HomeMy WebLinkAbout024-080-115/
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,ROBERTS, Brad419 O'Brien Ave., Gridley024-08-0-115 92-3686B.ROBERTS, Brad4i9 O'Brien Ave, Gridley
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COUNTY OFo BUTTE DEPARTMENT OF PUBLIC WOF PERMIT N
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-080-115
ZONING
A 5
BUILDING PERMIT
OWNER
BRAD ROBERn
TELEPHONE
81 V
��716
SQ.FT. OCC. BUILDING VALUATION
OWNER*S MAILING ADDRESS
419 01BRIAN AVE GRIDLff 95948
CONTRACTOR'S NAME
owm
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $ 15.W
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
419 O'BRIAN AVE GRIDIM 9,5948
Permit fee $ 30.00
PLUMBING PERMIT FilingFee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
1
PARCE MAP
Water piping 7.00
Each qas water heater or vent 7.00,
—
USE OF STRUCTURE
SF DuplexF� Mobilehome[] Other
SPECIFY
Gas piping system 1 - 5 outlets 5.001
Building sewer _T_F_ 15.00
Mobile Home S FG W @ 15.00
TYPE OF WORK r
Ne%0 Additiol Remodel [I Uti I i ties [J Instal I ation E� 6ther
Describe work: FOR LANDING5:5��RS�
RF
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
CONTRACTORS LkE�NNSE LAW
I declare under penalty of perjury (check one .
EJ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
% sation, will do the work,and the structure is not intended or offered
I., for sale. (Sec. 7044)
El 1, as the owner, aim exclusively contracting with licensed Ontract-
ors. (Sec. 7044) ic
0 1 am exempt under Sec.—, Business and Professions Code
for this reason
Main service 200A TO 1 OOOA) 37.501
NEW CONST DWELLING OCCUP. 3.64 sq.ft.1
OR ADDNS. ACC.BLDGS.
NE CON I"ULT'fiTLET
NOWN-RESIS-T."' BRANCH CIRCUITS) @ 5.00
POWER APPARATU &)
SINGLE OUTLET CIR.
Ex. OCCLIP( OUTLETS OR FIXTURES 20 @ 7 97c
5AL_ 50) 46
FIXED APPLNS. OR —
Ex. Occup. OUTLETS (RESID.) EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
[_ I The permit is for $100.00 (valuation) or less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT— Filing Fee 15.00
Heating
Cooling
LHood 6.50
I 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 ot
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
aga.Lrist said County in cons guence of he granting 0 f th* Aerrq,,-
X Date'sUa 15. 199a
J
Signature yApplicant Owner El ControctorE] Agent F-1
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
Jf0TAL FEE 30.00
E
AAZ
I D FEES I
IMP
I FLOOD
CDF
PARCEL
This permit is hereby issued under the applicable provi-
sions of the Butte unty Code and/or resolutions to do
591, /
work indicat�d above for which fees have been paid.
;�, 4�
�611R&TOR OF PUBLIC WORK�
By D i a 1621Z 46
PERMIT EXPIRES Date & J
y 7
1
Receipt No.
WHITE-D.P.W.. YELLOW-ASSE3SOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT .1
COUNTY OF B�UTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIO-WiND PERMIT
PERMIT NO.
qj ��(O:
_1 1 .00,
ASSESSOR PARCEL NUMBER
024-080-115
ZONING
A 5
BUILDING PERMIT
OWNER
BRAD ROBERTS
TELEPHONE
846-0716
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
419 O'BRIAN AVE GRIDLEY 95948
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
al Valuation $
4q S. oo
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER's MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
BUILDING ADDRESS
4 19 O'BRIAN AVE GRIDLEY 95948
Permit fee
$ 30.00
PLUMBING PERMIT __FilingFee
15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
L MAP
Water piping —
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF[J Duplex0 Mobiiehome[I Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00,
Building sewer
15.001
Mobile Home is
@ 15.001
TYPE OF WORK
_90012
NeVRSW-.. Addition R emode I El Utilities E] InstallationEl Other E]
Describe work:. P xl?MTT PnR LANDINGS AND STATRS
44-
I I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 15.00
Main service 600V OR LESS
- .200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
r_1 I am exempt under Sec.—, Business and Professions Code
for this reason
Main service 200A TO 1 OOOA)
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS. 1
_37.501
3.6* q.ft.1
N E WCO NSTFL MULTI -OUTLET
,.'0 r
N -RE BRANCH CIRCLJI S)
@ 5.00
PO ER APPARATUS &I
SINWGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
20 754
AL 6 AF;A
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
1 3.001
Temporary service
15.001
Mobile Home Facilities
15.00
Misc. Wiring
5�
I—
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
Ej 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 w,ith 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 an, way accrue
n OnU
ag st said" ,f he granting of this er i
u ce 0
X d24 0 tya Date. 16.
Si gn. 'ur. . Applicant O.n.r 0 Contractor 0 Agent El J
An OSHA permit is re for excavations over 5'0" deep and demolition or construct-
3quttred
ion of structures over s ories in height.
Mobile Home Installation Fee 4;
Energy Inspection Fee $
OCC
CONST TYPE
qn
TOTAL FEE $ 30.00
AZ
I D FEES
-IMP
I FLOOD
I CDF
ISSUE
This permit is hereby iss under the
sions of the B tte C q y ode and/or
work indic a e f which fees
OF PUBLIC
By
PEflMIT EXPIAES _76ate <-O
applicable provi-
resolutions to do
have been paid.
WORKS
Da
Receipt No. Igb J
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTT .."PARTMENT OF PUBLIC WO BUILDING DIVISION
N
-7541
7 COUNTY CENT D I OROVILLE, CAtIFORNIA 95965 TELEPHONE (916) 538
PERMIT APPLICATION DATA SHEET
OWNER J::�UJXV
Proposed Building Use
A. P. No.
Bu ild-ing Inspector o Date /0-/(0-91;L
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
All items have been submitted . .............
Plot plans, 3/4 sets, signed by preparer of plans.
Complete plans, 3/4 sets, signed by preparer of plans .......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . .................................. P I I I I *
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings. - * * * * * I ' * ' ' * ' ' * * * ' ' * ' '
Engineered truss details and layout in duplicate (required prior to plan check).
Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
Feesof $ . .........................................
Impact fees as shown on attached schedule . ..................... <: .-� ......
California Department of Forestry plan approVal/fe'le's ............. � ........
Flood elevation letter (100 year flood) by California Engineer . ..................
Sanitation and plot plan approval � . Health Department . .............
City of Chico plumbing permit! ... ; .....................................
Plot plan and business license approval from City of Biggs/Gridley . .............
Planning approval for (A) Use: (B) Parking: . ........
Contact Land Development about (A) Improvements (B), Drainage ............
Driveway permit (construction approval required prior to occupancy) . .............
Prel,spection request
Pre -inspection for required. to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ..............
rtificate of Workmans Compensation Insurance . ....... * * ' * '
Owner -Builder Verification (Given to owner / Mail to owner
...........
Recorded copy of Agricultural Acknowledgement Statement . ................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road ......
Letter of intent on building use . .........................................
Mobilehome utility clearance . ..........................................
Documentation of legal access . ........................................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements ................
Existing violations/expired permits . ......................................
Plan check list . .....................................................
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 ApplicantQ;��YKtW�t e U&T
ki ___
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.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ pholiiiX ( - -
_��--i3'k Counte-rby Date
Contractor, designer, owner, was advised of above required data by _ phon� - 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 95965 - Telephone: 916,"538-7541
APPLICATION �MD PERMIT
PERMIT NO.
ASSESSOR P��Cql NUI,&BER
- 4 1 �;
0M
ZONING
A -S
BUILDING PERMIT
OWNER tF:�� P ,e�
TELEPHONE
111. FT. OCC. BUILDING VALUATION
OWNER*S MAILIN�ADDMS
&�&�
CONTRACTOR'S NAME 7 ITELEF(PONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKN . OWN
Total Valuation Is
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 15.00
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
BUILDING ADDRESS
Permit fee
—F7� 0
PLUMBING PERMIT
-�F i i ng Fee 15.00
Each Trap
1 5.00i
Solar or heat pump water heatSf"
20.001
LOT NO.
SUBDIVISION NAME
MAP
Water piping
7.00
Each qas water heater'oyvent
7.001
.1
USE OF STRUCTURE
SF;?�-Duple.01 Mobilehome[] Other
SPECIFY
Gas piping system 1 7� outlets
5. 0
Building sewer /
15.00
Mobile Home S I G
@ 15.001
TYPE OF WORK
New_& AdditionF—1 R emode I E- Uti ies 0 InstallationD Other El
Describe work: QA nf,'a 4m- N��v --t-
U
I I
Per—tn't Fee
$
Contractor
ELECTRICAL PERMIT
15.00
�FilingFee
Main service 600V 5—R LESS
200A OR LESS
18.501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
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 1000Aj
37.501
NEW CON ST. DWELLING O�CU"-)
OR A .NS. ACC. SLOGS.
3.64 q.ft.j
NEW CONSTR. MULT I' OU I- T
C��NON-RESID. BRANCH R CUITS)
@ 5-00
P WEIR AgPARA U IN
SINOGLE 0 TLET CIR.
1
Ex. Occup(OUTLE OR FIXTURES
T4
20 75d
OAL- P Eidi
OCCUP. F
Ex. OUIXE APPLNS. OR
Tt�(T (RESID I EA
-
3.00 F
Temporary sery/ce
1 15.001
Mobile Homeyacilities
15.001
Misc. Wirinz
15.00
I
— I
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
(_] 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.
F-� 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./,
Fi I ing Fee 15.00
Heating
Cooling
Hood
6.50
�Ventlation
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 ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnity and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner F� Contractor 71 Agent F-1
An OSHA permit is rTuired for excavations over 5'0" deep.and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee 41
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 3^,.
HAZ
1 0 FEES
00
It
1 COF
PARCEL
I PO
HD
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.
