return to DPW - —
AGRICULTURAL STATC'1TIIT OF AC hidOt;LEDCI'P1EP:T
FOR RESIDL•I:TI1�L DEVELOI'1`1L;�''r ,.
Section 26-8.1of the Butte County Code requires this acknox•7ledgement
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort arising -
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plotaing, spraying, --pruning, and harvesting which occa-
sionally 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 follo,
ws:
LOT 6 AND THE SOUTH HALF OF LOT 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "0. B.
WOOD BLOCK", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON MARCH 14, 1910, IN BOOK 6 OF !MAPS, AT PAGE(S)
13.
Date: AUGUST 7, 1991
State of CALIFORNIA )
County of BUTTE ) SS
...........................................4
OFFICIAL SEAL
DONALD L. MULKEY
NOTARY PUBLIC - CALIFORNIA :
PRINCIPAL OFFICE IN
BUTTE COUNTY
My Commission Expires October 16, 1991
:. ...........................................
1 -
PROPERTY OWNERS:
On AUGUST 12, 1991 before me,
the undersigned, a Notary Public in and
for said State, personally �a peared
PAULA MORALEZ AND MANUELA MCRALET
fFA
personally known to me (or proved to me
on the basis of satisfactory evidence) to
be the person ('s) whose name (s) is/are sub-
scribed to the within instrument and ack-
nowledged to me that he/she/they executed
the same.
WIMZ'ESS my/ hjand ani o_ificial seal.
Signature
EN® OF
. . rs: _ .• ,',i. "'�s 'A • `': _ y Y'< :. -. ,�.,_,w,.,�, T„'�
Sv--$@UNTY OF BUTTE= DEPARTMENT OF PUBLIC WORKS PERMIT NO,
7 County Center Drive - Orovlller California 95885;- Telephone: 918/538.7541 �� r
F- APPLICATION AWO—PERMIT'
A33ESSOR PARCELNUMBER
5-402_04
ZONING
AR
BUILDING PERMIT
OWNER -
PAULA MORALES
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1362 MARTIN ST CHICO
CONTRACTOR'S NAME
STEVE DEAL MOND
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
3311 NORD AVE CHICO
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 37.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan,Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1362 MARTIN ST CHICO
Permit fee
$ 97 c;n
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF N( Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New Addition ❑u_Remmoodel Utilities❑ Installation[]Other
HOUSP
Describe work: DEW_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2,50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 'Zt 3''-S Classification. 09eAL030
"
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST,( DWELLING OCCUP.8j
OR ADONS. ACC. BLOGS.
C`ONSTR
, /20sgft
NEW ULT'.OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS e
(POWER
OUTLET CIR. )
Ex. OCCup(OUTLETS OR FIXTURES
20®50S
S PR
Ex. Occup. OUTETS (RESID. ) E A.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ Ishall 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
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 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.
1 also agree to save, indemnify and keepharmless the Count of Butte against
g y y g
all liabilities judgments, cost and expenses which may in any way accrue
against sai �ynty in c rise nce of the granting of this permit.
X U Date 7"'�di• "Q�
Signature of Applicant — 0 ner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
-
27.50
Hl
CUA
PARK
SCHL
FLD
CDF
PAR
PD
j HD.
SU
This permit is hereby issued unoer the applicable provi-
sions of the Butte County -Code and/or resolutions to do
work indicated above for which fees have been paid.
E =BLIC WORKS
7�
DateHITE-D.P.W..
PERMIT EXPIRES Date / -Za_ �Z__
eceiptNo.By
FYELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTWEAF PUBLIC WORKS
7 County Center Drive - Orovllle, Californla 95965 - Telephone: 916/538-7541
APPLICAT.IP19 AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER it
5-402-04
ZONING
AR
BUILDING PERMIT
OWNER
PAULA MORALES
TELEPHONE
SQA FT. OCC. BUILDING VALUATION
' 1000
OWNER'S MAILING ADDRESS
1362 MARTIN ST CHICO
CONTRACTOR'S NAME
STEVE DEADMOND
TELEPHONE
343-8184
CONTRACTOR'S MAILING ADDRESS
3311 NORD AVE CHICO
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
9
$ 10.00
Permit Fee
$
50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1362 MARTIN ST CHICO
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping -
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ff]( Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: DEMO HOUSE
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. `?��- Classification.
