HomeMy WebLinkAbout024-190-05124-19--�
E TANABE
(-2'�Ajjarkin Rd,-Gridle..�
Y�
��7h.�AFR' , 0
Permit#-2,��-i P, E (new, swil
Contr: Carl Ryan' 2-1
00
In
?iii ermit-#/'-944-88B-,P,E,��(-�iew�sin I le fam-i
24-19-4W
Contr: Carl Ryan
Permit#3999-88B,P,E(add.'l sq..ftg)SF
OGTI
oil
L LG L L
Q
-29ffY--88B,P,E-
PERMIT NO.
PERMIT EXPIRES
OWNER DWAYNE TANABE
CONTR. Viking P001S
//7
24-19--&_�jport
ASSESSOR PARCEL -
LOCATION .171 Larkin Rd, Gridley
I
I Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Ser
Called PGi
JOB FINALED
Signature
OK
0 =.Nqt OK
- =-Nbt Applicable
Not Ready MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DEC KS,COVERS,CARPORTS,GARAG ES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Req u i rements-Setbacks- Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils-Size-Depth-Soacing-Connectors-SteeI
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- Beam s-Rf trs.-Con nec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
.5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements 'I
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test- Crossove rs-B reake rs- C I ea ra nces
5. Drain; MH Test -Fall -Flex Connector
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
Card -B1 Date Card -Bi Date
Card -B1 Date Card -B1 Date
Card -61 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date P09eS (Plans) OK except #'s
V' Setbacks -Easements
� �-oils; Compaction -Structure Stability
e'Pool Structure; Steel-Connections-Thickness-
Pead Men -Lining
WE
�ec.; Receptacles and Lighting, Distances-GF1
Elec.; Pool Lighting; 15 volts-GFI
Elec.; Enclosures; Conduit Entries -Term i nal s- Listed
a-tlec.; Bonding; Metal w/5' -:Circulating Equip. -Heater
L,W Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
OeOlumb.; Cir. Test -Water Supply Test
_Card�� DatejZj�,-� Card -B1 Date
T Dat . ' Card -B1
—Card -B1 e Date
= OK
0 = Not OK
- = Not Applicable RESIDENTIAL (SX16'and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zon i ng -Setback s;- Easements- Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. ' Depth
46. Clng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles
5. Stemwalls, Main; Steel- BI ockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire ProtectionFraming
7. Slab-, Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -Bi
Date Card -B1 Date
Card -131
Date Card -B1 Date
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion AirBaffle
Date FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protecti on- Land i ngs
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
66. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -131 Date
67. Stairs & Rails
Card -131
Date Card -81 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & Switches at Doors
72. Garage Fire Door; Swing -Landing -Closer
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
31. Equip. Clearances Pa nels- Motors- Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instId.; Drive -0 Yes 0 No; Walks 0 Yes 0 No;
Planters D Yes 0 No
33. Smoke Detector
8i. Stucco; Brown -Finish
Card -131
Date Card -131 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84, Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptac le-Underg round
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
9i. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -B1 Date
92. Roofing Certificate
Card -1311
Date Card -131 Date
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -81 Date Card -131 Date
39. Sills, Proper Material & Anchors
Comments at Final:
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTME�T OF PUBLIC WORKS
7 County Center Drive - Oroville,-California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
A:�SS R PA CEL ER
ZONI
BUILDING PERMIT
0 WgEJ tj C
F OIC V N
Ow E ;±IL/ING AQL)Ht-5
I
, O's,
V
CON RAC 0 NAME
Iq jig,
TEL EPHONE
CON-l-RACTOOS-MAI'LING ADDRESS
_7[7i7K7WN
Fireplace
CONSTRUCTION LENDER
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER __FFC�
E NO.
Plan Checking Fee
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
(r) 1`1 d k
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
I
P AIR t E LA A P
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF El DuplexFj Mobilehome[] Other-
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New AdditionEj Remodel[:] UtilitiesE:l Installation[] Other
Describe work:
1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
F I am licensed under provisions of Chapt. 9, Div. 3 of the Busines
and Professions Code and my license is in full force and effect.
License No. Classification
F� 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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.&)
OR ADDNS.' ACC.BLDGS. 2'/20sqft
NEW CONSTF�L MULTI -OUTLET
NO N.RES'. TS) 2.50 ea
BRANCH CRC.,
(POWER APPARATUS &)
SINGLE OUTLET CIR.
0050t
Ex. OCCUP(OUTLETS OR FIXTURES .2AL(P 30t
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Miss,,,,Wirino 15.00
rego
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n 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
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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
ermit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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
again aid County . consequence of the_9rainting of this permit.
X Dle
Signature of Applicant OwnerEl ContractorE) Agent Flo
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
TOTAL PERMIT FEE $ J/
";T7
�oc�cu CO.S7 YPE
I
JFL 0 0 DI
PA
I RD
ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIBECTOR OF PUBLIC
--I-- A
I BV t, 1qZZ:_:
PERWWEXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Datels-- ZI —IF
K-- q -FO
1A
Receipt No. 1:c :3
WHITZ-O.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR. GOLD ENROO-APPL I CANT
1�1
.COUNTY OF BUTTE - DEPARTME-NT-61F PUBLIC WORKS - BUILDING DIVISION
7 GOUN 1 7 UEN I an UH1 v h - I va�Imc: trio/0,30-ID41
PERMIT APPLICATION DATA SHEET
Permit No
OWNER k Ito a n 0, a n a YJ A. P. -No.
Proposed Building Use POO Building Inspector
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/orissuance: DATE RECEIVED APPROVED
All items.have beem-s bMitted - - ' *
lot pl; licate' si' ned by p*rep'are'r o*f pilans. -4
ans i du liiat�e 9
IQ9u L, C
Complete plVs iiZ�J&aLa;.�/triplicate, signed by pieparer of plans.
4. Complete engineered plans and calcs, with wet signature on Plans.
5. Plans with Energy Design Compliance Statement. . . * ' ' —
6. - School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
Fees of $
Letter of signature authorizat*
1 -Sanitation approval from_ 0 U) Ith 'Dept.
11. Planning approval for (A) Use: — (B) Parking: -
12. Certificate of Workmen's Compensation Insurance . . . . . .
Contractor's License Information (no., name style, classif.)
-14. Owner -Builder Verification (Given to ownerEj, Mai I to owner F�
-15. Improvements may be required . . . . . . . . . . . .
Mobilehome Installation Data. . . . . . . . . . .
I Predn:pec.,request to (Date)
17. Pre -inspection for Required. B.ilding In pector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses *in duplicate (required prior to plan check). -
22.
Whe you issue theje�3it as follows: —Mail t wrier, —Mail to contractor.
Telephone _y�3 e� and hold for pickup at?My^(�2ff ice, —Deliver w/inspector.
Other
ov
Applicant e&"a Date C)
Copy of plans sent — Health D.ept., — Fire Dept., — Other— Date
The following data must be submitted prior to per it i (Circle new item not checked above).
1. Index permit for above items No.- srz
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---jnai I —counter by— date
Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by— date
Plans checked by Date Plans approved by Date -
4 Sets of plans on hold in je`Fi le cabinet _AP folder
N
Copy—DPW
TO Buildina Department
ronmental Health
FROM: Envi
SUBJECT: Sanitation Clearance
Owner Location., AP#
Plan Approved for: * Sewaae Disposal Water Supply _
Hold final for: Water Supply
Final clearance
O.K. for:
W t Supply
clearance for
bedroom mobile home.
Other 'U-)Wly
NOM3A.
AI
Date
Sanitari-a- A
2d
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541..
1 1 � -1
Dwayne Tanabe DATE October 14, 1988
12058 Larkin Rd.
Live Oak, CA 95953 REftilding Permit Application #2944-88
A. P. # 24-19-47
With reference to the above subject:
" Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans M6bilehome Installation Information Sheet
Engr. Calcs . Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced'
OTHER
X/ We need the following information:
Permit application signed and completed where indicated with all copies returned.
X Fees of $ 880.25 _ 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
St ructural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,'Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
X/ OTHER 1) Beams supporting second story floor wall and roof loads are not adequate a
shown.
2) Note in pen on one garage floor plan shows Rlu-lam beam. both #1 and #2 wii
or
j) bpecity loca Ion ot gas water heater and furnace.
Should you have any questions concerning the above, please contact this office.
JFG/aj
DP
I/
Yours very truly,
William Cheff
Director of Public Works
C�F la
.i;.fGBunder
Chief Building Inspector
PERMIT NO. 2944-88B,P,E,m
PERMIT EXPIRES 1OLCI!,1v
OWNER DWAYNE TANABE
Carl Ryan
CONTR.
24-19-35port
ASSESSOR PARCEL
LOCATION 171 Larkin Rd, Gridley
VA
4
Temp. Power Pole
Called PG&E
Temp. Elec. Service
IT
Called PGA
,Temp. Gas Ser
Called PGS
JOB FINALED
Signature
6K
0 = 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)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete_
6. Gas; Location -Test -Wrap: / P11t..
/ P'Nat. or/ P'L"ft./ P'LPG
7. Utility Clearance
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easernents
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test- Demand -Valve -Con necto r
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test- Reg u lato r -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
Card -131 Date Card -131 Date
Card -131 Date Card -81 Date
MISCELLANEOUS -
Date DECKS,COVERS,CAR PORTS, GARAGES, (Plans)OK except #'s
1. Zoning Req ui rem ents-Setbac ks-Easements
2. Footings;'Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
ll. Ext.; Steps -Doors -Landings
Card -131 Date Card -131 Date
Card -81 Date Card -Bl Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries-Termi nals- Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit.
