HomeMy WebLinkAbout021-160-028'77AP 21-1'6�__ 28
21'-
ILLIAM-LLOYD DAVENPORT -t:: ;k
-76
V-
,',Ie/s Dewsnup.Rd,,c�jpp. 1700, s/W.
Y
DILLARD,, La�i�`
Libeity Rd, Gridley iei section
E/S4Dews"nup app 700 - 'N in
Permit# 3447-74B with Pete'r"s�on�A' e,',..tA7d1
2,5 t I ; ' �' . , *� ''
rmit,
I
(new s ngle family) Ag ExemRtionPe
f
7176-rsestal arr�' eq�ipment)' -
021-',16-0-028 92- 0 2.6 4
DILLARD, tARRY.,-
__C0.NTR: -.,�64NE-R
100
10,66DEWSNU.F. AVE.;',-'GRJ1
W -[NGLE,�,FA MI
NE S I L:Y�' "'Y
F70 1) 1 -1
- ul-u-UZO ' ` , 93-1384 B
DILLARD
'.'Lar'r
ib6b Dew A d e
SnL�p-,, venue; Gri
(to C'omplete/9:�-264)-
I A4
021-160-028
4 PERMIT#94�1730
DILLARD,, LARRVi"'
0
1060 DEWSNUPAYE., GRIDLEY
'1ST.R.ENEWAL-BP#93;1J84
I
C N
TCOO,
RESIDENTIAL
021-16-0-0 28 ,9-2 -0-2-64
DILLARD, LARRY
CONTR: OWNER
6oDEWSNUP AVE, GRIDLEY
NEW SINGLE FAMILY
OFFICE Co py
Addres
GAS
Meter B
Da
ELECTRIC
Meter
D at
OFFICE Copy
Address
.
S
GAS
Meter By Date
ELECTRIC
Meter By
Date --
JOB FINALED Date
Signature
V =,OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except It's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity: Location-C.learences-Grnd-/ /Amp -Concrete'
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect I
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 Req u ire ments-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/0 to Gracle-HD -Approval
8.. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date , Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
1-4
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK exeept'#'s
1. Zoning Require;7ents-Setbacks-Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beam s- Rftrs.-Co n nectors
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 \ r- .1. . k
1. Setbacks- Easements 71�.
2. -Soils; Compaction-Structure_�tability
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 -Pane I boa rds- 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
V OK
0 Not OK
Not Applicable
Not Ready ' RESIDENTIAL
Date -WM6ERFLOOR (Plans) OK except it's
zoning- etbacks-Easements-Flood-Slope
tZ tg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
L,.f0'qFtg., Garage; Soils-Steel-Elec. Grnd.-� /" Fig. Depth
_�-4. Ftg., Porches & Decks; Soils-SteelogFtg. Depth5--/2.!�,
5. ��walls, Main; Steel-Blockouts-Wrapped
,.e.'sternwalls, Garage; Steel-Blockouts-Wrapped
11-*,�-6a. Hold Downs and Special Anchors
Af_ff6 ; Steel -Wrapped
ff�77-S I
V 8. Piers -Fireplace Ftg.-Steel
Fall -Fitting -Test -2 Way C/0 -Sewer Test
U`��10. gFGas Pipe; Size -Anchors - yard gas piping: size -test
'U11-1 Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
*'-te-+i+ef��ms & Ducts; Clearance -Material -Support- Ins.
je1r--G,,-r0ers-SiIIs-Anchor Bolts -Joists -Vents -Cripples
L,X8"A-ccess & Ventilation
- 16. Insulation A f
Date 4, 4jq -Lljeard B-S;jka Date -0 ard
Date 40"- 1 M MgN�� Date Card B-1
ard B-1
Date '4;���Fermi ).OK except h's
Wa _r Htr.: Vent -Access -Combustion Air -Baffle
- ---------
Wa-- ipe� Test & Anchor -Nail Protection
Test -Fittings & Anchor -Nail Protection
Pan: Test. First Floor -Tub Access
----To�oest Tub & Shower. Second Floor -Tub Access
--- — ----------
%-'21. Gas Pipe: Size & Anchors
— - --------- -------
Date Card B-1 Date Card B- I
Date —Card B-1 Date Card B-1
Date ELECTJNCAL (Permit) OK except ft's
& Transformer Clearance -Ins. Protection
------------
t!f.�ecf.Et!��Ies Spacing -Lights.& Switches at Doors
s�-Boxes-&-No. of Conductors -Stapled
t!jIed Close to Edge of Studs & CJ
- lrj� --- ---- - - ---------------------------
e �Io u., Fastners-Bond Gas & Water
ui
---- - ---------------------------
_,- _ _ _ _ _ _ �2A p p I i�anc e Circuts in Kitchen & Conductor Size/GFI
.1 _�__
------ - - ---------------------- ---------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu
21;9 Rl�anqL Circ.i / ga. Cu or Al -Oven Circ. ga. Cu or Al.
e,�
eujral 0 Yes 0 No
----------------- - -------- - - -------------------
S S
.r ce_�
,36_ ervice-Riser-Conductors-&-.Gro-und-Main- Disconnect -------------
31. Equip. Cleara nces Panels -Moto rs-Mech. Equip.
- '- 6�oset
----------- C��!i;�C`=othes Light -Shower Light -Spa Light
elector
---------------------------------------- - ------ - ----------------------------------
Date Card B- I Date Card B-1
-------------- - ------------------------------ - ------------------------------
Date Card B-1 Date Card B-1
Date MECHANIqAL (Permit) OK except #*s
34,A-c"bucts insulation & Support
------------- ;,., -------------------------------- 7 ---------------------------------
I -
e-55.__yRm--F-an: Exhaust above insulation
- ----------
rain & Overflow: Size & Grade
iinn�a 6
--- -- ------- ---------------- -------
---------- 'P;;53�� ce-;�en�.-Access-Comb. Air -Return - Air Vent - 1 - 1 - 5 - o - ut - le - I .--
,j��3j. 7 ------------------------------------------------------ -------
................. Attic _Access_&_ Platfo_rm_if_Furnance in_Attic ------------------------
--- - ------ - ------------------------------------------------------------ -----------
Date Card B-1 Date Card B-1
---------------------------------------- - --------------------------------------
Date Card B-1 Date Card B-1
Date FRAMTING (Plans) OK except 4's
Proper Material & Anchors
------ ----------------------------- ----------------------------
40. Is St.ds-Nailing. Spacing & Bracing -Plates -Sound
---- - ----- - ----- ------
over G irders & Floor Nailing
, 0�
j&� .1 �(� ----------------------------------------------------
\--4 St in Walls (rat proof)
----------------- ----- -------- --------- ----------------------
� �.FVops� Furred Ceilings -Stairs -Chases -Tub
---------------- -----------
Headers & Beam -Size & Bearing
3ingle & Duplex)
Date ZRAK�UNG'(Continued)
Con'nectors
-Rftr. tibs-Purlin�;;6of�Brac-Truss-Shthng.-Rfng.
%,,r1Fir'epLace,,%es or T�I�A Flue-Firepiace Throat clearance
. . . . . . - Romex Protection -Draft Stop -Ins. Baffles
___A____ --4e 9.1tjc/,Access: Size,&
d
Windows or Exiting Doors -Sill Hgt. & Dimensions
ra Igg e _ Fi re Protection Framing
P erty Line Firewall & Openings
)I -Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
-Headroom-Rise-Run-Landing-Fire Protection
SLairs; Width
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Veneer
esh-Drip Screed -Fd. Vents-UnderfIr. Access
qlazing Area -Glass Protection -Skyl ig hts- Plastic
7'Shear Walls: Nailing -Bolts
5 -Ceilings
59' 1`ion Walls
9
6n. =fi,,rtion-WaIIs-Windows
------------- --
------- ------
A
,J&�rd
D� lard B-1
y t Card B-1
Date
FINA!,41DIans) OK except H's
. E . Steps -Door & Sidelight Protection -Landings
;.;:S�m:ke Detector
�.urna.ce: Vents -Clearance -Comb. Air-Connector-
lr.LZarage: Above Floor-Ducts-Mech. Protection
---------- ;;�-, -- — ----- ---
A< Bedroom Exiting
-Z I.. �i.lh Fi.lures & Tub Access -Spa
l -i - Ti
ec. Ti� ubpanel: Breaker Sizes & Labels
ails
-------------
........ Uli�i�reejA�! ?I (ILe.1 learances-Hearth
-P�ftec. Ou-tlets at -Wood Panel: Int..& Ext.
7 it F' I '& A Ii ce� Grnd.-Air Gap -Cooking Clearance
7>-<I-ec. Outlets & Receptacles at Kit. Counter
------------- �_�rage ire Door-.' Swi ng -Land i ng -Close r
�--C- �1-ct . n-Gara-ge-Damper
------------- -'-' , -------- ----
7 tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
I G rage: Above Floor-Mech. Protection
.................. n_- 2 ....
7,5.,VT5.. El & Mech. Equip. Listed for Location
-- -------- ----
N&R )t I in Garage: (G.F.L)-Romex Protection
---------------
77.
�sull -,F -Looked in Attic 0 Yes
7VII'uard Rails & Deck Construction -Post Caps
--------------- -----------
is & Crawl Hole Door -Drainage & Wood -Earth 1-11
Clearance Looked under Floo 0 Yes.
- 2
------ - --------- i �Yes 0 No-, Walks 2FYes 0 No;
lowing instld.: Drive
Planters 0 Yes 0 No
----------------------- - - - ---------
-A1--qPdecn-BFo�vn-Finish
82, -A -C' U it' Di connect. Electrical, Plumbing
8>-Ire-nts Above Roof: P[bg.-Appliance-Fireplace.-Clearance to
0 - penings
---;O;ia't'er-\Wel�.--67,sconnect, Electrical. Plumbing
G.F.I. Receptacle- Underground
-------------- ---
aae�e>iation Throughout House
---------------
G 1'.
87 Gl��Protection
-------------- - -- - — -
ro Previous Insp ions
--------- ---- - ------
89. Gk��est-lvle ters T' ed: s-Ele� �ric
Se er Connected -C/O to Grade-FiD Approval
- --------- -A v
91-�yCompliance Certificate -Other Certificates
� Enero
----------------------------- --- - -----
D-a-i - ------- Date -Cird B-1
Date" Card Date Card B- I
- ---------------------
Date Card Date Card B-1
Comments at Final:
COUNTY OF BUTT5 - DEPARTME5NT 05 PUBLIC WORKS PERMIT NO,
7 Uunty Center Drive - OrovIlle, California 05065 - Telephone: 9161'638&7641 91 -
APPLICATION AND PERMIT
ASSESSOR PARCE6 NUMBER
-021-160=0,28-
ZO N-fN-C;
--- A
BUILDING PERMIT Al J
OWNER
TARRY T)TT T.Agn
TELFW5146=Nr
868-4074
so. FT_. OCC, BUILDING VALUA ON
_-3:kST R -5/1.9 t-5;9�.5
OWNER'S MAILING ADDRESS
2129 LARKIN ROAD BIGGS 95917
1-2g&� M 1 2_2=;9e3 7,7 0 -7 -2-
R'S 4 AM
CONTRACTO OWN t ER E
TELEPHONE
8#9-- Q 92 7 tQ=. ��94 49 7 S-1
S 7 2-�f� 2_c�> 0 1 Z)
CONTRACTOR'S MAILING ADDRESS
F ireplace t"Alf CD 0 0
CONSTRUCTION LENDER
UNKNOWN
UNKNOWN
Total Valuat.ion J$ Z2,2! 401 Lq��
LENDER'S MAILING ADDRESS
Filing Fee $ 15.0y
Permit Fee &;az $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee 57/4-- $ _9j@__rjo
Energy Plan Checking Fee $ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING A D DRESS
M � 0DEWSMIR AVE GRIDLEY 95948
Permit fee 15-7 7 $ T 9 ��. n-
PLUMBING PERMIT Fi I ing Fee 15.00
Each Trap L8 5.00 90-00
Solar or heat pump water heater 20.00
LOT NO.
9
SUBDIVISION NAME
GRIDLEY #7
PARCEL MAP
6-7
Water piping 7.00 7.00
Each qas water heater or vent 7.00 7.00
USE OF STRUCTURE
SF FX DuplexM MobilehomeF� Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00 5.00
Building sewer 15.00 15.00
Mobile Home is 615.00
TYPE OF WORK
New 1� Additiono Remodel E] Utilities Installation[] Other F-]
Describe work:
Permit Fee $ 139.00
Contractor
ELECTRICAL PERMIT FilingFee 15.00
main service 600V OR LESS
200A OR LESS 18.50 18.50
Main service 200A TO 1 OOOA) 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.
No.
cerise . Classification
2/111�,`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)
El 1, as the owner, am exclusively contracting with licensed CUIlLioul-
ors. (Sec. 7044)
F-1 I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST. ( D W CE L*L*ING OCCUP.&I 3.6* sq.ft.
OR ACIONS. AC . BLDGS. 7- Ar,!>
NEW CON5TRL MUI TI -OUTLET
.ON.RES,., SIR ANCH CIRCU I TS) I @ 5.001
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup( OUTLETS OR FIXTURES 20 CcD 76
16L 0 M
FIXED APPLNS OR
- Ex. Occup. OUTLETS (RESI'D.) EA.) 1 3.001
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring *15.00
Permit Fee $ r --CRT 72!�
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 The permit is for $100.00 (valuation) or less.
F-1 I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
[;�f
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 Fi I i rig Fee 15.00
Heating SPLIT 21 18.00
I
Cooling 2 18.00
Hood 6.50
6 50
Venti lation
14 50 j q
- _nn
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 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 Cou y n consequence of the granting of this permit.