❑ as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM
New DCONS. ( A
, �zQsgft
ULTBI OUTLOGS LET
NON.R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e\
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20®50t
8AL930
Ex. Occup. OUTLETS ED P(RESID )REA./
2.00
Temporary service
10.00
Mobile Home Facilities
15.00Misc.
Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ Ishall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed.revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities dgments, cost and expenses which may in any way accrue
,
against sail-'Cogfity Inc ns e nce of the granting of this permit.
%� Date 7—,7&'�
Signature of Applicant — 0 ner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
27.50
TOTAL FEE $
HAz.
CUA
I PARK
SCHL
I FLo
I CDF
PAR
PD
I Ho.
I JLSu
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
I E PUBLIC WORKS
By. Date
PERMIT EXPIRES Date -Z
�7
Receipt No. q (2 97 — .2 ! sem_
WHITE-O.P.W.. YELLOW-ASS&3SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
0
BUII,DLNG SHELL INSULAUUri
Couhponerlt
Insulation
Lomiionle;,tttraezts
Tye
R -Value
(attic, :a garage. =i- eta)
project Title //�1w, �.,.�,
Z.-/
Wall ..............
"�IrQ
LM�
BUdd,n P it r
project Addren u
Floor...... ..
Floor .............
CheckA By /.Daus
Documentation Author
Te/ephorw
Fstfoice ne t Agency Use only
S
BUILDING DATA
t
North
G p % G '
.S
Conditioned Floor Area / 314
Number of Stdriei '
East
2 .3
t
: Slabfi aired floor
Number of Units
South
Single Family Detached (SFD)
[ ] Addition Alone
West
7•
(] Single Family Attached (SFA)
[ ] Existing Building
Skylight
Total
[ ] Multi -Family (r'¢)
[ ] • Existing-Pius-Addidon
BUII,DLNG SHELL INSULAUUri
Couhponerlt
Insulation
Lomiionle;,tttraezts
Tye
R -Value
(attic, :a garage. =i- eta)
Wall ..............
Wall ..............
Roof .............
Roof .............
Floor...... ..
Floor .............
Slab F Age.....
GLAZING
Shading Bevies
Gl?_zin g
Area
Glass Type Interior Euerior Overt=g Framing Type
Orientation
(St)
(sin double) (roller blind etc.) (shadescreen, etc.) eshlo) (Meuvwood)
Norah ( )
Norah
East ( )
' East
South
Sou ch ( )
:• West ( )
West
Skyli ghL......
,
THERMAL MASS
Type; Covering
Area Thickness
or Mandatory Measures Checklist: Residential MF -1R
NoTT. 1.owrtse recsidataal buuldengs nnbiesa to the 5enmrds mug cauain Woe ==WA a mVwdletts of the comprise¢
app,sacn used Items martin vnut an asterut (-) may be woomaw by useee aauttot eomoi— roquraeare f ew
on tine Ccmrfioee n( Compttmeoe- whm tors .w.r• gust is ireorporared into are perw t dotvmoyl& u)e Cesium nemdAOR
t be cowoeaed by all panes as brdint mm -am component performance spoof • menet for the mtandaiserp esee>sue
-� �nnl+o trey seer shore tlscwruoe N titer doornatu err m this carecl<lid taly..
DFSC1t1MON I DESIGM El KWCXM8fr
duildint Envelope Measures
• 42.3332(3): Mimmumeetting msuiauon R-19 waghted swage.
42.5352(b) loose fill insulunon ff"tadaeturet's labeled R-V3hee
• 42.5352(ct Minemm wart insutaoon in lamed waits R-11 waghtrd average (does not apply to
exterior mass s+aUsl
;2.5352(k): Slab edge insulation - .war absoretim rue no greater than 0.3%. waa
uansmusion rate ro parr than 2.0 pcenVineh.