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -Bl Date
Card -131 Date Card -131 Date
= OK
0 = Not OK
- = Not Applicable RESIDENTIAIL (Single and Duplex)
* = N& Ready"
Date U"PtRFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
_Z�i ng -Setbacks;- Easements-Flood-S122,p
45. Hpgers-Post Caps -Anchors -Connectors
Ftg.-Main; Soils-SteeI-EfJ.J1Zd.-//Z/" Ftg. Depth
45eClng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
t,S'_Ftg., Garage; Soils -Steel -/J_5 /" Ffg. Depth
-#17- Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Sdils-Steel-/ /"Ftg. Depth
1 -46 -Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles
L;,-�tg�mwalls, main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
P-�tpmwalls, Garage; Steel- BI ocko uts-Wrapped
4-,9'0._Garage Fire Protection.Framing
aeglab; �teel-Wrapped
Property Line Firewall & Openings
,D -P' rs-Firepll ce Ftg.-Steel
_,5,2-!,h.Ex!ZDoors-One T -Check Garage -3rd story, 2 exits
P!:�)- W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
ffl� 1 irs; Width -Headroom -Rise -Run -Landing -Fire Protection
60'.'gas Pipe; Size -Anchors
�4,,Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Y, gor.'Water P ip e; Test -Anchors -Regulator -Service Test
-------- W5. �jding-Nailing Veneer
1 1 gei n
E5 . stucco mesh -Drip Screed -Fd. Vents-Underflr. Access
_(k LIT Plenums & D s; Cleara -mati-pir-suivf f --Ins.
-577-Gla�Zi-ri-g-ATea-G I ass Protection -Skylights -Plastic
WGirders-Sills-Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card-131(1,VN Dat910ja Date
Card-Bl(2af). Date //_yZrard-B1 Date
Card -131 CA—) Datee-J_)L(_Jf?,ard-B1 Date
I
Date 'Card -131 Date
Date \�LVMBING (Permi t) OK except #'s
-Card-B1
e
I
(16.,\kater HV.-Yent - -Access-Combustion AirBaffle
Date FJ"L (Plans) OK except #'s
L.,17- Y.Vater Pipe; Test & Anchors -Nail Protection
t. Steps -Door & Sidelight Protection- Land i ngs
1,1f' D.W.V.; Test-Fttngs & Anchors -Nail Protection
4-19. 51416wer Pan; Test, First Floor -Tub Access
&_1:1RCr62..*oke Detector
Q �IF rnace; Vents -Clearance -Comb. Air -Connector -
a,
1�yGarage; Above Floor-Ducts-Mech. Protection
(&67�est Tub & Shower, 2nd Floor -Tub Access
1--ZT Gas Pipe; Size & Anchors
glef Bedroom Exiting
& Bath Fixtures & Tub Access -Spa
I ec. Trim & Subpanel; Breaker Sizes -Labels
Card -131 DatQ-Je/_fqCard-B1 Date
L4f. Stairs & Rails
Card -131 Date Card -131 Date
Z_6�F
!�pplace r Stove; Clearances -Hearth
LM7EleS_0utIets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
4* -%it Fixt & Appliance; Grnd. -Air Gap -Cooking Clearance
22. Fixture & Transformer Clearance -ins. Protection
e Z: � �71 - Outlets & Receptacles at Kit. Counter
2�,Elec. Receptacles Spacing -Lights & Switches at Doors
,f2,-&(�"arage Fire Door; Swing -Landing -Closer
L --
7"TA-0.Duct in Garage -Damper
L-14. Size Boxes & No. of Conductors -Stapled
Z,-2-5.-Romex Installed Close to Edge of Studs & C.J.
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
C//-L_,gfqn Garage; Above Flo'or-Mech. Protection
-/'26. Equip. Ground made up,w/Mech. Fasteners -Bond Gas &Water
,,-27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F...
,.-Fib.,Elec. & Mech. Equip. Listed for Location
flr _
28. Subfeed Wire Size /OP-Lga. Cu or( Di- c. wire Size / /ga.
Cu or Al
e_6,Bec. Receptacles in Garage; (G.F.I.)-Romex Protec.
L.7�su latio n- Foam- Looked in Attic 0 Yes
1-21�. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
fA,.f�rd hails & Deck Constructi on- Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
_.7 �.n. Vents & Crawl Hole Doc r- Drainage,& Wood- Earth
ClearAnce Looked under Floor W�Y§s
M
L_31:.Iquip. Clearances Pa nels- Motors- Mech. Equip.
1,ao-F261111owing instId.; Drive -M-YeS�D No; Walks '0 Yes
Pl_anters 0 Yes 0 No__-`�
fe12. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
1. Stucco; Brown -Finish
Llr-
Card -B1 DatqZ_/L/-ZVC ard-B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1 Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
,Openings.
Date MECHANICAL (Permit) OK except #'s
"4. Water Well; Disconnect, Electrical, Plumbing
V:k A -C. Ducts Insulation & Support
. Exterior Elec. Trim; G.F.I. Receptacle -Underground
b-35- Vent Fan; Exhaust above insulation
Jgt::�§ptilation throughout House
-36 -Condensate Drain & Overflow; Size & Grade
1A!59!Lss Prote-oon
*37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
p-158,,06rrecjj�e6 from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
L-99_.,Gas1I4est- Meters Tagged; Gas -Electric
q_Vater & Sewer Connected -C/O to Grade -HD Approval
MrUnergy Compliance Certificate -Other Certificates
Card -131 Date �Card-131 Date
1 92. Roofing Certificate
,,,-1:5�Card-Bl Date
Card-131Q�A Datl(
Date �#AMING (Plans) OK except #'s
Card-Ble-,h, Date (,-S�-kllp7tard-131 Date
Card -B1 Datet,,a_?f;1C-ard-B1 Date
Card -131 �X Date Card -B1 Date
Com-anil'a at Final:
1139. Sills, Proper Material & Anchors
'-�40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
t4l. Bearing Walls over Girders & Floor Nailing
'42. Draft Stop in Walls (rat proof)
*'-43.,Fire Stops; Furred Ceilings -Stairs -Chases -Tub
-43- Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
Building Owner
Building Location 17 7
ROOF
Material
Thickness(inches)
ENERGY INSTALLATION CERTIFICATE
DESCRIPTION OF INSULATION
EXTERIOR WALL
Material P— /
Thickness(inches)
CEILING
Batt or Blanket Type loll
Thickness(inches)
Loose Fill Type ---
Minimum Thickness(Inches)
Area.covered(ft.2)
FLOOR. ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WA�L
Material Nvun�
Thickness(inches) X "
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value) IQ -
Brand Name
Thermal Resistance(R Value)
Brand Name
Number of Bags_ Wt. per bag _ lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistahce(R Value) kj"'j-
Brand Name
.Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
is consistent with approved building department plans and attachments and con -
Ams re , � nts of 14,D of Californ nergy Requirement
qui �ter 2-52 of State
-12-0 j-&4 2 A -0 1 A AeYM -3
FIkM 01VIE R STATE CONTRACTOR'S LICENSE NO.
OrAlo 2z
SIGNATURE OF IlfTALLATION APPLICATOR DATE
7
I hereby certify the required features, devices, and equipment, az� shown on the approved
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy .equirements.
0-0(d L66t-- mpiop-ful &-�
BUILDING CONTRACFOR/OWNER (Please Print)
(FIR.M NAME
C), ,
SIGNATURE OF BUILDIAG CONTRACT5R/OWNER
HVAC FIRM NAME/OWNER (Please Print)
B 2-S--3 2-S—
STATE CONTRACTOR'S LICENSE NO.
6 -
DATE
3,gs-l'o S' /
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE'OF HVAC CONTRtCTOR/OWNER DATE'
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
01
OWNER PERMIT NO.
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, eed additional explanation, please contact this immediately.
OL�� �T —4 ( IN _V!
KI
I II.L % r-1 F
X
19
P -C2
owl
Inspector. Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way. Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter,.or need additional explanation, please contact this office immediately.
Inspector Date— CID,, F?w
J.__ - ;1 1 _�
,9-q-17,e�7
COUNTY OF BUTTE - DEPA1110IMT OF PUBLIC WORKS
7 County Center Drive - Orov ille, California 95965 - Telephone: 916/538-7541
APPLICATI61I AJND PERMIT
N
PERMIT/AO.
AS:JSO,R PZVL N
4
N;L6 +V, i A/ 1 A
ZONING f
U
4-A4 ZW
BUILDING PERM13,
0 7 14) a� L/ h r— _r. UWq
SQ. FT. OCC. BUI LDI NGr VANIII&VrON
W-)
OWN M . I ADD7
61 rl ye_ 0,
CON'T
(7CTOR NAM 11�1'1 a
a q I
X 7,
L/
g �j xv)
�AILMDRESS
CONZA,�C fi
Firep lace
Z,
197)
CONS MT`1.0MNDER
I V1 a
UNKNOWN
Total Valuation $
---
JI -2 4:2 C
Filing Fee
10.00
LENDER'S MAILING ADDRESS
+ V
Permit Fee
$
ARCHITECT OR ENGINEER
75E NO.
Plan Checking Fee
$ 1 TW
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 1 10.00
Each Trap
2.00 JS1.0()
k
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
PARCEL M/P
Water piping
5.00 "J"(2
Each qas water heater or vent
5.')0 0
��00]
USE OF STRUCTURE
SFfV Duplexf—1 MobilehomeF� Other
SPECIFY
Gas piping system 1 - 5 outlets
— —
5.00
Building sewer
5.00
Mobile Home Is
10.UO RA
TYPE OF WORK
New IV Addition[] Remodel 0 ti [:1 InstallationM Other
Describe work: R
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
main service 600V OR LESS
100 AMP ORLESS
10.00
Main service EA. ADD -L 100 AMP
2-50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
�A7, 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
F1 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)
F1 I, as the owner, am exclusively contracting with licensed CU11LI.ICt-
ors. (Sec. 7044)
F1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST * (D W ELLING OCC
OR ACDNS. ACC.BLDGS. 21/20sq ft
NEW CONSTFL MULi1-QUFI_hT
NON,RESID, aRAN H C'H UITS) 2.50 ea
PEWERCTPF;�R ZTUS.&)
SINGLE OUTLET CIR
j.20 @ 50t
Ex. Occup( OUTLETS OR FIXTURES AL0 30C
OCCUP. FIXED APPLNS. OR
Ex. OUTLETS (RESID.) E..) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n 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.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating I
Zjz)o
Cooling
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 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 C onsequence of the granting of this permit.
el 4 -
X Date 2��
Signature of Applicant OwnerD Contractor D Agentf—I
An OSHA permit is required fo Xcovations ovy/'�
ion of structures over 3 stories rheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
0 c c u P. I c 0 N _aLJ_%P_t
3t
I
H 1 41175S
This permit is hereby issued under
sions of the Butte County.Code and/or
work indicated above for which
11311!R�CTOfk/OF PUBLIC
B
PERMIT EXPIRES Date—
the applicable provi
resolutions to do
fees have been paid.