X
Signature of ApplicVt Owner 02--- Contractor Agent �Z:o -
Date ji
A Z,5-q,t5 9
n OSHA permit is required for excavations over 5'0" deep and Zjition or cons uct
ion of structures over 3 stories in height. 4AM
Mobile Home Installation Fee
Energy Inspection Fee $ 40.00
QCC
J;�;, 5
e -Ac
CO S TYP�fTOTAL FEE $ -z�. ;I0
M
11AZ
I D�j
I IM�J
FLOOD
I �C�
PA25,��-J
PD
H ISSU
This permit is hereby issued under the applicable provi-
ions of the Butte County Code and/or resolutions to do
I
e for whic
ork indicated abA h fees have been paid.
D R OVPUE141C WORKS
cze-1 491-1/ Date
'3y -MIT EX I - ES (-Oate
PEk _PIR
Receipt No 1.65 3& - 14.3 8 0,�";
WHITE-D.P.W.. YELLOW-ASSFSSOR. F�I NK -INSPECTOR. GO)(DINROO-APPLI CANT
COUNTY OF BUTTE -
DEPARTMENT OF PUBLIC WORK8;
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
t
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE.
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date
REV 11/91
Inspector
COUNTY DF BUTTE
DEMATIVIENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, C*:051916) 89114751
7 County Center. Drive,, OroVille, CA - (9116) 06-4541
747 Ellio @ad, Paradise, CA (9T6)'872 -6307.t'
AA
CORRECTION NOTICE�-Ar�
f
OWNER N
A routine inspection indicates that the fbilowing violations of Butte Count y - Or inance ist t
at
the above address and should be"6orrected. Ple'ase notify this office w' h � rw-lc�otr elc t i 0�' ork.
is completed. If u hav any questions pertainin`9 to this matter, or need a' itidnal-ex at �n;,'
y
—Please contac is o ice imm: ediately.
J
A -I
1. 14
'Ave
Y-
'0;
.Jer; ly -1 �j
70-
- -- - - ---------- -
A=.
4.
i 4
, 2�
Date/0 linspecto
REV 11/91
COUNTY OF BUTTE
[DEPA�RTIVIENT OF PUBLIC WORK -S
1469 Humboldt Road, Chico, CA - f916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE',..
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
—_the above address and should be corrected. Please notify this office when correction of work
ii�`completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
p
4
A -
f C—
-5
V
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
OVVrER K1.97 M I NO.
A routine inspection indicates that the following violations of Butte County 01' ... '�nces exist at
the above address and should be corrected. Please notify this office when 6orrection of work
is completed. 111[you have any questions pertaining to this matter, or. need additional explanation,
please contact this office immediately.
Date L6 Inspector
REV 1OW
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WO
1469 Humboldt Road, Chico, CA - (9,16) -891-2751',,,
7 County Center Drive, Oroville, CA - (916) 5-H'117 5-41
747 Elliott Road; Paradise, CA - (916) 87.2!�307',
CORRECTION NOTICE...
<=;N A -
1-4-4ko ./ow _40
VIM
OWNER PERMLT--N-Q ' I
A routine inspection indicates that the following violations of Butte County Ordinances exista
the above address and should be corrected. Please notify this office when cprrection of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office i mediatell
Ile
Date �7c�Llnspector
REV 11/91
ENERGY Cr
ERTIFICATrON
LOC A 7
Permit I
A. P. 4
DESCR:P1.7.70N OF INSULATION
ROOF
MATERIAL BRAND NAME
THICKNESS THERMAL- *RES.
EXTERIOR WALf
MATERIAL !Ftbe.rg lass BRAND NAME Certineed
'.THERIIAL RES.
THICKNESS
CEILING
BATT OR BLANKET TYPE-71BERIGLASS BRAND NAME Certineed
THICKNESS THERMAL RES. �34)
LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED
THICKNESS THERMAL RES.
FLOOR -ELEVATED
MATERIAL— Fiberglass BRAND NAME Certinieed
THICKNESS- THERMAL RES.-'_.
FLOOR -SLAB
INTERIOR WALL
MATERIAL 1"i be rglass BRAND NAME Certineed
THICKNESS THERMAL RES.
I HEREBY CERTIFY THAT THE- ABOVE INSULATION WAS INSTALLED IN 'THE ABOVE
BUI'-,DT..N'(; IN' CO'NFORMANCE 14ITH. THE STATE OF CALIF. ENE�GY REQUIREMENTS.
HAWKINS IND.!N�/dba SHASTA INSULATION LICA650722
7
Iherebv certif v the above insulation and all- required items as shown
on the building department approved plans and attachment's have been
installed as required by the State of California Energy Requirem2ncs
All equi pmenc . devices and materials are of the quality prescribed or
are speci fically approved by the State of Cali f
--------------------------------- --------------------------------
FIRM NAME/OWNER (PLEASE PRINT) STATE CONT. LIC)
SICNATURE OF)dE-NERAL CONVOWNER DATE
This certificate must be on' file with the Building Dept. prior t'o Final
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7County- Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ./_/fRMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
021-16-0-028
ZONING
A-5
BUILDING PERMIT
OWNER
LARRY DILLARD
TELEPHONE
868-4074
SQ. FT. OCC. BUILDING VALUATI94
OWNEWS MAILING ADDRESS
2129 Larkin Road, Biggs, CA 95917 __P�ONE
CONTRACTOR'S NAME
Owner
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee original $ 48.75
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
IUWD'N��g�SSDeWSnU�� Avenue, C�ridley
PERMIT FEE
$68.75XX9XXNX
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF (X Duplex 0 Mobilehome Q Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New 0 Addition 0 Remodel El Utilities 0 Installation 0 Other [RX—
DescribeWork: 1st renewal/93-1384 to comu, SF
PERMIT FEE
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 600v O.R LESS )
20.A 0 LESS
23.00
Main Service 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BLDS.
3.50 'P.
—*,---(CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
cense No. Classification
a-11'as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
0 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
Q I am exempt under Sec. Business and Professions Code
forthis reason
� P;i--
NEW.CONSF. MULTI -OUTLET
-NON RESID. RANCH CIRCUITS
@7.50
POWER APPARAT S
SINGLE OUTLET UCIR
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL. @ .60
Ex. Occup. OFIXrD APPLNS. OR
UTLFTS III SID.) EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
)�4WORKER'S COMPENSATION INSURANCE
1 declare under pen�lty of perjury (check one):
0 This permit is for $100.00 (valuation) or less.
0 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
ENshall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Contractor
I certifythat I have read this application and state thatthe above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entet upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County 'in consequence of the granting of this permit
Xate (,o/4:!�1
Sign�_ture of Applic'�610 Owner Q Contractor 0 Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
C
11N11. TYPE
TOTAL FEE $ 68.75
HAZ.
I D. FEES
IMP
I FLOOD
I CDF
PARCEL PO
I HD
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
&
Bv Ao�
PERMIT EXPIRES ON 14199
the applicable provisions
Resolutions to do work
been paid.
Date
fDate)
Receipt No. 7a
WHITE-D.O.S.-B'.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RO D-APPLI CANT
COUNTY OF BUTTE
Dgparunent of Development Services
B ilding D&ision
Oroville: 7 County Center Dr-, Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd., . Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERMCATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
issuing your building permit.. No building permit will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement
(yes cor nc,N - 11�1
2. I(have/havenot) signed an application for a building permit for the proposed work.
3. 1 have contracted- with the following person (firm) to provide the proposed construction:
Name
Address City
Phone Contractor's License No.
4. 1 plan to provide portions of this work, but 1. have hired the following person to coordinate, supervise, and
provide the major work:
Name
Address City
Phone Contractor's License No.
5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name. Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
C) La rr- iL
Y f" 4? Y -
COUNTYOF Bbf-tt% DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541
PERMIT APPLICATION DATA SHEET
OWNER D 0" P. No. 00Z
Building Inspecto _Date /-;?0/5;V
Proposed Building Use A.A�,P=Z Zy
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
All items have been submitted . ........................................
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans . .........
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.
Hazardous Material Form . ............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check) . ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10.
Fees of $ . .........................................
11.
Impact fees as shown on attached schedule . ..............................
12.
California Department of Forestry plan approval/fees .........................
13.
Flood elevation letter (100 year flood) by California Engineer ...................
14.
Sanitation and plot plan approval Health Department . ............
15.
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: . .........
18.
Contact Land Development.about (A) Improvements (B) Drainage ............
19.
Driveway permit (construction approval required prior to occupancy). -P4,;4A.Wct1.;
20.
r�q-uest
Pre -inspection for required. to Building Inspector (Date)
21.
22.
0 23.
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . .........
Owner -Builder Verificati on (Given to owner Mail to owner ..........
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Lette of signature authorization .........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27.
Letter of intent on building use . ..........................................
28.
Mobilehome utility clearance ...........................................
29.
Documentation of legal access . ..................... ; ..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
34
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage -Applicant Date (Obo
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 issuance: (Circle new item not checked above).
f. Index permit for above items No.
2. Additional items required:
Contractor, designer<E��as advised of above required data by _ phone _j,!:L'mail *Counte . r�'64EDate
Contractor,,designer, owner, was advised of above required data by _ phone - � mail Counter by Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95966 - Telephone: 916."538-7541
APPLICATION ikltl) PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
021-160-028
ZO�ING -
A-5
BUILDING PERMIT
OWNER
Larry Dillard
TELEPHONE
'868-4074
SQ.FT. OCC. BUILDING VALUATION
Est. 10,000.00
OWNER'S MAILING ADDRESS
2129 Larkin Rd., Biggs 95917
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is 10,000.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$97.50
ARCHITECT OR ENGINEER 7_7�_S
E NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$112.50
PLUMBING PERMIT
FilingFee 15.00
1060 Dewsmip Ave, Grid1py
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
I
PARCEL MAP
I
Water piping
7.00
Each qas water heater or vent
7.001
—
USE OF STRUCTURE
SF FLI DuplexF� Mobilehome[] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.001
Building sewer
15.00
Mobile Home S I G
@ 15.00
TYPE OF WORK
New �" Addition D Remodel[:! Utilities[] InstallationE, Other [M
Describe work: Permit to Complete B.P. #92-264
Permit Fee
$ -
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 15.00
main service 600V OR LESS
200A OR LESS
18.50
Main service 20CA TO 1 OOOA)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Bu5iness
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the struc.ture 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.&)
OR ADONS. ACC.BLOGS.
3.6* sq.ft.
N E W CONSTFL MULTI -OUTLET
NO.-RESID, BRANCH CIEC IgTS1 1
15.001 I
(POWER ��FF�R� _
SINGLE OUTLET CIR.&)
Ex. OCCUP( OUTLETS OR FIXTURES
120 @ 764
qAL_ 0 46 1
FIXED APPLNS. OR —
Ex. Occup. OUTLETS (RESID.) EA.)
3.00
Temporary service
15.00
1
Mobile Home Facilities
15.00
Misc. Wiring
*15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
17 The permit is for $100.00 (valuation) or less.
f—I 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.
7L 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 �uujvu
to the W. C. provisions of the Labor Code, you must forthwith comply w i th such'
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all 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
agai nst said County.in consequence of the granting of this permit.
X ( -,-% L-�'\; ( � ;-� , _A_ Date
Signature of ApplicanN --'OwnerE] 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
ITOTAL FEE $112.50
HAZ
I D FEES I
IMP
FLOOO
I COF
I PARCEL
I PD
I HD
This permit is hereby issued under the
sions of the Butte Count Code and/
work ated a v which e
�0631 UB
DIR F P
PY I P 19' ILI
ERMfrty,pI'Ft
F E Date
applicable provi-
resolutions to do
have been paid.
OR KS
L
144
141324
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROC-APPLI CANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property.Owner:
. An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and -issuing your'building*permit. No building permit
will be issued until this verification is received.
1'. 1 personally plan to provide the, major labor and materials.for construction of
the' proposed property improvement (yes or*no)
2; 1 (have/have not) 'signed an application fora building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
?�on' e, No.*
4. 1 plan't6 provide port'ions of this work,'but I have hired the.following'-peTson
to coordinate, supervise, and provide*the major work:
Name
Address. -City*
e ns
Phone--
Contr ce'r" --Li e.'-ga..
a o s. c
5. 1 will provide some of the work but I have contracted (hired) the following
p I erson s to provide the work indicated:
Name Address Phone Type of Work
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 -of the California Heal-th -and.-.Safety- -Code.-..,
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
6 v-;dly- -1 C) eo
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - OrovIlle, California 95965 - Telephone: 916.*538-7541
. APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING,4 4�
BUILDING PERMIT
0 . WNER/
J7�1
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING 'ADORE�4,el
e.V
75c�
CONTRA
ITELEPHONE
C_ 0
Fireplace
CONTRACTOR'S MAILING ADDRESS
CONSTRU6
UNKNOWN
T t
Filing Fee
::PF
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee
Penalty
2_0 7 -7
15.00�
C> 0
$ _5t Q- so
$
LENDER'S MAILING ADDRESS
ARCHITEA)�WNEER LICENSE No.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
D,,,'( A LS AJU C)
Permit tee
PLUMBING PERMIT
;A
FilingFee 15.00
r 1,e
Each Trap [tin
5.00i 7040
—1/0
Solar or heat pump water heater
20.00
LO 0
UBDI;��N NAME 7PARCEL
:7
MAP
A
Water piping
7.00 —7-06
F
Each qas water heater or vent
7.00 760
6SE OF STR66TURE
SF L�� DuplexF� MobilehomeEJ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5-, CO
Building sewer
1 15.001 /6, C."9
Mobile Home S I G 1 W
@ 15.00
TYPE OF WORK
N e wA— Add i t i on El Remode 1 0 Ut i I i t i es Installation E] Other 0
-15r Describe work: I
Permit Fee
$ 547 .6640
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
main service 600V OR LESS
200A OR LESS
18.501 /ff. &V
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
7 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 Jo. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 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 200A TO I OOOA,
37.501
NEW CONST. 0 ELLING OV
OR AOONS. AWCC. BLOCS.
