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HomeMy WebLinkAbout021-320-010GARAGE CONVERSION WITHOUT PERMITSzo 21-32-10 O2, " �at_ , 6/26/91 _R,L. CASEY ,SPECIAL INSPECTION 26-91 1155 French Avenue, Gridley VE Permit#3198-86BP,E,M(new single f ) . 021 -'32-0-010 •91-'4382'',. MACFARLANE, 'BRAND"I LYN: 'COMPLAINT, -INSPECTOR CONTR CASEY,,RUFUS '.,.. "AVE, GR I DLEY,.' 1 155 FRENCH CONV GARAGE,,,T L I V *T 0. 41 �Mf i .I If I, 1I' 1 yl :.. 6i / 3Z—w. (/� !� hGt�/ � yI'l � �"�C��r�4 nom- �� O LJ f ►x'07 �r $ 1 lJ-� ���;�� I_1.LCa�CSO n--•--W/p�. �Gr rn �S -� C%/`� � �� - J r . ��, � �..�. 'tea - � ' •. - l%'•'�� _ � � x Eel d ec/ .moo Z -27 -�i�@ �ocl 'fit= X1'8 Z C� o vQ ro 6Z e S 26— y / 2 — 2�/ y' 17 - f �.GS � Q h+l � Rx�l ! Q 1�. , C �-2 A •'- LY'✓`e -C" a � , .i^ t.. "i •+ 2 �/ ' /hx0'r`�-'Vf LQ •Z (.rte ,� - '{ - ;j t 1.' f - .. j , t , �I � •.� '� f �.� � - � A w! ,'! � � ,� �a t � s 1 4�j � t'� � � .. �! :� � �' I ,jam .. ` � � � • , ri � . Y l ' " r' ,. f' ,ti _ Y t 1.' f - .. ':: � _ Cr � - • '�� { . - .. i , t , '.; I � � •.� � f f �.� ;i w! �� • ^ •. .J •� - ,� �a t _ 1 4�j � t'� � � .. '� � �. .� � I, .. ,jam .. ` ':: � _ Cr � - • '�� { . - .. i , t , '.; I � � �I �� `} _ t , f •.� � f f �.� w! ,� �a t _ �� `} _ t , w F"LoOR PLAN E ELECT-RiCAL 00 'SCA Lo A, �-Fl-Oft, Ll GFX LIGHT gc-hio4 Room +0 puz SH 71Af DC c .22� ov% NT APPROVED VE PROVIDE AND ADEQU ATz�.;,of !SUSTICYN PXNTRY VMS 5A 00 sor ME TD -1-0 I - 4010 )(0 'LvAL GLAZED WINDO'w -Y- w F-LOOIR PLNN e' ELIECTRiCAL' 1-F�.09. L130TS XgAUST AM GF -3: Ll Gk -r OV*TL u 0 PhNTRY E)ATR Eo4.,,y DOCK plv- E 3 OF 3 2-14" lo. -V 1- 4030 AO bvAL GLAZED WINDOW n � � M YiJ uj Lij VIOLATION CHECK LIST A.P. Address)%7 Owner Owne'r's Address .Owner's Phone No: Supervisoral District Tenant's --Name _ Phone No.. Type of. Violation in Detail with Code Section Priority No.. Specific Plot Plan with.0/V Notedeves no Penalties Required 1st. Notice Sent 2nd. Notice Sent ate Date Comments and/or Determination Disposition /6e/For Citation Citation (Date) (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date oK.,,,es � z�17/si cwllecl tt ti ti.«.t- +a do = - elatme� p /.r.rs So A.' a< u c f-ro r o. w 4-i Brandi Lyn Brothers 11.55 French Avenue Gridley, CA 95948 S of spe"'V, /off ;.�.4 a w 1.w 41 t o. e Pe.ra� i y ges w a s br RE: Building Code Violation 11.55 French Ave, Gridley Dear Ms. Brothers: November 18, 1991 A.P. #21-32-10 We sent you a warning letter dated August 7, 1991 notifying you that you are in violation of the Butte County Code at the above referenced loca- tion. As of this date, the following violations still exist. Failure to obtain the required permits, inspections and approvals for garage conversion in violation of the 1988 Uniform Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) Section 301(a) Permits Required (b) Section 305(a) Inspections Required (c) Section 305(d) Inspection Approval Required before Use or Occupancy The above violation(s) shall be corrected or abated by you by submitting two complete sets of plans, applying for the required permits, and paying the appropriate fees including penalties within 30 days of the date of this letter. After permit issuance and field authorization to proceed, the work• must be completed and approved by this office within the permit specified time. Unless the violation(s) is(are) so corrected or abated, a citation shall be issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or for failing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Should you. have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office at (916)538-7541. Ov � 1.JFG:dms cci Building Inspector Yours very truly, William Cheff Director of Public Works C: O J.F. Glander Manager Building Inspection 1 2 3 4 5 6 7 8 9 10 •11 12 13 14 15 16 17 18 19 20 21 22 23 24 23 26 5 PROOF OF SERVICE BY tIAIL I am over the age of 18 and not a party to this cause. I am a resident of and employed in the county where the mailing occurred. My business address is Butte County Department of Public Works #7 County Center Drive California. Oroville, CA 95965 I served the foregoing 30 -Day Violation Letter by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage fully prepaid on 1Rth_ of Nnvamhar 19 _gl and addressed as follows: Brandi Lyn Brothers 1155 French Avenue Gridley, CA 95948 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 11/18/91 at Oroville , California. File No. BUTTE COUNTY IFor Ac ion 1, 2, 37 Public Works Dept. (For Information / ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. Brandilyn MacFarlane 11.55 French Avenue Gridley, CA 95948 RE: Building Code Violation 115.5 French Ave, Gridley Dear Ms. MacFarlane: August 7, 1991 A.P. #: 21-32-10 This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain permits, inspections and approvals for garage conversion. Failure to verify items listed in Special Inspection letter dated June 27, 1991. Since permits and inspections are required for the above work, please contact this office within ten days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an .effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office. YLgi Yours very truly, V. 1 William Chef f s"0 LJPwn� Director of Public Works JFG:ds cc:,. Assessor Building Inspector J.F. Glander Manager, Building Inspection File No. BUTTE COUNTY (For Action 1, 2, 3, Public Works Dept. (For Information v/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Mops