WORKS
Date, A9—?—q_ry"
--R9' -
62 ?—V I I
Receipt o J-�S11301-741 Lcll
0. 0-0
GOLDENROD-APPLI.Ao/ P-"ibe4 P)4;1
pn
C WORKS BUILDING DIVISION
COUNTY OF BUTTE DEPARTMENT U 6 L -I
7 COUNTY CENTER DRIVE - OROVILLE., CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPOcATION DATA SHEET
Permit No
OWNER U R)q �ln ra / cf P) a /0 6- . P. 0.
Proposed Building Use �a LAJ STI_ Building Insp66tor_2_,V -
At time of permit application, I was advised the following data must be submitted prior to permit processing.
and:/orissuance: DATE RECEIVED APPROVED
Pe or,
All items.havebe7i_sub,.,mitted . . . . . . . . . . . .
1 � icate 6-311104 A
V'4_ U 1
2. Plot plans if uplicatenriplicate, 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.
,/S - P ns wji h Energy Design Compliance Statement . . . . . . t
QV^ 16- School District "Fees Paid" Stamp on Floor Plan.
/7 Statement Wintent-for Non -Heated and AC Buildings.
8. Fees of $ — 8-R, 6— . . . . . . . . .
Letter of signature authorizati . I a -- 'n.
(� 6 L/� A .
Sanitation approval -from (Nealth Dept.
11. Planning approval for (A) Use: — (B) Parking:—
_,12.yCertificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14-�(Owner-Builder Verification (Given to ownerE], Mai I to owner El
15.,' Improvements may be required . . . . . . . . . . . .
"Ifl,6. / Mobilehome Installation Data . . . . . . . . . . . .
Pre-Inspec. request to (Doib)
Pre -Inspection for Required- Building Inspector
Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit.
.20. Plot plan approval from �ity of
ngl ered trusses in duplicate (required/ ior to plan chec
14) Y) on Y 1.5 t)io tk 0 O�UrL-,55
se- 4 � M 4
Whu you issue the pe7,t 01(tes. as follows: —Mail torQwner, —Mail to ctor.
Telephone �0 2P Y, and hold for pickup a(_�K(_Coff ice, —Deliver w/inspector.
Other
Applicant
Date
Copy of plans sent — Health Dept., —Fire Dept., — Other— Date
The following data must be submitted prior to permit issuancercle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
t6niractar, d' sIgner, dwner, was advised of above required data by —phone ---mai I —counter by— date
Contractor, d:signer, owner, was advised of above required data* by—phone —mal I —counter by— date
Plans checked by—%%; --
Sets of plans on hold in
C0Pv=DPW-.,r.g6.==_;-�t
Date Plans approved by
File cabinet _AP folder
A77AI V
5
Date
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Diiveway Clearance
I owner location
Driveway permit 93 V!M —7 eff
n b
sign.aAre
�—C[ - 19 — 14 —7
AP #
has been issued for the above property.
te
TO Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
a -IN 3�e4A
C -
Owner Location AP#
Plan Approved for:
Hold final for:
Sewaqe Disposal Water Supply (,-) e �/
Final clearance O.K. for:
Clearance for bedroom mobileQ�D - Other
NOTE * * *
Water Supply
Water supply
Sanitarian
6at.e
N
TO: Building Department W . I � 1. 1
FROM: Encroachment Permit Section
RE: 'Diiveway Clearance
rowner location AP #
Driveway permit 00 /6 7z- -2�f- has been issued for the above property.
n b
-2-6- -
Sig re date
n/
TO: Building Department 4 — V.,
FROM: Encroachment Permit Section
RE: Dfiveway Clearance
eL kw7 e- /7/
(owner location AP #
Driveway permit 6646117-1 ZEF has been issued for the above property.
4 n b
/0 —Iep—,66
signa
./ure date
IM GIAND AVENUE
..... OMOVILL e 'cx.9 5
PLANNING (916) 5nma
ABC
ss, -DL
r-o7oa, Tt LT'
r-eLT
1.0
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couv,,,
APP&C
lVED
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i -- ILe>e, -� LuAi-L C -e-1 k ; 10.0.-
,�j = (2 (.,z K 17) +* 0 L, X 15 �,'4 -AS t '6--2f154 50glo,
11011
30-2-19 101
aim
V36
6o75-Xl00iK2-03
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10,7-9e�
ENGINEERING M GRAND AVENUE
SURVEYING D GROVILLE. CA. 95965
pt AWNING .,I') S33-2060
i -- ILe>e, -� LuAi-L C -e-1 k ; 10.0.-
,�j = (2 (.,z K 17) +* 0 L, X 15 �,'4 -AS t '6--2f154 50glo,
11011
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aim
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ENGINEERING GRAND AV HUE
SURVEYING OROV14 L E
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PLAMMI
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A,,., to
L., ra tsox (.I.- ao-,7 P L. P
9A 0 2- Y,
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ENGINEERING G",.. .1-E
SURVEYING CROVILLE,CA.9 3
p L"MING (916) 533 20"
72-
lr= =- I so r. x 1 2-4
�16S
r2. x
y-
1.0
-3 /1, 7
=7 34c.9
T- 3 2-8 40
I -
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Z -
7S o z
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1-, 13 -T-
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ax 10
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=7 34c.9
T- 3 2-8 40
ENGINEERING 220GRANDAVENUIF
SURV JIM 0 ROVILLE. CA. 93"65
PLANNING 4916) S33-20"
17
.3 7,2-X 5 -j- 16,4)e 19 + 5 X5 + 50)r- Z' 2�
64 X 30
G, 4 \e 17
14,50 = lo9
ro
LAS to x 12- -P L 4-1
-Z L, 3. -z- -,L� =--
12
c- 37
lo-zi-O's
) C) q -39
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Or6ville, CA 95965 PHONE: 916-538-7541..
Carl Ryan
4332 Pennington Rd.
Live Oak, CA 95953
With reference to the above subject:
" Attached is:
76W.M1
DATE October 5, 1988
RE: Building Permit Application #2944-88
for Dwaine Tanabe
A -.P—. # 24-19-47
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mo'bilehome Installation Information Sheet
Engr. Calds Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
X1 We need the following information:
Permit application signed and completed where indicated with all copies returned.
X Fees of $ 880.25 _ 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
X Structural details in duplicate
Complete plans and calcs in by registered engineer or architect.
Energy design.including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation. approval from Butte County Health Department at:
196 Memorial Way, Chico.
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
X/ OTHER 1) Both sets of plans are to match (ie. kitchen Pantry).
2) Need complete plans sh6ving.-"ndow sizes, details of carporit, connection
—of.pipe to beam in garage, location of beams and sizes to support second floor, a-n-(T—
second floor layout detail.
3) Plan should show typical construction of actual building and show on floor
—plan where sections were cut,
4) Plot plan needs to show location of carDort.
Should you have any questions concerning the above, please contact this office.
JFG/aj
0
Yours very truly,
William Cheff
Director of Public Works
..F. Glander
C�F - f u
Chief Building Inspector
RESIDENTIAL, PLAIT CHECkING GUIM 7/85
(S.F... DUPLEX & MISC. ONLY)
Bldg. Permit # ;Z q4�q Fr
OWNER A.P.
GENERAL
1��'Zoning requirements: (sideyards and number of -permitted living.units).
valuation.
a -*--Plans signed by designer.
(:S>,,Et1ergy Design and Compliance.
i-" Existing violations on property.
PLOT PLAN
11�--Complete parcel size and dimensions.
il"'-Setbacks, sideyards, easements, etc.
I -""Other buildings or structures..
4,."' -Grading, fills, drainage.
Flood hazard.
Special conditions on creation map or comp1iance document.
FLOOR PLAN
Zplete to scale plan with dimensions.
q uir
uired windows for light and ventilation (Sec. 1�05).
i
Required windows for second exit (Sec. 1204).
r
Mts (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
6,.",/equired room sizes, ceiling heights (Sec. 1207).
1600' G.F.C.I.'s in baths, garage and exterior outlets.(Article 210-8).
8s000light fixtures, switches, receptacles, and exterior receptacl'
es for maintenance of
mechanical,equipment.
09. Locations of water heater, heating and cooling equipment, other electrical or gas
and 7pum Fing fixtures.
_,,.equipment
1:��arage firewall, door size, and,closer (Sec. 503(d)(3)).
1 3'0" exterior exit door (Sec. 3304(e)).
Fireplace and wood stove location.
1 Smoke detectors (Sec. 1210)..
STRUCTURAL DETAILS
Foundation plan complete enough-ito construct building. -
Floor construction:details complete enoughito constru'ct building.
3
Elevations and wall -construction details complete enough to construct building.
Roof construction details complete enough to construct building.
-5—Tireplace construction details and calcs if necessary.
6. Sufficient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
el*, -,Exposure I plywood on exposed locations and overhangs.
i;-**, c
. ,Stairway details: 1andings, rise and run, head le*arance, handrAils (Sec..3306).
le*x*�irdrail details (Sec. 1711 & 3306(j)).
4t#" Brick or stone veneer (Chapter 30).
Erior plaster - weep screeds (Sec. 4706) '
t7_1`20per roof pitch for roof covering (Chapter.32).
i;e'Rafter ties or bearing ridge beam.
RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85
MISCELIANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
arage dooror porchheader sizes.
t��Adequate bracing.
%PWO'Living area,overgarage - complete 1 --hour separation ;.required on garage side
including aupporting walls and posts,.etc.
5 exits,on three-story dwellings (Sec. 3303 & see.Mezannines 1716)..
_&ttic accessand ventilation (Sec. 3205).
l400!'�nderfloor access and*ventilation t(Sec.. .251-6).
14**'- Wood stoves,.clearanc-es,,alcoves & 1 -hour shafts.
5 air fox'fuel burningappliances..
=Mlse requirements.o.n duplexes.
.17. Adobe soil:s - 'special foundation des.ig-n.