J3.6d.qJt.1J_T(
'6.fo
NEW L11N-'1TK "ILl IOUTL -T--,)
N ON. P S.,, C �, C. , P C LJ;TS
5.00
0 EP AP-A�ATUS A
SPINWGLE OUTL T CIR .
I
Ex. OCCUP(OUTLETS OR FIX7URES
20 (-) 75d
.1AL 0 4F;A4
FIXED APPLNS, OR
Ex. Occup. OUTLETS (R ESI C .) E A.
—
3.00T
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
7 V
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
17 The permit is for $100.00 (valuation) or less.
F—I I have placed on file1with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 15.00
Heating
Cooling
Hood
6.50 4,
Eventi lation
Permit Fee
$ "75- �1�
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
Signature at Applicant — O�ne, F-1 Contractor 7, Agent F -I
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
1�4
Energy Inspection Fee $ —1 V,
occ CONST TYP
'JTOTAL FEE $
I I HAZ 1 0 FEE IMP FLOOD CDF P27 PJ SSUE
60
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi- 1
resolutions to do
have been paid.
WORKS
Date
Receipt No. 10 01S 7 cy — Pe,� rl-e^ --- -5
NMITE.O.P.W.. YEI.LOW-ASSf5SOR, PtNK-INSPECTOR. rOL.DENROD-APvLICANT
on%
W
W
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLt, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICAT16N DATA SHEET
OWNER �1119111a 19, '11,41,;719 Permit No.
P. No.
pector_2
Proposed Building Use, soc Building Inspec or Date .30
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1 . All items have been submitted . .......................... *''**'*'**
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
CD -f- 8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions �1 .5.,g .%!7C? 0 1 0 1_�
10. Fees of $ '114
.........................
11. Chico Urban Area fees paid .......................................
12 Park f es paid ....................................................
t J School District fees paid .............. ri-r—O A /I
13. (� M
4. Sanitation �pproval from Otbau,'""e Health Department 213 6.4 1-
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval,from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
UL18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for e Aue' t -
required ... P,e-insp C. r st o
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement ......... W'Zolu-
25. Letter of si nature authorization 4
26. Aeo'
92
J
When you issue the, ermit, process �_s follows: Mail to owner. —Mail t 0 contractor.
--6--T eleph 0 ne - an hol for pickup at 040 office. —Del.iver w/inspector.
Othe, 64, 3 -5 4 �
Appl icant - L --7>-A Date -
Copy of H.az-Mat form sent —HealthDept. —FireDept. ----Air Pollution Date
Copyofplanssent ---HealthDept. —FireDept. —Other— Date—. By
The following data must be submitted prt-or to joermit issff�ge: . (Circle nXeitem not checked��
1. Index permit for above items No. - '. I m not checked above).
2. Additional items required: *I=m \j I
fT
Contractor, designer, Cwner_was advised of above required by phone �6 �Iii_counter by__Z�-`date
Contractor, designer, owner, was advised of above required data byphone —mal I —counter by— date
Plans checked by 2, 16, Z�- '7 /&-
Date Plans approved by hl— Date
Sets of plans on hold in — L`Fi le cabinet _AP folder
Copy—DPW
TO Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Mjm i v
0 Owner Loaation AP#
Plan Approved for: Sewaqe Disposal Water Suppl y
Hold final for:
Water Supply
Final clearance O.K. for: Water Supply
Clearance for --�L bedroom mobile home. Other
NOTE
i�a ia—n--ff- Date
. ...........
Tlil�
. ...........
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Or'oville, CA 95965 Phone� 916-538-7541
QWNER-BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 (have/have not) signed an application for a building permit
for the proposed work.
3. -1 have contracted with the following person (firm) to providethe proposed
construction:
Name
Address City
Phone Contractors License No.
4. %1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5.' 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated: -
Name Address . Phone Type of Work
Signed:
Property Owner
Social Security Number �
Date / — E o
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER
DRIVE
- OROVILLE,,CALIFORNIA
95965 TELEPHONE (916)5387541
OWNER
A.P. NO.
PROPOSED BUILDING USE
DATE
REC. #
School Distric Fees &dl
(paid at District Office) ...... ...................
2. Sheriff Fees
(paid at Building Department)
x
Residential .......... t
unit amt.
3.
Commercial(per sq -ft-)
sq.ft.
Urban Area Fees
(paid at Building Department
x . - =$
amt.
Residential (per unit) x =$
# units amt.
Commerical(per sq.ft.) x -=$ -
sq.tt. amt.
4. Recreation District Fees
(paid at District Office) ...........................
DATE REC
5. Drainage District Fees
(Contact Land Development) .........................
6. Other 19A �111IU4 eF'- Z'
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
V31A
APPLICANT DATE
!�fr 0 : Building Department
FROM: Encroachment Permit Section OV See
RE: Diiveway Clearance
-2
-owner location AP #
Driveway permit has been i.ssued for the above property.
n b
date
sign.aAre
Ir
[�.E,Jin to DPW AGRICULTMIL STATENUIT OF AC)[NOWLEDGEJMNT
FOR RESIDENTIAL DEVELOPMNT
Section 26-8.1 of the. Butte County Code
requires this acknowledgement be recorded -
prior to issuance of a building permit.
The property described herein is adjacent
Mr
to land or included within an area zoned
for agricultural purposes, and residents
92 0155�71
of this pro-perty may be subject t.o incon-
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicidesi pesticides,
and fertilizers; and from the pur6ii-it
of agricultural operations includgq,
but not limited to cultivation, plow�rm��
9
". '
spraying, pruning, and harvesting wHic-h—'
Z T, i
occasionally, generate dust, smoke, noise�!, and odor.
Butte County has established agricul-
tural zones which have as a priority use?,-_ior�,,'.,�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:
Lot Nine in "Gridley Co-lony No. 7 near Gridley, Butte Co., Cal.11,
according to the Official Map thereof recorded in the office of
the County Recorder of the County of Butte, I State of California,
February 5, 1907 in May Book 6 at page 7.
Date: MAR. 19,1992 PROPERTY OWNERS:
LARRY W.:DILLARD
CHERYL L. DlLLARD.
State of CA.
) SS.
County of BUTTE
(5( -
On this the Jq-Z�22day of "4�417,eh 199L-_:�, before me, the
undersigned Notary Public, personally appeared
tj I
n Personally known to me. 2 Proved to me on the basis
OFFICIAL SEAL of satisfactory evidence.
REBERA L. BLEDSOE to be the person(s) whose name(s) 0t,-Ljz_.
NOTARY PUBLIC - CIALIFORNA subscribed to the within instrument and acknowledged that---&/-,
BUTTE COUNTY
11FOVi My Comm. Expires Feb. 1, 1993 executed the same for the purposes therein contained. IN WITNE%S
.-WHEREOF, I hereunto set my hand and official seal.
Pr.esent A.P. No.
Notary Public
't,
wo
C 'o
= am
a
me=
m
BUTTE\COUNTY'SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Form per Bbilding)
/40 7 1?
A.P. Number L BuAlding De*
partment No.
School District. City = County M Jur.isdiction
Property Owner
Project Locati
Subdivision Lot Number
Residential Development:
C()UwV0F9UTTE sq. Footage -?/3-S
IBUILDING DEPT # of[4v]i.ng MHI Addition (Group R)
APR, Units.
&
Commercidl/Industrial: Sq. Fciotage
Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
.(Floor Plans reviewed by Sch'ool-Di'strict Personnel)*
J
District Id No. 167
Schpol District certifies that
Applicant Name) (Phone Number)
(Street Address)
Alt I __11 Y,
)g�!!�z Wx-,
(Cityv (State) (zip Cod&)
has complied with the requirements, of Resolution No.
by the payment of $ representing
square feet,-
Sq.Kool-District Representative /Dat
PAID BY CHECK NO. R E MAR K S : "� /10 � �
_"a-4 IZ7" a�
BANK NO 2e)6
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
C
?
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 -Telephone: 916 '538-7�_41
APPLICATION AND PERMIT
F 11
PERMIT NO.
A33ESSOR PARCEL NUMBER
BUILDING PERMIT
0 E R/
— (- (_1 I
A — /Y/?Y I Z�1/ 1/111elo
ONE
SO.FT. OCC. BUILDING VALUATION
3f j(
6; b7
8,4-
014WER'S MAILING ADORES
2-
Z�7. 0 -7 7 -
CONTRACTOR'S NAMF ITELEPHONE
6f
'L
b 0 j 5 (" ' 9 2, - 7 /cog, 71*�-) 0
;Zei,( ,6,7 Fill" Z001 0 CP
Fire lac a-0 t7 C>
K;;�,) 6
Total Valuation Z
Filing Fee 5.00
Permit Fee /avg $
CONTRACTOR'S MAILING ADDRESS
CONSTRUbT ON LENDER
UNKNOWN
LENDER'S MAILING ADDRESS
ARCMIT.A), �,Ft
J�-EER
ID PV
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
4ww
Penalty "57 7
Permit fee
PLUMBING PERMIT
$
$
$
—�4
FiiingFee 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
i:s_
Each Trap
5.001 %).4-o
Solar or heat pump water heater
20.001
L 0 TJO. i
SUBDIVISION NAME
0, __7-1
EL MAP
Water piping
7.001 '-7.
Each qas water heater or vent
7.00 -7� 1,�t
IJSE OF STR66TURE
SF�_� Duplexi7 MobilehomeF-1 Other
SPECIFY
Gas piping system 1 - 5 outlets
5.001 g3-.
Building sewer
15.0011r,.6
Mobile Home S � G
@ 15.00
TYPE OF WORK
k-, ; — :
New,- Addition Remodel Uti I i ties 0 instaiiationE: Other
Describe work: Z
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee
0
5_.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec. Business and Professions Code
for this reason
Main service 600V OR LESS
200A OR LESS
Main service 20r A TO 1 OOOA,
1 37.501
NE CONST. OWC.I�iLILNGCOC-
-N I
C�R ACDNS._ A S.
C 3 0
-7 Ed sq.ft.1
j.7!5:(_r,_4',
NEW CON57P. -.iULT; OU7'-A-,-
NON-PES10. SRANi�', C:=C"'.70
1 1@ 5-001
-go
OWE .AR�TUS
lbt�rl' ( 15'iNCL .,- CIR
Ex. OCCUD( OL, TLE�S OR P-iX7'JRES
RAI_ 'a
Ex. Occuo. :5 EqI- EA.)
3.001
Temporary service
15.001
Mobile Horre Facilities
15.001
Misc. 'Niring
15.001
Permit Fee
slq2
WORKMEN'S COMPENSATION INSURANCE
I deciare under penalty of perjury (check one):
F�l The permit is for S100.00 (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 subje c t
to the W. C. provisions of the Labor Code, you must forthwith comply wit h such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
/ 410
$ '?5'- 57 -
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
a
,1,6,1,iabilities, judgments, costs, and expenses which may in any way accrue
st said County in consequence of the granting of this permit.
Date
Signature oi Applicant - O.ner F_ Contractor 7; Agentf—I
An OSHA pe-rmit ;s required for excavations over 5'0" deep and demolition or construct.
-an of structures over 3 stories in height.
Mobile Home Installation Fee
_1
Energy Inspection Fee $ 1
occ I CONS-, TYPk I -)
JOTAL FEE $ �; - ; I ' 1 1; 0
AZ 0 FEE 1 imp =LO00 TO—F PARCEL - _PL�:
HO ISS,E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
8 y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
— /- ) - - I .. -1 1, - ___
c --, C., 'g�� - - -5 -/ L, - ), ::,-
Receipt .11o. —7
re-o.P. yf,., jw_^55e:350P, PINK -INSPECTOR. -.0L0EHP00-AP*L,cAmr
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
OWNER D'1L_L_A;?_1p-7 Bldg. Permit # 9Z- 91.64- -
A.P. # Z -1 -
Plan Checker 4Z>V_ 2,. Z,:�. - 9 2
GENERAL
1�-'Zoning requirements: (sideyards and number of permitted living units).
X—la-luation.
34--T-1-ans signed by designer.
4e' -Proper description of work on application.
5-_---E'xisting violations on property.
CE) Items on data sheet. (W.C.,.fees, Health, Developer Fees, License law, etc).
q----ite-corded notice -of violation.
PLOT PLAN
omplete parcel size and dimensions.
etbacks, sideyards, easements, etc.
�_��_Other buildings or structures.
4�:�rading, fills, drainage.
5. V
Flood hazard.
6\ Special conditions on creation map, (noise, CDF, fire sprinklers, non-combr
7.\ustible, and foundations).
Au & FAS road setback.
8. ilding or utilities across lot.lines (Record form).
FLOOR PLAN
a m m �ete to scale plan with dimensions.
,Re-aquired windows for light and ventilation (Sec. 1205).
u
a
_,.R6quired windows for second exit (Sec. 1204).
��k -lights (Chapter 34 & Sec. 5207).
umma
n impact glass (Sec. 5406).
6. R?-q-uired room sizes, ceiling heights (Sec. 1207).
r.-_�GFC'Is in baths, garage, kitc'hen, and exterior outlets (Article 210-8).
8p right fixtures, switches, receptacles, and exterior receptacle -s for main-
tenance of mechanical equipment.
91 --Locations of water heater, heating and cooling equipment, other electrical
--gas equipment.
14)' VGarag irewall, door size, and closer (Sec. 503(d)(3)).
1 - '0" exterior exit door (sec. 3304 (f).
1�. S_ re 'ace and wood stove location,,alcoves, and clearance.
13 S e detectors (Sec. 1210).
P1 .
I Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
f_____Standard bracing or engineered design (Table 25V)
2____4hi-usual shaDe, size, or split level house requiring lateral design.
3".Clerestory 'requiring balloon framing and/or engineering.