Permits Addr. Brandilyn MacFarlane 1155 French Avenue Gridley, CA 95948 Dear Ms. MacFarlane: June 27, 1991 RE: Special Inspection #26-91 (A.P. #21-32-10) With reference to the above subject and your request for inspection of the garage conversion to family rom at 1155 French Avenue, Gridley; the inspection was made on June 24, 1991. The garage conversion was constructed by you without permits and inspections from this office, so we were not able to perform the required inspections during construction. lie therefore made a reasonable visual inspection, without going on the roof,, under the building, or in the attic and found the garage conversion appears to conform to the intent of code requirements, except for the following items which must be done or resolved: / (1) Provide additionl convenience outlets at rear wall. (2) Relocate water heater from bathroom to an approved location. I / (3) Verify conversion meets state energy requirements. This inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said conversion. It is now in order for you to submit complete plans in duplicate to this office includin lot 1 fl g p p ans, oor plans and structural details, apply for the required permits, and pay .the appropriate fees. The permits must be obtained and the above listed items completed within thirty (30) days of the date of this letter. Should you have any questions concerning this matter, please contact Rod Taylor of the office at (916)538-7541. e�.Z-q, � Yours very truly, William Cheff Director of Public Works V t v L,4-J7,0�y — Z �� awc"hai0 Rv JFG:dms J.F. Glander Manager, Building Inspection cc: Assessor Building Inspector C omplaint-Date i^1 Oth'er-Date r I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING _.� Owner: R,A-� p 1 �12o4-rz�,�.wr� A. P. �k `Z �. c� �G LD Address • /- ""C14 14-U&i �`O Lft`-4 97,qe Date of Inspection Tenant: Inspector Building Location: i Type of Inspection requested: 1. Housing ". 2. �[ 4. Work W/0 Permit M B. C. Financing /P/--3". Change of Occupancy. to / / 5. Other (speciy/ Present use of building: Sanitation (Housing) 1. Water closet:yo- 2. Lavatory: 3. Bathtub or s ow r• 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: _ 8. Room and space requirements: o _ 9. Bedroom window or door for second exit: - 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: -_ 13. Rubbish and garbage facilities: -, 14. Stairs:(Rise, Run, Headroom, 1HR, Toleranceg,Handrails) 15. Comments: Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: AND -- 6. Comments: Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: .4. Comments: D. Plumbing 1. Fixtures connected 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten.days, then write letter. C. Write letter. / / D. Other: l y*iwd:nTA7 pi5d$i{?.�74 lri.iY";1�i4d`7l€Sf�S�r,�.[`!i=rt"r nti^'s• 7'•� :r. .,r. i^�✓ ap COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Orov�lle, , California 9;;5965 Y Telephone: 53,8-754 T` r APPLICATION FOR SPECIAL INSPECTION` Owne ��l.�Y/I / //� Q' ( AAJ(- r> A. P. No. Maili Applicant . Q4/0( Telephone No 99M1d Mailing Address Building Location `I hereby request a special inspection of the following building: Dwelling (if only a portion,:specify) e,"'Aw- 445�� " Apartment House (if only a portion, specify) Commercial (specify present occupancy) Q 4: Other (specify) I am requesting a special inspection for the purpose of: 1. Moving the building. Financing (specify agency) Case No. Change of occupancy to Q 4. Other (specify) I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing code .requirements. I also certify that prior to the..use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. + Date /4 AZ14 ZRI Signature 3,f Owner .Fee. Paid $. Receipt No. 1st-DPW/2nd-Inspector/3rd-Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE. 916-538-7541 DATE 3-2-92 BRANDI LYN MacFARLANE RE: S.I. # 26-91 1155 FRENCH AVE GRIDLEY CA.95948 A. P. # 21-32-10 With reference to the above subject: �l Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plgns Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER L� 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. —R— 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. �(1 OTHER (,ri ill P� Crhnnl Ili ctri r faac (@ 579 -,Q ft- Naarl gddi ti nnal ii -,q- fr of ---- Should you have any questions concerning the above, please contact MARTY OLSEN of this office. Yours very truly, JFG/aj William Cheff Director of Public Works .F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlll,9, Califnrnia 95965 - Telephone: 916,'538-7541 " APPLICATION AND PERMIT PERMIT NO. 91-4382 C\ ASSESSOR PARCEL NUMBER 21-32-10 ZONING A5 BUILDING PERMIT OWNER Brandil n MacFarlane TELEPHONE 846-6353 SQ.FT. OCC. BUILDING VALUATION 572 M to 440 OWNER'S MAILING ADDRESS 1155 French Ave, Gridley 839AX95948 CONTRACTOR'S NAME Rufus Case TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 112.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 56.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 225Z.00 BUILDING ADDRESS Ave,1155 French Gridley Permit fee $ 428.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 7 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF)M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Garage cony work _ RE Special Insp #26-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO IOOOA) CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) [� I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ ACC. BLDGS. // DWELLING OCCUP.