;2.5311: lnuWattm spe rerwd or installed mcets Ca i(ania Eitertr Commission (CFiC) qudily
standuds. Indicate type and Corm.
2.5352((1 Vapor bung mandatory in Climate Zeta 14 and 16 only.
42.5317: Inft►trauorvps fil tnoa+ Controls
a. Doors and wuwo.•s boween cormuceoned and unconditioned spetca designed to limit sit
leakage.
b. Doors arowindc.secru fied.
e Doors and vrudovn wutenmippeet &a joints aM pe nco=orts caulked and sealed
42.5352(e), Spaal mfdamuon barrier --Ilea to enmpiy vial 42-5351 amu CEC quality
elanaaras.
12-5352(d): I+sollation of Fmtpeaces
1. Masontry and factory-btutt fierpt3as have
L Ttgret fitmng. Closeable men) or glass door
b. Dutsde aer make vrth damper and tonere)
C. Ate oamoer and conaoa
2. No emoneson ourtung gas pelage Mowed Y }
HVAC sad Plumbing Systes Measures
42-5352(1) and .-5303: Spacc conditioning egsipnrtat sizing: amch ealulatiotts.
42.5352(b) and 2-5315: Setbwk thrnnessm en aU spOiabfe heatint syaans.
-_42-5316(a): Ducts constructed. insnllyd and inmwawd per Chapter l0. 1976 UMC
12.5316(b): exhauasystems have dampercomemiz.
12-5314(e): Gas.frw space hating equip err ha meamitsatt ignition deriea.
12-5314: NV AC egtopment water hates, showohcads and raueeas entified by the CEC
12.5352(ik wale hater insulation btanka (R-12 or Vtaux) or combined interioome for I
insulaum (R-16 a pcu=r fust 5 (m o(pipu ctmeg io tank insulated (R-3 or grater).
i42.5312(Eaccption rr Pipe inwAatim om secam and steam condensaee return do n=ireulating
prpnnr.
i ;2-5319(d): Swintmmg Pool Heating
I 1. System has
a. 0"(( switch on hate. ... _
' b. wamerpod insovown plate on hate.
c Plumbw to show for sotar.
2. 75 per=[ tnemnal dracc icy.
3. Poot ewes.
4. itmc Cltr.L
5. Ducuomj .rater mFet
t Uthtint and Appliance Asemures
ie 42-53520 Ughung - 25 Itamcnshrau or grater (or general lighting in kicheres and badvaornt
i i2.5314(c): Gas fund appmmcs c*ppd with intermittent ignition devices
42.5314(a): Rdrigerarors. refrigerator -(recurs. Inas and nuoroeat lamp ballasts certified
by the CEC lredtate male aed model acme a.
r
HVAC SYSTEMS hfinimutn Duct
Type ([zones, air Efficiency Location Duct -Output Manufacturer /Model #
conditioner. het DUMD) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or auproved equal)
Maximum Fumace Heating Output: BtuhBV-�� C
HOT WATER SYSTEMS •res , _ Manufacturar/Model # ���'E
Svstem T (s res a as. etc.) Capacity ora proved equal)thrieefs� j
T-1 CNN �711
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
r
COWLIANCE STATE1W32qT
This eutifhc = of compliance lists the bolding features and performance specifications needed to comply with
Tide 24, Chapter 2-53 and Title 20. (lmtrur 2. SubCba7et 4. Article 1 of the California Adminisuative code. this
certificate has been signed by the indiviaual with overall design taponsibil'tty and the building owner. who shall
:train a copy of it and transmit the arrifcafe w arty subsequ= purcimser of the building.
Di signer Building Owner
Name Name:
Addm= Addev=
Tck hone Telephone
L ic.
(ssgnaGAM) (date) ( !puha.) (date)
Documentation Author
Narn�
Addrea:
Enfor7A ent Agency
Nuns
Atarry:
J
1. Ceiling
2- Wall Insulation
Floor Insulation
Numoer or stones
Single-
Fl -value
One
Two
Three
R-0
-103
-49
32
R-19
-8
.4
.2
R30
.2
.1
.1
R38
0
0
0
U-vaiun
4. Slab Fdge Insuhtion
•' ___. __ 0.80 • --- --153 _
0._0
.176
-84
-S4
0.20
.102
-49
32
0.10
-26
.13
-8
0.08
-18
.9
-6 .