WHITE-O.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR. COLOENROO-APPLI CANT
"-COUNTY- O'F' BTjTTE _`Depa-rtmentof' 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 signatur.e.
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"idsued until this vei:ifica7tion is received.
I personally plan to 'Provide the major.labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 ( ave ave not) signed an application for a building permit'
for t �6proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
con.struction:
Name'
Jty
Address CL
Phone Contractors License No.—
4. 1 plan to provide portion's of this work, bLit-I have hired the follo�4in`g persozi
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 COUNTY OF BUTTE
Social Secu 't Ni��ber BUILDING DFPT
Date
V/ OCT
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.
RESIDENTIAL
24-08-115 3224-91B,P,E,M
ROBERTS, Brad
419 O'Brien Ave, Gridley
-(new sf)
r
OFFICE COPY
Address
GAS
S
Meter By Dat
ELECTF1 C
Meter By�
'�FFICE COPY
Address
GAS Date
Meter By—::
ELECTRI
i Meter By
JOB FINALED (1)
Signature
L
I
V=OK
O= Not OK
= Not Applicable
= Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test- Easement Needed (Sketch) _Ij
5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete�
6. Gas; Location -Test-Wrap: 11 P11t.
/ P'Nat. or/ P'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1 j
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line J
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Crosso ve rs- Brea ke rs-C lea ra nces
5. Drain; MH Test -Fall -Flex Connector , %� I ,
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS's-,1.1
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK excbpt #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
-3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Seams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg: Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks- Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances -GA
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-Enclosu res -Pane I boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
�J
MISCELLANEOUS's-,1.1
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK excbpt #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
-3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Seams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg: Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks- Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances -GA
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-Enclosu res -Pane I boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
*J = OK
0 Not OK
Not Applicable
Not Rea�y,
Date . UNDERFLOOR (Plans) OK excer)t #'s
RESIDENTIAL (Single & Duplex)
1. Zon i ng -Setbacks-Easements-Flood -Slope A 2 0 111
R" Ftg. D&V
Main; Soils-Elec. Gl
�,A. Ftg., Garage; Soils-Steel-Elec. Grnd.-C/ Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ptg. Depth
!�temwalls, Main; Steel -Bloc kouts-Wrapped
Stel Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
,,�5ab; Steel -Wrapped
8,,Piers-Fireplace Ftg.-Steel
b,�9. D.W.V.: Fall -Fitting -Test -2 Way C/0 -Sewer Test
!��Gas Pipe; Size -Anchors - yard gas piping: size -test
L--Ce-i' 'Water Pipe Test -Anchor -Regulator -Service Test
,je
-,c--r2-1 Underground
Plenums & Ducts; Clea ra nce- Mate ria I -Support- Ins.
1!<�-i Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation 0 W�l 04
Date - rd B-1 Date J��d B-N�je�
Date rd B-1 Date 'Card B-1
Date JJAMBING (Perril except ft's
at r.Htr.: Vent- ss -Combustion Air -Baffle
- - ----- - - ---- - ------------
2ter
:��*-O-D W'V.- 1periFittings & Anchor -Nail Protection
wer Pan: Test, -First Floor -Tub A= -Sy
20. Test -Tub & Shower, -Second Floor -Tub Access - -- - ---------
,�-�Gas Pipe: Size & Anchors
— - — ----------
Dat
e Eae Card B-1
ki----
Date Card B- Card B-1
Date ELECTRICAL Wermit) OK except 4*s
Vixture & Transformer Clearance -Ins. Protection
lec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Cond ucto rs- Stapled
��Romex Ins-.alled Close to Edge of Studs & C.J.
---- ------ - ------------------ - - - -------------
- ------- -- ---------------
u ip.-Grou nd- made up w/Mech..Fastners-Bon-d -Gas-& Water -----
------ iance Circu-ts-in Kl & Conductor Size/GFI -------------
Z8. �.�feed-Wire-Size-/-- Tga. Cu -or AI-A.C. Wire Size ga.
--------- Cu- -------------------------------
29. Range Circ. I / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
ii3 �-�a ------------ C -o-n-d --- c -t - -r s- -& --- G -r -o-u-n d -- M--a-i -n- -D -is -co-n-n- e C -1 -------------
--------- 0. ------ u --o ------ ---- - ------- T -------------------
,--T1._5q-uip. Clear es n
L anc Pa els- Motors- Mech. Equip - ---------------
-:D lothes Closet Light -Shower Light -Spa Light
---------- . Smoke -Detector ----------------- --------------------------------
------------------------------- -------------------------------------------- -- --- .
Date Card B-1 -,09 D�jl� ....... . ..... Cal 1 ..............
Date ard B-1 t e Card B -I
74M
Date MEeHANICAL (Permit) OK except #'s
,��4.�;-_R�cts Insulation & Support
----------------------- ----------------------------------
5.1
Exhaust above insulation
---------------- - ---------------------------
36. Cond ensate Drain & Overflow: Size & Grade
----- - -- ------------------------ -------
------ �--i��Furnance--V.ent-:-Access-Cornb. Air -Return -Air . V e n t---1 1-5-c-ut-1W.-
----------- ----------------------------------------------------------------
--------------------------------------------------------------
Access & Platform if Furnance in Attic
-------------- ---------------------------- --------------------------------------
Date -------------- Card -B-1 -------------- Date -------------- Card_B-1 .............
Date Card B-1 Date C-gard B-1
Date 0;El ING (Plans) OK except 4's
Sils. Proper Material & Anchors
V%- -1@y -- -------------------------------------------------------------
------ (��40. Walls Studs -Nailing. Spacing & Bracing-Plates-Sogd .........
1. earing Walls over Girders & Floor Nailing
---------------------------- - -------------------
2. Dra I Stop in Walls (rat proof)
-------- --- - . - - -- -------------- ---------------- -------------
re Stops: Furred Ceilings -Stairs -Chases -Tub
--------------
Headers & Beam -Size & Bearing
�L. i
Date FRAMING (Continued)
ps-Anchors-Connectors
L4I5.CIng."Jpist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
-4-pl Ties or Type A Flue -Fireplace Throat clearance
ttic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
L_-4q--9d-rm. windows or Exiting Doors -Sill Hgt. & Dimensions
L--�&l 'Garag. Fire Protection Framing
���--,Pr�-Perty Line Firewall & Openings
w-IT2- Fxt n r)c)r.,;-C)n,-- T -Check Gal Story, 2 Exits
-Head room-Rise-Run-Landi ng -Fire Protection
llz-�Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
—Siding -Nailing Veneer
Mesh -Drip Scl Vents-Underfll Access
Area -Glass Protection -Skylights -Plastic
ear Walls: olts
59t. Insu 'on -Walls -Ceilings
Infiltirpfion-Walls-Windows
---------------- - ---
�Da`te -< ate Card B-1
N�
.DateZ;f 1 -7 rd B-1 ��?e - Card B-1
Date I FINAL (Plans) OK except #'s
W(61)_E � Steps -Door & Sidelight Protection -Landings
.1/noke Detector
------------ !P� ---
F nace: Vents-Clearance-CpAti. Air-Connectol
n Garage: Above FloorZ)Oj'cts-Mech. Protection
--------------- --
--------------- --- Ze, oo.m Exiting
--------- - -
F. I & Bath Fixtures & Tub Access-4pa-a-
-------------- F6.Elec.-Trim-&-Subpanel: Breaker Sizes & Labels
-6416-Stairs & Rails
------------
Fireplace or Stove: Clba ra nces- Hearth
69. Elec. Q.Wi4at-s-at Wood Panel:::: x
t.Fixt. i��plFance, (irl
_��-Cookinq Clearance
---------- VCZIUElec. Outlets & Receptacles a—tKit. Counter
Swin -.<�n�-6nioser
AC D Ii G amper
-V-- U
------- -----
74. r. I l s learance-Comb. Air-Connectol
Gar-- ----ove Flnor-Mech. Protection _I---
--------- :� --- :- i-,-, Fl -c. R Me r h. Equip. Lis_ted_j2LLpeafioq
Ejp�Receptacles in Garage: ome �Orotection
J;o�4-�-Iat ion -Foa m- Looked in AtK es/
------------------ _ii
Const ruction- Post Wrs
------------- �F�l �Vents & Crnifvl Hole Doo l Dra i na_geyWood -Earth
Clearance Looked under Floor* WYes
--------------------- ------ b
80. Following instid.: Drive Yes No: Walks 0 Yes Ko;
----------------- Planters--O-Yes tu!]No—
tucco: Brown -Finish
---�ng
ilecTrical. �Ium
�e----------------
rits Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Discon I El Cal, Plumbing
-------------- -
e,ior 'i�
85. ec. ri eceptacle-Underground
............. -------------
2 Lect, 6- ca
'� &ectE pt
m e e a
P!f-
),io6P13tion Throughout House
Z- -------------
1P. (Gorass Protection
t, I Previous Inspections
.;?9 -- - - - ------- --
r
_as t -Meters Taagg; &�Ij tp
� ��j 5,_
------------- - --- -------- V -
e
W U Sewer Connected -C/O to Grade-H&-AVpTUTffr-
4oEnergy Compliance Certificate -Other Certificates
------ ----- ..
----------------------
------ I ------------------------------
Date Card B-1 Date Card B-1
-6- � V� Card B-1
Pj1tV0,,q --- ---------
Date Card B-1 Dale Card B-1
Comments at Final:
------- I ------------ - ----------
I
1)
permit No.*
E
Y 1;
H V R C
E 11 r. C, E R T
419 018r�ien A�ve. �Orov�jjle�Ca�-� A. P. No.