&\ OR ACDNS. l _37.50 3.6Q sq.ft. 2000 NON-RESID CONSTR. BRANCH CIRCUITS @ 5.00 PO ER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED Ex. Occup. OUTLETS IPRESID 1REA.T I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ 35.00 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ZI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating ct 9.00 Cooling g Hood 6.50 Ventilation 4.5� Permit Fee $ 28.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County rin�lconsequence of the granting of this permit. Date /x'017 SOSHA ion of structures toverr3gstoriesoineheight'ons over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 OCC CONST TYPE TOTAL FEE $ 532.25) HAz I DFEES I IMP FLOOD I CDF PARCEL PD I HD I ISSUE 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- resolutions to do have been paid. WORKS Date Receipt No.103655 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT -_ I ,t.`t. y w 73 -9 COUNTY OF BUTTE - DEPARTME,.T F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER R'ct Al D 12-1 IV M A -C F_5A 2 LAN A P. 3 2 Proposed Building Use�1)/V 12 �1'4 �, Building Inspector Date %y _715 J At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED _ -A- All items have been submitted . ................................. L Ale—' 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 2 Pa; fei J pg ................................................ School -District fees paid .............. Sanitation approval from` 4Z d i Health Department W. 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 DPW �. 19. Driveway permit (construction approval required prior to occupancy) Y 20. Pre -Inspection for required Pre-Inspec. request'to Building Inspector. (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of ignature authorization 27 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other / Applicant Date 12-12-71V 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). 1. Index permit for above items No. 233"�DaQFC�C.4Z��q/6 / 3� l�7 2. Additional items' required: T Contractor, designer, owner, was advised of above required data byj/_phone_maiI—counter by- date Contractor, designer, owner, was•advised of above required data by—phone —mai I—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW ;a 4 PERMIT NO. 1 3198-86B,P,E,M PERMIT EXPIRES OWNER R:•L.'CASEY CONTR. owner ; ASSESSOR PARCEL 21-32-10. LOCATION •1155 French Ayenue,.Gridley t _ OFFICE COPY Address �Y, GAS r Meter By Date ELECTRIC Meter By Date Temp. Power. ;10-S-......,.-_ .� - 1 Called PGt`Meter By _ q ELECTRIC- • 6y y Temp. Elec. Sr-r"VI � ^t 4.n...,.... Dake'.'--= Called PG&E Temp. Gas Service Called PG&E ' JOB FINALED (Date) --_4° f+ ' Signature — _.` J'= OK 0 = Not OK p` ' - = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-Test-Wrap:/ /"L" ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors ' 7. Utility Clearance 7. Elec. . Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date. MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5'. -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card-BIDate Card -BI Date Card -BI Date J OK Not qK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � = Date UNDE FLOOR Plans OK except N's p, Date FRA G Continued _Qf-Zqning requirements-Setbac - as menu P oparty Line Firewall & Openings .Ftg., Main; Soils -Steel -EI c. d.- / Fig. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits -- tg., Garage; Soils -Steel- / /" Ftg. Depth 50.. - eadroom-Rise-Run-Landing-Fire Protection - 4. Ftg„ Porches &Decks; Soils -Steel- / /" Ftg; Depthwood _ on Roof Overhang -Attic Vents -Rafter Outriggers j5..-S-temwalls, Main: Steel-Blockouts-Wrapped-S _ 2. Siding -Nailing -Veneer emwalls, Garage; Steel-Blockouts-Wrapped-S 7. Piers -Fireplace Ftg.-Steel 3. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 5 lazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 5 ear Walls; Nail'ng-Bolts _ _9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI ° Date"�- r Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI + Oat�L, % Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 14: _.Water Ht.: Vent -Access -Combustion Air /Water Pipe; Test & Anchors -Nail Protection 18' D.W.V.: Test-Fttngs & Anchors -Nail Protection 1 st, First _Floor -Tub AccessG.F.I. 18. -'&- 1'9Ur-r0bSiio_wer, 2nd Floor -Tub Access *--Gas Pipe: Size & Anchors - Card -BI ��`\� Date I���pCard-BI __ Date Card -BI �1 Date Card -BI Date edroom Exiting & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 1,462. Stairs & Rails 3. Fireplace or Stove; Clearances -Hearth 6 d Panel; Int. & Ext. 65. Kit. Fixt. &Appliance; Grnd.-Air Gap -Cooking Clearance ✓6r Elec. Outlets & Receptacles at Kit. Counter ;Date ELE TRICAL Permit OK except q's 67_G rage Fire Door; Swing -Landing -Closer C. Duct in Garage -Damper Fixture &Transformer Clearance -Ins. -Protection 1. c. Receptacles Spacing -Lights _& Switches at Doors Size Boxes & No. of Conductors -Stapled _ �omex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water yF1%Appliance Circuits in Kitchen & Conductor Size 26. re ize /- / ga. Cu AI-A.C. Wire Size / / ga. Cu or Al 27.-RercJe-Citc. 7- / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, sulated Neutral Yes _'No Service -Riser Conductors & Ground -Main Disconnect 29. 'Egvp--Cfl1Yr9nces: Panels-Motors-Mech. Equip. _ _ 36--E+orheg2loset Light -Shower Light - __--_ Card B -I C y Date (� s^r�ard-Bf _ Date _ _ Card B -I �j Date Card -BI Date n Wtr. Htr. Vet Clearance -Comb. Air-Connector-P.R.V.