Us
-11
•5
.4
0.04
.4
.2
.1
O.C2
4
2
1
O.CO
11
5
3
2- Wall Insulation
Floor Insulation
i
Single-
Single.
R•value
Famtty
Famtiy
MultF
R -value Oeta=ed
A= -:ed
Famtiy
R-0 -68
-51
-:4
R-11 0
0
0
R -t3 2
2
1
R-30
3 1
U-vaiue
- U -value ..
4. Slab Fdge Insuhtion
•' ___. __ 0.80 • --- --153 _
.- _-•-t 14 - _ ---i 6
' - 0.50 31
-68
16
0.50
.36
-24
0.10 0
0
0
0.08 4
3
2
:O.C6 9
7
5
0.04 14
-17 -8
7
j 0.02 9
-11 -6
10
O.Co :4
'3
12
3. Raised
Floor Insulation
-ts
Number of stories
Insolation in Floor
R•value
One
Number of stories
Three
R-vaiue
One Two
Th"
R-0
. -17 -8
•S
R-11
3 .2
-1
R-19
0 0
0
R-30
3 1
U-vaiue
•2
4. Slab Fdge Insuhtion
3 5
-"
.41 to
-•-_0.60.
-144 .70
R -value
0.50
-120 •SA
38
0.40
-95 -i6
0
0.30
_U
-22
0.20
-3 .21
-14
0.10
-17 -8
-S
0.08
-11 -6
-4
0.06
-6 -3
_2
0.C4
.1 0
0
0.02
4 2
1
O.CO
10 5
3
Controlled Ventilation Crawispace
Sgeancaoon
-ts
Number of stories
Points
R•value
One
Two
Three
R-0
-11
-7
-S
R-5
-4
-4
3
R-11
.2
.2
.2
R-19
.-1
.2
•2
4. Slab Fdge Insuhtion
3 5
-"
.41 to
Number of Stones
Guts
R -value
one
Two
Three
' R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2'=mr
.14
3
8
0.90
=t
3
.1
0.60
-1
•1
0
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.40
12
8
4
S.Infiltratioo (Air Leaka;e
7..Shading (Shade Open)
Flrecu're Percatt Class
(Percent Liam x SC)
Elet ve
Sgeancaoon
-ts
-69
Points
Glass
Norm
Standard
: west
Skylight
18
0
1 4
6. Gnus Heat Loss
na
16
_ - 4--.2- 5
Total
na
14
4
2 5
U-valus
na
Percent
3
3 5
.51 b
.41 to
.31 to 0.30 or
Guts
Single
Ooubie
.EO
M
.40
less
50
•121
•53
39
.24
.10
4
40
-90
37
-26
.14
3
8
3s
-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
=6
-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
v4
.7
-2
t
10
is
20
31
-6
0
5
10
16
19
-29
d
1
6
11
16
13
13
3
2
- 7
12
16
17
-23
.1
3
8
12
17
16
-20
0
4
9
13
17
:..15
-,.7
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
it
15
18
12
-9
0
9
12
15
19
11
3
14
10
13
16
19
10
3
9
11
14
17
19
9
.1
10
13
15
17
20
8
2
12
14
16
�is
f2• -
7..Shading (Shade Open)
Flrecu're Percatt Class
(Percent Liam x SC)
Elet ve
-14
-ts
-69
Raised Floor
Glass
Norm
East South
: west
Skylight
18
5
1 4
1
na
16
_ - 4--.2- 5
_'I ., .
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--a- -
_2__- 3
1
3
o
0
1 -2
1
3
2
0
0 1
0
3
1
.1
.1 -1
-t
2
0
.1
215
1-
1
na - not allowed
4
Q�
?
3. Shading (Shade Closed)
Effective Paemt Class
. (PC c t pttam x SC)
Effectin
6 N" East South wen uyfigm
18
-14
-ts
-69
Raised Floor
na
16
-12
-42
-59
-S5
na
14
-10
35
-50
-L6
na
12
-8
.29
40
•37
na
11
-7
-26
4A
33
na
to
•6
.23
31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
.17
.23
•21.