"I- �.`=ta ning walls requiring des�gn.
shape., s1z e or split level house requiring lateral.design,.
gilt
F 'A4 Sz-,Oqo- &Y O'.;f
00, N
dX6.0! *V_ Wb "4
6 8
Z 0 C CA_4v;*)
R �O <�' AJ_A
rl.A� le,
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Form per Building)
I
A.P. Number Building Department No.,
School' District uffloy�. 11 _�ity County
TT
Property Owner K. '.Ico" ', L - 7a-
-1) e Vd, ,
Jurisdiction
Project Location/Address-1-7-7 rkm
Subdivision Lot Number_-�
Residential D-evelopment:
Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
District Id No.Av
School District certifies that
Ny wq he, K - a nd J -,e ki i n -e, -Fa- ki, a- b e- (0cls- ln(N?
(Applicant Name) (Phone Numbef)
Larkm P\O&d
(Street Address)
Oa 1-41
�_�71 ps
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
by th4 . p e t f $ 51 Q 3 representing 3-7ag square feet.
Yym 7 0
V4--eA 1_7�� /—/ q Ikk
Sch6ol District Representative Daee
__'�
PAID BY CHECK NO:
BANK N6
PAID'BY CASH
REMARKS:* leeagofo /
0
white -applicant, yellow -building department, pink -school district i,,
SCHOOL.FEE �5/88) 4.
R Ej� to DPW AGRIULTURAL STATE �.NT QF ACKNOWLEDGEMENT
_M C
FOR RESIDENIJAL DESELOPMENI'
Section 26-8.1 of* Lhe BuLLe County. Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
NMCCkPA0ED-WrTH
'Fhe property described -herein is adjacent OPJGINAL DOCUMENT,
to Land or included within an area zoned
for agricultural purposes, and residents
of this property may be subject to incon- 5a -(),332a7
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
a nd I c r L i. ti ze r s and from the pursuit
of agr:icultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has esLablished ogricill
1.ural zones which have as a priority use for productive agricti-I.Lural. purposes, ind
within sai.d zones and on adjacent property should be prepared to accept such i n(*4)11v(111 i
or d -i SC oI I f orm from normal, necessary farm o'perations.
All. Lhat r(-.a.L property situate in the County of Butte, State of Ca.liforni'a, (Icscrib6l ;is
f oll ows:
/ - , 4a_c-,4.t_d -
DaLe:
PROPERTY OWNERS:
State of On this the q C_ TV day of ooler2n bep �' 190-0
the undersigned Notary Public, oersonally appeared ----
County of
i�) Ss.
__ "-, -D vi 0'q A e- V, - I-0- o'_0'_6C'
before me, ,
-TaKa,6.c_
VJPersonally known to me. EJ Proved to me on the basis
of satisfactory evJdeiice.
to be the person(s) whose name(s) f -.7
subscribed to the within instrument and acknowledged Lhat,"
executed the same for the purposes therein conta-i ncd. IN
OFFICIAL SEAT. HEREOF, I hereunto set my hand and official seal..
BARBARA J. UiR(OM
'�OTAWf -PUBLIC - CALIFORMA
),uaA COUNTY
�"Y COMM. ',;;;1res july 17, 1992
Present A7. o.
No ry Mubl i c
..... ...
.............. .
S C 11 ED 11 L E A
ALL THAT REAL PROPERTY DESCRIBED AS A PORTION OF LOT 27, .'AS SHOWN
ON THAT CERTAIN MAP ENTITLED, "LIVE OAK COLONY NO. 1", WHICH MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 7, 1911, IN BOOK 7 OF
MAPS, AT PAGE(S) 51, AND LYING IN PROTRACTED SECTION 20, TOWNSHIP
17 NORTH, RANGE 3 EAST, M.D.B. Ec M., BEING MORE PARTICULARLY
DESCRIBED AS FOLLOWS*:
COMMENCING AT THE NORTHWEST COR14ER OF SAID LOT 27 SAID POINT
BEING A POINT ON THE EASTERLY BOUNDARY OF THE SACRAMENTO NORTHERN
RAILROAD; THENCE SOUTH 00 DEG. 07' 17" WEST, ALONG THE WEST LINE
OF SAID LOT, 35.00 FEET, TO THE TRUE POINT OF BEGINNING FOR THE
HEREIN DESCRIBED PARCEL OF LAND; THENCE, NORTH 89 DEG. 161 2511
EAST, PARALLEL WITH THE NORTH LINE OF SAID LOT 27/ 598.14 FE -ET,
it I TO A POINT ON THE EAST LINE OF SAID LOT; THENCE SOUTH OO'DEG. 081
03" EAST, ALONG THE EAST LINE OF SAID LOT, 588. 17 FEET, TO A
ONE—HALF I24CH REBAR TAGGED L.S. 4208; THENCE SOUTH 89 DEG. 16'
35" WEST, 600.77 FEET, TO A POINT ON THE WEST LINE OF SAID LOT,
SAID POII�IT Nl��,PIXED B"! A -r I TCJ 11 1
fACCE T
S.
4208; THENCE NORTH 00 DEG. 07' 17" EAST, ALONG SAID WEST LINE,
588.20 FEET, TO THE POINT OF BEGINNING.
AP# 024-19-0-035-0
A
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovil,ie, Cali�3rnia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
E 141T N 0
4
ASSESSOR PARCEL UMBER
.,a q—
ZO f _G'
BUILDING PERMIT
OYOER
W(auve_ 1'&-,/V0LbV
TELEPHONE
SQ.FT. OCC.1 BUILDING VALUATION
�:]�
_05-10Z>�
OWNER'S MMILING ADDRESS
/0 0 tj e— &-k
11N
�ACTOJ'S Nt!E 11�,EPHONE
e.- t -
CONTRACTOR'S MAIrADDRESS
.k
— 0 -,,/,w - -
9332 _W/(/),Vr 1"'Ve del,,4
Fireplace
CON�3RUCTION LENDE.R
(;,�_ a 4. a
e,- e- 10 /,12S
UNKNOWN
I
Total Valuation
—
LENDER'S MAILING ADDRESS V
(4 tbe-- C1'4�4.
Filing Fee
$ 10.00
Permit Fee
$_ 1 5 a
ARCHITECT OR ENGINEER
V
ICENSE NO
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING AE50RESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 1 10.00
Each Trap
2.00 &.0 0
6�7r�tAL_ f -f
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PAFVEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF M,6upIexF_J Mobilehome[:J Other
1 SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home sT—GFwT—
10.00 e_�
TYPE OF WORK
New *P<A__ddition�2/RemodeI[:1 Utilities[] Installation[:] Other[]
DescrIbe work* a dZ't J o,4.1 a- / 115�el ro e,44!q
-/0 1414, ae,., 24 14 z4'0— pg,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
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
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed 0IILIOL;t-
ors. (Sec. 7044)
F-1 I am exempt under Sec.—, Business and Professions Code
for this reason
Main service EA. ADD -L 100 AMP
2.50
NEW CONST DWELLING OCCUP.8j)
OR ADONS. ACC.BLDGS.
2/2(tsq ft D 19
NEW CONSTR. MUETI..UTLET
N N.RES'., B RANCH CIRCUITS)
2.50 ea
(POWER APPARATUS
SINGLE OUTLET CIR.&)
Ex. Occup(OUTLETS OR FIXTURES
120050t
BAL0 30C
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
-
Misc. Wiring
15.00
Permit Fee
1�
WORKMEN'S COMPENSATION INSURANCE
I de I e under penalty of perjury (check one):
Ca 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
of Consent to Self -insure.
E] I shal ' I 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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I i rig Fee 10.00
Heating
Cooling
Hood
--- i _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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai�?t said County in jence of the granting of this permit.
X JL —A=: d� ��= Date
Sigra'ture of Applicant — OwnerV' Contractor E] Agent F]
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
—
TOTAL PERMIT FEE Z;��
�F
OCCUP-1
CONST.TYPEI
FLOOD J00
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DJRECTO OF PUBLIC
By_ =,Date
PE EXPIRES
the applicable provi-
resolutions to do
fees have been paid.
WORKS
lz-----YY
Z_ ZD
Receipt No. '�!) 1 1) 9- 19__
'�WHITZ-D.P.W.. YELLOW-A38r330011. PINK-INSPECTOFt. GOLD ENROD-APPL I CANT
__1
Copy of plans sent — Health Dept., Fire Dept., — Other— Date
The following data must be submitted prioritp permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Xegi_g_neT,7`wner, 'wrs -07vs—ed"of -aToV—eTequ_ir_ed data b-y'—*4 �W�_ne__L;nai 1—codnter by49&*2,-T96
, designer, owner, was advised of above required data'by —phone _rna I I __Aounter by— date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet _AP folder
Date
COUNTY OF BUTTE - DEPARTMIF f 0 vUBLIC WORKS - BUILDING DIVISION
;N-
7 COUNTY CENTER DRIVE OROVI I LLE, CALIFdRI`71A 95965 - TELEPHONE: 916/538-7541
I ,
PERMIT- APPLICATION'tATA SHEET
Permit No.
OWNER
Ll AZ 6-!��Z
Proposed Building
UsY Ajew Building Inspector Date /2- – 1:3
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 . .................
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.
Energy Design Compliance and supporting documentation .........
6.
Statement of Intent for Non -Heated and AC Buildings ..............
7.
Engineered truss details and layout in duplicate (required prior to plan check)
8.
Mobilehome installation data including manufacturer's installation
instructions .......................................................
9.
Fees of $ ..........................
10.
Chico Urban Area fees paid ........................................
11.
Park fees paid .....................................................
12.
School District fees paid .................
13.
Sanitation approval from Health Department ...
14.
City of Chico plumbing permit ......................................
15.,
Plot plan and business license approval from City of
(see City for other requirements)
16.
Planning approval for (A) Use:—(B) Parking: . .........
17.
Improvements may be required.
18.
Driveway permit (construction approval required prior to occupancy) ...
19.
Pre-Inspec. request to
Pre -Inspection for required ...... Building Inspector (Date)
20.
Contractor's license information (No., Name Style, Classification) .......
21.
Certificate of Workmans Compensation Insurance ....................
22.
Owner -Builder Verification (Given to owner 0, Mail to owner 0) ........
23.
Recorded copy of Agricultural Acknowledgment-Siatement ............
24.
Letter of signature authorization ... .................
25.
26.