44. Dree story building requiring engineered calculations and plans.
5�`
YA�a'ndation plan complete enough to construct building.
' or rio r construction details complete enough to construct building.
'r' 'I
__0vations and wall construction details complete enough to construct
construction details complete enough to
truction details and calcs if
ter ties or bearing ridge beam.
It, age door or porch header sizes.
1_. Stud heights.
I'll. Adobe soils - special foundation design.
1 * NSetaining walls requiring design.
p c
15. Sp cial Inspection required.
construct building.
necessary.
building
RESIDENTIAL -PLAN -CHECKING GUIDE
MISCELLANEOUS ITEMS To LOOK OUT FOR
W -Stairway details: landings, rise and run, head clearance, handrails
kbec. 3306).
I--- duardrail details (Sec. 1711 & 3306(j).
e-.---Br-ick or stone veneer (Chapter 30).
WT—Txterior plaster - weep screeds (Sec. 4706).
.4--13'r-oper roof pitch for roof convering (Chapter 32).
6---Ro.of covering type - Uri� �d).
-7�- �insulation - protection.
Pt� 36" halls and stairways..
Ch.�iving.area over garage - complete 1 -hour separation
incl'wL�ng supporting walls and posts, etc.
_JQV exits on three-story dwellings (sec. 3303 & see
access and ventilation (Sec. 3205).
r
"t
=rfloor access and ventilation (Sec. 2516).
I 'C'm rf
Combustion air for fuel burning appliances - L.P.G.
1*-.7%xse-requirements on duplexes.
Energy design.
ld).�lashing at all exterior openings.
44--CDF--responsible area requirements.
--------- -
8/91
required.on garage side
Mezannines - 1716).
requirements.
6R)C>L-C-Y AFZEAN
'P >Z —= A ---- E C-,. C� --r Z)-Jd=-Zs (M*AP A-,rrpct4r:t>)
ANIO YAvw;�y
NE.o> -T-0 C�epsL-
WX%Vs AcTive
AN K 'S
�4TTAc �v e r->
MAf>
c9;= 344-7- -74- itie-P. F
,9",44V w
flAM
e -----------
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
Topout
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Ven s
Water Htr.
Stemwa I I
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance, of ex.
structure
Gas Piping & Test
Temp. Gas
-Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rouah
Reinf. Steel
'Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pdle
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
DATE —REMARKS OR CORRECTIONS
e"I
12 — /�7
.17 N. R-.-2 E AM D. B.'& M
FI 3
12
340.7 p3t-
�zl
It
21-Z /10 1
J1,16
W. L 19,
- A TY CF
0 2 -'74
86
.32
b
M4 6' 4
1�. '4 r
,n 2
299
;z
1.6 k.
I AC
Z04
lif 9 91
i 414C
<
2.28 A,
0
mzI.
77-36--,66
34
- — fW,4c.'— —
L4LQVI DRIVE
I (--,oil I (d A 1 (.1
P�
I(R 3.31AC
Cl 6.774C
330
AC
629.87
1 2.39 iC
JD
2.39 AC
M , 53-47
��.'o 4 A c
0��,6.36
c.
61AG.
425 1 0-7
�21 5 _
AC.
M714c!
1600
/0
27-90,4,-
2- 1- 16
21 1-
.40
2.42Ac
1.54Ac 6-2.
12
340.7 p3t-
�zl
It
21-Z /10 1
J1,16
7,5
1. 3 a I
0 2 -'74
86
.32
48AC
M4 6' 4
1�. '4 r
,n 2
299
;z
I AC
Z04
lif 9 91
i 414C
2.28 A,
0
9.92AC
m
13 0 14 15.
z
w
(r 40 Ltj 40
L.- -
ao loe�
40
9
16
AVE,
od
..ASSESSOR'S MAP NO.21-16
COUNTY. OF BUTTE
CALiF
MAR. 1951
"REVISED
.4-90
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
DATE Z - -6- 41 Z -
A WD RE: 13.p. *.PP1_1CPM0N
7- 1 1-4 NN R b
13(G,GS 9�59/7 A.P. #
With reference to the above subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calca Typical Plan Sheet
owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
,196 Memorial Way,'Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
OTHER alop--� a -a3 P/-E-j4se eampi;-
4Wt) 0&_ Pt -"S 10 0U(>WCA_rE1
4�E_ - ANIF.,4 T -r -A c4e Z�l I srr_
Should you have any questions concerning the above, please contact Roe.
of this office. Yours very truly, 3--5- PM
JFG/aj
William Cheff
Director of Public Works
C�F
.i;.fGlander
3u
Chief Building Inspector
�z
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541
DATE 2-6-92
LARRY DILLARD RE: B.P. APP�_.' # 92-264
2129 LARKIN ROAD A.P. #
BIGGS CA .95917 21-16-28
With reference to the above.subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calca Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans -in including plot plans.
Plot plans in
Structural details in
Complete plans. and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans -in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,'Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 Co4nty Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded.copy of dead showing
Recorded copy of agricultural acknowledgement statement.
77 OTHER PRIOR TO PLAN CHECKING THE PLANS SUBMITTED PLEASE PROVIDE THE FOL
J_N�ORMA'110N.AND OR PLANS IN DUPLICATE:
SEE ATTACHED LIST
Should you have any questions concerning the above, please contact BOB KEITH
of this office. BETWEEN 3 & 5 P.M.
Yours very truly,
William Cheff
Director of Public'Works
;TF. Glander
C�F
i;f u
JFG/aj Chief Building Inspector
Larry Dillard A.P. #021-160-028
2129 Larkin Road
Biggs CA 95917
t/l�-----Re-vised foundation plan including foundation system for two story
area.--FiT-&�floor pier and girder system adequate in size and spacing
to support miniiiu- 0 lbs. per square foot.
a eNl de n for two story portion from roof to ground by California
engineer or architect, including required calculations
aLntd tw ts of construction details. Details and calc's must be
stamped and signed.
FIVUL framMg--ptaTr-for second floor.
o story section', front to back.
Com—P-ret-e-�e-f--Eraming plan.
d seco�ndfl�oor p�lan w�ith window area equal to 10% of floor area,
1
/66 -�21 �opena�blec
at -are dual dimensions 'shown7-at-wirfdows?
Bob Keith 211�21;:; Z:1
-7
,7 fd -C� —
Z, 7
IZIZI
7, o P -,CN A
Wtj A -T bo
0-7. WHA --V �r�E 'DUAL- 'DIMOWSI
0
j?c-vtGED /Nccvo(N(v,
1 -IZ
-4s-TC-M FOP- Ajo" a r-400 P- PTC
S q vr-T
S7ro TZ.' --f 90�2-TM"
Roo r- E�,\/ e,144
t> - U,-*#47-IOQS /0JD TWO
oi�7 CoN)% DETA-IP's Mos-'T-
Fog- sc--Co&)t) T=" 0 P -
TWO ST06"I !9c-CT-toQ
F(20
TFF C' PtA
, c- V(C,, ca 7, > og fl(,AN
Aec-4
W/pigow 4)26-A C—�V4-L-/0 % 9 F FL60P-
7, o P -,CN A
Wtj A -T bo
0-7. WHA --V �r�E 'DUAL- 'DIMOWSI
0
4
I via ((A
vt IP -1
0 r
7�6-7
.. ........
er-
'atte, county
L A N D 0 F NATU RAL WEALTH A N D BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
April 7, 1994
Larry Dillard
2129 Larkin Road
Biggs, CA 95917 RE: Building Permit # 93-1384
Expiration Date: C�—I- - _�7
A_P_ # �5 / 14 / -9-4
021-16-0-028�—�'
With reference to the above subject, our records indicate that your
building permit expires on the above date and your permit f alls into the
category marked below:
r �1; Permit work started, but not completed. Permit may be renewed
for 1/2 the original bu ' ilding p * ermit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 day ' s of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form'to be completed and signed by'you where
indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
Xf XX)CXX No inspections have been made on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you have any questions concerning
this matter, please contact the OROVILLE of f ice.
Thank you for your prompt attention concerning this matter.
Yours very truly,
x�
Michlael CJ Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
chico office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
4
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORK
7" Co6ntyl-4center Drive Oroville, California 95965
Telephone'. 934-4941 -171
APPLICATION AND PERMIT
du Lnurl Lti F�pre5entauves oi ine uounty ot butie to enter upon ine
above-mentioned property for inspection purposes.
X X
Signature of Permitee
ent
Date
Receipt No. a/;I
White-D.P.W. - Yello—Assessor APi.k`inspector - Golden(/od-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF UBLI WORKS
v Date��_)�:'_
1(/1ldin*g' permit expires Date .............................................
BUILDING
OwnerffA Vovo D.4aewpo
11. FT. OCC. I _,fflUILDING VALUATION
Mai I ing Address
_0 V 71G, 00
0 s C_-
Tel ephon e No.
0��_ 35
I
Fireplace 75 0,00
Contractor eo f WIM 4!F/0
To tal Valuation :z (or 00
Mai I ing Address
Permit Fee .0 —
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee $ ?_*5 5 r 5 ?el 4 0 49
$ F770
Building Jddre s( PT Je 8, 0 A 3 A >? 0/2'/ P
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $2.00
y 0—
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
VT DV
Each gas water heater or vent 1.50
A. P. No. Z A
Zoning & Planning
Gas piping system 1. - 5 outlets 1.50
Each additional outlet .30
an. FireDept.1
FireZone
I Use Permit
Building sewer 5.00
EQA
Parking
1 Plans
r—Parce!
I Declaration
Parce�Kap
1 60' R/W I
ImproveVnts
Lawn sprinkler system 2.00
Bldglp�,. Rc'd T
Par4ZApprovoI_____F
#-,00
PlonstAppr`aval
Permit Fee $
$
NEW WL ADDITIONE] UTILITIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (i or less) (more than 12)
Single Family a DuplexE] Mobi I HomeE] OthersEl
Range, Cook -top or Oven 1.00
7
Water Heater or Space Heater 1.00
Light fixture 20,125
ba 10
Receps., switches & fix outlets I Z, "L ME
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
Q'I am exempt from the Contractors License Laws of the State of 'California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
1:1 I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
E5 -<certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heati ng
-
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
I TOTAL PERMIT FEE
16 91 b1c
du Lnurl Lti F�pre5entauves oi ine uounty ot butie to enter upon ine
above-mentioned property for inspection purposes.
X X
Signature of Permitee
ent
Date
Receipt No. a/;I
White-D.P.W. - Yello—Assessor APi.k`inspector - Golden(/od-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF UBLI WORKS
v Date��_)�:'_
1(/1ldin*g' permit expires Date .............................................
f
'�PERMIT NO. 3447-74,g
P
E
M
MH UTIL.
iPERMIT NO.
PERMIT EXPIRES 3o -'75
4 OWNER William Lloyd Davpnpc)rt-.
".'CONTR.
'LOCATION (A.P.
e/s Dewsnup Rd, app. 17001 S/W. Libertj
Rd, Gridley
ri
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
,dE)B
Z -7 (1
(Date)
11'-� C7�
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback /0 7 Firewall
Soil Piping
Forms Parapets
lst.Floor
Main Bldg. Restroom Finish.
2nd Floor.
Footingsx5g/ Windows
3rd Floor
Stemwall Siding
Topout
Slab Root Sheathing
Water Piping
Piers Roofing
Sewer
Garage Fdn. Vents
Fixtures
Footings Garage Vents
Water Htr.
Stemwa I I Prov. for physically
Slab handicapped
Heaters
Appliances
Carport Conformance, of ex.
Footings structure
Gas Piping & Test
Temp. Gas
-Slab Final
Sanitation
Patio FIREPLACE
Final
Footings Footing
ELECTRICAL
Masonry Walls Throat
Rough
Reinf. Steel - Final
Fixtures
Bond Beam FIRE SPRINKLERS
Motors
Framing Test
Water Htr.
Stucco Final
Subpanels
Mesh MECHANICAL
Grd. Fault Prot.
Scratdh Heating
Service
Brown Cooling
Temp. Pole
Finish Ducts
Underground
Interior Lath Ventilation
Permanent
Door Closer Final
Fin al
DATE REMARKS OR CORRECTIONS
01e,6 0 C7f
v
0
Return to DPW AGRICULTURAL STAT&= OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8. 1 of -the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
0
The property described herein is adjacent
92-015564, 1 Rec Fee 5.00
to land or included within an area zoned
I Cash 5.00
for agricultural purposes, and residents
Recorded I
of this property may be subject to incon-
Official Records I
veniences or discomfort arising from �the
County of
use of agricultural chemicals, includino
07
Butte
but not - limited to herbicides, pesticides,
Candace J. Grubbs I
and fertilizers; and from the pursuit
Recorder I
of agricultural operations including,
8:33am 10 -Apr -92 I PUBL XX I
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 redl prope�rty..` situate in the County of Butte, State of California, described as
follows:
N . .
Lot Nine in "Gridley Co-lony No. 7 near Gridley, Butte Co., C'al.11,
according to the Official Map thereof recorded in the office' of
the County Recorder of the County of Butt.e,_St'ate of California, -
February 5, 1907 in May Book 6 at page 7.
Date: MAR. 19,1992 PROPERTY OWNERS:
LARRY W.:DILLARD
CHERYL L. DILLARD
State of CA. On this the /'?,-2�22day of 192,--2, before me, the
) SS. undersigned Notary Public, personally appeared
County of BUTTE
r
Personally known to me. [q Proved to me on the basis
OFFIC U SEAL of satisfactory evidence.
4 REBECCA L. BLEDSOE to be the person(s) whose name(s) C)/Le--
NOTARY PUBUC - CALIFOIRNiA
BUTTE COUNTY subscribed to the within instrument and acknowledged that-t-AIZ.,�2
199 executed the same for the purposes therein contained. IN WITNIEFS
Qf0ft W Comm. Expires Feb. 1, 1993
WHEREOF, I hereunto set my h�ind and official seal.