I.00ATION
DESCatpTION OF INSULATIO"
Boor Brent! Hamel
Resistance (R value)_-_—
glTgR109 WALL F1 - BERGLASS BATTS
"Chad 3 5/8z.11
Brand Ham
11,SM&I Re@jst&nce(R Value),
CEILING j.pj,,t.,ryj,e FIBERGLASS BATTS llrsnd'"Amd� OWEUS-CORNING I R38
Batt Or -filonvAl Restotauc*(R Vfllu*,--�
Ifik Ic I(Aes a lielle 1) 1211 Brand Hsmet—.�,sO�2W. �Por �tbag
Louse Fill TYPe Number of go—
jiLlijavum Thicv-11les Roslat&nce(il Value) R38
Area coverej(ft.
FI.00R' ELEVATED FIBE!F��RGLASS BATTS
Th
FLOOR, SIAB
Material
Tilic. Upon a (ble- ----------------------
----------
FOUN"TION WALL
luterimit -
Brand Name, OWENS-CORNING
R
Tilermal Resistance(R Value) --
Brand Ham
ITOR4 N"n io-14414tiias(I
IV* tioa Vito 10111:0119d to ths OboVe bult4tog-
beroby Gortity that tile sbQ COU19VA4 510fty Roquir"*901
with tile state
.......... jITATS (:ONrP'A=UjL-D jj111::xHS1 "Dip
RH Now
October 15,1992 ------
ATOR PATS
or INSTAI
:i'vii—it 4 INSTA,
TURE Or INSTA.IA APPLIC
bove insulation 4n4 411 roqutreil Item 44 llhOva-01`1 ths
I Iloreby certify tile a plaits &W attocilindIDtf 114ve boon instal1#4 as
puiljlllg Department OPP"ved
required by tile state of Cati.forais Energy R@quLraaont@'-
All squLpment. .. 48V ices slid materials are ot tile quality prescribeti or are
specifically Approved by tile state of California,
tTATIt CoUr g:TORIS LICYASS
yIRH BAHR/MNER please prillt)
DATE
gi-IGHATURE Or GENERA" -0 —Wr—R, A —CT O—R IMW I t
'fills CERTIVICKrF MUST lie ON FILE WITH T119 BUILDING DEPARTME"'r PRIOR TO YTHAL
ArpioVhl. AND A C01?y all&LL Be POSTED WITHIN T119 BUILDING-
- . - — 11 Gaz'
FRI. SAT.
DELIVER CLOSE
IFE] PICK-UP I .. NE LUMBER, IN
since 1926
LOADED & CHECKED BY
HELP ON JOB
DELIVERED BY
DATE DELIVERED
I
1 0 YES 0 NO
26068
I
P.O. BOX 438. p 1600 Acacia St. 0 Sutter, CA 95982
Phone: 755-0055 or 800-821-1376
Fax # (916) 755-0254
STORE HOURS STATEMENT COPY
MON. � FRI. 7 - 5
SAT. 7 - 4
PAGE 3
Terms: due and payable by the 10th of the month following purchase. If payment is not received by the 25th, a 11/2% monthly service charge (18% per annum) will be charged on all amounts past due.
"grolk, W 11VIERCHANDISE. HE RIGHT TO CHARGE A 20% RESTOCKING FEE ON RETURNED
INVOICE THANK YOU, PLEASE COME AGAI-N CLOSE LUMBER
SOLD SHIP TO: (SAME AS SOLD TO UNLESS NOTED BELOW)
TO:
_111�
Customer Code IsequenceNo.1 Time
ROBBRA 1123792 114:-1;
Order Date Ship Date
A Number Salesman
I ISANDY
ITEM NUMBER V QUA N. ORD. QUAN.SHPD. DESCRIPTION UNITS PRICE / UNIT EXTENSION
GLULAM I MISC GLU LAM REAM
44.40,0/,EKCH 44 _AO�
1./ 2 X_ 10., 1/2 X, in.
SUB -TOTAL
ransac on
age—
ore
No.
S'man.
Itten
Bv
er.
0.
26068
60692
1
3166.
5 11390
Order Date Ship Date
A Number Salesman
I ISANDY
ITEM NUMBER V QUA N. ORD. QUAN.SHPD. DESCRIPTION UNITS PRICE / UNIT EXTENSION
GLULAM I MISC GLU LAM REAM
44.40,0/,EKCH 44 _AO�
1./ 2 X_ 10., 1/2 X, in.
SUB -TOTAL
TAX %
A
AM' UNT
TOTAL
2952.84
.00 "725
T14.08
3166.
REC'D. BY DATE:
e -
TERMS OF SALE
All orders, sales contracts, or shipments will be accepted,and 'executed by FRANK R. CLOSE & SON,
INC. with the following TERMS and CONDITIONS:
1. Terms: 30 Day Accounts - NET PAYMENT DUE ON THE 10TH OF THE MONTH FOLL OWING
DATE OF PURCHASE AND PAST DUE AFTER 30 DAYS. There will be no FINANCE CHARGE if your
account balance is paid in full by the next month's billing date. The finance charge, if any is computed
on the previous balance before deducting payments or credits. If you fail to pay the new balance by the
next rnonth.ly billing date, you will pay a FINANCE CHARGE which will be an amount determined by
applying a periodic rate of 1,5% monthly service charge (18% per annum) on accounts duo'; purchaser
shall pay attorney's fees and costs incurred in collecting this invoice. A minimum finance charge of
$.50 will be a§sessed. Said charges are fixed, agreed and liquidated DAMAGES sustained by such
breach because of the difficulty, if not impossibility, of fixing actual damages.
The buyer agrees that any LATE CHARGE computed will become part of -his financial obligation to
seller. If 'any account is referred to an attorney for collection, said accou-nt will be subject to a
re I asonable collection fee or attorney's fee, cost and LATE CHARGE as set forth. above.
2. Shipments shall be inspected upon receipt and if any errors or irregularities exist, they must be
reported to..us,'in writing. before using the merchandise and within three days of receipt of goods,
6th6Ws'e'41)o* claims 6r adju-stments of any.kind wi[I be recognized. We assume no responsibility in the
u s*e of the' me"r66ndise and when placed in, work _con�titutes.'accOpance by th6bustomer. Shortages
must be indicated on the Point of Sale invoice at time of deWery.:
3. A 20% handling charge will be made on stock goods returned fo ' r credit..No goods shall be returned
without our consent. No returns or exchang�s, regardless of condition, after 45 days. All. returns must
be accompanied by our sales invoice. ALL SPECIAL ORDER items, including window units, pre -hung
doors, and trusses are not returnable for credit.
4. Anyadjustment for defective material shall be made on a basis of replacement of the. rn�te.rial and no
other basis.
5. All materials sold or delivered to curb only. Not responsibld for b.roken sidewalks'curbs or driveways
�p
or septic systems when delivery is requested on premises. The Purchaser is re onsible for adequate
access to delivery location and assumes liability for damages to property or equiprq��dwhen trucks are
required to leave highways or accepted streets.
6. For your protection all invoices are subject to price verification. Corrections will be reflected in your
monthly statement.
7. If invoices are not paid in full for materi.,�Is ano merp,hanidse, the improved property of purchaser or
'the improved property on which the materials and, merchandise were used may be subject to
mechanics liens pursuant to the California Civil Code..
COUNTY OF BUTT E
DEPARTMENT -OF PUBLIC WORKS
1469 Humboldt Rorad, Chico, CA - (916) 891-2751
-7 County Center brive, Croville, CA - (916) 538-:7541
747 Elliott Road, Paradise, CA - j916) 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 complet9d. If you have any questions pertaining to this matter, or need additional explanation,
09Q"Aact this office immediately.
OAIJ I P1
I- - AJ
4 -le 13 &)6�--Yve
/2 Ae I A/ t'o S 47-45 - stakr (0.4t -L xws-
t2
14 S.
(A
7
, j
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747' Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
Is
a -Z -/ -W
ER 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.
. ' ( x
.4 *C'
�r-�tv Rece W
0
a Q_zd'—
�CV
F 619
1i
Date 10 - Inspector
REV 11191
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
L-aoln C;,L sj�
OVVNER- I (?/
PERMITINO.
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 correct' f work
10 T
is completed. If you have any questions pertaining to this matter, or need additional e:p"/lanation,
please contacl�hi5mfice immediately.
f h*-
Ah -
4251
-07112IN/M
W1r.191VAI11IQVA�,0 1111EI
LAW ced-7-.
Date Inspector
REV 11/91
I
I
It tip
liu Lte ofCord"ormance,
2823 9 1.
THE UNDERSIONIHM NIANUF-ACTURER HETIE-BY CE.RTIFIES thrAt the structural wood produ
identified txiloyti aricl markedwiffi a ,"ollentiv(! rmark of Arnericsin Wood Systems (AWS) were man -
0
ufactured in accordance with 0io sr,:,lecifications indicated bialow.
"'tandard A190.1191,1a, for StrijclurM Glijed Larninated Tifter
ANS.1
Fvoot 1.o,aded e -fid c)�Lntes
(4
GEOR('31A PA
Job Name
SS A GR j k KE N. TO CA
-Job Lopallom
54--B8O2
Cv6iomerls Otdiat No. Date Mf9r's Oroer No.
signatufe Control-
Boli�etviia 'Er -Lc. Vaiagli:,i, Orsgori 5/7/91
Company Address Date
V,
IT IS HEREV cinrwili,ci that i!i,e!!vtjctura1 glued larninated timber production of the at>ove-named
manufacturer whiCh carriec; a (xHlective mark: ofArrerican Wood Systems (AWS) is subject to regular
audit by Amerkw Wood,'.-TsIerns, cuch audit consisting of the Inspectlon-with-feamiabk) frequency
of the man U NIVILI ring proceb.,.�% wilh adequate carnpling to verity the quality of glulam construction and
the adequacy of glue loond. I
(vr
"I
AA%,*FtICAN VV(;WX 4'MXM!; — A RELATE0 COAPOAATION OF AMERICAN PLYWOOD ASSOCIATION
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cahforni� 95965 - Telephone: 916/538-7541
X_2% 4
APPLICATION AND PERMIT
PERMIT NO.