When
you issue the permit, process as fol 10'ws: Mai I to owner. —Mail to contractori,
Telephone and hold for pickup at ____.�__office. —Deliver w/inspector. 4
Other
A ppj ican*t OZ4,-L� _-1A ,x A� Date Ja Z V
Copy of plans sent — Health Dept., Fire Dept., — Other— Date
The following data must be submitted prioritp permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Xegi_g_neT,7`wner, 'wrs -07vs—ed"of -aToV—eTequ_ir_ed data b-y'—*4 �W�_ne__L;nai 1—codnter by49&*2,-T96
, designer, owner, was advised of above required data'by —phone _rna I I __Aounter by— date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet _AP folder
Date
I
--rb
A
\-- Q
4-1
co
Cal
N (,Y)2
ENGINEERING
SURVEYING
PLANNING
Butte County Building Department
7 County Center Drive
Oroville, CA. 95965
Attn: Jim Glander
Re: Jenine Tanabe Home
Dear Jim,
220 GRAND AVENUE
OROVILLE, CA. 95965
(916) 533-2068
December 19, 1988
On October 21, 1988, this office ran some calculations to
size some beams for the referenced home. One of the beams was in
the garage which ended up being a glu lam 5 1/8" x 21".
On the original plans, the top floor by the garage showed a
bath area with attic space behind. In sizing the glu lam, we
applied live and dead loads thru the attic space. For this
reason, we do not see any problem with enlarging the bath to add
a shower. Moving the interior wall will however, require
additional support to the second floor under the wall. We
suggest using 3 - 2 x 12's under the wall. The wall should also
be moved to a distance that will miss the man door header going
into the garage.
Sbil erely,
—��4e ne C. L�e ardt, P.E.
, ;n , _ .1__ 1�_
G.D.A. ENGINEERING &
SURVEYING
KCL/dm
107-88
cc: Jenine Tanabe
WILLIAM W. GEDDIS JOHN D. CHRISTOFFERSON KENNETH C. LENHARDT
Certificate of Compliance: Residential Climate Zone 11
. . � . %J 441�11Lv
Project Title
Project Address
Documentation Author
Telephone
NorLh
?y
B 'Lldi P *t#
;;9 &Z lv�� I
aeckedEly/Date f r
Enfoirmnent Agency Use Only
BUELDING DATA
Type (furnace. air
North
Glass Area % Glass
'30 .8
Duct
Conditioned Floor Area 172G
Number of Stories
East.
1/0 -3-6
West
Slab/Raised Floor
Number of Units
South
8
0
640.<ingle Family Detached (SFD)
Addition Alone
West
V';�'
C I Single Family Attached (SFA)
ExistingBuilding
Skylight
Multi-Family(MF)
Existing -Plus -Addition
Total
W3
B UELDING SHELL INSULATION
Component Insulation LocatioNComments
Type R -Value (Awe. to
fiange. DmicaL etc.)
BUTTE COUNTY
wall .............. AZI
WaU .............. —
BUILDMi DEPARTMENIr
Roof ............. 36
Roof .............
APPROVED
Floor .............
Floor .............
Slab Edge .....
GLAZING
Shading Devices
Glazing Area GlassType
Interior Exterior
Overhang Framing Type
Orientation' (sf) (singledouble) (Ioller blind. etc.) (shade=rem etc.)
Nes/ho) (metaltwood)
NorLh
Minimum
NorLh
f
East
Type (furnace. air
Efficiency
East
Duct
SouLh
conditioner, heat pump)
Sou Lh
(attic, etc.)
West
(Btuh) (or approved equal)
West
Skylight .......
0
THERMAL MASS
Type/Covering
Area Thickness
(slab/ex22sed. tile. etc.) 40 (inches) Locadon/Dcscription (kitchey% bath. etc.)
HVAC SYSTEMS
Minimum
Duct
Type (furnace. air
Efficiency
Location
Duct
output Manufacturer / Model #
conditioner, heat pump)
(SF, SEER,HSPF)
(attic, etc.)
R -Value
(Btuh) (or approved equal)
AA
2-.1
3 8'M
Maximum Fumace Heating Output: �13 goo
HOT WATER SYSTEMS
Tank. Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or avoroved eaual) Sr>ecial Feature(s)
C.M,w
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -IR
NOTE_ Lowrue residential buildings subject to the Standards must contain these measuaw regardles3t ofthe compliance
approxhuseA Items marked with an asterisk (*)maybe superseded by more stringent compliance nquutments listed
on the Ccitificate of Complia=. When this chockList is incorporated into the permit documents. the-featurcs noted shall
be considered by all panics as binding minimum component performance specifications for the nuandaLory measures
whc4hcr they are shown elsewberc in the documents or on this checklist only.
DESCUPTION
Building Envelope Measures
§2-5352(a): Minimum ceiling insulation R-19 weighted average.
§2-5352(by. Loose rill insulation mantifacturer's labeled R-Valuc.
§2-5352.(c): Minimum wall insulation in framed walls R. I I weighted average (does no(apply to
exterior mass walls).
§2-5352(kY Stab edge insWation - water absorption rue no greater thain 0.3%. water vapor
Lmsmission rate no gn:atu than 2.0 permlinch.
§2-5311: Insulation specified or installed mccu; California Energy Commission (CEC) quality
standarciL Indicate type and form.
§2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2-5317: Infiltration/Ext"iltration Controls
a. Doors and windows between condiLioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certiried.
c. Doors and windows weaftrstripprd; aU joints and penctradons caulked and soled
62-5352(c): Special inrdcration barrier installed tocomply with 12-5351 mceUCEC quality
standards.
§2-5352(d): Installation of Futplaces
4 1. Masonry and factory -built fireplaces have:
a. Tight filling. closeable metal or glass door
b. Outside air intake with damper and control
c' Flue damper and cDnuol
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(g) and 2-5303: Space conditioning equipment sizing: attach cakulationat.
§2-5352(h) and 2-5315: Setback thermosm on all applicable heating systems.
12-5316(a): Ducts conswucted. installed and insulated per Chapter 10, 1976 UMC.
12-5316(b): ExMust systems have damper controls.
§2-5314(c): Gas-rurd space heating equipment has intermittent ignition devices.
62-5314: HVAC equipment. water beaten. showcrheads and faucets certified by the CEC.
§2-5352(i): Water hcaLcr insWation blanket (R-12or greater) orcombined interior/exterior
insulation (R- 16 or gnuitcr): rim 5 feel of pipes closest to Lank insulated (R-3 or greater).
§2-5312(Excepdon 1): Pipe insulation on stcain and steam condensate return At recirculating
piping.
§2.5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof insuwtion plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal cfficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
12-53526): Lighting - 25 lumens/watL or greater for general lighting in kitchens and bathrooms.
12-5314(c): Gas rutd appliances equipped with inteffniaent ignition devices.
12-5314(a): Refrigerators. refrigeraLor-freezers. fmczcrs and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COWLLANCESTATEMUqT
DESIGNER I ENFORCEMENT
This cWificate of Compflance fists the building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Mile 20. Chapter 2. Subchapter4. Article I of the Califolmia, Administrative code- This
ceiti.ficate has been signed by the individual with overall. design responsibility and the building owner, who shall
retain a copy of it and transalit the certificate to itay subsequenit purchaser of the building.
Designer
Name:
rakFww
Addmss:
Telephonc
Lic. N:
(signature)
Documentation Author
Namc:
TiWlFirrn:
Address:
(date)
Building Owner
Nat=
Tide/Firm-
Addmss:
Telephone:
40
(da(c)
Enrorcement Agency
Nanw
Agency:
TekThorm-
1. Ceiling Insulation
2. Wall Insulation
Single-
Number of stories
Number of stories
R -value
One
TWO
Three
R-0
-103
-49
-32
R-19
-8
-4
.2
R-30
-2
-1
.1
R-38
0
0
0
U -value
a
6
4
0.50
-176
-84
-54
0.30
-102
-49
-32
0.10
-26
-13
-8
0.08
-18
-9
-6
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
3. Raised Floor Insulation
Insulation in Floor
Single-
Single -
Number of stories
R-vaJue
Family
Family
Multi-
R-vaJue
Detached
Attached
Family
R-0
-68
-51
-34
R-1 1
0
0
0
R-13
2
2
1
R-19
a
6
4
U -value
-144
-70
46
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
Insulation in Floor
Controlled Ventilation Crawispace
Exterior
Number of stories
Number of stories
R-vaJue
One
Two
Three
R-0
-17
-8
-5
R-1 1
-3
-2
-1
R-1 9
0
0
0
R-30
3
1
1
U -value
Two Three
R-0
0
0.60
-144
-70
46
0.50
-120
-58
-38
0.40
-95
-46
-30
0.30'
-69
-34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
Exterior
Slab Floor
Number of stories
R -value
One
Two Three
R -o
-11
-7 -5
R-5
-4
-4 3
R-1 1
-2
.2 .2
R-1 9
.1
-2 -2
4. Slab Edge Insulation
50
-121
gumb&�f�t�oei
R-vaJue
One
Two Three
R-0
0
0 0
R-5
8
5 2
R-7
8
6 3
F2 factor
-29
-19
0.90
-4
-3 1
0.80
A
-21
0.70
2
2 7yol,
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
S. Infiltration 'kA-ir-U-2;kage)
oecificetien - Points
slandwd 0
6. Gim Heat Uss
Total
Exterior
Slab Floor
Raised Floor
Mass
LLvalue
East
Percent
West
Skylight
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
.10
4
40
-90
-37
-26
-14
.3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
.2
6
13
26
-49
-15
_8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
is
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
.9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7..Shading (Shade Open)
Effiecitive Percent Giza
(Perceist Sim X SC)
Effective
Exterior
Slab Floor
Raised Floor
Mass
%Glass North
East
South
West
Skylight
18 5
1
4
1
na
16 4
2
5
1
na
14 4
2
5
1
na
12 3
3
5
2
na
11 3
3
5
2
na
10 2
3
5
2
1
9 2
3
5
2
2
8 2
3
5
2
2
7 1
3
4
2
2
6 1
.3
4
2
3
5 1
2
4
2
3
4 0
2 .