Present A. P. No. 0Zj - 014., - OZ8
.. 52��Ilo�tar�
END OF DOCUMENT
ant
.1 C' -j
�'-- 03� C'n
mc)
Ll-
of� ca
0
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROV!LLE, &LIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDINGEXEMPTION PERMIT
PERMIT NO
— I& -
V t — I
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agriculturai products are processed, treated,
or packaged, nor shall it be a place. used by the public.
ASSESSOR PARCEL NO. ;2-
FLOOD
ZONING
P.D.
OWNER Z'
ISSUE,
PHONE NO.
/�
I
V-:"
I
OWN ER'S ADDRESS
z I ;?
eW
LOCATION OF BUILDING
We!% -r Iq AC- Ay
- -7 0 q A/
USE OF BUILDING 0 rs e-
A�4
SIZE OF STRUCTURE
'I
r
S1. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME --LZSTEEL
CONCRETE OTHER (Specify)
TYPEOFSIDING
ROOFCOVERING
FLOOR TYP;
CQAJ
[Al 0 07
ESTIMATED COST OF CONSTRUCTION
o cf:> C -D
$ '51
AG Buildir(gs shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows-
I
/I
I FRONT
SIDES, REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floorarea shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with -the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and.approvals to
comply with the requirements in effect at that time and before occupancy.
Date It Signature of Owner
Perm it Fee - $25:.:@& 50 -9112— The above described AG Building is exempt from a building permit.
J
Receipt No.
1030;2 �
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod- Applicant
Director of Pu
By Date
FLOOD
PAR;YJ
P.D.
ROO�J
ISSUE,
1 �1
1
I
V-:"
I
Director of Pu
By Date
COUNTY OF B&TT[t -.DEPARTIIA�T+ OF PUBLIC WORKS,- BUILDING DIVISION
7 COUNTY CENTER DRIVE - OR_-VILLE, CKLIFORNIA,95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATIO.Wli�TA SHEET
OWNER
Proposed Building Use
P NO.
A I �N 0 . 01-14g_2cp
Al_ Date
Building frispector
At time of permit application, I was advised the following data must be submitted' prior . to permit processing apd/or issuance:
DATE RECEIVED
APPROVED
1 .
All items have been submitted . .....................................
2,
Plot plans in duplicate/triplicate, signed by preparer of plans ........
3.
Complete plans in duplicate/triplicate, signed by preparer. of plans
4.
Complete engineered plans and calcs, with wet signature on plans
5.
Hazardous Material Form ..........................................
6.
Energy Design Compliance and supporting documentation .........
7.
Statement of Inten ' t for Non -Heated and AC Buildings ...... ........
8.
Engineered truss details and layout in duplicate (required prior to 'plan check)
9.
Mobilehome installation data incl uding manufacturer's installation
instructions .....................................................
10.
Fees of ........................
11.
Chico Urban Area fees paid .......................................
- 12.
Park fees paid ...........................................
—13.
School District fees paid ..............
- 141.
Sanitation approval from Health Department
15.
City of Chico plumbing.permit ......................................
16.
Plot plan and business license approval from City of
(see City for other requirements)
17.
Planning approval for (A) Use:— (B) Parking:
18.
Improvements may be required. Contact Land Development Section DP*
19.
Driveway permit (construction approval required prior to occupancyi
20.
Pre -Inspection for required ... Pre-Inspec. request to
Building Inspector I
(Date)
21.
Contractor's license information (No., Name Style, Classificati 0 n) ...
-22.
Certificate of Workmans Compensation Insurance ........
-23.
Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
.24.
Recorded copy of Agricultural Acknowledgment Statement .........
25.
Letter of signature authorization ...................................
- 26.
27.
When
you issue the permit, process as follows: Mai I to owner.
Mc'i i 4
I to cofitractor.
Telephone and hold for pickup at —office. —Deli;ver
w/inspector.
Othe
Applicant] ";�,avq
Date. 11-1-q1
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ---Air Pollution Date
Copyofplanssent ___.HealthDept. FireDept. —Other— Date— By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of abev'e required data by—phone---mai I —counter by—..date
Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by— date
Plans checked by Date -Plans approv d by Date
—Sets of plans on hold in
Copy—DPW
File cabinet _AP folder
-4
Larry Dillard
2129 Larkin Road
Biggs, CA 95917
Dear' Mr. Dillard:
Suite Count
A �,] D 0 F �,l A. T U .R A 1. ',.") E A L -1 H A N! ID -A U
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
COUNJY CENTER DRIVE - OROVILLE. CALIFORNIA 959GL-339/
TELEPHONL: 1916) 538-7541
FAX: (916) 5313-2140
March 11, 1993
RE: Building Permit # 92-264
Expiration Date 4/10/93
A.P. # 021-160-028
With reference to the above subject, our records indicate that your building
permit expires on the above date and your permit falls into the category marked
bplow:
Fx I Permit work started, but not completed. 'Permit may be renewed 'for the
original building permit fee (plus a $15.00 filing fee). The renewal
permit will extend the building permit for an additional year from the
original expiration date. Should you not renew your permit within 30
days of the expiration date, all work must cease until a new building
permit has been issued. For your convenience, we are enclosing a renewal
application form and owner -builder form to be completed and signed by
you where indicated and returned to this office together with the fee
shown. Please return.all copies of the application form.
F-1 No inspections have been made on permit work. Inspections are required
to verify code compliance. We are unable to renew a permit where the
work has not been started and inspected prior to permit expiration.
After expiration of your permit, no work may be started until a new permit
has been issued.
If our records are in error or should you have any questions concerning this
matter, please contact the . Oroville office.
Thank you for your prompt attention concerning this matter.
JFG: hla
cc: Building Inspector
Attachments: F� Renewal Application
F) -Q Owner -Builder Information
7 Owner -Builder Verification
rV,4,- - II.A0 P-h^1r1t- P -n
Yours very'truly,
J.F. Glander
Manager, Building Inspection
?roject TIUs
project Addrea
Documentation Author Telephone
BUELDING DATA
Conditioned Floor Area Number of Stories 7-
Slab/Raised Floor 44mSax., Number of UniM
D( Single F=dy Detached (S-rD) C I Addition Alone
C.] Single Family A=aed (SFA) F-tisting Building
Multi -Family (?vM Existing -Plus -Addition
builitling Pami& it
AC7 I,? � * -_V -V le— dw-r
UlCCiCCdBy/.DWA
Entarcanent Agency Use 0*
GL-iss Ari�i'
Nor%h
9
No rz.h
East
1 —6;0 1
4 -t?
South
Z_'d 0 -
west
Efficiency
4.9
Duct Output Manufacturer /Model #
Skylight
-!34-
7, 7—
Type/Covering
TOW
44,�;;
5.7
Al, C_-, __
B UrLDLNG SHELL INSLMAIION
C=Pone= Insuladon Locafion/C=M=
Tyve R -Value (Attic, :4 g=zg's�_tMi=L etr-)
Wall ........ W- 19 Fr:;rwr -roTAL
Roof
Floor....__ Fz - 1!2
Floor ............
Slab Edge..-.
GLAZYING Shading Deyi=
Glazing Area Glass Type ku&-ior E=cdor Overf=g Fr=dngType
Orientation (Sri (3ir� double) (Tollar blind. etc.) (shadc=ecn. ete.) (Vesmol (metalAhwanA
N 0 rz., 1
9 ",peg C? b
No rz.h
E; -,s t
1 —6;0 1
East
SOUL11
S0U,_L1
West
Efficiency
West
Duct Output Manufacturer /Model #
SkylighL.._
(aWr, e=)
-HE RMAL MASS
Type/Covering
Area Thickness
(slab/eX=sed. tile. etc.) (sf) Onches) Locadon/Dcscriodon Wtchem bath. etc.)
HVAC SYSTEMS .
Duct
Minimum
Type (h=w,- air
Efficiency
Location
Duct Output Manufacturer /Model #
conditioner. heat aumv) (SE. SEER.HSPF)
(aWr, e=)
R -Value (BrUh) (or auproved equal)
2EN&CJS
I. -7-Z _
AWTJ C_
5.7
Al, C_-, __
S.g -
AOMC-
6--7 81 ffT9 CMNTY
r
_-P
Maximum Furnace Heating Ourpuc NXI ING DE ARM
.HOT WATER SYSTEMS Tank Manufh=mr/Model # P tW [; 9%
eare
U Kj W
System Tvoe (storage gas. at,%) Caoacitv (or approved ecual) Soeci s
S. C7 '. 50 MAX 0
SPECIAL FEATURES/REMARKS (Add extra sheets if ne=ssary)
Mandatory Measures Checklist: Residential MF -IR
?40TL- La-nxe rcsWatcal bmidings sttb%eet a ftSlar4ards must comas Qm= —Vea M 'I o(tMeemaumcc
b— Items muzos -tin an astaux (-)may be W01WWOW tM ODOM SMAOMCOMPIMUM MWAVICE11=13 fism!
0nUwC&n1[8C2fi90(C0m91L&ftff_ When am chwALLst La u-carvararied tam ift Parmst daciurmKL " fcat� Mond am&
bc c0mU*=%d by W parties as but6ng mumatum camp, - pertannances irk har w a
Poo UMM Ube Andawry coma
_V&Aff —7 am utows cLwwftm M the 000imems cr an MU —b!,;- anky. .
DESCIUMOF4
• 12.5352(al: Mintmam cesiml; m2uLaLmm R. 19 .0thwA 6 -crate.
12-5352ft I — rill ift� marmiamuct*s "WaS It -Valve.
• 12-5352(cr mis— -all irtstLizoan is (tamed walls R -i I wagnted average (does act apply a
exterior man walls).
J2.5352(kk SLLbadgcinuLaum-wuwabmrwxnr=novcauxuunO.3%.wuavwm
VWu;mUZ100 MIC n* V=Ur UUn 2.0 powWOCIL
;2.5311* Lm-lauce mcciiiedor instailed niecta Califamia Eima Cam quality
stanizardL Lnatcac tyvc aW tom�
12-53=rt vapor bu - mancasory in Cimaw Zones 14 and 16
12-5317: InrtItr=xwvEiraIr=onCommjs
L Door% 3W WUM30-S between conat-wrictl anti Uncandi-Nxted spaca deagnied go 4mu Aff
IcaLaitc.
b. Doon; 2M -famn laurwd.
r- Dean U4 -Uma" -CWW="= an jou" WA p0mawans cauacd WA Sea"
§2-5352tel: SPO='i&CLivauonbanxr=smlka&DcoatoywiAbf2-S33towAsC=quaiigy
12-33=dk Insmi"wo(Futotacics
1. Masonry arld [aciory-bull fireplaces have:
L signarkamr-ciascablemeworgiandow
It. oucase at mme Vnift damoff 04 cmad
c. Fluc amoar antl contrad
2. No comm -ox- atinung ps polots agowe&
HVAC A" Plumbing SysLass Mestsum
12-5352(jL) antl 1-530k Space cmAd tiownt XWng: attach
12-5352(h) w4 2.5315: SeLbacX ammmust an all applicable hcatint systems.
*.12-5316(a), Ductscomstrucu=i—licti and insulated per Cupgw Ia. 1976 LTMr-
f2-5316(b): Babaustsystemsraw damp=
R -5314(c): Gas-ruw=ai:ihcaLingccnjipriwaftaim�amiVkioodc�
12-531A! HVAC couipmeju. waar hcatcmshowcmeads and(..--. ccrVirked brIft Mr_
f2-53526): WatcrhcuffirouLaticmblan�-(R-12orp=w)orcombkjcdintcrioritiscrior
J7-5312(Ezccotionrr Pipe invalatkwonsumm and meam condensate mum A tecircubting
R -5318(d): SwimmingPoolHeating
1. System ?L=
;L Onmff P"Ch on hcatcr.
It. Wcuncrarcof instruction plate on hcma.
r- Plumocd W 31;0- for SoLar.
Z. 75 ocreerit wermal dracency.
3. poal co -cf.
4
. & ame ejecy
5. Dummommi wzur usics.
UghtiOt and Appliance Xlenwes
12-5352(k Upung- 25 luencrat-worgreaw forcna
R -5314(c.' Gas lued appliances equipped with inscmatuen& ignuson devices.
P -5314(a); RdrigeraAam YdAgcrawr-(nz== [meters and Cluor=cm lamp
by uft =-r_ MaLc =4 maw manect.
COMPLIANCESTATENUD(T
Mus C=tf7r-= of comprlw= li= thc building f=== and performance Sp=fieadow needed to coInplywith
Title 24. Chap= 2-53 and Title 20. Cazz=r 2. -%bch2;;= 4. Article I Of the California Administrative code. TIds
c=mfic=e has be= ngned by dIc indivilhzal with overall. design resp=%sibiliry and dx building owner. who shall
m -min a copy of it and =n=it th-- =11ificate: to my subsequ= pmd=r of the hnldin&
Designer
Nam=
Addrc=
Tckrh""
Uc. #-
(date)
Documentation Author
Addn=:
Building Owner
Nam=
Addn=
Tckvhonc
(si (date)
Enforctment Agency
Namc:
ACcwr.
1. Ceiling
7- Wall Insulation
1
Number or s=nes
singfe-
R-valiie
One
Two
Three
R-0
-1 a3
Amacn.ed
_U
R-19
-8
4A
.2
R-30
.2
R-1,3 2
.1
R-38
0
0
0
U-vwue
.17
-8
-5
0 -ca
.176
-84
_SA
0.20
-102
-49
-32
0.10
-26
.13
-8
0.08
.18
.3
-6.