3224-91
Wa
ASSESSOR PARCEL NUMBER
024-080-115
ZONING
A 5
BUILDING PERMIT 14-
OWNER
1286 BLOCK RD GRIDLEY
TELEPHONE
101/110
SQ.FT. 0 CC. BUILDING VALU^OV J
. F_
2531 R 129,081
OWNER'S MAILING ADDRESS V. I
OWP9 BRAD ROBERTS
934 M 16,812
CONTRACTOR'S NAME
QWNFR
ONE
C 5,265
CONTRACTOR'S MAILING ADDRESS
Fireplace 1 MAS 3,500
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation $ 154,658
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee QU05
$ 570.05
ARCHITECT OR ENGINEER
NONE
LICENS NO.
Plan Checking Fee
$ 285.00
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER's MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
!//R O'BRIEN AVE GRIDLEY
Permit fee
$ 880.05
PLUMBING PERMIT FilingFee 10.00
Each Trap 131 2.00 26.00
Solar or heat pump water heater
20-00
LOT NO.
'Z. 1
SUBDIVISION NAME
PARCEL MAP
1 V& - I -)
Water piping
5.00 5.00
Each qas water heater or vent
5.00 5.00
USE OF STRUCTURE
SF [j] DuplexR MobilehomeR Other
SPECIFY
Gas piping 'system 1 - 5 outlets
5. 5.00
Building sewer
5.00 5.00
Mobile Home Is
10-00 ea�
TYPE OF WORK.
New �] AdditionEj Remodel[] Utilities[] InstallationEl Other E-]
Describe work: SF 4 BPD -M
Permit Fee
$ 56.00
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 6001 OR LESS
100 AMP OR LESS
10.00 10.00
Main service �EA. ADD -L 100 AMP
2.50 2.501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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.
cerise No. Classification.
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed cOnnaut-
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.ad)
OR AODNS. ACC.BLOGS.
21/2 Osq ft
86.60
NEW CONSTR M ULT"OUTLET
NON-RESID, BRANCH CIRC.ITS)
2.50 ea
PO ER APPARATUS &I
SINWGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
1.20@50C
ALO 300
OCCUP. FIXED APPLNS. OR I
Ex. OUTLETS (RESID.) EA.1
2.00
Temporary service
10.00 1U.UU
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 119.1
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
f-] The permit is for $100.00 (valuation) or less.
E:] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
z,'@ Consent to Self -insure.
Rr tl shall not employ any person in any manner so as to become subject
o 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 ling Fee 10.00
Heating SPLIT SYSTEM
6.00
Cooling 4 TON
11.00
Hood
3.00 3.00
Venti lation
-
4 3.Oq 12.00
Permit Fee
$ 42.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 Count in .7n§equence of the granting of this PeFit*01
X Date 31R&N
Si gnalum of A p cant Owner �� Contractor El Agent ?V 0,, -
i re
An OSi for excavations over 5'0" deep and dern ion r c n r t-
Vic
ov. yiui,ed
ion of struc,.r.. r stories in height. 0&
Mobile Home Installation Fee $
Energy Inspection Fee $ 30. 00_
oc
PE
0"T TOTAL FFE $ 1127.15
_F -K
�THAZ.
1,CUA-1
AR SC
FLO
COF
I P�Wj. PD
This permit is hereby issued uncer tne applicable provi-
si ons oi the Butte County. Code - and/or resol utions to do
work indicated ab ve or which fees have been paid.
0 :�UBLIC WORKS
A,
N 7, -7 Z__
By Date
FIE MIT EXPIREV Date
Receipt NO- 1-0- 0-2- 24 340 00 PC FF.F.1, 7 -j o-
WHITZ-O.P.W.. YELLOW -ASSESSOR, PINK-1-N-SPECTOR. GOILIDENROD-APPIL I CANT
I,/
Contractor, designer, owner, was advised of above required da
Contractor, designel, owner, was advised of above,requjred_4a
Plaft�
g �'OeMy Date
—Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
---jnai I —counter by date
—mail—counter by— date
by Date / Zf
COUNTY OF BUTTE - DEPARTMENT7\0'R PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILRE"p. �ORNIA 95965 - TELEPHONE: 916/538-7541
�_T
PERMIT #P-L'F'CAT'I'0'N DATA SHEET
4
Permit No.
?1�4D
OWNER A. P. N o. 0,2- t/
o eo
Proposed Building Use 5r 4941 Building Inspector Date ---
'At time of permit application, I was advised the followir�g data must be submitted prior to permit processing and/or issu ance:,
DATE RECEIVED
1 . All items have been submitted . ....................................
APPROVED
2. Plot plans in duplicate/tliplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
e
4. Complete engineered plans and caics, 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) IZ- 91
9. Mobilehome installation data including manufacturer's installation
,,' instructions . 5 .......................................
*�(0) Fees of $ ..........
t
1-1. Chico Urban Area fees paid .......................................
.:�l
12. Paar feeyf aid ...................................................
ir ecf
3. SC OOIjDjis rict fees paid ............. : 2Z 461
14. Sanitation ap"proval from Health Department
15 C,+t y df (� h iF e��u n
.1blinpermit.- ............ A.:5 ............
-16. R)Z' pl ��_Cc�qnse approval from City
, �t p4a Nd vt,P
;16
k
(tee , i't` If r oth L
0 . er) requiremen
17. Plab Inel �ov�: cl
ifil a O�p 0),Pa�
......
18"1 p'rovements; pp�y,be required. Contact Land Developme'rit Sectioh DPW
19, [miveway permit (construction approval required prior to occupancy) ZLIF- 2Z
20. Pre -Inspection for required ... Pre-Inspec. request to
Building Inspector
(D a—t e)
21. Contractor's license information (No., Name Style, Classification)
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 11, Mail to owner 0) .....
24. Recorded copy of Agricultural'Acknowledgment Statement ......... j
—25. Letter of signature autho.rization ...................................
I
26.
ee
—27.
When you issue the permit, process as follows: — Mail to owner. —Mail to contractor.�
Telephone 65IL6716 and hold for pickup at 6'40V"f(coff ice. —Del.iver :��-Ailhs$&ctor.
Other
Applicant Z/-K�_.Date .
Cop )f Hlaz-Mat iorm sent —Health Dept. —Fire t. ----Air Pollution Date
Co?y1*C Vp
ofplanssent ---HealthDept. —FireDept. "Other— Date—
By
The owing data must be submitted prior to permit is C e: (C new/ item n edLIkUyel.,
le. Index peri s, N o,�, i re
mit Owop i te
2. 'Additional items i
Contractor, designer, owner, was advised of above required da
Contractor, designel, owner, was advised of above,requjred_4a
Plaft�
g �'OeMy Date
—Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
---jnai I —counter by date
—mail—counter by— date
by Date / Zf
TO: Building Department
FROM: Encroachment Permit Se-c-tio.n.
RE: 'Diiveway Clearance
Z!Z— 0 go
�el location AP
owner
Driveway permit has been issued for the above propertyl.
n b
Asign �Xre date
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
b - .. P-6, + c 1) —Ie
Owner Location. AP#
Plan Approved for: Sewage Disposal Water Supply,. --
Hold final for: Water Supply%
Final clearance O.K. for: Water Supply
Clearance for 4— bedroom b4)14,� home. Other
NOTE * * *
ganit4.�ian 13 a t- e
Id �)9043'06" � — 145-5�
f
jr,
C�Ij
V
0 0",
�b9'44'17"W -- 1�5,5(0
)=LAN
I F:
7
A) T
Y\ c- T
vy\
r
i rN
�I
APPROVED
Butte County
Environmental Health
Date
ur.
j jin a 1/�e
CIO
f
jr,
C�Ij
V
0 0",
�b9'44'17"W -- 1�5,5(0
)=LAN
I F:
7
A) T
Y\ c- T
vy\
r
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�I
APPROVED
Butte County
Environmental Health
Date
ur.
j jin a 1/�e
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovIlle. C alifornila 95965 - Telephone: 916/538-7541
APPLI,�,O-,- T1014 AND PERMIT
PERMIT NQ.
ASSESSOR PARC9L NUMBER L9,2 oeo - /I _,g--
ZONING A —5—
BUILDING PERMIT
OWNER
T EL
WZ H *� �1,6
SO. FT. OCC. BUILDING VALUATION
OWNER'SMAILING A ESS
126KIARW OXicy-4 ec) Gr4bey 9-5 e-1
CONTR�oy
TELEPHONE
C
CONTRACTOR'S MAILING ADDRESS
Fireplace WWO2, 315C)Z>
CONSTR�;�TION LENDER
lye—,
UNKNOWN
Total Valuation $
1.5!�4
Filing Fee
f
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
5-76, 6_5
T OR
ARCHITEC E G EER
a/)
LICENSE NO.
_.$
Plan Checking Fee
$ 28S. oo
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER*S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ .5
ee -0
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
I
PARCEL MAP
I
Water piping
5.00 OC>
Each qas water heater or vent
5.00 0,=, I
USE OF STRUCTURE
SFP DuplexF� MobilehomeF� Other
SPECIFY
Gas piping 'system 1 - 5 outlets
5.00 5 . C>O
Building sewer —
5.00 .57- CDC>1
Mobile Home I S I G JWT
0.00ea
TYPE OF WORK
New Addition F� RemodelEl Utilitieso InstallationEl Other
Describe work: 514-- -,/ A-3 le
-
I I
Permit Fee
$ -5 6 -
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. AOC -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
D 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)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
r] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. 0 ELLING 0 1 .
OR AODNS. ACWC. BLOGS.
21/,Osqft (00
N _v" ';0 N5T11_ MUL T'.. UTLE 7
NON -RE "0' BRAN CH CI RCUITS)
-
2.50 ea
POWER APPARATUS.&)
SINGLE OUTLET CIR
I
Ex. Occup( OUTLETS OR FIXTURES
0@50C
1.2AL9 30l
FIXED APPLNS. OR
Ex. OCCUP- OUTLETS (RESIO.) EA.)