-56
7
.4
-14
-19
718
.47
6
3
-it
.15
.14
38
5
•2
-9
-11
-i0
M
4
i
o
-9
.7
•23
3
5
1.5
,:-
-1
.16
4
1
12
ZO
.t
•9
0.30
215
1-
1
1
4
Q�
?
3
s
3
0
nn . not elk -ad
-29
-24
8
8
9. Interior Thermal Mass
Interior
N D. r L O R
Slab Floor
Sum di -6
Raised Floor
mass
FamIll,
Saxes
uass
Dealc ad
Stories
Family
iCFA
One
Two Three
One
Two
Three
0.0
-8
•5
.4
.2
-1
-1
0.t
-8
A
-3
.1.
0
.0
0.3
•7
•4
.2
0
1
1
U
-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
ZO
+5
+15 more
0.30
215
6
7
Z5
0
38
5
7
7
8
-39
-34
-29
-24
8
8
9
t6
35
2
4
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
65
6
9
10
12
13
13
7.0
6
9
11
13
13
14
75
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
i3
14
15
10. Exterior Wall 'Thermal Mass
EWA
N D. r L O R
Sugle.
Sum di -6
Cooling
Fsivis..
FamIll,
Multi
uass
Dealc ad
Att Iched
Family
0.00
0
0
0
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
1.220
13
12
8'
1.40
12
13
9
1.60
10
13
11.. .
1.80
10
12
12
ZCO
10
11
13
11. Heating System
SE tar HSPF
(asutses duds is &Wc)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 _' 4 3 2 2
'i�4
N D. r L O R
AREA
Sum di -6
Cooling
SYst-:m
One
•25 or -24 to -14 to
-4 to
+6 to
16 or
SE
HSPF
less
-i5
-5
+5
+15
mon
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
035
8.71
20
18
15
13
11
8
10.0
4
Effective SE or HSPF
2
2
(SE or HSPF x duck etTiciency)
10.5
Effec:ive -25 tar -24 to -14 to
-4 to
+610 16 or
SE
HSPF less
-15
-5
+5
+15 more
0.30
215
-73
34
-56
-47
38
„0
na
341
-4s
-39
-34
-29
-24
•18
0.40
3.67
-34
-30
-26
•22
-18
-14
0.50
4.58
-10
A
3
-7
-5
-4
0.56
5.13
0
0
0
0
0
0
0.60
5.:0
5
5
4
3
3
2
0.70
6.42
17
15
13
11
9
7
0.80
7.33
25
22
19
X16
13
10
0.90
8.25
32
28
24
c0
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
'i�4
N D. r L O R
AREA
Cooling
SYst-:m
One
•5
-t
Z
3
SEER
•2
Two +
3
3
., 2
(&=met ducts
to attic)
1
-
Detached and
£tad 7-10
Type (SG1
�t.-.uc•..n
I Unit Size (sq
.25 or .2410 0-14 b
-4 b
+6 to
i6 or
SEER
.ln,t
-15 t -6
+5
+15
mors
8.0
.i4
.12 . -10
-8
-6
.4
8.5
g
.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
12.0
15
13 11
9
7
5
13.0
.1
17 1 14
12
9
6
0.6
HWR
ESed" SEER
42
•9
-7
(SEER xied efficiency)
2.1
WS3
-25
.%,n d 7-10
-12
•i0"
4
Edecdve-25 or -24 to -i4 to
-4 b .
+6 to
16 or
SEER
iris
.15 S
+5
+15
mors
5.0
JO
•25 -21
-17
-13
-9
6.0
-12
-11 -9
-7
3
-1
6.6
-5
-4 -4
3
-2
-2 .
7.0
0
0 0
0
0
0
8.0
3
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
1 ZO
°0
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Coatroi adjustment
10 8 7 A. 4 3
No Cooling System Installed
-.Stories
N D. r L O R
AREA
One
•5
-t
Z
3
-2
•2
Two +
3
3
., 2
1
2
1
Single-FamQy
Detached and
Attached
Type (SG1
�t.-.uc•..n
I Unit Size (sq
Water
:199
12M
1700
2200
2700
Heater
t hit
or -
b
to
to
or
Type
Type
fess
16%
2199
2699
mon
SG
None
0. 0
0.