US
-11
S
.4
0.124
4
.2
.1
042
-3
2
1
O.Co
.1
5
3
7- Wall Insulation
1
4
singfe-
Single-
JA
Famtry
Fam0y
MuJ&
R-yalue Det=,ed
Amacn.ed
F;arniy
R-0 -63
-st
4A
R -I I a
a
0
R-1,3 2
2
R -3a
Fi- 19 8
.221
-14
0.10
.17
-8
-5
-As
0-10
-36
-24
0.10
3
a
0.08
3
2
US 9
7
5
0.04 14
2
7
0.02
10
10
Q.00
-58
12
Raised Floor TnsuIntion
1
4
Insulation in Flow
Ma
JA
Number of s=ries
TWO
R.vaius
One Two
Thms
R-0
0.40
_S
R-1 1
-3
-1
R-1 9
0
.22
R -3a
3
.221
U-Vaiva
1
4
Number of swries
Ma
JA
One
TWO
Th"
-,t,^Lo
-52
-7
0.40
-95
-AS
_30
0. M.
-69
44
.22
Q.:0
_4
.221
-14
0.10
.17
-8
-5
0.08
-11
-6
.4
O.C6
-6
-3
.2
O.CA
.1
a
0
0.02
A
2
1
Q.ca
10
5
a
Controiled Ventilation Cravvispace
1
4
Number of swries
Ma
R-yaiue
One
TWO
Th"
R-0
-11
-7
-5
R -S
.4
.4
M
.40
Ian
50
-121
-53
-M
-24
-10
4. Slab Edge Insulation
40
-90
-37
Number of Stones
-IA
R-Yaius
One
TWO
Three
A-0
-19
a
a
R-5
7 1
S
2
R-7
.4
6
3
F2!ac=
-58
-260
42
0. SO
5
-3
.1
.53
.18
.1
0
5
2
2
-52
-17
-9
.2
6
13
9
_A9
-15
1-8
12
7
14
S. InAltratiou (Air Le2kage)
spomficawn points
shorward 0
6. Glass Heat Los3
Total
1
4
0
Ma
U-Vaiue
Siones
percetit
t
na
I Vi
.41 to
M to 0.30 or
Glass Singfe
0trude
ea
M
.40
Ian
50
-121
-53
-M
-24
-10
4
40
-90
-37
-26
-IA
-3
a
2
2
-29
-19
-9
1
IQ
7 1
-61
-21
-13
.4
A
12
29
-58
-260
42
-3
5
12
1 28
.53
.18
-10
.2
5
13
27
-52
-17
-9
.2
6
13
25
_A9
-15
1-8
.1
7
14
2S
-is
-14
.7
0
7
14
24
-4
-12
.5
1
a
1A
23
-AC
41
_L
2
a
is
22
-37
-9
-3
3
9
is
21
-34
-7
.2
4
IQ
is
20
.31
-6
a
5
10
is
is
-29
_L
1
6
11
is
A
7
-3
2
7
12
16
17
.23
.1
3
a
12
17
is
-20
a
A
9
13
17
-.15
-;7
1
a
IQ
14
17
14
4A
3
7
IQ
14
is
13
-12
4
a
11
is
is
12
-9
6
9
12
is
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
.1
10
13
IS
17
M
S�
2
12
14
16
IS
20
7..Shading (Shade Open)
EMective Fa c c Clan
(Percent giza x SC)
% G;ass Nam East South 1 West sk�iqht
18 5
1
4
1
Ma
is 4__Z.
Siones
5
t
na
14 A
JCFA
One
I
na
12 3
3
5
2
na
11 3
3
5
2
na
IQ 2
3
5
2
1
9 2
3
5
2
2
a 2
3
5
2
2
7 1
3
4
2
2
6 1
3
A
2
3
5 1
2
4
2
3
-31
2
3
1
3
Tr
-27
2
-'f
a
-5
-;7
1.3
.21
-56
7
-4
-14
-A
2
.47
6
.4
.2
S.
na not allowed
-38
-1
.2
4
Shading (Shade Closed)
sivill.
Stab Roof
Raised Roor
Effectivepesc &CIA=
Famiy
Siones
Muhl
. (Porcmt gjaw X SC)
swes
Effectin
JCFA
One
Two
Three
One
%Q"
Nam
East
Sou*
wea
&Yfi*
is
-14
_LS
-69
-8
na
16
.12
-42
-59
-55
na
14
."o
-as
-50
_ts
na
12
-a
a
-44
-37
na
11
.7
_26
-56
1
na
10
_S
.23
-31
0
- 74
9
-5
Tr
-27
-25
_6S
a
-5
-;7
1.3
.21
-56
7
-4
-14
-A
.18
.47
6
-3
A
S.
-14
-38
-1
.2
4
5
-;a
-30
Z5
0
3
5
.7
_Z3
a
3.0
1
-5
6
8
z
9
U
.2
5
7
1
9
IQ
-1
A
3
6
9. Interior Thermal Mass
Interior
sivill.
Stab Roof
Raised Roor
Linz
Famiy
Siones
Muhl
Um
swes
Amchetl
JCFA
One
Two
Three
One
Two
Thme
0.0
-8
S
.4
A
0
_t
0.1
-8
.5
-3
:12
ef�
0
M3
.7
-A
.2
0
1
1
U
-6
-3
.1
1
1
2
Q.7
-5
.2
.1
1
2
2
0.9
-5
.1
0
2
3
3
1.1
.4
.1
1
3
A
13
1.3
-3
a
2
3
A
Effative SEZR
1.5
-3
1
2
A
S.
5
zo
-1
2
4
5
6
7
Z5
0
3
5
7
7
a
3.0
1
A
6
8
8
9
U
2
5
7
9
9
IQ
4.0
3
6
a
9
10
10
A.5
3
7
a
10
11
11
5.0
A
7
9
11
12
12
U
5
a
9
11
12
12
6. a
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
12
13
14
7.5
6
10
11
13
14
14
a.q
7
10
11
13
14
14
U
7
10
12
13
14
is
10. Exterior Wall Thermal Mass;
Emhor
sivill.
SM16.
Sum of 1-6
wad
Famiy
Farruly
Muhl
Um
Deukrherf
Amchetl
Fan*
0.00
0
0
0
am
. a
2
+15
0.40
5
A
0
0.60
a
0
4
0.80
10
6.88
5
1.00
13
10
7
1.410
13
12
8
1.40
12
13
A
1.60
IQ
13
13
i.M
IQ
12
12
7 -CO
IQ
11
13
11. Heating System
. SE or ELSW *
(Kmmes ducts in &Wc)
Zon:U Control Adjustment
System Type
Res=nce 10 9 7 6 4 3
Other 6 S 4 3 2 2
I-- CoQUag syst.: rn
SEER
("museiducts to attic)
Sm o(7-10
.25 (f .24 la 0-14 In
-4 In
Sum of 1-6
Is or
SEER
IJ
.15 1 .6
,zS or -24 to
-14 to
-L to
4 to
16 or
SE
HSPF
less
4 S
-5
+6
+15
=to
0.72
6,60
0
0
0
0
0
0
O. -Is
6.88
3
3
3
2
2
1
0.80
7.23-
8
7
6
5
A
3
OAS
7.779
13
11
IQ
a
7
5
OM
8M
17
IS
13
11
9
7
US
S.71
20
18
15
13
11
9
9
6
Effective SE or HSPF
S
Effative SEZR
(SE. or HSPF x duct efficiencT)
2
2
Effec�ve -25 or
-24 to -14 b
-At*
+61* 16 or
SE
HSPF
�ess
-15
-S
+5
+IS more
=
US
- "M
-U
-56
-47
-38
-M
na
3.41
-45
-19
-34
-29
-24
.18
0.40
3.57
-34
-M
-26
-22
-18
-14
U0
A.Sa
-10
-9
4
.7
-S
.4
0.55
S.13
a
a
a
a
Q
a
0.60
5._:0
5
5
A
3
_Y3
2
0.70
6.42
17
15
13
11
IS
7
0.80
7.33
75
22
19
16
13
10
Q.90
825
32
28
24
4.0
17
13
1.00
9.17
37
32
28
24
19
IS
Zon:U Control Adjustment
System Type
Res=nce 10 9 7 6 4 3
Other 6 S 4 3 2 2
I-- CoQUag syst.: rn
SEER
("museiducts to attic)
Sm o(7-10
Zonal Cociz-oi Adjuslonent
10 a 7 6 A 3
No Coolln; Systern Instailed
-Stories
.25 (f .24 la 0-14 In
-4 In
+6 to
Is or
SEER
IJ
.15 1 .6
*5
+is
MGM
8.0
-2
-12 - -10
-8
-6
-A
8.5
2
.7 -6
-S
-A
-3
8.9
5
_L - -4
-3
.2
-2
9.0
1.2
-3 -3
-2
.2
.1
9.5
Heater
a 0
0
a
a
10.0
. or
3 a
2
2
1
10-5
7
6 5
4
3
2
11.0
0.
7
6
4
3
lza
15
13 11
9
7
5
13.0
23
17 14
12
9
6
WSS
S
Effative SEZR
3
2
2
(SM X-JACI efficienCT)
POU
a
5
%u of 7-10
3
3
SE
Effeeve-25
Is
-24 to -IA 'A
-4 io
4610
16 or
SEER
Irua
-is 4
+5
+is
alone
5.0
.10
-25 -V
-17
-13
.9
6.0
-12
-11 - -9
-7
-6
.4
6.6
-5
.4 -A
-3
-2
.2 .
7.0
o
a 0 -
0
0
0
8.0
.3
-2
-2
-2
Ll
9.0
16
14 12
9
7
5
10.0 ,
22
19 16
13
IQ
7
11.0
26
23 19
IS
12
8
iza
M
26 22
is
14
9
13.0
33
29 7A
20
15
10
Zonal Cociz-oi Adjuslonent
10 a 7 6 A 3
No Coolln; Systern Instailed
-Stories
92
0.4
0.6
CLS
1-1
IJ
One
-5
.4
.4
-3
-2
-2
Two
3
3
2
2
2
1
sing(e-Fanady
Dclacfted and Attached
5
02
I Una Size
'12M
(so
MI
Water
1.2
*.IM
1.5
1700
2200
2700
Heater
cadt
Or
In
to
to
. or
Type
Type
less
16M
2199
2SW
mom
SG
Nam
a
0
0.
a
a
or
saiv
12 a
6
5
4
KP
HWR .
a
5
4
3
3
4.3
WSS
S
3
3
2
2
0.9
POU
a
5
4
3
3
SE
None
-37
-24
.18
.15
.12
32
Saw
.1
.1
-1
a
a
5.3
WA
-"S
-12
-9
.7
-6
1.7
WSH
-zS
.16
.12
-;0,
-3
12
P9_1L
.10
--;2
.9
-7
4
IG
None
.5
.3
-2
-2
-2
Ll
Solar
7
5
.4
3
2
25
PCU
3
2
1-
1
1
F_
None
-28
-19
-14
-11
.9
5.5
Sala;
8
5
4
a
3
1.3
POU
-IQ
-a
.5
.4
-3
U
Mlltu.Fmdl� (individual units)
17
U
4.1
4.3
' Unit Sin
(so
4.9
Water
Hewer
084
G9
700
1200
1700
1.2
TYPO
TYPO
or
Ifts
io
1 M'*9
0; or
2f6g, "W
21
NW4
a
.1199
a
a
a
0
.SG
or
Solar
14
7
S�
A,,.,
a
HIP
HWR
Wsa
9
S
11,
2
z.-'
1.9
POU
9
9
4
5
3
3
2
2.
2
2,
SE
None
-is
-23
is
l,
-9
4.9
salir
2
1
1
-
d
1.2
W'R
WS8
-23
-12
-8
-6
-5
V
P
.25
.13
-8
-6
.5
4.1
-(IU
None
.23
-'Z
-3
-6
.5
5.6
Scl:lr
-a
-4
-3
.2
.2
U
POU
Z2
3
2
1
1
3A
U
18
0
4.2
4.4
43
4.111
Solar
Fotj
8
a
5
A
-_
A
&.1 1
1.4
13
-
.3
-
.2
I T"W I
0%
tar.
29%
M%
40%.
50%
55%
150%
65%
70%
75%
MY.
15%
90,116,
25%
IMT.
105%
110T.
115%
120T.
125%
Interior MasTICFA
rrre I AA= gu:mC b 4.2. Los *,Oo,,d SL&bl
0% 5% IQ% rm T% zM �33% 2M A11%. 45%. 50% 5% W% oft 7M 73% W% Is% 00% qs% 1037. los'f. 11110% 115% 120%, -
0
92
0.4
0.6
CLS
1-1
IJ
I -S
11
1.9
11
V
25
17
79
32
*23
14
16
IS
4
42
44
.4.6
5
02
0.4
46
MI
1
1.2
1.4
1.5
IJ
11
7-3
23
ZY
2.1
It
15
17
4
&2
4A
45
-A.L
.4.8
5
52
IL3
as
CLS
1
1.2
1.4
IJ
'Ll
2
ZZ
Z4
V
IS
3.1
13
15
1?
21
4.1
43
4.3
4.8
5
52
5.4
U
V
0.9
1.1
1.4
1.6
1.2
2
U
Z4
Z6
2.8
3
12
15
33
32
4.1
42
&S
U
49
5.1
5.3
56
(LI
03
1.1
1.3
I.S
1.7
IJ
Z2
2.4
26
IS
3
12
3.4
16
18
4
L3
4.3
tZ
kil
5.1
12
5.5
S.y
U
Ll
Ij
Ij
1.7
IJ
It
V
25
ZY
3
22
14
IS
IS
4
42
4A
4.6
AS
5.1
"
5.5
51
5.9 1
0.9
1.1
1.4
1.5
1.3
2
2.2
Z4
ZS
ZI
3
U
15
17
U
4.1
4.3
4.5
4.7
4.9
11
51
SS
5.1
5 1
1
1.2
1.4
1.7
1.2
It
V
15
21
Z9
3.1
23
15
18
4
k2
U
til
4.8
S
12
. A
5.6
3.9
6 1
1.1
U
1.5
1.7
1.9
22
7.4
20
20
3
U
14
36
111
A
42
AS
4.7
4.9
11
53
5S
$3
19
6 1
1.2
1.4
1.6
1.8
2
Z2
25
V
IS
3.1
23
25
1?