1 2.00
Temporary service
10.00
/D. 0
____
Mobile Home Facilities
-
15-00
Misc. Wiring
15.00
Permit Fee
Contractor
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
E] I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 11 10.00
Heating -T
1,4_-
1 (0 1. co
Cooling It/
I ff I'D
Hood
3.00
Ventilation
12-001
Permit Fee
$ 0 0
Contractor
I certify that I have read this application and state that the above information
I s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes. st
I also agree to save, indemnity and keep harmless the County of Butte again
all liabilities, judgments, costs, and expenses which may in any way accrue
against'said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ED Contractor Agen I t
An OSHA permit is required for excavations over 5'0" deep a demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ :3 0 -Q-Q-
occ
I
CONST TYPE
ITOTAL FEE $ 7 -
HAZ I CUA I PARK_F�� I FLD —ICOF -PAP
I I
JP0
IIHO
T.his permit is hereby issued unaer
sions oi the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By __
PERMIT EXPIRES Date
tne applicable provi-
resolutions to do
have been paid.
WORKS
Date
t
Receipt NO. 3L1 6 L10 V6 �, L, __.� v / '1 11
_8
NHITE-O.P.W.. YELLOW-ASSE3SOR. PINK -INSPECTOR. GOLDENROD-^PP.L! CANT
COUNTY OF BUTTE - D4artment 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) WZ�2
1" , - I . V
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 provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. )1 plan to provide portions of th ' is 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 Secur#,t umber
Date 7/o f ell
V
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 ate per-
mitted to issue the permit.
BUTTE COUNTY --SCHOOLS DEVELOPMENT FEE CERTIFICAT-ION--FORM
(one'Form per Building)
A.P. Number B�ilding Department No.
School District ity County F-7;� Ju diction
AM///
Property Owner a e 6,/7,
Project Location/Address
Subdivision Lot Number
Residential Development:
Sq. Footagez-9/
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: 9q. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Rep�re,sentative Date.,
District Id No.
z I
4 // r
plicant Name).
Street Address
City
School Di"strict certifies that
State)
F9140 Qlt"_t_tb01zy4
(Zip Co
has complied with the requirements of Resolution No.
by the pa ent of $ ML representing square feet.
Schooy 01strict Representative "Date
'
REMARKS:*
'o"
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (5/88)
04 0
-/0 jp
. . . . . . . . . ...
. . . . . . . . . . .
-.1 '/.)
X4,,F':/-i 1Zr '01 . 7
o
?,?o
F ES n
ESSI
H18
0 P, L r --
.,-2L037,
A
Z" Q� '112..
-CIVIL
1517E WUNN
BUILDIN G-' 6
EPA�TMWT
-7.
-4PPAOvtb
117-1 Sii. L
+
Ile'
ej
04 0
-/0 jp
. . . . . . . . . ...
. . . . . . . . . . .
-.1 '/.)
X4,,F':/-i 1Zr '01 . 7
o
?,?o
F ES n
ESSI
H18
0 P, L r --
.,-2L037,
A
Z" Q� '112..
-CIVIL
1517E WUNN
BUILDIN G-' 6
EPA�TMWT
-7.
-4PPAOvtb
117-1 Sii. L
+
Fv
F7X7 -7
L; z'
J; '\- Z- ,
0. CC r
1�'7' 0 r- / -7? 0,
. . .. . . . . . . . .
'3
Fy
. . . . . . . . . . ... . . . . . . . .
-0 7 4f 9 X 4
ESS/0
NO. 21,037
J) CIVIL
"�-OF C
. . . . . . . . ...
e tu i to DP'.v' AGRICULTURAL ST.��&T'_'g OF AMTOWLEDGEXEN-T
l" f
FOR RESIMITIAL DEVELOPIMEINT
Section 26-8.1- of the Butte Countv Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
0
9 1 —46956 1
4W
I
I Rec Fee
I Cash
I
XX
5.00
5.00
I
but not- 11mited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte Countv has established a2ricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept� such inconvenience
or discomfort from normal,,necessary farm operations.
All that real property -situate in the County of Butte, State of California, described as
follows:
Parcel 2, as shown ' On that certain Parcel map, being a portion of parcel 4 of
Parcel Map 75 at page 38, filed in the office of the Recorder, County of Butte,
State of California, on August 22, 1981 in Book 86 of Parcel Maps, at pages 17
and 18.
Date: PROPERTY OWNERS:
hoae_[*,to� Kqs-kr-n r�lc,6cr--L5
State of he day of 19'? before me, the
On this t
SS. undersigned Notary Public, personally appeared
County OF��)
4�
Personally known to me.
Proved to me an the basis
0 OFFICIAL SEAL of satisfactory evidence.
U. ... D
REBERA L. BLEDSOE to be the person(s) whose name(s) 6�,�
N OT BU LI 0
= subscribed to the within instrument and acknowledged that__t6k�___
OTARY PUBLIC - CALIFORNIA
�C
BUTTE COUNTY
C mm xP e 1 19 executed the same for the purposes therein contained. I N F4 I fT'l S-
W Comm. Upires Feb. 1. 1993
EQQW00�P' , 4,;-1
I ... ,!,HEREOF, I hereunto set my hand and official seal.
Present A.P.
Nocary Publi,
END OF DOCUMENT �
The
property described herein is adjacent
91-046956
to
land or included within an area zoned
for
agricultural purposes, and residents
'incon-
Recorded
of
this property may be subject to
official Records
veniences or discomfort arisina from the
0
County of
use
of agricultural chemicals, including,
0
Butte
but
not limited to herbicides, pesticides,
Candace J. Grubbs
and
fertilizers; and from the pursuit-
Recorder
of
agricultural operations including,-.,
2:38pm 8 -Nov -91
9 1 —46956 1
4W
I
I Rec Fee
I Cash
I
XX
5.00
5.00
I
but not- 11mited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte Countv has established a2ricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept� such inconvenience
or discomfort from normal,,necessary farm operations.
All that real property -situate in the County of Butte, State of California, described as
follows:
Parcel 2, as shown ' On that certain Parcel map, being a portion of parcel 4 of
Parcel Map 75 at page 38, filed in the office of the Recorder, County of Butte,
State of California, on August 22, 1981 in Book 86 of Parcel Maps, at pages 17
and 18.
Date: PROPERTY OWNERS:
hoae_[*,to� Kqs-kr-n r�lc,6cr--L5
State of he day of 19'? before me, the
On this t
SS. undersigned Notary Public, personally appeared
County OF��)
4�
Personally known to me.
Proved to me an the basis
0 OFFICIAL SEAL of satisfactory evidence.
U. ... D
REBERA L. BLEDSOE to be the person(s) whose name(s) 6�,�
N OT BU LI 0
= subscribed to the within instrument and acknowledged that__t6k�___
OTARY PUBLIC - CALIFORNIA
�C
BUTTE COUNTY
C mm xP e 1 19 executed the same for the purposes therein contained. I N F4 I fT'l S-
W Comm. Upires Feb. 1. 1993
EQQW00�P' , 4,;-1
I ... ,!,HEREOF, I hereunto set my hand and official seal.
Present A.P.
Nocary Publi,
END OF DOCUMENT �
RESIDENTIAL PLAN dECKING GUIDE
(S.F., DUPLEX-& MISC. ONLY)
Bldg. Permit,# _��Z
OWNER A. P. # 77F - 7 J -2; -
GENERAL Plan Checker
8/91
on . n -g - requirements: (sideyards and number of permitted living units).
l 1
ua.tion.
��.��ans signed by designer.
r ron
oper description of work on application.
Existing violations on property.
ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
co
Recorded notice of violation.
PLOT PLAN
mplete parcel size and dimensions.
etbacks, sideyards, easements, etc.
mp
e �b
I er buildings or structures.
rading, fills, drainage.'
o 0,
d hazard.
S Sp c
pecial conditions on creation map,
".t eb1e, and foundations).
& FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
FLOOR PLAN
omplete to scale plan with dimensions.
equired windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
kylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
R q-uired room sizes, ceiling heights (Sec. 1207).
G Is in baths, 2arage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, ;witches, receptacles, and exterior receptacle -s for main-
hance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
r gas equipment.
rage firewall, door size, and closer (Sec. 503(d)(3)).
3'0" exterior exit door (sec. 3304 (f).
eplace and wood stove location, alcoves, and clearance.
S oke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
�.,�_tandard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
erestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
oeFloor construction details complete enough to construct building.
levations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
i
a,'-kaf ter -t les- or bearing ridge beam.
arage do or porch header sizes.,,
-�Tdfieights.
Adobe soils - special foundation design.
Retaining walls requiring design.'
cial Inspection required.
building
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
-..--Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
'Bri
ck or stone veneer (Chapter 30).
--Exterior plaster - weep screeds (Sec. 4706).
�_�Proper roof pitch for roof convering (Chapter 32).
�__Roof covering type - (fire hazard).
;,::�oam insulation - protection.
* 36" halls and stairways.
* —Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
51_-�o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
1-.' A
,,tt-ic access and ventilation (Sec. 3205).
2-'. gaderfloor access and ventilation (Sec. 2516).
3 -.'-Combustion air for fuel burning appliances - L.P.G. requirements.
1"--?b5I-se requirements on duplexes.
5,'. -Energy design.
fiing at all exterior openings.
TE. DF responsible area requirements.
RW
1-1-5- 1?/
FORM J- I
A , — . C&Imm"on Piccecuies A, 8, C4 0
copyright by me
.At Condipcom Cxintraclors
.11=
1513 tM StmK ".W.
Washhqton, D.C.
Privited M USA
1984
Plan 11
Da'.