3
1
-3
3 0
1
2
-1-
-3
2 0
0
1
0
3
1 -1
-1
-1
-1
2
0 -1
-2
-4
-2
0
na = not aJlowed
5
7
7
8
Shading (Shade Closed)
EffecdvePevc tGtan
(Perml slam X SC)
EffecOve
% Gless North East Swth West Sky*t
18 -14 -48 -69 -64-. na
16 -12 -42 -59 -55 na
14 -10 -35 -50 -46 na
12 -8 -29 -40 -37 na
11 -7 -26. -36 -33 na
10 -6 -23 -31 -29 -74
9 -.5-- ' .'.'.20 .27' -25 -65.
8 -5 -17 '-23 -21, -56
7 -4 -14 -W-7 ' -18 -47
6 -3 -11 -15 -14 .38
5 -2 -9 -11 -10 .30
4 -1 -6 -8 -7 -23
3 0 -4 -5 -4 -16
2 1 -1 -2 -1 .9
1 1 1 1 1 -4
0 2 3 4 3 0
na - rot allowed
9. Interior Thermal Mass
Interior
Exterior
Slab Floor
Raised Floor
Mass
Mass
Stories
0.00
0 0 0
-swas
3 2 1
1CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
.4
-2
-1
.1
0.1
-8
-5
-3
-1
0
0
0.3
-7
-4
.2
0
1
1
0.5
-6
-3
.1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
.1
1
3
4
4
1.3
-3
0
2
3
4
s
1.5
-3
1.
2
4
5
5
Z0
-1
2
4
5
6
7
2.5
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
.10
4.0
3
6
8
9
10
10
4.5
3
7
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
14
14
8.5
7
. 10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Single- Single -
wail
Famillr Family Muld
Mass
Detached Attitched Family
0.00
0 0 0
0.20
3 2 1
0.40
5 4 3
0.60
8 6 4
0.80
10 8 5
1.00
13 10 7
1.20
13 12 8
1.40
12 13 9
1.60
10 13 11
1.80
10 12 12
.5
zoo
10 11
-3
11. Heating System
-2
SE or RSPF
-4
(assumes ducts In att1c)
-3
Sum of 1-6
-2
-25 or 24 to .14 to �4 to �6 to 16 or
SE HSPF
less -15 -5 +5 +15 more
0.72 6.60
0. 0 0 0 0 0
0.75 6.88
3 3 3 2 2 1
0.80 7.33
8 7 6 5 4 3
0.85 7.79
13 11 10 8 . 7 5
0.90 8.25
17 15 13 11 9 7
0.95 8.71
20 18 15 13 11 8
10.5
Effective SE or HSPF
(SE or HSPF x duct'efflciency)
Effective -25 or -24 to -14 to -4 to +610 16 or
SE HSPF
less -15 -5 +5 +15 more
0.30 2.75
-73 -64 -56 -47 -38 -30
na 3.41
-45 -39 -34 -29 -24 -18
0.40 3.67
-34 -30 -26 -22 -18 -14
0.50 4.58
-10 -9 -8 -7 -5 -4
0.56 5.13
0 0 0 0 0 0
0.60 5.50
5 5 4 3 3 2
0.70 6.42
17 15 13 11 9 7
0.80 7.33
25 22 19 16 13 10
0.90 8.25
32 28 24 20 3
1.00 9.17
17 ;
37 32 28 24 9 5
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. CooUng System
SEER
(Assurnes ducts In &tUc)
Sum of 7-10
Zonal Control Adjustment
10 8 7 6 4 3
. No Cooling System Installed
Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Detached and Attached
45 or -24 to -14 to
-4 to
+6 to
16 or
SEER
less
-15
-6
+5
+15
more
8.0
-14
-12
-10
4
-6
4
8.5
-9
-7
-6
-5
-4
-3
8.9
.5
.4
-4
-3
-2
-2
9.0
-4
-3
-3
-2
-2
-1
9.5
0
0
0
0
0
0
10.0
4
3
3
2
2
1
10.5
7
6
5
4
3
2
11.0
10
9
7
6
4
3
120
15
13
11
9
7
5
13.0
20
17
14
12
9
6 1
69t
WSB
Effective SEER
-16
-12
-10
(SEER
x
duct efficlency)
-U
-12
-9
Sum of 7-10
-6
lG
Effeciive-25or
-5
-24to
-1410
-4b
+6 to
16 or
SEER
less
-15
-5
+5
+15
mom
5.0
-30
-25
-21
-17
-13
-9
6.0
-12
-11
-9
-7
-6
-4
6.6
-5
-4
-4
-3
-2
-2
7.0
0
0
0
0
0
0
8.0
9
8
6
5
4
3
9.0
16
14
12
1,9
7
5
10.0 '
22
19
16
13
10
7
11.0
26
23
19
15
12.
8
12.0
30
26
22
18
1A -
9,'
13.0
33
29
24
20
1 1sJ
10,,
Zonal Control Adjustment
10 8 7 6 4 3
. No Cooling System Installed
Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Detached and Attached
roint bystem bummary: unmate zone n
SCORE CARD'
Ceiling insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
.7. Shading (Shade Open)
Measures
R-30 or
R -value [381 U-valuc (0.0301
& 0�, or
R -value [I I I U -value [0.0981
Rt I or
R -value 119) U -value [0.037)
or
% Glass
R -value 101 F2 factor [0.771
Unit Size (sQ
Standard
Water
i�s
1199
1200
1700
2200
2700
Heater
Credit
or
10
to
to
or
Type
Type
less
1699
2199
2699
more
SG
None
0
0
0
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
21
WSB
5
3
3
2
2
POU
8
5
4
3
3
SE
None
-37
-24
-18
-15
-12
Solar
-1
-1
-1
0
0
2S%
HWR
-18
-12
-9
-7
-6
69t
WSB
-25
-16
-12
-10
-8
IW% 105% 110% 115% 120% 125.
POW
-U
-12
-9
-7
-6
lG
None
-5
-3
-2
-2
-2
ZS
Solar
7
5
4
3
2
4
POU
3
2
1
1
1
IE
None
-28
0.6
0.0
-11
-9
1.4
Solar
8
5
4
3
3
2.9
POU
-10
-6
-5
-4
-3
4.4
Multi
-Family (individual units)
5
5.2
5.4
20%
Unit Size (SO
0.6
0.8
Water
Heater
Credit
699
700
1200
1700
2200
TYPO
TYPO
or
less
10
1199
to
1M
b
2109
or
more
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
Z$
WSB
9
4
3
2
2
43
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
-9
1.7
Solar
2
1
1
0
0
3.2
HWR
-23
-12
-8
-6
-5
4.7
WSB
-25
-13
-8
-6
-5
POU
-23
-12
-4-3
1.3
1.5
.5
IG
None
-8
Z5
ZY
-2
-2
U
Solar
6
3
2
1
1
4.8
POU
1_0
S.S
- 0
0
0
IE
None
-30
-15
-10
-'-8
-6
2.2
Solar
18
9
6
4
4
3.7
POU
-8
-4
-3
-2
.2
roint bystem bummary: unmate zone n
SCORE CARD'
Ceiling insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
.7. Shading (Shade Open)
Measures
R-30 or
R -value [381 U-valuc (0.0301
& 0�, or
R -value [I I I U -value [0.0981
Rt I or
R -value 119) U -value [0.037)
or
% Glass
R -value 101 F2 factor [0.771
Eff. % Glass
Standard
a. North
i�s
X 610
Type [double] U -value [0.651
% Total G
b. East
Interior MasslCFA
X
C. South
X
+1
"19 1 "AS$
X
-1
e. Skylight
X
9. Interior Thermal Mass
TYPE 1 KASS ARtA
COND. FLOOR AREA
_1_4
gi-e-r-ior
10. Exterior Wall Mass
TYPE 2 MASS AREA
COND. FLOOR AREK
21
ft� 2 - V
Exterior Wall Mass
Sum 7-10
S TYPE
I
MASS
(UIMC b 4.2.
let
exposed slab)
SEorHSPF
Duct Efficienci 10-781
- Effective SE or
[0.72t6.61
HSPF [0.5615.151
0%
5%
10%
15% 20%
2S%
30%
35%
40%.45%
50%
55%
60%
69t
70%
7S%
80%
85%
90%
95%
IW% 105% 110% 115% 120% 125.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
ZI
23
ZS
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
53
10%
0.2
0.4
0.6
0.0
1
1.2
1.4
1.6
1.9
11
23
Z5
2.7
2.9
&1
3.3
3.5
&1
4
4.2
4.4
4.6
4.0
5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.8
1.8
2
2.2
14
17
Z11
3.1
13
&$
&7
3.9
4.1
4.3
4.5
4.8
5
52
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
Z2
Z4
Z6
Z$
3
3.2
3.5
3.7
3.9
4.1
43
4.5
4.7
4.9
5.1
5.3
56
So
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
U
Z4
Z6
2.8
3
3.2
3.4
3.6
&1
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
59
50%
0.9
1.1
1.3
1.5
1.7
1.9
Ll
Z3
Z5
ZY
3
31
U
3.6
&11
4
4.2
4.4
4.6
4.8
5.1
5.3
S.S
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.8
1.8
2
2.2
Z4
2.6
Z8
3
12
3.5
3.7
&1
4.1
4.3.
4.5
4.7
4.9
5.1
53
5.6
5.8
6
62
60%
1
1.2
1.4
1.7
1.9
Ll
2.3
2.5
2.7
Z9
&1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
U
Z4
2.6
2.0
3
3.2
3.4
36
3.8
4
4.3
4.5
4.7
4.9
5.1
53
55
5.7
5.9
6.1
64
70Y.
1.2
1.4
t.6
1.6
2
U
Z5
Z7
2.9
3.1
3.3
3.S
3.7
3.9
4.1
4.3
4.6
4.8
5
52
5.4
5.6
58
6
62
64
75%
1.3
1.5
1.7
1.9
2.1
Z3
Z5
17
3
12
U
&5
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
U
5.7
5.9
6.1
6.3
6.5
WY.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3-S
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
54
56
5.8
6
62
64
66
85%
1.4
1.7
1.9
2.1
2.3
Z5
2.7
2.9
3.1
3.3
3.5
3.8
4
42
4.4
4.6
4.0
5
52
54
56
59
6.1
s3
65
67
WY.