- 1�3v h. Protection 0. Plb., Elec. &Mech. Equip. rjzbcation (-30 Elec. Receptacles in Gara (G or�ex Protec. Insulation -Foam -Looked in A tc es - 73, Gueid Re- l 8�f1. Construction -Post Caps r wl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75, Following instld.: Db� Z ❑ Yes C o. Walks ❑ Yes o; Planters El Yes L�No 76. - ish 7 C. Unit; Disconnect-Clrnces_ rkr. Cond. Size -115V Outlet ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. _ 1-30 Water Well; Disconnect Electrical, Plumbing xterior Elec. Tri G.F.I)eceptacIe-Underground Ventilation throughout ouse LK- Glass Protection Date MEC ANICAL (Perrrol) OK except N's A.C. Ducts. Insulation &Support _ _ 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow: Size _& Grade _ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic p Card -BI _ D _ Card -BI Date Ia 3rp� ate Card -BI Date Card -BI Date _ 3. Corr! tions from ious Inspections 84. Test Meter a Gas-Ele g Water & Sewer onnected-C/O to Grade -HD Approval U B6. Energy Compliance Certificate -Other Certificates - - Card -BI_ Date Card -BI Date Card-BVi� a -10r Card -BI Date _ Card -BI C ,te Card -BI Date Date FRAMING(Plans) OK except p's Com tents at Final: ills; Proper Material & Anchors�We IIs: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing .Draft Stop in Walls (rat proof) 40!,Fire Stops: Furred Ceilings_Stairs-Chases-Tub ader & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 4g,,<Ing. Joist-Rftr. Ties -Purl in -Roof Brac.-Trttk•S` shthnq.-Rfnq. 444. Fireplace Ties or Type A Flue -Fireplace Throat t L �} 45. l c Access: Size & Romex Protection -Draft Stop -Ins. Baffles 4 Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions *47. Garage Fire Protection Framing.- - JE / i1S�- I A / _ _ V 7q7 _ - s71 - r/ -_-__- (NOTE Anentrymust be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS F 196 Memorial Way, Chico — Phone: 891-275W r 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER P R IT NO. A routine inspection ' dicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mattr, need additional explanation, please contact this office immediately. LAj 4 0 It 11- - `- M FA IE .:_moi _ � Pre��Il7, i�r- _ jpi�qji_ it \ t -41'� ��� � 't►� .J _ `�! �.� _ _ _�1�ra , >ti ill, Inspector_ - Date_( Owner: Permit No.. ENERGY CERITIFICAT ION Pm LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WAL �j Material t_1 Thickness(inches) CEILING Batt or Blanket Type Thickness (inc ) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) . Brand Name S ` Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name r' Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Thereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirrements. FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. -,3c) - 4 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. �3 3 4`7J�)`j FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE N0. SIGNA OF GENERAL GOVT R OWNER f�iE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 fCOUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS OPERMIT 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 .. APPLICATION AND PERMIT ASSESS ARC N BER -- ZONIN BUILDING PERMIT OWN T L EHONE SQ. FT. OC . BUILDING VALUATION OWN R'S MAILING R CON ACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace f CO TRRr11CT ON LE D R k n UNKNOWN Total Valuation $ S Filing Fee $ 10,00 LENDER'S MAILING OCRESS Permit Fee $ 91 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I� Fre c �5 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1,6,00 y. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL M Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New L-11 Addition 11Remodel ❑ Ut' ities ❑ Installation[], Other ❑ Desctibe work: C E► Y Permit Fee $ L Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' - Main service 600V OR LESS 100 AMP OR LESS 10.00 Q (j Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. � ++ License No.3, Classification �-� 1 Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oc,hQSgft OR ACDNS. ACC. BLDGS. NEW RESID, UL CH CII T NON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 61 SINGLE OUTLET CIR. . o ExOccu p( UTLETS OR FIXTURES BALM20 0 eAL030 FIXED APLNS. Ex. Occup. OUTLETS (PRESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 15.00 9 Permit Fee $ tO WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a said C unty in on uence of the granting of this/permit.'/ %� Date � 7 ��� Signature Applicant — OwnerContractor Z Agent ❑ An OSHA permit is required for exca ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ / TOTAL PERMIT FEE $ occUP. R^3 CON 9T. YPE FLOO� ARCS PD NO SS6E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PERO EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date d FWReceipt No. HITE-D.P.W.. YELL W -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .; 6 ;. , » , .::.- ,. ,. .r... r :•.. j . N � a :-r� , • , .{, :� _ �, � tri ` .' rt ." I ' COUNTY OF BUTTE - DEPARTMENT, OF.✓PUBLIIIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 94/534-454"1 r PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use /�/�+.�J �/� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED All items have been submitted. lot plans in dup irate./t plicate, signed by preparer of plans. . 3. Complete plansLin du Irate./ iplicate, signed by preparer of plans. 