Calculated
WORKSHEET FOR MANUAL J
LOAD 6ALCULATioNS FOR RESIDENTIAL AIR CONDITIONINO
for. "gym
AcIdnISS
and State or F owe me
C--octor
Design Conditions
Wirav Summer
Outsidedb 15/ -F Insidedib F Outside do AO/ -F Insideft :F
VAnter Design Temperature Difference -F Summeir Design Temperature Difference
Room RM Daily Range
Heating Samimm
Total Heat Logo tor Entire HOLM@ (Uns 15) S-Uged Stith
VentitstionCFM Winter Design 7��.arature Difference -F
HIM Required for Ventilation Air . 1.1 X CFM X F Stuh
Design Heating Load Illoquimm-ar-I - (house) (V&nt) -5� Stuh
TOW soma" 001,13 e 7,0/ Edis, cabling summary
Melculation Procedure 01 D&xIgnT*rnp@gat!�Sw1n0
TolialLoter"Gatri+ BUM (Calculatim Procedure D) MMM13-4 P14.5-11 ) 7-5—
Total . Sains. , Let .���Stuh Ventilation CFM
Eq -IF 'SUMM-Y g)
Mete, �'� Model 6 " —Type LA_)
Hearing input (at _/z7&tPC9-C2 61 -m -Ing output Wtuhl
Sensible Cool LatieviCooling(Btuh)
jDaiR - // 91:::�41 Total (Stuh)
COPIEEftlfEEI�lliPF 9,,3 _,Cco0ngCFM Zc� msatingCFM 1'9�Mk_ro
space TWIfirwtat I I Cool( Heiwcooi edightsetbacit( L-r-
Conabuclilon Data Q
windo- Floor Ae
'A,,f IC IL
wanit easernem wall,
Row S,0A,,e_XA1Z,9 Groundshib
Gaging
In
a
k,
A
Calculation Procedur'es A,B,C,D
Procedure A - winter intimation riim L;aicutatioi-�
1. W1 I fit ation CFM 1_�
ACIHR x. 9,072_9Cu. FT. x 0.0167 =4fg.,4s CFM
Volume
2. Winter 1 6
I., .19191MI-OCIPM x Winter TO c: -2<5 Ell.h
3, ;Va!�
_yt! n HTM Total Window
Stuh - Z 2- H T M
& Door Area
'Procedure 8 - Summer Infiltration HTM Calculation
1. Itration C
ACINR x 2 2 Cu. FT. x 0.0167 CFM
Volume
2. Summer InIll Btuh
IsrVIV2; 4&s-1, Stuh
CFM x Summer TO
3. "MInl4ation KTM
Stuh Total Window=//,' HTM
Door Area
Procedure C - Latent Infiltration Gain
Summer
r. I Btuh
Proceaure u - tquipmeni wzinq Loaas
1. Sensible Sizing Load
Ecure Kau"
2 Running Ft Exposed swstl
Sensible V ptilation Load
3 Room Dimensions. Ft
1.1 it 2S' Vent. CFM x SummerTD
Stuh
Sensible Load for Structure (Line 19)
T_
Stuh
Sum of Ventilation and Structure Loads
C19
Slut,
Rating 9 Temperature Swing Multiplier
g:
RSM
Equipment Sizing Load - Sensible
aA;7_4�'/
Btuh
2. Latent Sizing Load
ParUdims d
Latent Ventilation Load
6F
- 0.68 it — Vent. CFM x gr diff
Eltuh
Internal Loads .. 230 x _!jL7N.. PeopI'e
+
stuh
Infiltration Load From Procedure C
+
k"
Btuh
:
I Equipment Sizing Load - Latent
= ��
_ _Z -o
tuh
Refer to Table 6
I IN.. of R.
Ecure Kau"
2 Running Ft Exposed swstl
3 Room Dimensions. Ft
4 Ceiling HL Ft DirecLitins Room Fa.�
.9,
T_
TYPE
OF C411111.
EXPOSURE 0..
I.CrICLh
C19
5 Gross 'I -
Exposed b
Wall, and C
ParUdims d
6F
d Glass b
C
Heating ) d
7 Windows N orth
h* 7
and Glass E & IN or NE A ?NMW
Doors Southor SE A SW_
-Coolingo
Other /0 _127,a_7 /0,91
/6
S-)3 1 G
0— D.- 110-e-, 5, 16
Lc!j 3) 4,
9
Net
'11LD
2Z& M4
b
walis and
C -
Partiti=9
d �
&
It
11
Fl�s
a
b
12
Infiltration HTM I//_?
3o2,
Yr
13
_52_2
Sub Tot. Stuh Loss ,6 + a * 9 + 10 + I I + 12
14
Duct Btuh Ldw L/0,
13+14
1fiTotaJBtuhLc@*-
16
Pfo* 6 300 and Appliances IWO
171
- 1. 9. so. ..
Sans" Sixth Gain - I 2� i
18
Duct Both Galo
19
7�otsl Sensible G.
11-ir- I LA A I%-" ". %J& I.- %J AAA ki
jt9 01 Zye. -
Documentatlon AuLhor
BUILDING DATA
Condi . one-&Floo;;-��-ea
Kse� Floor
M--S%i—njl-eFim-ily Detached (SFD)
Single Family Attached (SFA)
Multi-Farnfly(MF)
Number of Stories
Number of Units
Addition Alone
Existing Building
Existing -Plus -Addition
B UILD LNG SI-IELL INSULA170N
Component Insuladon Locaflon/ccomm=ts
Tyr -,e R -Value (attic, :0 EURRe. etc.
WaU ..............
WaU .......... —
Roof ..........
Roof ........ .
Floor'...'. ....
Fioor ...........
Slab E,-4ge .....
G L AJZ I NG
Gizzing
Orientation
Shnding Devices
Building Permit, 0
CheckedByl.Dto -- — i
Enformnetit Agency Use 0*
Glassk ...... wo Glass
North
14o(?
-Fop-
NO r-"11
East
g. 5
/-5
South
Ar <
West
0
S0UL'h
Skylight
Total
West
4
West
Area Gl= Type Ira&-ior Exterior Overt=g Framing Type
(SI) (singir- double) (ToUer blk4 etc-) (shade=em em.) (yeshio) (Metaliwoocn
,v o rz, -h
/J`7
NO r-"11
East
East
S o U'Uh
0
S0UL'h
West
4
West
Skylight .......
I
THERMAL MASS
Type/Covering
Area T'hickness
(slab/ex-josed. tile, em)
(sf) (inches) Location/Description (kitchen. bath. etc.)
HVAC SYSTEMS Minimum Duct
Type (fjrnw,- sk Efficiency Location Duct Output Manufacturer /Model #
condiEianer.,heAt aumv) (SF- SEER.HSPF) (attic, etr-) R -Value (B ruh) (or anproved equal)
7P -7 opol. 6 fl
3-65
Maximum Fumace Hearing Output: 1W Nf.) N4 NO
HOT WATER SYSTEMS
Tank Manufacrurert�fodel #
Systern Ty 'FeavnQ
pe (storage g3s. etc.) Capacity (orapprovedeaual)
SPECIAL FEATURESIREMARKS (Add extra sheets if neccssary)
I
Nland2tory Measures Checklist: Residential MF -IR
NOTE: Lowruic rcndeno." buildings jubicet to thc5andards mug caumn dX=V,%c2==M- 11 at the compliance
awcd Itonsmamcd -ita an asLouk (,)may W wmrndcd bymomwngc�tcornoivuscr
onvwCou(vc=co(Comq%Lwx= whmtbnchotkALULSoicargamwAinoucper-da=un=m%Lftfcmumnomdm%md
be conudered by all Varucs as buiding muumurn compol perf— fi�vjcns (or the mandatory memo=
whether V" arc shown cLwwncrc in the docamous or an Otis 'hwklLst ohly.
t)Es=PT1o" DESICXU ENFQXCEMD#T
Building En"lope Measures
• 17-5352(a): Minsmum cajin% fnsuLatmon 9.19 watmed swngc.
17-53SM)r Loose rill insutatmon manuiacturo's Lzbeled R-Valuc.
• 12-5352(c): Minunurn wall insulaaan in Icuned walks R-1 I --ghod average (does ax apply 0
camnor nun -WLS�
J2.5352(k): Slab edge ii� - -wer absoramn rat no VcaLer thah 03%. water vapm
trwumusion raic no grcaicr VLan 2-0 povWknclL
12-5311: Lnn-',umspcorscdorinmalledmwuCaidamiaEjwVCanunis6m(C=quwiry
UandxdL Lndcm type and form
17-5352(f): vapor bw = mm4awy in CUmgc Zones 14 and 16 only.
J2.5317: Infiluzu0n&zralvationConvoks
a. Doors am wvwo-s between corwuuwvcd and uncondiuoned spaces d=pcd to 6MU Aw
leakage.
b. Doors and -i co- courted.
c. Doom — wv-o-s -vzuw=pput A josm and pawaumns caulked and scak&
§2-5352(er Special infilumuon barrier --fled &* comply wids 12-5331 shmst CZC quality
nandard%.
12-53=d): InstalLationo(Futoiaces
1. Masonry and Umory-busa rucpta= havc
L & ignt fuung. clo=ble mcc&J or Sian door
bL Ouusde aw imakc with damper and conad
c. Flue *mnow and control
2. No Conn.— ourTung ps pilots allowed.
HVAC MW Plumbint System Measures
12-5352W and 2-M: Space coriditionint - pi; SiZing: 2,_#.
;2-5352(b)and2-5311- Sczbar-kawnro=rnagapOkabichcaLintsy==Ls.
*-§2-5316(a)., Ducts constructed. inscUbcd and insuLawd per Chapter 10. 19176 tIMC.
12-5316(b): sysionz have dampmcomots.
12-53WO Gas-fired space heating equipment has intermittent ignition devices.
12-531A- HVAC equipment. water hcau=showcftads and fa—cotifiedbytheCF.C.
V-5352ts): WaLcrhexcrinsuia6onbl�ni=(R-12orptucr)orcomb4bedinwriorftzmrior
insulatton (R. 16 or pcucr)-. rim 5 feet o( pipes cioscsz to tank insulawd (R-3 or Smater).