0
0
or
Solar
12
' i d
6
5
4
HP
HVIR
8
5
4
3
3
WS3
5
3
3
2
2
-
POU
8
5
4
3
3
SE
None
37
-24
.18
-15
-t2
Sonar
.1
.1
.1
0
0
0.6
HWR
-18
42
•9
-7
-6
2.1
WS3
-25
-16
-12
•i0"
4
16
Pa
-18
_42
-9
-7
-6
iG
None
-5
.3
-2
.2
-2
1.2
Solar
7
5
•4
3
2
Z7
POU
3
2
1
1
1
IE
None
28
•19
-74
.11
.9
0.3
Solar
8
5
a
3
3
1.8
POU
-tis
Z4
.5
s
3
13
Multi-Fately (individual
units)
19
4.1
43
4.3
Urtit Size (sq
5
Water
Heater
Creditor
699
700
1200
1700
2200
Type
TYM
iese
to
1199
m
1699
b
2194
or
mors
SG
None
0
0
0
0
0
or
Sonar
14
7
5
4
3.
HP
vS8 WR
9
5
3
2
2
11
Z2
9
4
3
2
2
14
POU
9
5
3
2
f2• -
SE
None
y5
-23
-15•9
W% �03
1.1
Solar
2
1
1
0
0
123
Ws8.23
3
.12
-8
3i
-5'
4
P_QU
-25
.13
8
-6
.5
SS
5.7
23
_z12
d
•6
.5
IG
None
Sc7ar
d
-4
-3
.2
.2
12
POU
6
1
3
0
2
0
1
0
1
0
r,
Nate
_Co
_;S
-70
-a
o
60%
FOU
a
1
5
s
2
2I
29
31
3]
15
38
.
Interior Mass/CFA
..,.� ! lust
N D. r L O R
AREA
.72-, x
_
SE at HSPF
Dua Efficimry [0.781
Effeciave SE or
[O. 6-A
1�10-W5. lsl
�• X
= t
SEZt9S1
Duo Efric,=cy (0.741
FSfoeuvs SEM 7171 1
Type (SG1
�t.-.uc•..n
t TPC 1 PASS
MAC b 4-2. t.. .*eoa.d .amt
076
5%
to%
15%
2076
2S%
30%
35%
4076
4S7.
507E
55%
607E
Oft
707x.
75%
80%
45%
90%
95%
'Myo 105y'110%
-
115%
120% 1
076
0
02
0.4
0.6
0.8
1.1
L!
1S
1.7
1.9
2.1
23
25
27
29
12
14
16
18
4
42
44
A.6
S
toy.
a2
04
06
0.6
1
1.2
1.4
1.6
1.1
it
ZZ
ZS
Z7
Z9
11
as
3s
17
4
42
44
4 5
7.6-
.4.6
S
s 2
20%
0.3
66
0.8
1
1.2
1.4
1A
1.8
I Z
12
Z4
ZT
21
11
13
15
17
19
4.1
43
4.3
4.8
5
52
5.4
30%
IS
0.7
0.9
1.1
1.4
1.6
1.!
2
u
Z4
Z5
Z8
3
u
3S
l7
39
4.1
4.3
4.5
4.7
49
It
5.3
SS '
40%
0.7
09
1.1
12
1.5
1.7
11
Z2
24
2.6
21
3
12
14
16
19
4
43
4.5
4.1
49
5.1
5.3
SS
5.7 7
W% �03
1.1
1J
1.5
1.7
12
21
Z]
123
27
3
3.2
34
3i
12
4
42
4.4
4.6
46
Sl
5.3
SS
5.7
i9 f
SS%
0.9
1.1
1.4
1.6
1.8
2
22
Z8
3
12
SS
17
19
li
4J
4.3
4.7
4.9
S.1
53
56
5.8
6 f
60%
t ''1YT.a
t.7
t.9
21
2]
2
2I
29
31
3]
15
38
4
42
44
4.6
4.8
S
52
5.4
56
3.9
61 f
65%
1.1
t U
1.5
1.7
1.9
22
24
Z6
3
12
24
36
18
4
4.]