4. Complete engineere plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . , Letter of signature authoriza ion. /10. Sanitation approval from —Health Dept. • 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ). —15. Improvements may be required. . . . . . . . . . . . ` 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17 Pre -Inspection for Required. Building Inspector (Date) ti Recorded copy of Agricultural Ackno ledgment tatement. Inspector —(Dote) 9' Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone 94 � and hold for pickup at�^tQoffice, Deliver w/inspector. t Pr �• Applicant to /l-)-?"? Copy of plans sent Health Dept., Fire Dept., Other __ Date 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 above required data by— phone-Contractor, designer, owner, was advised of above required data by— phone-Plans checked by Pll�Date hQu• 940 Plans approved by Sets of plans on hold in File cabinet AP folder Copy—DPW jer by date er by date Date aA40 &(o r — Flours: 10:00 a.m. - 3:00 p.m. TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance C�c.se� owner � Driveway permit �oge Aeel,e,l Vic r signatur L'. location AP �k has been issued for the above property. r date yob To: :juiiding Department From: E-Invironmental. Health Subject: Sanitation Clearance E-A"vJ, Nd 2I -17z-- 16 Oime* Location AP/I Plan Approved for: Sewage disposal iiater supply Hold final for: i,;,,.ter supply Final clearance O.K. for: Water supply Clearance for bedroom Aw4W home. Other NOTE anit ar:Pan Date R.L. CASEY - General Contractor LICENSE #353979 3359 MILKY WAY BIGGS, CALIFORNIA 95917 (916) 868-5278 'NOTE:—All Ma-serie�,15 c& Shall Be in A-=ord once— cf ca io-d use, in fisc nuni'".ul t✓fs'd�S Ci N O � 'r the %aAicral E: ecfrical Code. See Master Plan on fife for boding plans. f73.8? R,6 -Kc- A - A ✓ �1 BUTTE COUNTY BUILDING DEPARTMENT APPROVED A setback of 5 ft. from tht property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except 40r -.a 2,*. eave overhang. This sof of plans and -specifications MUST be kept on the fob ^_'.t all f"rnc� 4" is S'•itle7t ful to make any c?anges ;,r rr: Written pe.r.-rissL-n 2s -j_ Works, County of Rufta. RFSlI>F'4TJAI_'PI/`.?_C_If_CKI`C GL'IDF. (S.F., DUPLEX 6 MISC. ONLY) Q Bldg. Per=1t 4 3 1116 v ;..F. o 4i -52-60 WINE CASE -Y, 12, L --- GENERA L 1. Zoning requirements: (aideyardc and number of permitted living units). 2. Valuation. A1/3. Plans signed by designer. 4. Eiergy Design and Compliance. 5. Existing violations on property. PLOT PIAN 1. Complete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage. !!� 5. Flood hazard. 6. Special conditions on creation map or compliance document. 11 7/85 FIAOR PLAN /I/Complete to scale plan with dimensions. /Required windows for light and ventilation (Sec. 1205). �equired windows for second exit (Sec. 120'4). Arkylights (Chapter 34 6 Sec. 5207). Numan impact glass (Sec. 5406). �� eq,cired room sizes, ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures. switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. I.%-.- Lvcations of water heater, heating and cooling equipment, other electrical or gas �/ equipment, and plumbing fir.tures. _ ///�//• ��Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 -•3'0" exterior exit door (Sec. 3304(c)). fireplace and wood stove location. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 1:Foundation plan complete enough to construct building. 2. Floor construction details complete enough to construct building. 3. Elevations and wall construction details complete enough to construct building. b� 4. Roof construc-ion detailscotrpleto ennug!t to construct building. 5. Fireplace construction deLails and c:cics if necessary. 6. Sufficient data and drtails Lu Satk fy energy requirements (State Law) (Form 1). KISCELLANEOUS ITVMS TO LUOY. OUT FOR �r! pusure I plywood on exposed location: and overhangs. airway details: landings, rise and run, head clearance, handrails (Sec. 3306). �dr.11 details (S•c:c. 1711 6 3306(j)). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). fter ties or bearing ridge beam. 8./Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. jjTwo exits on three-story dwellings (Sec. 3303 6 see Mezannines 1716). Two access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). woud stoves, clearances, alcoves 6 1 -hour shafts. Combustion air for fuel burning appliances. Noise requirements on duplexes. dobe culls - special foundation design. Retaining walls requiring design. Unusual shape, size or split level house requiring lateral design. c V.- ' `14 a� :��' t i„ti • ij 3" t , u ISyr[� r'• c V.- - a� :��' t i„ti • 3" ISyr[� r'• ... y'� 1 .a r4. i•' d fro Y Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT �C;�R�cu FOR RESIDENTIAL DEVELOPMENT Of: BUTTE COUNTY, CALIFORNIA AT THE REQUEST OF Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior.,oto issuance of a building permit.PART1� SHOWN 6-3880 1986 OCT 30 PM I: 47 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of thisELEANOR M BE ER � property may be subject to inconveniences or discomfort arising from CLERK --RECORDER FEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited' to cultivation, plowing, spraying, pruning, and.harvesting which occasionally generate duet; smoke, noise, and odor. Butte County has established agricultural zones which have as a Pao" priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconforM'.,from.normal, necessary farm operations. PARCEL ONE: A PORTION of the south one half of Lot 36, according to