§2-5312(Ezccpuan 113: Pipe insuLauan on si=un and s&cam condensam return ractmuLaLing
12- 53 1 R(d): S -imoung Pool! Hc=ing
1. SyUcrn h=
a. 0"(f 5"Tch on hcater.
b. Wcuncroroof umnanson plate on hcv=.
c. Plumbed to alkow for solar.
175 percent thermal efficicncy.
3. Pool cc-cr.
4. -jjmcClocL
5. Duccoonai w2ta inict.
Ughtint and Appliance Measures
12-5352(D- Ughunt - 25 boommaiw= or Vcaur for jencral lighting in kischoss and badmooms.
§2-5314(c): Gas And appliances cqwvW with intornincut ignition davices.
12-5314(a): Rcfrigcmurs. reffigaazar-fteczas. (mc=ws and fluorcxctsu Larnp ballasts cotified
by Ift C'EC. inawase make ana model nuntact.
CONeLLA.NC:E STATEMENT
This cerdfir,=of complianceliststbe buildlagf=, - s and performance specificationsnecded to comply with
Tide 24, Chapter 2-53 and Tide 20. Cmpw 2. Subchapter 4. Article I of the California Administrative code. 7 Itis
cerdficate has been signed by ft individual wid2 overall desiga respicr%sibility and the bufiding owner. who shall
retain a copy of it and =n=it the cardficate to 2try subsequent purd-se of the building.
Designer Building Owner
Narnc: 6 6 Nunc
Addre= Addrc=
Tck*wr.,c--
Lic. j:
(sign&DAM) (da-)
Documentation Author
Ntn%=
Addx=:
Tck*vonc
(sagnscum (date)
Knt Agency
Name:
ACcncr.
TIL---
1. Ceiling
2- W211 IUSU1211OU
.70
Numoer at s=nes
Single-
R-yajue
One
Two
Three
R-0
AM
-4
krniiv
R-19
-8
-4
.2
R-30
.2
.1
.1
R-38
R -i 9
.-1
.2
U-Vaiue
4. Slab Fdge Inmiation
0
S3
0.!0
-176
-84
-54
0.20
-102
.49
-32,
0.10
-26
-13
-8
O.C8
.18
.3
-6.
Us
-11
.5
-4
O.C4
4
.2
.1
0.C2
-3
2
1
O.Co
-1
5
3
2- W211 IUSU1211OU
.70
Stab Floor
Single-
Single.
R-vaiue
Famity
Famiiy
Mufti.
R-vWue Det=ed
A= --.ed
krniiv
R-0 -68
-51
-14
R-1 I
a
-S
R-'.3
2
-4
R -i 9
.-1
.2
U -Value -
4. Slab Fdge Inmiation
0
S3
=-7
0 -co -;I
10
-As
=0
_zs
-24
0.10 0
3
0
0.08 4
3
2
Us 9
7
5
0.04 14
6
7
0.02
.14
10
O.Co. :4
0.90
12
-3
.1
7
a
- -.3. Raised Floor Twulation,
Inmiadan in Flow
Number of smiries
One Two Thme
0
3
R-Vaiue
R-0
R-1 1
R-1 9
R-30
U -Value
OM
0.40
0. 2 0
0.zo
0.10
0.08
0.06
0. CA
0.02
O.Co
-144
.70
Stab Floor
Number of swries
-52
R-vaiue
-95
_46
_30
-69
_U
.22
_L3
.21
-14
.17
-8
-S
-2
.2
-4
R -i 9
.-1
.2
.2
4. Slab Fdge Inmiation
0
A
2
Number of Stones
10
5
One
Controlled Ventilation Cravw"ace
speoficawn
Stab Floor
Number of swries
oints
R-vaiue
One
TWO
Three
R-0
-11
.7
-S
R-5
-4
.4
3
R -i 1
-2
.2
.2
R -i 9
.-1
.2
.2
4. Slab Fdge Inmiation
5
.5114
.41 to
Number of Stones
Glass
R -value
One
TWO
Three
R-0
0
0
a
R-5
-M
S
2
R-7
40
6
3
F2 'acmr
.14
-3
8
0.90
4
-3
.1
0.80
.1
-1
30
0.70
2
2
-A
0.60
6
A
-58
0.50
9
6
5
0.40
12
8
A
S. Infiltratioa (Air Leaka-c)
7..Shading (Shade Open)
(pervwtgIzsxxSC)
speoficawn
Stab Floor
Raised Roor
oints
Fwnd*
% G;ass
Norm
East
South
West
0
is
6. GL='de2t L4w
1
4
1
To'61
16
4 2.
5
1
U -value
14
perwt
2
5
.5114
.41 to
.21 to 0.30 or
Glass
Single
Double
.60
M
.40
lew
50
-121
-53
-M
.24
.10
A
40
-90
-37
-26
.14
-3
8
35
-75
-z9
-is
.9
1
10
30
-61
-21
-13
-A
A
12
29
-58
-zo
t2
-3
5
12
28
-55
-is
.10
.2
5
13
27
.52
.17
.9
.2
6
13
.S
2 2
-is
-is
_a
.1
7
14
25
-!S
.14
.7
0
7
14
24
-4
-12
.5
1
a
14
23
-Ao
-ti
-4
2
a
is
22
-37
-9
-3
3
9
is
21
-34
-7
.2
4
10
is
20
-31
-6
a
5
10
16
19
-29
-4
1
6
11
is
13
13
-3
-2
- 7
12
16
17
-23
.1
3
8
12
17
16
-20
0
4
9
13
17
:..is
47
1
6
10
14
17
14
-14
3
7
IQ
14
18
13
-12
4
a
11
is
is
12
-9
6
9
12
is
19
11
-6
7
10
13
16
is
10
-3
9
11
14
17
19
9
.1
10
13
15
17
20
a
2
12
14
Js
18
20
7..Shading (Shade Open)
(pervwtgIzsxxSC)
Shading (Shade Closed)
1 sinqw- .
Stab Floor
Raised Roor
Effectiv* Pei c t GIs=
Fwnd*
% G;ass
Norm
East
South
West
Skyright
is
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
a
2
3
5
2
2
7
1
3
4,
2
2
-5
1
3
A
2
3
-4
1
2
4
2
3
-3
0
2
3
1
3
2
a
1
2
1
3
2
a
a
1
a
3
1
.1
.1
.1
.1
2
0
.1
-2
-1
7
9
na = not allowed
10
1
1
6
Shading (Shade Closed)
1 sinqw- .
Stab Floor
Raised Roor
Effectiv* Pei c t GIs=
Fwnd*
sw"
Muhi
- (Pa c t stass X SC)
Stones;
AMxhW
r_FA
One
Two
Three
One
%as"
mom
am
South
wed
stykitt
18
-14
-is
-69
_64
.5
16
.12
-12
-59
-55
na
14
.10
-as
-50
-46
na
1 2
-a
.29
-4
.37
na
11
-7
.215
-36
-XI
na
10
-6
.23
-31
-29
-1-4
9
-S
. _20
-27
_zS
-65
a
-5
.17
.23
-21
-SG
7
-4
-14
.19
..Is
.47
6
-3
-11
-is
.14
zo
-1
2
4
5
6
7
4
.1
-6
-8
.7
.23
3
0
-34
-5
-4
.16
8
9
3.5
-2
-1
7
9
9
10
1
1
6
0
9
110
4
3
0
ng . not ak-ad
9. Interior Thermal MaSS
Intanor
1 sinqw- .
Stab Floor
Raised Roor
Uass
Fwnd*
sw"
Muhi
man
Stones;
AMxhW
r_FA
One
Two
Three
One
Two
Three
0.0
-a
-S
.4
-2
.1
.1
0.1
-a
.5
-3
.1
0
0
0.3
.7
.4
.2
a
I
I
U
-6
-3
.1
1
1
2
0.7
-5
.2
.1
1
2
2
0.9
-S
.1
0
2
3
3
1.1
4
.1
1
3
4
A
1.3
-3
a
2
3
A
5
1.5
-3
1
2
4
5
5
zo
-1
2
4
5
6
7
zS
-47
-U
5
7
7
a
3.0
-34
-29
6
a
8
9
3.5
2
5
7
9
9
10
4.0
3
6
a
9
110
10
4.5
3
7
a
10
11
11
5.0
4
7
9
11
12
12
5.5
5
a
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
1A
14
8.5
7
110
12
13
14
is
10. Exterior Wall Thermal Maw
Ezwr;cr
1 sinqw- .
1-arvie.
Sum of 1 -6
wag
Fwnd*
Family
Muhi
man
Detached
AMxhW
Fwily
0.00
a
0
0
0M
3
2
1
0.40
s
A
3
0.60
8
6
4
0.120
10
a
5
1.00
13
10
7
IM
13
12
a'
1.40
12
13
9
1.60
10
13
11..