4S
4.7
4.9
U
53
55
S.7
5.9
61 f
70%
12
1.4
`1S
1.6
1.8
2
Z2
ZS
27
29
11
13
25
17
39
U
4.3
46
46
S
5.2
14
55
58
6
62 f
75%
U
1.1
1.1
If
23
IS
Z7
3
32
3A
l6
18
4
42
l4
4.6
48
5.1
S3
ss
-56
5.7
19
6.1
6.3 F
607:
1.4
1.6
1.1
2
22
24
26
28
3
33
IS
17
19
41
43
4S
4.7
49
5.1
54
5.8
6
62
64 t
95%
1.4
1.7
1-9
it
1]
IS
IT
29
2.1
33
33
16
4
4.2
4.4
46
4.6
S
52
54
59
S 9
6.1
63
65 f
97R-'
1.5
V
2
Z2
24
26
Z6
3
22
24
36
It
4.1
42
4.5
4.7
Al
it
53
55
17
S.9
62
64
66 t
95%
1.6
tS
2
Z2
IS
IT
2.9
It
33
15
17
11
41
43
4.5
46
5
12
5.4
S.6
16
6
6.2
6.4
6.7 f
1007:
1.7
is
21
2s
IS
28
3
32
3A
38
38
4
42
44
46
V
SI
S.3
IS
it
5.1
6.1
8.3
6S
6.7 1
105%
1.8
2
22
24
Z6
28
3
13
33
17
19
4.1
4.3
4s
47
4.9
11
5.4
SS
IS
6
6.2
6.4
So
CS 1
i toy.
1.9
Zt
Z3
IS
21
19
31
13
36
3 8
4
42
44
4.5
4.8
S
52
14
5.7
5.9
6.1
6.3
6.5
6.7
69 1
115%
2
12
Z4
Z6
26
3
12
14
38
1
4.1
4.3
45
4.7
4.9
S.1
13
IS
5.7
SA
6.2
6.4
t6
6.1
7 7
120%
2
Z]
Z5
17
29
3.1
33
3S
37
39
4.1
44
4.6
4.8
S
52
5.4
14
54
6
62
[S
6.7
6.9
7.1 7
125%
21
2.3
25
Z8
3
12
34
36
38
4
4.2
44
4.6
41
ii
u
IS
S7
S9
6.1
6.3
63
V
7
7.2 ,7
Point System Summary: CIimate Zone 11
SCORE CARD
Measures Point Scores
1. Ceiling Insulation 9-30 or - Z
R -valve 1381 U -value (0.0301
2- Wall Insulation • /3 or
R-value(Ill U-vaiue(o.0981 _
- 3. Raised Floor insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Lass
7. Shading (Shade Open)
or
R-vaine(191 U -value (0.0371
or
R -value (01 F2 factor 10.771
Standard
Type idooble( U -f W % Tool Glass E 16
0
*��
Sum 1<
wo G S ElfYlassil
a. North 3 , x M _ `;-.96_
b. East x = _�
c. South x = 3 • t 3
d. west S X
e. Slcyli ght �_ x =
8. Shading (Shade Closed)
a. North
b. East
c. South
d. • West
e. Skyli gilt
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
T lass
) x
Ja X
X
x
X
In== Fu_uCFA
Ef, Glass
= 2• �_
_
TYPE 1 MASS AREA t
COND. FLOOR AREA I
TYPE 2 MASS AREA _ Ab 14
Extent Wad Mau
N D. r L O R
AREA
.72-, x
_
SE at HSPF
Dua Efficimry [0.781
Effeciave SE or
[O. 6-A
1�10-W5. lsl
�• X
= t
SEZt9S1
Duo Efric,=cy (0.741
FSfoeuvs SEM 7171 1
Type (SG1
Credit (oc"i
Sum
45
I
Pninr Tntal..*