1.5
1.7
2
2.2
Z4
Z6
2.3
3
32
3.4
3.6
3.8
4.1
4.3
4.S
4.7
4.9
5.1
53
55
5.7
5.9
6.2
6.4
66
68
95%
1.6
1 .8
2
2.2
2.5
ZY
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.8
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
69
100%
1. 1
1 .9
2.1
2.3
Z5
Z8
3
3.2
3.4
3.6
&8
4
4.2
4.4
4.6
4.9
&1
5.3
5.5
5.7
5.9
&1
&3
6.5
6.1
7
105%
1.0
2
2.2
2.4
ZO
Z8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
6.4
6.6
68
7
110Y.
1.9
V
2.3
2.5
Z7
Z9
3.1
3.3
3.0
3.0
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
1.1
115%
2
2.2
2.4
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5-S
5.7
5.9
6.2
6.4
6.8
6.8
7
7
120%
2
2.3
2.5
2.' 7
Z9
3.1
3.3
3.5
31
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
59
6
6.2
6.5
6.7
6.9
7.1
.2
T3
125%
ZJ
Z3
Z5
2.8
3
3.2
U
3.6
3.0
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
U
U
6.5
6.7
7
7.2
7.4
roint bystem bummary: unmate zone n
SCORE CARD'
Ceiling insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
.7. Shading (Shade Open)
Measures
R-30 or
R -value [381 U-valuc (0.0301
& 0�, or
R -value [I I I U -value [0.0981
Rt I or
R -value 119) U -value [0.037)
or
% Glass
R -value 101 F2 factor [0.771
Eff. % Glass
Standard
a. North
i�s
X 610
Type [double] U -value [0.651
% Total G
% Gl= SC Eff. % Glass
a. North X Gi
b. East X
c. South X
d. West X S, V ,:I
e. Skylight X 0
8. Shading (Shade Closed)
I
Point Sco res
.ft. 2-
0
-V-10
Sum 1-6
Pn1?itTn&y1- At
% Glass
SC
Eff. % Glass
a. North
X 610
b. East
X
C. South
X
+1
d. West
X
-1
e. Skylight
X
9. Interior Thermal Mass
TYPE 1 KASS ARtA
COND. FLOOR AREA
_1_4
gi-e-r-ior
10. Exterior Wall Mass
TYPE 2 MASS AREA
COND. FLOOR AREK
ft� 2 - V
Exterior Wall Mass
Sum 7-10
11. Heating System
�! Z,
X. -
Zonal Control? Y N
SEorHSPF
Duct Efficienci 10-781
- Effective SE or
[0.72t6.61
HSPF [0.5615.151
12. Cooling System
or.-�
X
C>
Zonal Control? Y N
SEER 19.51
Duct Efficiency 10-741
Effective SEER 17-031
13. Water Heating
Type [SGI
Credit [none)
Pn1?itTn&y1- At
a
Certifleate of Compliance: Residential - _,q I
Climate Zone 11
13
Project Address I
Documentation Author Telephone
BUILDING DATA
Conditiolaed Floor Area 37,24
Slab/Raised Fl=
Single Family Detached (SFD)
Sihgle Family Attached (SFA)
Multi -Family (MF)
,2q,qf-w
Build* 6 ennit#
aeckedBy/ Date f
Enforcement Azency Use Only
Glm Area % Glass
BUELDING, SHELL INSULATION
North
Number of Stories
East
Number of Units
South
Addition Alone
West
Existing Building
Skylight
Existing-Plus-Addidon
Total
BUELDING, SHELL INSULATION
Duct
Component Insulation
Location/Comments
Type R -Value
(ado. to fiarage, typicaL etc.)
wau ..............
Manufacturer / Model #
conditioner, heat pump) (SZSEER,HSPF)
WaU ...... **
R -Value (Btuh)
(or approved equal)
Roof ..............
A19-0 efo
—
Roof .............
.4 c- .
A; -7-0 a -
Floor .............
— 0
Floor .............
Slab Edge ..... .
GLAZING
Shading Devices
Glazing Area
GlassType
Interior Exterior Overhang Framingl�;pe
Orientation (sf)
(singK double)
(7oller blind. etc.) (shadaaem etc.) (yeatho) (Meta!j�to_od)
North
North
East
East
South
Sou Lh
West
West
Skylight .......
THERMAL MASS
Type/Covering .
'Area
Thickness
(slab/eu2sed. tile, etc.)
40
(inches) Location/Description (kitcheru bath._etc.)
HVAC SYSTEMS minimum
Duct
Type (furnace, air. Efficiency
Location
Duct Output
Manufacturer / Model #
conditioner, heat pump) (SZSEER,HSPF)
(attic,etc.)
R -Value (Btuh)
(or approved equal)
6� mule
A19-0 efo
—
- %�Z� 4 tj I A,
.4 c- .
A; -7-0 a -
2.1 —
— 0
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS . Tank Manufacturer/Model #
System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s)
Mandatory Measures Checklist: Residential MF -IR
NOTE- Lowrise residential buildings subject Loft Standards must contain these meastires regardless of the complianim
approach used. Items marked with an asterisk (*) may be superseded by mom stringent compliance requvements listed
on the CcitificaLe of Compliance— Wbrn this checklist is incorporated into the permit documents. the fcatuou noted &hall
be considered by ail parties as binding minimum component performance specifications for the mandatory measures
whether they arc shown elsewhere in the documents or on this chocklist only.
DESCRIMON DESIGNER ENFORCEMENT
Building Envelope Measures
*§2-5352(a): Minimum ceiling insulation R-19 weighted average.
§2-5352(b): Loose rill insulation manufacturer's labeled R -Value.
§2-5352(c): Minimum wall insulation in framed walls R- I I weighted average (does not apply to
exterior mass walls).
§2-5352(k): Slab edge insulation - water absorption rate no greater tharn 0.3%. water vapor
transmission rate no greater than 2.0 prrintruich.
§2-5311: Insulation specified or installed mccu; California Energy Commission (CEC) quality
standards. Indicate type and form.
52-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2-5317: Infiltration/EitriltrationControls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weathcrstripped; all joints and penctir-suicirts caulked aind soled
12-5352(c): Special infiltration barrier installed to comply with 12-5351 mects CEC quality
standards.
§2-5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplacits have:
a. Tight fitting. closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2, No continuous burning gas pilotsalloweA
HVAC and Plumbing System Measures
12-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations.
52-5352(h) and 2.5315: Setback therniostat on all applicable heating systems.
12-5316(a): Ducts consuuctrd. installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
12-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
62-5314: KVAC equipment. water heatiers. showerheads and fau6u certified by the CEC.
§2-5352(i): Water he= insulation blanket (R-12orgreater) orembined interior/exterior
insulation (R- 16 or greater): first 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recimulaLing
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater;
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional ter inict.
Lighting and Appliance Measures
12-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathroonu.
§2-5314(C): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators. mfrigentor-fircezers. fircezer; and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMIPLL46NCE STATEMENT
This Certificate of compliance lists the building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Tide 20, Chapter 2, Subchapter4. Article I of the California Administrative code. This
cerdficate has been signed by the indMdual with overall design responsibility and ft building owner, who shall
retain a copy of it and trarmit the certificate to any subsequent purchaser of the budding.
Designer
Name:
rltwulrn:
Address:
Tclephone:
Lic. 0:
(signature)
Building Owner
Nam=
Tidcffium-
Addiess:
Telephone:
(date) (signature) .
Documentation Author Enforcement Agency
Nam: Nam
SPECIAL FEATURESIREMA.RKS (Add extra sheets if necessary) Tide/Fum Agaicr.
Addren: Tckpho=
(date)
1. Ceiling insulation
S. Infiltration (Alir U.-akage),
specification Points
Standard 0
6. GI= Heat Loss
Total
Number of stones
Number of stories
R -value
One
Two
Three
R-0
-103
-49
-32
R-1 9
R-1 1
-4
-2
R-30
.2
-1
-1
R-38
0
0
0
U -value
U -value
-10
4
0.50
-176
-84
-54-
0.30
-102
-49
732
0.10
-26
-13
-8
0.08
-18
-9
-6 .
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
0.04
-1
0
Single-
Single -
4
2
Family
Family
Multi-
R-4ue
Detached
Attached
Family
R-0
-68
-51
-34
R-1 1
0
0
0
R-13
2
2
1
R-1 9
8
6
4
U -value
.2
-2
.2
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
'19
-14
10
0.00
24
18
12
3. Raised Floor Insulation
0
0.70
Insulation In Floor
2
S. Infiltration (Alir U.-akage),
specification Points
Standard 0
6. GI= Heat Loss
Total
Singie-
Family
DeWW
0
3
5
8
10
13
13
12
10
10
10
Number of stories
Raised Floor
R -value
One
Two
Three
R-0
-17
-8
-5
R-1 1
-3
-2
-1
R -I 9
0
0
0
R-30
3
1
1
U -value
-10
4
40
0.60
-44
-70
-46
0.50
-120
-58
-38
0.40
-95
-46
_W
0.30
-69
-34
-22
0.20
-43
-21
14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled
Ventilation Crawlspace
7
14
Number of stories
-46
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-1 1
.2
-2
.2
R-1 9
-1
-2
.2
4. Slab Edge Insulation
-9
-3
3
gumb�r7of �tories
15
R-4ue
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
1
6
11
0.90
-4
-3
-1
0.80
-1
-1
0
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.40
12
15
4
S. Infiltration (Alir U.-akage),
specification Points
Standard 0
6. GI= Heat Loss
Total
Singie-
Family
DeWW
0
3
5
8
10
13
13
12
10
10
10
Slab Floor
Raised Floor
Mass
U -value
%Glass North
Percent
South
West
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
1 29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14 -
3
7
10
14
18
'13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7..Shading (Shade Open)
Effective Percent Glass
(Percent &" X SC)
Effective
Singie-
Family
DeWW
0
3
5
8
10
13
13
12
10
10
10
Slab Floor
Raised Floor
Mass
Water
%Glass North
East
South
West
Skylight
18
5
1
4
1
na
is
4
2
5
1
na
14
4
2
5
1
na
12
3
3
5
2
na
11
3
3
5
2
na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
2
2
7
1
3
4
2
2
6
1
3
4
2
3
5
1
2
4
2
3
4
0
2
3
1
3
3
0
1
2
1
3
2
0
0
1
0
3
1
-1
-1
-1
.1
2
0
-1
-2
-4
.2
0
na = not allowed
10
4.0
3
6
& Shading (Shade Closed)
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
(Pement
gilm X SO
12
Effective
5.5
5
8
9
11
%Gbu
Norlh Egg
South
West SI*hl
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-�6
-M
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
a
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
.2
-9
-11
-10
-30
4
-1
-6
-8
-7
-23
3
0
-4
-5
-4
' -16
2
1
-1
.2
-1
-9
1
1
1
1
1
-4
0
2
3
4
3
0
9. Interior Thermal Mass
Interior
Singie-
Family
DeWW
0
3
5
8
10
13
13
12
10
10
10
Slab Floor
Raised Floor
Mass
Water
Stories
1199
1200
Stories
2200
1CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
-2
-1
-1
0.1
-8
-5
-3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1 .