that certain map entitled, Map of Gridley Colony No. 4, near Gridley, Butte County, Calif- ornia," which map was filed in the office of the Recorder of the County of Butte, State of California, February 5, 1907, in Book 6 of Maps at page 8, and more particularly described as follows: BEGINNINr-AT THE southwest corner of Lot 36; thence easterly a distance of 44U feet along the -south- ern boundary to a point, which said point is thepoint of beginning:, thence northerly and parallel with the Western boundary of said Lot -36 a dis- tance of 135 feet to a point; thence easterly and parallel to the south- ern boundary 200 feet more or less to..the eastern boundary of said Lot 36; thence southerly (S) along the eastern boundary of -said lot 36 to the south- east corner of said Lot 36; thence westerly along the southerly boundary of Lot 36 to the true poi(nt of beginning. S . , Date: 10/30/86 PROPERTY OWNERS: State of California ) On this the 30th day of October , 1986 , before ) SS. me, the undersigned Notary Public, personally appeared County of Butte ) ,,.. OFFICIAL SEAL GARY D FIFE „tea NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY .�' My comm. expires MAR 20, 1989 Present A.P. No. g)-ig - / Rufus L. Casey IX/ Personally known to me. /,Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ,�z - L��: Q - Cary Public '^ END OF DMM"' S088c-rpt' 40* TOTAL POINTS = Table 3-1. Slab Floor Points I Tn�ila- I R -Value of lasulstion I tlun 1 Depth, I lnches 1 0-2 1 3-4 1 5-6 1' 7+ 1 0- 11 1 -5 1 -5 1 -5 1 -5 1 12 - 15 1 -5 1 -3 I -2 1 -1 1 16 - 19 I -5 I -2 I -1 1 0 1 20 + I -5 f -1 1 0 1 +1 7/7/83 i Table 3-2. Raised Floor Points 1 -Value of I Insulation I Points below 3 ZONE1 POINTS Table 3-3a. Ceiling Insulation OWNER ` S - 7 Points 8 - 13 1 -4' PERMIT N0. _.. ASSIGNED ACTUAL I R -Value of Insulation I Points 1. SLAB - INSULATION I ointo 1 olntsl I o i 2. RAISED FLOOR - R-19 b 1 19 1 -4 +2 I -CEILING b- b -1 I 22 30 I I -2 0 3. - R-30- -2 I ( -6 1 -4 I -3 I I 6.6- 7.7 1 -9 1 I 38 49 1 +2 +4 4. WALL - R-19 -7 I i -13 1 -10 .1 j n� tj -17 I -13 1 I 111.6-13.0 I 5. NORTH GLAZING - 2.413.6% -14 I 1 1 13.1-14.5 I -25 I -19 I ' 6. EAST GLAZING - 2.5-3.6% _ -22 I -19 f -1 I -3 I -6 1 -12 1 -. 7. SOUTH GLAZING - 1.6-3.6% C, / - `f Table 3-4a. hall Insulation Pointe 8. WEST GLAZING - 2.9-3.6% + 1 R -value of Insulation I I I Pointe I I 0-1.37. D I -6 I -4 I -3 I 9. SKYLIGHT - I -9 i 11 I -7 10. SHADING (Exclude Overhang) I -11 I 19 I 24 I i 0 +2 EAST -.66 �W � L 30 i +3 SOUTH - .19-.42 I -16 I -12 I -10 I I Area, 2 of Floor ( Points I WEST - 13-.36 Table 3-5. 7orth-FacinS Glazing Pte -12 I .SKYLIGHT - .37-.57 f I 1 Glazing Type II 11. HORIZONTAL SOUTH OVERHANG 2' Q I Total I 2 of Sngl, Dbl, I Trpl, 1 -18 1 -15 1 1 0- 5.5 i I Floor f U- 1 0- 1 0- 1 12. MOVABLE INSULATION - NONE 1 5.6 - 11.5 I 1 Area f 0.66 1 0.62- 10.41 I I -28 I -22 1 -19 I 1 1.10 10.65 I down I 13. INFILTRATION (Standard=0)(Tight=+12) -21 1 T-3 1 +.9 + +i I -26 I. = 22 I `2 1 3.6+ I +6 I II ti `14. THERMAL MASS SF I 1.3- 2.3 ( +1 I 2 I +2 I I 2.4- 3.6 I -2 I 0 1 +1 I 15. GAS FURNACE (SE) 71-767. I 3.7- 4.8 I -4 I -2 I -1 I 4.9- 6.1 -7 1 1 1 -4 . r'-3 I6.2- 16. SEAT PUMP (EER) 7.5-7.9% I 7.3 I -9 1 -6 i -5 1 b 7.4- 8.2 I -12 I 8.3- 9.7 I 1 -8 I -7 I 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76%� -14 I 9.8-10.8 i -17 1 -10 1 -12 I -8 I I -10 I WOOD STOVE I 10.9-12.0 I -19 1 -14 i -12 I WATER YtiEATER 112.1-13.2 I -22 113.3-14.5 I -24 I -16 I -18 I -13 I -15 1 _ ATTIC J(_(2 . 70 3 i 14.6-15.3 i -27 i -20 i -17 OTHER . .. . TOTAL POINTS = Table 3-1. Slab Floor Points I Tn�ila- I R -Value of lasulstion I tlun 1 Depth, I lnches 1 0-2 1 3-4 1 5-6 1' 7+ 1 0- 11 1 -5 1 -5 1 -5 1 -5 1 12 - 15 1 -5 1 -3 I -2 1 -1 1 16 - 19 I -5 I -2 I -1 1 0 1 20 + I -5 f -1 1 0 1 +1 7/7/83 i Table 3-2. Raised Floor Points 1 -Value of I Insulation I Points below 3 I -12 3-4 I -8 S - 7 1 -6 8 - 13 1 -4' 13 - 18 I T2 •19+ L 0 Table 3-6. East -Facing Glazing Pts. I Glazing Type I - I Total I I I I of I Sngl, I Dbl, I Trpl, I Floor I (U - 1 (U - I (U - I I Area 1 1.10) 1 0.65).1 0.41)1 11l�olnts !points I oInto! I D I + +q r4 1 up to 1.3 1 +3 1 +4 1 +4 1 1 1.6- 2.4 I +1 . I +2 1 +2 1 1 2.5- 3.6 I -2 I O 1 0 1 1 3.7- 4.6 ( -5 I -2 1 -1 i 1 4.7- 5.6 I -8 1 -4 I -3 I 1 5.7- 6.7 I -10 I -6• I -5 I 1 6.8- 7.7 I -13 I -8 1 -7 I 1 7.8- 8.7 I -15 1 -10 I -8. I 1 8.8- 9.7 1 -17 1 -12 1 -10 1 I 9.8-11.2 I -21 I .-1S 1 -13 111.3-12.7 I -25 i -18 1 -15 I 1 12.8-14.0 1 -28 I -21 I -18 I 1 14.1-15.3 I -32 I -24 I -20 I South -Facing Glazing Pts Table 3-10. Shading Coefficient Points ( I I Total ( 2 of 1 Glazing Type I I I I Sngl, Dbl, Trpl, I Floor I (U - I (U - I (U - I 1 I Area 1 1.10) 10.65) 1 0.41)1 I 1 I ointo I oints I olntsl I o +3 0 I 0 I -1 1 .83 up I I I I up to 1.5 1 +2 1 +2 I +2 I i 1 1.6- 3.6 1 -1 1 0 I 0 1 I I 3.7- 5.2 1 -4 1 -2 I -2 I -67 up 1 -6 1 -4 I -3 I I 6.6- 7.7 1 -9 1 -6 1 =5 I I 7.8- 8.9 1 -11 1 -8 1 -7 I 1 9.0-10.0 1 -13 1 -10 .1 -9 I 110.1-11.5 I -17 I -13 1 -11 I 111.6-13.0 I -21 1 =16 1 -14 I 1 1 13.1-14.5 I -25 I -19 I -16 I. I 1 14.6-16.0 I -28 I -22 I -19 f Table 3-8. West -Facing Glazing Pts. 1 I Glazing Type I I Total I I I l; of I Sngl, I Dbl, I Trpl, I Floor I (U - I (U - I (U - I I Area 11.10) 10.65) 1 0.41)1 1 [points I olnts 1 olntsl o +6 •6 +i I up to 1.3 I +5 1 +6 I +6 I I 1.4- 2.2 I +3 1 +4 I +5 I 1 2-J- 2.8 I 0 1 +2I +3 I I 2.9- 3.6 I -3 1 0 1 +1 I I 3.7- 4.2 1 -5 I -2 1 0 1 I 4.3- 5.0 f -8 