i.ea
10
12
12
Uo
10
11
13
11. Heating System
SE or EESPF '
(sssusues ducts In attfc)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 A 3
Other 6 S .4 3 2 2
1_' Cc�ofittg SySVM
SEER
(sasomes ducts in attic)
SLm o(7-10
-2S or -24 Is e-114 b
-4 to
Sum of 1 -6
16 or
SEER
jus
-IS 1 -6
-25 or -24 to
-14 to -L to +ito
is;�
SE
HSPF
less
-*, 5
-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. 779
13
11
10
8
7
5
0.90
US
17
15
13
11
9
7
US
8.71
20
18
15
13
11
a
17 14
12
Vrective SE or HSPF
6
3
(SE. or
HSPF x duct esTicienc.7)
2
Effec:ive -2S or -24 to -14 lo
-A to
+6 to 16 or
SFE HSPF less
-15
-S
+5
15 mom
CL30
7-75
- 73
-64
-56
-47
-U
_M
na
3.41
-is
-,^is
-34
-29
-24
.18
0.40
3.67
-34
-30
-26
-22
-is
-14
Uo
4.sa
-10
-9
-8
-7
-5
-4
0.56
rL s 3
0
a
0
a
a
a
0.60
S-za
5
5
4
3
3
2
0.70
6.42
17
15
13
11
9
7
0.80
7.33
2S
22
19
16
13
10
0.90
8.25
32
28
24
ZO
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 A 3
Other 6 S .4 3 2 2
1_' Cc�ofittg SySVM
SEER
(sasomes ducts in attic)
SLm o(7-10
Zonal Control, Adjustment
10 a 7 6 4 3
No Coodw,-Sysum Installed
-Stories
-2S or -24 Is e-114 b
-4 to
+6 to
16 or
SEER
jus
-IS 1 -6
+5
+15
mom
8.0
.1i
.12 -10
-8
-6
.4
1. 5
-9
.7 -6
-5
-A
-3
8.9
-4
.3
.2
.2
9.0
-3
-2
.2
.1
9.5
Heater
0
0
a
0
10.0
4
3 a
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
1zo
15
13 11
9
7
5
13.0
2o
17 14
12
9
6
3
3
2
2
POU
8
5
Effadve SEZR
3
3
SE
(SEER:rduct efflcienc7)
-37
-24
-is
.%v of 7-10
-12
Effect�esz or
-24 to -iA in
-4 In
+6 to
is or
SEER
less
.15 -6
+S
+15
more
5.0
.30
-25 -21
-17
-13
-9
6.0
-12
-11 * -9
-7
-6
4
6.6
-9
-A .4
-3
_2
-2 ,
7.0
-3
a
.2
0
0
8.0
7
: 5
.4
3
2
9.0
16
IA 12
9
7
5
10.0
- 22
19 is
13
10
7
11.0
226
23 19
15
12
8
MO
^;a
^46 22
18
14
9
13.0
33
29 24
20
IS
10
Zonal Control, Adjustment
10 a 7 6 4 3
No Coodw,-Sysum Installed
-Stories
North
b.
East
c.
South
d.
One
-5
.4
.4
-3
.2
-2
Two +
3
3
2
2
2
1
Sing(e-Familly
aftached and
Attached
I UrA Size (so
'12M
Water
:109
1700
2200
2700
Heater
Uredit
or - 10
to
to
- or
Type
Type
WSS
16M
2199
26N
more
SG
None
0 a
0.
0
0
or
Solar
12 8
6
5
4
KP'
HVIR
8
5
4
3
3
WS3
5
3
3
2
2
POU
8
5
4
3
3
SE
None
-37
-24
-is
-15
-12
Saw
-1
.1
.1
a
a
0%
HWR
-is
-12
-9
.7
-6
IJ
WS3
-2S
-16
-12
-',0*
-a
23
POYL
-14
_42
-9
.71
-6
0
None
-5
-3
-2
.2
-2
CL411
Solar
7
: 5
.4
3
2
1.1
POU
3
2
-:Tg-.
1
1
1
E
None
-28"
A
I Z'
-11
.9
-48
1-
Solar
8
. 5
A
3
3
1
POU
-10
, -6
-5
.4
-3
fil
Mulu-173014 (Indl,idual
units)
11
13
25
17
Unit Size (sq
4.1
Water
4.1
699
700
1200
1700
22M
Hester
Crq*
or
10
to
110
are
Type
Type
less
1199
1Mq
219g
42
33
None
0
' a
a
a
a
.SG
or
SO*
14
7
5
4
a
Hp
HWR
9
5
3
2
2
ZI
WS13
9
4
3
2
2
4
POU
9
5
3
2
2
SE
N-0
Sclar
-45
-23
-15
-11
.9
1.1
Hy'R
2
-23
1
.12
1
-a
a
-6
0
-5
12
WSR
-Z5
.13
.8
-6
.5
4,4
- PQU
-23
-a
-6
.5
IG
None
Sclar
a
.3
.2
-2
6
3
2
1
1
POU
1
0
- 0
a
0
IF
None
_co
51
&9
53%.
CL9
1.1
Safar
C
is
9
6
A
Z4
Z6
FOU
A
-1
.3
1
-2
Interior Mas.VCFA ------
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2- Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
5. Infiltration
6. Glass Heat L=
-7. Shading (Shade Open)
a.
North
b.
East
c.
South
d.
West
e.
Sky.Ught
rrPe I
PAS3
(UTAC b 4.2.
Isit evoczed SL&bl
o%
s%
i(m
IS%
2m
2S%..3D%
3s%
W�.
45y'
50%
SS%
W%
aft
M%
73%
W%
a%
90%
SM
"My' 103%
t
1 IM
11115%
120% 1
0%
0
CL2
0.4
0.6
(18
1.1
IJ
Is
1.7
1.9
'21
Z3
25
23
2.9
14
16
18
4
k2
44
107.
U
CL411
116
0.6
1
1.2
1.4
1.5
1.1
11
U
2.5
ZY
11
11
.22
13
23
27
A
&2
t4
46
-48
1-
.4.8
5
20%
0.3
as
a's
1
1.2
1.4
1.6
1.8
2
12
fil
IT
19
11
13
25
17
19
4.1
43
4.1
4.8
.L
5
5
52
X%
Q5
dl
0.9
1.1
1.4
1.6
1.2
2
Z2
U
Z5
Z8
3
42
33
17
33
4.1
42
4.5
4.1
49
5.1
52
5.4
40T.
0.7
09
1.1
12
I.S
1.7
1.2
12
Z4
ZI
XS
3
12
14
16
3.8
4
43
4.5
4.7
k
55*1
S-3
5.3
Se
50%
CLS
U
IJ
I.S
1.1
IJ
V
Z3
Z5
V
3
12
14
Is
18
4
42
4.4
4,4
4,11
&91
5.5
5.1
.3
Is
51
&9
53%.
CL9
1.1
1.4
1.1
1.3
2
22
Z4
Z6
Z8
3
U
13
17
IS
4.1
4J
4.5
4.7
4.9
it
53
56
5.1
6
60%
1
1.2
1.4
1.7
1.9
2.11
V
ZS
U
19
11
13
3.5
18
4
&Z
4A
4.4
4.8
5
5.2
5.4
54
5.2
at I
65%
1.1
U
1.5
1.7
1.9
Z2
U
ZS
Z11
3
12
24
36
22
4
4.3
AS
4.7
4.2
11
53
55
5.7
5.2
61
7M
1.2
1.4
1.6
1.5
2
Z2
is
U
zi
21
3.3
is
17
319
4.1
4.3
4.9
411
5
5.2
5.4
5.4
58
a
52
75%
U
13
V
U
ZI
Z3
LS
V
3
12
3A
15
U
4
4.2
4.4
AS
U
S.,
5.3
15
5.7
is
&1
&3
MY.
1.4
1.6
1.8
2
X2
2.4
%a
2.8
3
13
IS
11
12
4.1
k3
tS
k?
to
3.1
54
Sg
S.g
a
62
64
45Y.
1.4
1.7
1.9
It
Z3
ZS
LY
29
3.1
23
15
It
4
4.2
4.4
46
4.2
3
52
SA
39
59
9.1
63
as
90T-'.
1.5
1.7
2
12
Z4
Z5
Z111
3
22
14
14
IS
4.1
4J
4.5
4.7
41
S.1
s2
55
V
5.9
6.2
64
a&
2S%
1.5
LA
2
22
Z5
1 7
2.9
1 1
33
15
11
19
4.1
43
4.6
tl
5
12
5.4
5.6
19
6
&2
6.4
6.7
1001r.
1.7
U
V
23
ZS
L&
3
22
3A
Is
It
4
4.2
11,41
4.6
4.9
It
S,3
5.5
L7
&S
&1
&3
S.5
6.7
105%
1.8
2
22
V
Z6
ZI
3
23
IS
17
19
4.1
4.3
4.3
4.7
4.9
11
SA
So
it
0
9.2
6.4
86
as
1110%
1.9
zi
Z3
ts
11
Z9
11
13
as
3.8
A
4.2
L4
4.9
4.8
5
52
5-4
5-7
5-9
&1
U
6.5
6.7
69
115%
2
Z2
24
2.
Z3
3
12
14
3.5
13
4.1
t3
4.5
4.7
4.9
5.1
13
5.5
5.7
5.9
6.2
6.4
&6
g.l
7
120%
2
V
zS
Z;
19
11
23
15
IT
19
4.1
4A
4.6
4.8
5
5-2
5-4
5.6
54
4
&Z
&S
a.?
6.9
7.1
125%
zi
V
2.5
Lit
3
3.2
U
16
18
4
4.2
"
4.4
42
&1
13
5.5
17
5.9
&1
&3
&s
&7
7
7.2
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2- Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
5. Infiltration
6. Glass Heat L=
-7. Shading (Shade Open)
a.
North
b.
East
c.
South
d.
West
e.
Sky.Ught
8. Shading (Shade Closed)
a. North
b. E=
c. South
d. - We=
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall M=
11. Heating System
Zonal Control? ( Y N
12. Cooling System
Zonal Control? ( Y N
13. Water Heating
Me2s:ures
R -5c or
R-vWnc 1381 U-VlLiuc (0mol
or
aiuc(IIT- U.vaiuc (0.0981
7R 19 or
R-vWuc J 191 U-Valuc (0.0M
or
R-Valuc (01 F2 f=cr [0.771
Standard
Point Scores
. 0.
Type idonalci U-vaiw J0.651 % TOUL Glass ( 161
% GLIss SIC - Eff. % Glass
x 7
X 400
M.'s X 3. V7
0?4L X cc G
0 _X or
% Glass SIC Eff. % Glass
ly X -.% 4_3
3- X -Ito
!q X
X
X 0
TYPE 1 KASS AREA
COND. FLOOR AREA
TYPE 2 KASS AREA
COND. FLOOR AREA
X - JP -3 - =
SE or HSPF Duct Efficicsicy (0.781 Effectivc SE or
10.7k6A HSPF 1G.W5. 151
X
SEER 19.51 Duct F_ffio 41 EffecuveSEMMI
Type (SGI Credit, (Ocxbcj
0
3 -t-5
Sum 1.4
0 / -
S
L
Pnint 7ntal." t3