22
4.1
43
49
4.1
5
5.2
14
5.6
58
6
62
1.3
1.5
V
U
It
Z2
IS
V
3
22
3A
U
18
4
4.2
4.4
43
4.111
5.1
U
-IS
&I
s.9
S.1
&.1 1
1.4
13
1.1
2
2.2
2.4
%S
It
3
13
IS
17
22
4.1
k3
4.5
4.7
41.9
5.1
5.4
59
$.a
g
92
54 1
1.4
1.7
11.2
11
Z3
15
11
IS
11
13
15
19
4
4.2
4.4
416
48
3
52
S4
54
39
tj
63
GS .1
IJ
V
2
Z2
14
ZS
IS
3
22
14
14
14
41
4,3
4.5
4.7
AS
11
53
.15
17
&9
&2
g A..
66 1
I 'S
U
2
U
2.5
7.7
2.9
11
33
15
17
19
4.1
42
4.6
AS
5
12
5.4
&$
18
6
4,2
6,41
t 7 1
IJ
IJ
It
13
IS
2.8
3
22
2A
IS
It
4
41
&4
4,111
AJ
&I
L3
53
L7
L2
&I
&Z
"
& 7 1
1.9
2
%2
7-4
is
18
3
23
is
17
19
4.1
4.3
4.S
4.7
Aj
V
14
so
Is
I
&Z
U
59
C S 1.
1.9
11
Z3
25
2.7
IS
11
13
26
10
4
&2
L4
ILS
4.8
5
12
U
5.7
19
U
&2
CS
g.1
S9 1
2
U
24
Z$
IS
3
12
14
IS
18
4.1
4-3
4-5
4-7
4-9
11
13
L5
3-7
19
C2
6.4
6, 6
6.8
7
2
Z3
ZS
ZI
Z2
I 1
23
15
17
19
4.1
4.4
4.6
4.1
5
LZ
SA
16
S4
I
tZ
&S
t I
g.9
7.1
11
22
IS
Is
3
22
14
16
IS
4
41
"
&S
43
&1
563
L5
U
5.9
V
U
U
V
7
7.2
Point Syste M' Summary: Cli=te Zone 11
SCORE CARD
1. Ceiling Insulation
112
7- Wall Insulation -
3. Raised Floor InsiTintion
4. Slab Edge Instillation
S. Infiltration
6. Glass Heat I=
7. Shading (Shade Open)
a. North
b. E=
c. South
d. West
e. SkyUght
8. Shadinc, (Shade Closed)
a. North
b. E=
c. South
d. - Wwc
e- S411ght
_91� Iriterior Thermal Mass
o-10:- Exterior Wall Mass
,; � - i , : I
11"Heating System
ZonW ConaoL? Y / N
12. Cooling System
Zonal Conaiol? Y I N
13. Water Heating
Mensu
or
R_valc [381 U -value [0=1
I q or
R -Value (111 U-.-&iuc (0.0981
? '? or
R-yaloc, j 191 U-yziuc (O.M
Point Scores
or
R-valuc (01 F2 fact" An
S=ndard
rfu_
Type ideabl-I U-VRWC [QAq S Total, Cnan 161
sr. Glass SC -
EM % Glass
X o 4,7
CV - *0-
X
X
X
X
0-7
170 GLIM . SC Eff. To Glass
0.3 X 5-7 6.21
X
X
X T, 07
X =ILK= = 0,-/
TYPE 1 KASS AREA
te COND. FLOOR AREA
TYPE 2 ��S; A EA
C70. F 0
X
SE or HSPF Duct Efficiency [0-781 Eff ocu- SE ;r-
[0.72AA KSPF 10-ws. 151
X
SUR 19-51 Duct Efficicacy (0.741 EffecuVe SEER (7.031
I ypc OSGI cmda (amej
0
pl�;7
Sum
SL=
-2,
pnirit 7,-)tal:
Certificateorcompuance: Kesidential unmate zone xx
Project Tide
Address
BUI]LDING DATA
BU amit #
r L_
Chiciced By / Date
Telepogne Enforcernent ARenc!v Use Only
Conditioned Floor Area 3/6P% Number of Stories t -f
Slob/Raised Floor E jOA 0., M Niumber of Units —
?Single Family Detached (SFD) I Addition -Alone
03Single Family Attached (SFA) I Existing Building
I Multi -Family (MF) 3 Existing -Plus -Addition
BU11,I)ING SHELL lNSULAn6N-'
Component Insulation LocafforXomments,
Type R -Value igis to gmse, �2ivd. et0,:,
Wall ..............
wan ...........
Roof ...........
Roof .............
Floor .............
Floor .............
Slab Edge .....
GLAZING Shading Devices
Glazing Area GlassType Interior Exterior Overhang Framing Type
Orientation (St) (singlk doubl�) Lollar blind. etc.) (0-04acrom etc.) 6"010 (metWhwood)
North
North
East*
East
South
Sou Lh
West Y J�M
West
Skylight .......
THERMAL MASS
Type/Covering Afea Thicicriess
(slab/exposed, tile, etc.) (SO (inches) Location/Description (kitcheyk balk etc.)
L
HVAC SYSTEMS Minimum Duct
Type (furnace, air * -Efficiency Location Duct Output Manufacturer Model #
conditioner. hea*t pump) (SESEERASPIF) (atticetc.) R -Value (Btuh) (or anvmvgdtwitgl`r%t' wTV
7
iUlLUING DMARTME-N!
A DQQr")X/CJ')
Maximum Furnace Heating Output: Btuh %I a . IN 1%.&W IF 11— a..r
HOT WATER SYSTEMS X
Tank Manufacturer/Model #
System Type (stor%e gas. etc.) Capacity (or approved equal) Special Feature(s)
00W
SPECIAL FEATURESIR rkARKS -(Add extra sheets if necessary)
Mandatory Measures Cfiecklist: Residential MF -IR
NOTE: Lowrise residential buildings subject to the Standards must contain these measures negardicss Of the compliance
approach used. Iterns marked with an asterisk (*) may be superseded by Mort stringent compliance mQuvcmtnts li"
on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents. the features noted shall
be considered by all parties as binding minimum component performaricc specifications for " mandatory measures
wheAhtr they are shown elsewhere in the documents or on this checklist only.
DESCRJMON DESIGNER ENFORCEMENT
Buittling Envelope Measures
§2-5352(a): Minimum ceiling insulation R. 19 we ighted average.
§2.5352(b): Loose rill insulation manufactuntr's labeled R -Value.
*§2-5352(c): Minimum wall insulation in frAmcd walls R-1 I weighted average (does not apply to
exterior mass walls).
§2.5352(k): Slab edge insulation - water absorption rate no greater am 0.3%. water vapor
transmission rate no greater than 2.0 ptrrn/inch.
§M31 1: Insulation specified or installed meets California Energy Commission (CEQ quality
standards. Indicate type and form.
12-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: lnriltratiort/EiriltraLionConools
a. Doors and windows between conditioned antl unconditiorw spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripprd; all joints arW penctrations caulked antl scaled
§2-5352(c): Special infiltration barrier installed to comply with §2-5351 mects CEC quality
standards.
V -5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces; have:
a. Tight fitting. closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous bunting gas pilots allowed.
HVAC and Plumbing System Measures
42-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2-5352(h)and2-5315: Setback thermostaton 41 applicable heating systems.
§2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
62-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
62-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC.
§2.5352(i): Water heater insulation blanket (R-12or greater)orcombined intcrior/exterior
insulation (R-16 or greater): first 5 feet of pipes closest to tank insulated (R-3 or great").
12-5312(Exception 1): Pipe insulation on swam and steam condensate rcturn & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a. Orloff switch on heater.
b . Weatherproof instruction plate on heater.
c. Plumbed to aliow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional ter inlet.
Lighting and Appliance Measures
12-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
12-5314(a): Refrigerators. refrigcrator-freezers. freezers and fluorescent lamp ballasts catified
by the CEC. Indicatc make and model number.
C0?"1JMC!E STATEb[MqT
This cerdficate of compliance,lists the building teatum =0 performance specifications needed to comply with
Mde 24, Chapter 2-53 and Title 20. Chaki 2. SubchapW4. Article I of the California Administrative code. INS,'
celtificate has been signed by ft individual with overA design, imsimnsibility am the building owner. who shall -
retain a copy of it and transtnit the oertifica.e to my subsequent purdiaser of the building.
Designer
Building Owner
Nan= Namec
Titwum Tidc/Funt:
Address: Address:
7
Telephone: T Lephon
Lic. 0:
(signatum) (date) 't'mm)' (date)
Documentation Author Enrorcement Agency
Narm: Namet:
Address: Tckpho=
Glass Area
% Glass
North—
'East*
71>
South
Zia
West
Skylight
I
Total
iS A -
Glazing Area GlassType Interior Exterior Overhang Framing Type
Orientation (St) (singlk doubl�) Lollar blind. etc.) (0-04acrom etc.) 6"010 (metWhwood)
North
North
East*
East
South
Sou Lh
West Y J�M
West
Skylight .......
THERMAL MASS
Type/Covering Afea Thicicriess
(slab/exposed, tile, etc.) (SO (inches) Location/Description (kitcheyk balk etc.)
L
HVAC SYSTEMS Minimum Duct
Type (furnace, air * -Efficiency Location Duct Output Manufacturer Model #
conditioner. hea*t pump) (SESEERASPIF) (atticetc.) R -Value (Btuh) (or anvmvgdtwitgl`r%t' wTV
7
iUlLUING DMARTME-N!
A DQQr")X/CJ')
Maximum Furnace Heating Output: Btuh %I a . IN 1%.&W IF 11— a..r
HOT WATER SYSTEMS X
Tank Manufacturer/Model #
System Type (stor%e gas. etc.) Capacity (or approved equal) Special Feature(s)
00W
SPECIAL FEATURESIR rkARKS -(Add extra sheets if necessary)
Mandatory Measures Cfiecklist: Residential MF -IR
NOTE: Lowrise residential buildings subject to the Standards must contain these measures negardicss Of the compliance
approach used. Iterns marked with an asterisk (*) may be superseded by Mort stringent compliance mQuvcmtnts li"
on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents. the features noted shall
be considered by all parties as binding minimum component performaricc specifications for " mandatory measures
wheAhtr they are shown elsewhere in the documents or on this checklist only.
DESCRJMON DESIGNER ENFORCEMENT
Buittling Envelope Measures
§2-5352(a): Minimum ceiling insulation R. 19 we ighted average.
§2.5352(b): Loose rill insulation manufactuntr's labeled R -Value.
*§2-5352(c): Minimum wall insulation in frAmcd walls R-1 I weighted average (does not apply to
exterior mass walls).
§2.5352(k): Slab edge insulation - water absorption rate no greater am 0.3%. water vapor
transmission rate no greater than 2.0 ptrrn/inch.
§M31 1: Insulation specified or installed meets California Energy Commission (CEQ quality
standards. Indicate type and form.
12-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: lnriltratiort/EiriltraLionConools
a. Doors and windows between conditioned antl unconditiorw spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripprd; all joints arW penctrations caulked antl scaled
§2-5352(c): Special infiltration barrier installed to comply with §2-5351 mects CEC quality
standards.
V -5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces; have:
a. Tight fitting. closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous bunting gas pilots allowed.
HVAC and Plumbing System Measures
42-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2-5352(h)and2-5315: Setback thermostaton 41 applicable heating systems.
§2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
62-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
62-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC.
§2.5352(i): Water heater insulation blanket (R-12or greater)orcombined intcrior/exterior
insulation (R-16 or greater): first 5 feet of pipes closest to tank insulated (R-3 or great").
12-5312(Exception 1): Pipe insulation on swam and steam condensate rcturn & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a. Orloff switch on heater.
b . Weatherproof instruction plate on heater.
c. Plumbed to aliow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional ter inlet.
Lighting and Appliance Measures
12-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
12-5314(a): Refrigerators. refrigcrator-freezers. freezers and fluorescent lamp ballasts catified
by the CEC. Indicatc make and model number.
C0?"1JMC!E STATEb[MqT
This cerdficate of compliance,lists the building teatum =0 performance specifications needed to comply with
Mde 24, Chapter 2-53 and Title 20. Chaki 2. SubchapW4. Article I of the California Administrative code. INS,'
celtificate has been signed by ft individual with overA design, imsimnsibility am the building owner. who shall -
retain a copy of it and transtnit the oertifica.e to my subsequent purdiaser of the building.
Designer
Building Owner
Nan= Namec
Titwum Tidc/Funt:
Address: Address:
7
Telephone: T Lephon
Lic. 0:
(signatum) (date) 't'mm)' (date)
Documentation Author Enrorcement Agency
Narm: Namet:
Address: Tckpho=
1. Ceiling insulation
2. Wall Insulation
i
S �qle-
Number of stories
Number of stories
R -value
One
TWO
Three
R-0
-103
-49
-32
R-1 9
-8
-4
-2
R-30
.2
-1
-1
R-38
0
0
0
U -value
8
6
4
0.50,
-176
-84
-54
0.30
-102
-49
-32
0.10
-26
-13
-8
0.08
-18
-9
-6 .
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
3. RaW Floor Insulation
Insulation in Floor
i
S �qle-
Single -
Number of stories
R -value
F 'ily
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-1 1
0
0
0
R-1 3
2
2
1
R-1 9
8
6
4
U -value
-144
-70
-46
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
O.D6
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
is
12
3. RaW Floor Insulation
Insulation in Floor
Controlled Ventilation Crawlspace
-4
Number of stories
Number of stories
R -value
One
Two
Three
R-0
-17
-8
.5
R-1 1
-3
-2
-1
R-1 9
0
0
0
R-30
3
1
1
U -value
4. Slab Edie Insulation
40
-90
0.60
-144
-70
-46
0.50
-120
-58
-38
0.40
-95
-46
30 1
0.30
-69
-34
-22
0.20
-43
-21
A4
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3 .