I -4 i -2 1 I 5.1- 5.6 1 -10 f -6 f -4 5.7- 6.2 1 -13 ( -8 i -6 I I 6.3- 6.9 I -15 1 -10 I -7 i I 7.0- 7.6 I -18 1 -12 I -9 I 7.7- 8.2 I -2J I -14 I -11 I 8.3- 8.8 I -22 I -16 f -13 I 1 8.9- 9.5 I -25 I -18 I -15 I I 9.6-10.1 I -27 -20 I -16 I 110.2-11.0 I -29 I -23 I -17 I 111.1-11.8 I -35 I -26 I -21 I f 11.9-12.7 I -38 I -29 I -24' I 112.8-13.5 I -42 1 -32 I -27 I 13.6-14.3 I -46 I -35 ( -29 I f 14.4-15.2 I -50 I -33 ( -32 1 SC by I I Orten- 1 : Floor Area tation South I East I I 3.2 I i 0-3.1 i to6.4 up I 3 1 0 -.19 1 0 I +1 .1 +2 1 .20-.36 i 0 I 0 1 it .37-.66 I 0 I 0 I 0 1 .67-.82 I 0 I 0 I -1 1 .83 up I I ( 0 I -1 1 -2 I I South 1 0 f 3.2 1 6.4 1 8:0 1 9.6 I I to 1 to I' to I to I up 13.1 1 6.3 17.9 19.5 I I 0 -.18 1 0 1 +1 1 +2 1 +2 I +3 1 .19-.42 1 0 1 0 1 0 1 0 1 0 I .43-.66 i 0 1 -1 I -2 I T2 -3 -67 up 1 ,i 0 1 -2 I -4 1 -4 I -6 West I .1 11.6 1 3.2 16.4 18.0 I to I to i to 1 to I up 1 1 0-6.3 1.5 1 3.1 i 6.3 i 7.9 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 i 0 1 0 1 0 1 0 1 0 .37-.57 I 0 1 -1 I -3 I -6 1 -7 -58-.82 I -1 I -3 I.-6 1 -12 1 -I5 .83 up I I -2 I -4 I -8 I -16 1 -20 I I I I J 0- 0.5 1 -2 1 - Skylight I .1 I .8 1 1.6 13.2 14.0 I to I to I to I to I to 1 7 1_5 13.1 13.9 1'5.2 0-.12 1 0 1 +1 I +3 1 +6 i +7 .13-.36 10 I 0 I 0 1 0 1 0 .37--57 1 0 1 -1 I -3 I -6 1- .58-.82 .I -1 I -3 I -6 1 -12 1 -. .83 up 1 -2 I -4 I -8 1 -16 I -20 I I I I I 1 I I I Table 3=11. Horizontal South Overhane Points Table 3-9. Skylight Points I South Glazing T T.I Lengrh Out I Area, I of Floor I I Glazing Type I I from Wall I I I Total I I I ft T I of Sngl, I Dbl, I Trpl, 1 1 0-6.3 1 6.4 up I I Floor I U- l U- I U- I I I I ' I I Area 10.66- 10.42- 1 0.41 I J 0- 0.5 1 -2 1 - I 11.10 10.65 I down 1 10.6 - 1.0 1 -2 I -3 1 1.1 - 1.9 I -1 I -2 1 I up to 1.3 I -1 I 0. I 0 1 I 2.0 up I 0 I 0 1 I 1.4- 2.2 I -3 I -2 I -1 I I I I 1 I 2.3- 2.8 I -6 I -4 I -3 I Table 3-12. Movable Insulation I 2.9- 3.6 I -9 I -6 ( -5 1 Points I 3.7- 4.2 I -11 ( -8 I -6 I I 4.3- 5.0 1 -14 1' -10 i -8 I I Moveable Insulatloa'I 5.1- 5.6 I -16 I -12 I -10 I I Area, 2 of Floor ( Points I I 5.7- 6.2 1 -19 I -14 1 -12 I I I f I 6.3- 6.9 1 -21 1 -16 1 -13 1 I 7.0- 7.6 1 -24 1 -18 1 -15 1 1 0- 5.5 i 0 I 1 7.7- 8.2 1 -26 I -20 1 -17 I 1 5.6 - 11.5 I +2 1 1 8.3- 8.8 I -28 I -22 1 -19 I I 11.6 - 17.5 I +4 I 8.9- 9.5 I -31 1 -24 1 -21 1 i 17.6 - 23.5 I +6 I 9.6-10.1-33 I -26 I. = 22 I `2 1 3.6+ I +6 I II ti ' ---1-- --- -a-- Table 3-13. Inf!Ittatlon Control Fer.tures Points i I Control Features I Pointe I T- I I I Standard ( 0 ! I I I 0.9 air changes per hr I I I I i T- I Tight I +12 I I I I 10.6 air changes per hr (' 1 i I i Table 3-15. Cas Furnace Without Refriaeratfon Cool!re Points I Seasonal Efficiency I Points I (SE), L I I Il - 76 I o I i 77 - 82 I +2 I 1 83 - 88 I +4 I ( 89 - 94 I +6 I I 95 up I I I +8 I I +15 I I 9.7 s Energy Effic!eney 1 Points Ratio (EER) I I 7.5 - 7.9 I +3 I I 3.0 - 8.3 I +6 I I 3.4 - 8.7 I +9 I 1 8.8 - 9.1 1 +12 I I 9.2 - 9.6 I +15 I I 9.7 - 10.2 i +13 I I 10.1 - 10.8 I +21 I i 10.9 - 11.5 I +24 I 1 11.5 - 12.3 1 +27 I I 12.4 I - 13.2 I I +30 I I Table 3-17. Cas Furnace Vith Refrieeration Cooling Points !RefriSeracioal Gas Furnace I Cooling I SE 1. 1 I171 -177-i 83- 89- 95 77 I 1 761 821 881 941 u I 1 8.0- 8.31 01+21-1+61+81 1 8.4 - 8.7 1 +21 ,41 +51 +91+10 1 1 4.3 - 9.2 1 .41 +51 +81+101+12 1 1 9.3 - 9.7 1 +61 +81+101+121+14 1 1 9.8 - 10.3 1 +31i101+121+141+16 I 110.4 - 10.9 I+1G1+121+1:1+16!+l8 1 1 11.0 - 11.6 1+121+141+161+181+20 I I 1 i I I I 7/7/83 ZONE 11 TABLE 3-14 (AOAPTEO) INTERIOR THERMAL MASS POINTS MASS DUELLING AREA SgUARE FOOT ' AREA 1,000 1.500 1 2,000 4 2,500 I 3,000 I 3,S00 1,000 I I,SGO 5_,000 1 sq. FT. A 8 C D A I C 0 A B C D A 8 C 0 A 8 C D I A / C 0 A I C D 1 A 6 C D A / -C----. 50 2 2 2 2 2 2 2 0 j 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0` ,0,' 0 0 0 0 0 0 0 0' A 0 0 0! 10o. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0I 0 0 0 01 ISO 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 2 2 2 2 2 2 t 2 2 2 0 2 t 2 0 2 2 2 0 I 200 8 e 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2: t. 2 .2 2 2 2 2 2 2 2 2 2 2 2 . t +8 +10 253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 t 7 2 2 2 2' 2. ? 2 t 350 14 14 12 8 10 l0 8 6 6 6 6 4 6 6 6 2 6 4 Ir 2 4 4 '4 `2 4 4 2 2 4 4 2 7 2 2 2 1 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 /' 2 4 4' 4' 2 4 4 1 2( i 1 I 2 3 t 2 2 $01 IS 16 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6, 4 6 6 6 2 6 6 4 4 4 4 2 600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 66 4 1 6 6, t 2I 793 24 21 20 11 18 16 1: 10 14 14 12 8 10 10 10 6 10 10 6 6 a t I 6. 4 4 b A 5 11 6 6 R ). � 270 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 a 6 10 8 B 4 ( ! 6 6 < a 6 6 II 6 6 e ' 900 IB 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 8 '8 4 a 8 6 ii B a 6 e i 1,0, 30 70 I5 18 I?2 20 20 14 18 18 16 10 14 It 12 8 12 12. 10 6 12 10 10+ •6 13 10 10 0 6 a 8 a 4I 3 1,700 32 32 28 20 24 2/ 22 14 20 20 is 10 16 16 14 8 14 14 12 '8 .12 12 10 6 10 10 10 6 10 10 8 E IJ 11200 34 32 30 22 26 26 22 16 22 20 18 12 IS 18 1/ 10 14 14 12 -8 14 12 12 8 �'12 12 10 6 I10 10 6 6 in In a 6 00 34 34 32 22 28 26 24 16 22 22 20 12 18 18 lE 10 lu 14 14 8 14 12 -12 B 12 12 10 6 12 10 10 a 10 70 F. 6 1 1,400 34 '34 32 24 28 28 26 18 24 24 20 It 20 20 18 12 18 16 i4 10 14 14 12 8 14 14 12 8 12 1? :G E; 10 13 1-3 5 i.i00 1 36 31 71 21 30 30 26 18 21 21 22 1! I22 20 18 12 18 18 16 '10 16 16 114 18 14 14 12 Is 12 12 10 L.1 .7 12 1: 1 6 1 2,000 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 1/ I20 20 18 12 18 18 16 10 16 16 ii LI i4 la 11 9 i 2,500 I 34 34 30 22 I30 30 26 18 26 26 24 i6 24 24 22. 