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
2.5
0
3
5
7
7
8
3.0
1
4
6
8
8
7
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
- 14
15
10. Exterior Wall Thermal Mass
Exterior
wall
Mass
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
1.80
2.00
Singie-
Family
DeWW
0
3
5
8
10
13
13
12
10
10
10
Single-
Family
Amclhed
0
2
4
6
8
10
12
13
13
12
11
MU16
Farnil�
0
1
3
4
5
7
8
9
11
12
13
11. Heating System
Water
SEER
1199
1200
SE or HSPF
2200
2700
(assumes ducts In attl1c)
In attic)
or
In
Sum of 1-6
Sum of 7-10
or
Type
-25 or -24 to
-14 to -4 to
+6 to 16 or
SE HSPF
less -15
-5 . +5
+15
more
0.72 6.60
0 0
0 0
0
0
0.75 6.88
3 3
3 2
2
1
0.80 7.33
8 7
6 5
4
3
0.85 7.79
13 11
10 8
7
5
0.90 8.25
17 15
13 11
9
-7
0.95 8.71
20 18
- 15 13
111
8
0
Effective SE or HSPF
0
(SE or HSPF x duct efficiency)
4
Effective -25 or -24 to -14 In .4 to +610 16 or
SE HSPF less -15
-5 +5
+15 more
0.30 2.75
-73 -64
-56 -47
-38
-30
na 3.41
-45 -39
-34 -29
-24
-18
0.40 3.67
-34 -30
-26 -22
-18
-14
0.50 4.58
-10 -9
-8 -7
-5
-4
0.56 5.13
0 0
0 0
0
0
0.60 5.50
5 5
4 3
3
2
0.70 6.42
17 15
13 11
9
7
0.80 7.33
25 22
19 16
13
10
0.90 8.25
32 28
24 20
17
13
1.00 9.17
37 32
28 24
19
1 5
Zonal Control Adjustment
-13
System Type
6.0
-12
-11 -9
-7
Resistance
10 9
7 6
4
3
Other
6 5
4 3
2
2
12.- Cooling System
Climate Zone 11
SCORE CARD
Unit Size (sQ
I
Water
SEER
1199
1200
1700
2200
2700
(assumes ducts
In attic)
or
In
to
Sum of 7-10
or
Type
Type
-25or -24to -14to
-410
4.6to
16or
SEER
less
.15 -6
+5
+15
more
8.0
-14
.1 2 -10
-8
-6
-4
8.5
-9
.7 -6
-5
-4
-3
8.9
-5
-4 -4
-3
-2
-2
9.0
-4
-3 -3
-2
-2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
12.0
15
13 11
9
7
5
-1-3.0
20
17 14
12
9
6
.18
-12
Effective SEER
-7
-6
IG
(SEER x duct eMciency)
.5
-3
-2
Sum of 7-10
.2
3D%
Effective-25or -24to -114to
-4b
46 io
16 or
SEER
less
-15 -6
+5
+15
more
5.0
-30
.25 -21
-17
-13
-9
6.0
-12
-11 -9
-7
-6
-4
6.6
-5
-4 -4
-3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10,0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13,0
33
29 24
20
15
10
0
Zonal Control Adjustment
or
Solar
14
10
8 7
6
4
3
No Cooling System Installed
Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Detached and Attached
Point System Summary:
Climate Zone 11
SCORE CARD
Unit Size (sQ
I
Water
1199
1200
1700
2200
2700
Heater
Credit
or
In
to
to
or
Type
Type
less
1699
2199
2699
more
SG
None
0
0
0..
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
WSB
5
3
3
2
2
POU
8
5
4
3
3
SE
None
-37
-24
-18
-15
-12
Solar
-1
-1
-1
0
0
COND. FLOOR
HWR
-18
-12
-9
-7
-6
SEorHSPF
WSB
-25
-16
-12
-10'
-8
HSPF 10.5615. 151
POU
.18
-12
-9
-7
-6
IG
None
.5
-3
-2
-2
.2
3D%
Solar
7
5
4
3
2
m%
POU
3-
85%
00%
1
1
IE
None
-28
-19
-14
-11
-9
1.3
Solar
8
5
4
3
3
2.7
POU
-10
-6
-5
-4
-3
4.2
Multi-ramily (individual
4.6
units)
5
53
1101/6
0.2
Unit Size (sQ
0.6
Water
1
699
700
1200
1700
2200
Heater
Credit
or
b
to
to
or
Type
TYPO
less
1199
IM
2199
mom
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
4.1
WSB
9
4
3
2
2
56
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
-9
3
Solar
2
1
1
0
0
4.5
HWR
-23
-12
-8
-6
'-5
40*1.
WSB
-25
-13
-8
-6
-5
1.9
-PQU
.23
-12
-8
-6
-5
IG
None
-8
-4
-3
-2
-2
4.9
Solar
6
3
2
1
1
0.9
POU
1
-0
0
0
0
IE
None
-30
-15
-10
-8
-6
18
Solar
18
9
6
4
4
5.3
POU
-8
-4
-3
-2
-2
Point System Summary:
Climate Zone 11
SCORE CARD
Eff. % Glass
X
Measures
1.
Ceiling Insulation
or
Interior MasslCFA
R -value 138]
U -value [0.0301
2.
Wall Insulation
or
X
t Type 2 PASS
R -value [11
U -value [0.0981
3.
Raised Floor Insulation
SC
or
X
R -value 119)
U -value (0.037]
4.
Slab Edge Insulation
or
X
R -value [01
F2 factor [0.771
S.
Infiltration
Standard
6.
Glass Heat Loss
41.7-Ulmc.4.21
TYPE 1 MASS
AREA %
1 TYPE I KASS
WINC & 4.2.
ie: exposed slab)
ARFAK
Interior W 7ss/-CFA
J-petod 61&b1
TYPE 2 MASS
AREA %
Exterior WaU Mass
COND. FLOOR
AR
I al
X
SEorHSPF
Duct Efficiency [U781
Effective SE or
(0.7216.61
HSPF 10.5615. 151
41.(*-
X
SEER 19-51
Duct Efficiency [0.741
0%
5%
101/.
IS%
20Y.
2S%
3D%
35%
40% 45%
50%
5s%
so%
s9t
m%
7s%
eD%
85%
00%
05%
100% 1051/6 1101/. 115% 120% 125'
0y.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
2.1
2.3
25
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4,8
5
53
1101/6
0.2
0.4
0.6
0.0
1
1.2
IA
1.6
1.9
ZI
Z3
Z5
2.7
2.9
3.1
3.3
3.5
17
4
4.2
4.4
4.6
4.0
5
5.2
5.4
2C%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
U
2.4
Z7
2.9
3.1
3.3
15
U
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
2.4
2.6
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
40*1.
0.7
0.9
1.1
1.3
1.5
-1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.0
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
ZI
Z3
Z5
17
3
3.2
U
3.6
18
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
'55%
0.9
1.1
1.4
1.6
1.8
2
2.2
Z4
2.6
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.0
6
6.2
60%
1
1.2
1.4
1.7
1.9
2.1
2.3
2.5
2.7
2.9
11
3.3
3.5
3.8
4
4.2
4A
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
6.3
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
6.4
70%
1.2
1.4
1.6
1.8
2
22
2.5
Z7
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5 8
6
62
64
75%
1.3
`1.5
1.7
1.9
ZI
Z3
15
2.7
3
3.2
U
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
80Y.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.1
3.2
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
2.S
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.6
5
52
54
5.6
5.9
6.1
63
6 5
67
90%
1.5
1.7
2
2.2
Z4
ZO
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
6 8
95%
1.6
1.8
2
2.2
2.5
2.7
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
Zt
22
Z5
Z8
3
3.2
3A
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.1
7
105%
1.8
2
2.2
2.4
2.6
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
6.4
6.6
6 8
7
110%
1.9
2.1
2.3
2.5
Z7
19
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
6 9
7.1
1 15%
2
2 2
2.4
2.6
2.8
3
3 ' 2
3.4
3.6
3.0
4.1
4.3
4.5
4.7
4.9
S.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
7. 2
120%
2
2 3
2.5
2. 7
2.9
3. 1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
6.6
5 8
6
6.2
0
6.7
6.9
7.1
7 ' 3
M%
2.1
2.3
Z5
2.8
3
3.2
3.4
3.6
3.0
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary:
Climate Zone 11
SCORE CARD
Eff. % Glass
X
Measures
1.
Ceiling Insulation
or
X
R -value 138]
U -value [0.0301
2.
Wall Insulation
or
X
R -value [11
U -value [0.0981
3.
Raised Floor Insulation
SC
or
X
R -value 119)
U -value (0.037]
4.
Slab Edge Insulation
or
X
R -value [01
F2 factor [0.771
S.
Infiltration
Standard
6.
Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. West
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? Y N
12. Cooling System
Zonal Control? Y N
13. Water Heating
Type [double] U -value 10.651 % Total Glass ( 16]
% Glass
SC
Eff. % Glass
X
X
X
X
X
% Glass
SC
Eff. % Glass
X
X
X
X
X
TYPE 1 MASS
AREA %
COND. FLOOR
ARFAK
Interior W 7ss/-CFA
TYPE 2 MASS
AREA %
Exterior WaU Mass
COND. FLOOR
AR
I al
X
SEorHSPF
Duct Efficiency [U781
Effective SE or
(0.7216.61
HSPF 10.5615. 151
41.(*-
X
SEER 19-51
Duct Efficiency [0.741
Effective SEER [7.031
Type [SGI Credit [none]
Point Scores
rol
Sum 1-6
--§um 7-10