Controlled Ventilation Crawlspace
-4
-3 .1
Number of stories
-1
R -value
One
Two
Three
R-0
-11
-7
-5.
R-5
-4
-4
3
R-1 1
-2
-2
-2
R-1 9
A
-2
-2
4. Slab Edie Insulation
40
-90
"
gumki�`of Stories
-14
R -value
One
TWO
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-4
-3 .1
0.80
-1
-1 10
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
S. Inriltration (Air Leakage)
Specification Points
Sliandard 0
. 6. Glass Heat Loss
Total
Exterior
Slab Floor
EffeedwePac tGlass;
Mass
L�vajue
East
p erc nt
-West
Skylight
51 to
.41 to
.31 to 0.30 or
tses Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
.12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
11
13
10
14
18
13
-12
11
'001
8
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10 )
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7..Shading (Shade Open)
Effixitivie Pes c I Glass
(pa C -It g1lissis X SC)
Effective
Exterior
Slab Floor
EffeedwePac tGlass;
Mass
%Glass North
East
South
-West
Skylight
18 5
1
4
1
na
16 4
2
5
1
na
14 4
2
5
1
na
12. 3
3
5
2
na
11 3
3
5
2
na
10 2
3
5
2
1
9 2
3
5
2
2
8 2
3
5
2
2
7 1
3
4
2
2
6 1
3
4
2
3
5 1
2
4
2
3
4 0
-21.
3
1
3
3 0
-0!;l
2
1
3
2 0
0
1
0
3
1 -1
-1
-1
-1
2
0 -1
-2
-4
-2
0
na = not allowed
-23
3
0
_,4
Shading (Shade Closed)
Exterior
Slab Floor
EffeedwePac tGlass;
Mass
MwA
owcent glass X SC)
0.00
Effecdo
stories
3 2 1
/CFA
One
Two
%Gbu
NoM
Ead
ScA
Wed
MW*t
18
-14
.48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74-
9
.5
-20
-27
-25
-65
a
-5
-17
-23
-21.
-56,
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
.2
-9
-11
-10
_30.,
4
-1
-6.
-8
.7
-23
3
0
_,4
.5
-4
-16
2
1
-1
-2
.1
-9
I
I
1
1
1
-4
0
2
3
4
3
0
na - not allowed
3
7
8
10
9. Interior Thermal Mass
Interior
Exterior
Slab Floor
Raised Floor
Mass
MwA
Stories
0.00
0 0 0
stories
3 2 1
/CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
-2
.1
-1
0.1
-8
-5
-3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
2.5
0
3
5
7
7
a
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Skvle- S-imle-
Wall
Famfly Family W16
MwA
DeWW Aftwhei:l 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
1.20
13 12 8
1.40
12 13 9
1.60
10 13 11
1.80
10 12 12
zoo
10 11 13
11. Heating System
-4
SE or HSPF
-2
(assumes ducts In atdc)
.1
Surri Of 14
0
-25 or -24 to -14 to 4 to �6 to _16 -or
SE HSPF less -15 -5 +5 +15 more
0.72 6.60
0 0 0 0 0 0
0.75 6.88
3 3 3 2 2 1
0.80 7.33
8 7 6 5 4 .3
0.85 7.79
'13 11 10 8 7 5
0.90 8.25
17 15 13 11 9 -7
0.95 8.71
20 18.'- 15 13 11 8
3
EfTectlWSE or HSPF
(SE or HSPF x duct efficiency)
Effeclive -2S or -24 to -1,6� :4 to +6 ID 16 or
SE HSPF
ins -15 -5 +5 +115 . more
0.30 2.75
-73 -64 -56 -47 4 -30
he 3.41
-45 '-39' -34 -29 -24 -18
0.40 3.67
-34 -30 -26 -22 - -18 -14
0.50 4.58
-10 -9 -8 -7 -5 . -4
0.56 5.13
0 0 0 0 0 0
0.60 5.50
5 5 4 3 3 2
0.70 6.42
17 15 13 11 9 7
0.80 7.33 25 22 19 16 13 10
0.90 8.25 32 28 24 20 17 13
1.00 9.17 37 32 28 24 19 15
Zonal Control Adjustment
System Type .
I Resistance 10 9 7 6 4 3
1 Other 6 5 4 3 2 2
1
12. Cooling Syst=
SEER
(assume; ducts In atft)
Svn of 7-10
Zonal Coatrol Adjustment
10 8 7 6 4 3
No Cooling System Installed
Lstories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Detached and Attached
.25or .2410 p-1410
AID
+6 to
16 Or
SEER
im
-15 -6
+5
+15
mom
8.0
-14
-12 '10
-8
-6
-4
8.5
-9
-7 -6
-5
-4
-3
8.9
-5
-4 -4
-3
-2
-2
9.0
-4
-3 -3
-2
.2
.1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
12.0
15
13 11
9
7
5
13.0
20
17.1 14
12
9
6
.-24
-18
. I
Erreove SEER
-12
(SEER wduct ellidency)
-1
-1
-1
Sti-ii of 7-10
0
Effective-25or
-24to -14lo
-410
+6 to
16 or
SEER
leu
-15 .6
*5
+15
more
5.0
-30
-25 -21
-17
-13
-9
6.0
-12
-11 -9
-7
-6
4
6.6
-5
-4 -4
-3
�2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Coatrol Adjustment
10 8 7 6 4 3
No Cooling System Installed
Lstories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Detached and Attached
% Glass
Unit Size iso
SC Eff. % Glass
Water
X
;49
1200"
'1700
2200
2700
Heater
Credit
or
-1 to
to
to
or
Type
Type
less�
j1699
2199
2699
mom
a. North �0�,X
SG
None
0
0
0
0
0
I
.or
Solar
12
8 .
6
5
4 -
HP
-HWR
8
5
4
3
3
WSB
5
3
3
2
2
(UIKC & 4.2, ie: exposod Slab)
COND. PLOOR ANN
POU
8
5
4
3
.3
Duct Effilciency [0.78) Effective SE or
Ueor I'MAIC I let
SE
None
-37
.-24
-18
-15
-12
Solar
-1
-1
-1
0
0
HWR
-18
-12
-9
-7
-6
WSB_
-25
-16
-12
-10'
-8
15%
2ffo
POU
A-8
---:12
-9
45%
-6
55%
IG
None-
'--5-
.3
-2
_-7
-2
-2-
05%
11110% 105% 110% 11115% 120% 125',
Solar
7-
5-
-4
3
2
1.1
1.3
POU �
__3
2
1
1
1
2.7
E
None
-28
-19
-14
-11
.9
4.4
4.6
Solar
8
5
4
3
3 -
0.6
0.8
POU
-10
-6.
-5
-4
-3
2.3
Muld-Familly
(individual units)
2.9
& 1
3.3
3.5
.. tinit Size (6
4
4.2
Water
4.6
09
7W
1200
170-0
22DO
Neater
Cram
or
to
to
to
or
Type
Type
less
1.1111119
low
2109
mom
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
1.1
5
3
2
.2
2.2
-9
WSB 9
4
3
2-
2
3.5
POU
9
5
3
4.5
2
SF
None
.45
-23
-15
_2
11
.9
0.9
1.1
Solar
2
1
1
0
0
2.6
2.8
HWR
--23
-12
-8
-6
'-5
4.3
4.5
WS8
-25
-13
-8
4
'_5
5.9
50'/6
0.9
1.1
__AL__ -8..
1.5
-5
1.9
IG
None '
Solari�16
-8
-4
3
-3
2
.-6
.2
3.4
3.6
&S
4
4.2
4.4
4.6
1
5.1
5.3
5.5
5.7
5.9
0
0
0.9
E
None
-30
-15
-10
-8
-6
21
Solar
18
9
6
4
4
4.1
POU
-6
-4
.3
-2
-2
5.6
5.0
6
6.2
60%
1
Point System Summary: Climate Zone 11
SCORE CARD Measures Point Scores
1. Ceiling Insulation R -value 1381 or U -value [0.'0301
2. Wall Insulation R-valut 11 or -9 --value 10.0981
3. Raised Floor Insulation or
R-valuc 191 U -value 10.0371
4. Slab Edge Insulation or
R -value [0] F2 facw [0.771
S. Infiltration Standard 040 Ve UbA 0
6. Glass Heat Loss 1 5:50' S'---
T�noe ldoubltl U-valuc [0.651 %Total Glass 1161
7. Shading (Shade Open)
% Glass
SC Eff. % Glass
- a. North
X
(op -7 49, 7W
b. East
X
I
c. South
Interior MasslCFA
d. West
X
e. Skylight
X
V
8. Shading (Shade Clo sed)
. % Glass
SC Eff. % Glass
a. North �0�,X
157 0
b. East
X
1 510-
c. South
X
I
d. West-
X
e,,-.-,, Skylight,
X
TYPE 1 14ASS AREA
9. Interior Thermal Mass
COND. FLOOR AREA
-";e, 9terior W-_wss1CFA
10. Exterior Wall Mass
TYPE 2 MASS ARE
I TYPE I X%SS
(UIKC & 4.2, ie: exposod Slab)
COND. PLOOR ANN
t
11.-Hea1iAgSyiieTn
X
coo
Zonal Control? Y N SE or HSPF
Duct Effilciency [0.78) Effective SE or
Ueor I'MAIC I let
81W
-
0%
5%
10%
15%
2ffo
25%
30%
35%
40%
45%
5D%
55%
W%
06
70%
75%
1101%
85T.
W%
05%
11110% 105% 110% 11115% 120% 125',
01/.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
2.1
Z3
2.5
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.3
to*/*
0.2
0.4
0.6
0.8
1
1.2
1 A
1.6
1.9
2.1
2.3
2.5
2.7
2.9
& 1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
2.4
Z7
2.9
3.1
3.3
3.5
U
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
Z4
Z6
2.8
3
3.2
3.5
3.7
3.9
4.1
43
4.5
4.7
4.9
5.1
6.3
5.6
5.8
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
Z4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50'/6
0.9
1.1
1.3
1.5
1.7
1.9
11
Z3
2.5
Z7
3
3.2
3.4
3.6
&S
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
U
21
Z8
3
3.2
3.5
3.7
3.9
4.1
4.3
43
4.7
4.9
5.1
5.3
5.6
5.0
6
6.2
60%
1
11.2
1.4
1.7
1.9
El
21
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4A
4.6
4.8
5
5.2
5A
5.6
5.9
6.1
6.3
65%
1.1
1.3
1.5
1.7
1.9
2.2
Z4
2.6
21
3
3.2
3.4
3.6
3.0
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.4
70%
1.2
1.4
1.6
1.8
2
Z2
2.5
2.7
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5 8
6
6.2
64
75%
1.3
1.5
1.7
1.0
2.1
2.3
25
2.7
3
3.2
U
U
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
S.5
5.7
5.9
6.1
6.3
6.5
80%.
1.4
1.6
1.8
2
2.2
2.4
Z6
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
64
6 6
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.0
4
4.2
4.4
4.6
4.8
5
5.2
54
5.6
5.9
6.1
6.3
65
6 7
WY. '
1.5
1.7
2
2.2
2.4
Z6
2.8
3
3.2
3.4
3.5
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6A
66
68
95%
1.6
1.8
2
2.2
2.5
U
2.9
3.1
33
3.5
3.7
3.9
4.11
4.3
4.6
4.8
5
5.2
5A
5.6
5.8
6
6.2
6A
6.7
6.9
Jooy
,
1.7
1.9
Z11
2.3
23
Z8
3
3.2
3A
3.6
&B
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.8
2
2.2
2.4
2.6
Z8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.0
6
6.2
6.4
6.6
6 8
7
1 10Y.
1.9
2.1
2.3
2.5
Z 7
Z9
&1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.11
6.3
6.5
6.7
6.9
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
-6.6
6.0
7
7.2
120%
2
2.3
2.5
2.7
Z9
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5A
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
2.`1
2.3
Z5
21
3
&2
U
3.0
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD Measures Point Scores
1. Ceiling Insulation R -value 1381 or U -value [0.'0301
2. Wall Insulation R-valut 11 or -9 --value 10.0981
3. Raised Floor Insulation or
R-valuc 191 U -value 10.0371
4. Slab Edge Insulation or
R -value [0] F2 facw [0.771
S. Infiltration Standard 040 Ve UbA 0
6. Glass Heat Loss 1 5:50' S'---
T�noe ldoubltl U-valuc [0.651 %Total Glass 1161
7. Shading (Shade Open)
% Glass
SC Eff. % Glass
- a. North
X
(op -7 49, 7W
b. East
X
I
c. South
X
d. West
X
e. Skylight
X
V
8. Shading (Shade Clo sed)
. % Glass
SC Eff. % Glass
a. North �0�,X
157 0
b. East
X
1 510-
c. South
X
I
d. West-
X
e,,-.-,, Skylight,
X
TYPE 1 14ASS AREA
9. Interior Thermal Mass
COND. FLOOR AREA
-";e, 9terior W-_wss1CFA
10. Exterior Wall Mass
TYPE 2 MASS ARE
Exterior Wall Mass
COND. PLOOR ANN
t
11.-Hea1iAgSyiieTn
X
coo
Zonal Control? Y N SE or HSPF
Duct Effilciency [0.78) Effective SE or
Ueor I'MAIC I let
12. Cooling System X 7,
Zonal Control'? ( Y / N sm 19-51 Duct Efficiency [0.74) Effective SEER [7-031
13. Water Heating Type JSG) Credit [none]
Point Total:
Sum7-10