14 22 22 18 :2 20 20 18 1.• 1.4 15 It :U 3,000 34 32 30 22 70 30 26 .18 28 :6 24.16 24 24 22 14 22 22 20 14, :7 .3 3,50032 32 30 20 30 30' 26' Id 28 28 21 16 26 24 2? 14 ! !1 Z4 20 14 ' 4.900 32 32 30 20 30 30 26 18 ' 78 28 24 It 1 75 2b 22 If 1,500 32 32 26 20 30 30 26 1¢ j in ?= E s_D0a- 72 17 1f 231 IJ 76 1= A) 1. 3y Concrete Slab: HC•8.93; R•.29: Factor•7.3 2. 3 3/4- Thick Common Sr1ck: IIC-7.125; R•.13: Factor -7.1 B) 1. 54- Concrete Slab: HC•14.106: ?•.458; Factor -7.1 C 1. 8- solid Filled Block: HC•2o.63' R-1.93; Factor -6.t wood stove X33 poinfs,(no back up) 2. 8- seltd Filled block With Both Sides Exposed To Conditioned Air, casablanca fan + l.point NOTE: Use all square footage directly exposed to conditioned air for ThersaI'MasI Area: HC -10.164; R-.965; Factor -6.1 0) 1- Thick Concrete/Tile: NC -2.55: R•.083; FacI . .7 - Table 3-19. Zonally Controlled Electric Resistance ` Space Heating Points - Points foe this measure w!11 I Table 3-20. Solar Vater Heating With Cas Backup Points I be completed after the CSC I I has approved an Alternative I Component Package for Resistance •I 1 neat. Table 3-18. Active Solar Space Heatine witn i:as Points I Net Solar Fraction I Points I I (NSF), z I I I I I I o-6 I o f I 7 - 14 1 +2 I 1 15 - 23 I +4 I I 24 - 30 1 +6 I I 31 - 39 1 +8 1 i 40 - 47 I ; +10 1 I 48 - 55 I +12 I I 56 - 63 i +14 1 I 64 - 71 I +18 I 1 72 up I I I: +20 I I Multifamll (per unitpoints) I Table 3-21. Other Water Heating Pts. I System Type I Floor Area i I I list Solar Fraction (NSF), Z 0 I per untE, 1 0 I Solar with Electric 1 I Resistance Backup 1 1 I Meeting the tequtrs-- I I It2. 0 I Eleccrlc Resistance I I I Orly -40 ; 0.9 1 IC -i9 1 20-29 3x-39 40-49 50-59 60-69 70-79 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2.(Q0 and up 0 +1 +2 +4 +5 1 +6 +7 +9 All others (pe building points) 860-899 0 +5 t10 +14 +1-9 1 +24 +19 +34 900-999 0 +4 +9 +13 +17 +21 +26 +30 1,000--1, 199 0 +4 +7 +Il +15 4.19+22 +26 1,20x,-1.499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 +9 +12 +14 +le 2,000-_,999 0 42 +3 +5 -t7 +8 +10 +I1 OC•0 ar.d up 0 +! +3 +A +S +1- +8 +10 I Table 3-21. Other Water Heating Pts. I System Type I Points I i I I Gas Only 1 I I 0 I Beat Pump i 1 0 I Solar with Electric 1 I Resistance Backup 1 1 I Meeting the tequtrs-- I I Bunts la Pact 'a i 0 I Eleccrlc Resistance I I I Orly -40 ; FORM -4 RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner Climate Zone_ Permit No.. Floor Area : Compliance path: Package ❑ A ❑ B ❑ C Point System ❑ Budget ❑ Other MIN R -VALUE DESCRIPTION REQ'D INSTALLED IT (1), INSULATION: Roof/Ceiling Wall Lot ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION• ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier 13 (E) Electrical outlet plate gasket . ❑ .(F) Air-to-air heat exchanger. '(3) GLAZING: (A) Location Area Gla ing Vloor Area Single Double Triple (� Total Bldg (j North —�- . LJy'/ East South b 4, West_ ❑ Skylights (B) Shading Shading Coefficient Description East ❑ South ❑ West ❑ Skylights ❑ (C) South Overhang Length of projection ft. Description Q (D) Moveable insulation: Area ftZ Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R=, MC= Location ❑ Type - Area Ft. HC= R- MC= Location ❑ Type - Area Ft.2 HC=- R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location { ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 rwRM ❑ , (4) MASONRY AND FACTORY-BUILT.FIREPLACES shall be equipped with tight �T fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting -damper to draw`air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A)::"Heat ing ❑ Central Gas Furnace (brand and model number) SE Btu/hr / (heating capacity) v� Heat Pump. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar ;type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) } (B) Cooling ®/ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr, (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling 'capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for,heat pumps. [� (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and . fitting joints shall be sealed with pressure sensitive tape or mastic to.prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 ..�. 4 FORM 1 . (6) DOMESTIC WATER SYSTEM -(-'A) Gas Only Gallons . (brand and model number) (tank size). ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) . ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 :(backup heater type, brand and model number) (collector area) (collector -orientation) (collector tilt) Q Location of Solar Panels ❑ Other / (Describe) Q" :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned.space shall be insulated with a minimum of R-3. Steam.and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d).. (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. /(7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and*fill out the following: Heating: Winter design temperature 1& °, elevation 'ZOO heating load V,'&&TU elevation factor x heating load = maximum outlet capacity gas furnace ?IM6 BTU Cooling: Summer design temperature lb 4 °, cooling load A&DOBTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter. 2-53 of the California Administration Code. J 7/83 _SSIGNAT OF BUILDING D IGNER OR APPLICANT 3