HomeMy WebLinkAbout026-280-0156-28-15 % y
CHARLE<cid
VES �� Q1 tali
539 Oental,alermo
Permit682-78B(fireplace) SF
-26-28-115 +, r ~ 'h
986-91B,P,E2t
GRAVES, Charles.:,_ 4,
7547 Occidental, . Palermo ~ qqi• I�"' '
(addition/sf) • �. .•: ..1 b' r r
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RESIDENTIAL
•- +, '26-28-15 986-91B,P,E
GRAVES, Charles
. 7547 Occidental, Palermo
(addition/sf)
s
YL
Y
.JOB FINALE
Signature
t
41
LY
Gil
J= OK
O = Not OK
= Not Ready MOBILE
M®SILE NAMES
Date MOBILE HOME UTILITIES (Plans) OK except trs
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch `
3. Sewer; Location -Test -Fall -CIO Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ /"Nat. or/ /" L' ft./ P'LPG .
7. Utility Clearance �+
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except Ns
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances .
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector `
7. Water and Sewer Connected -C/O 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
i
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)AK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails '
4. Wood Awn.; Posts-Beams-Rttrs.-Coonectors
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 t1
Date POOLS (Plans) OK except Irs
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures: Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
DateCard B-1 Date Card B-1
Date _ Card B-1 Date Card B-1
'd=OK
O = Nol.OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFL R (Plans) OK except #'s
oning-Se acks-Easements-Flood-Slope
ain; Soils-Elec. Grnd.-//z/" Ftg. Depth
�3-ftg-t3arage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
etXs; Soils -Steel-/ /Ftg. Depth
emwalls, Main; Steel -Bloc kouts-Wrapped
a-sw=waltsT-Garage; Steel- Blockouts-Wrapped
6a- lJ k ewpes-and-Gpecial Anchors
7. Slab; Steel -Wrapped
Fall -Fitting -Test -2 Way C/O -Sewer Test
10 Gas Pipe; Size -Anchors
11 ater Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins. _
t,44 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date - Card B-1
DateCard B 1 �� Date Card B-1 :1 4
Date PLUMBING (Permit) OK except #'s
-Water Htr; Vent -Access -Combustion Air -Baffle _
17. Wat Pipe; Test & Anchor -Nail Protection
2W- V.; Test -Fittings & Anchor -Nail Protection _
19. ower Pan; Test, First Floor -Tub Access -
. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors _
Oat Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
Fixture & Transformer Clearance -Ins. Protection
23,04-c- Receptacles Spacing -Lights & Switches at Doors
- 24. oxes & No. of Conductors -Stapled
f. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clear rices Panels-Motors-Mech. Equip.
32. Clot Closet Light -Shower Light -Spa Light
3 moke Detector
Date Card 13-t / Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except
34. A.C. Ducts Insulatio upport
35. Vent Fan; E ust above insulation
36. Conde sate Drain & Overflow; Size & Grade
37,ir6rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
.,"3'8. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FR NG ( ns) OK except #'s
roper Material & Anchors
II's Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bear' _g Walls over Girders & Floor Nailing
l . Draft Stop in Walls (rat proof)
ire ps; Furred Ceilings -Stairs -Chases -Tub
eaders & Beam -Size & Bearing
Date FRAMING (Continued)
ngers-Post Caps -Anchors -Connectors
46. C'g. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
ies or Type A Flue -Fireplace Throat clearance
Access; Size & Romex Protection -Draft Slop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
,_ o-iG ire Protection Framing
51. Line Firewall & Openings
5 . xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
a 53. Stairs; Width -H om-Rise-Fun-Landing-Fire Protection
nRoof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
'r58 -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic.
ear Walls; Nailing -Bolts
59. Ins ion -Walls -Ceilings
Infiltration -Walls -Windows
r
Date Card B-1 Date Card B 04-1
-
Date Card B-1 Dat Card B-1
Date FINAL (Plans) OK except #'s
Eft: Steps -Door & Sidelight Protection -Landings
Smoke Detector
rnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
L, 65,G -F- 1-8 Bath Fixtures & Tub Access -Spa
66. EIec-Trim & Subpanel: Breaker Sizes & Labels
--�'�67.Stairs.-& RajIs
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec- Receptacles in Garage: (G.F.I.)-Romex Protection
f . Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instld.: Drive 0 Yes 13 No; Walks 0 Yes O No;
Planters 0 Yes 0 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect. Electrical, Plumbing
,85 _Exterior Elec. Trim: G.F.I. Receptacle -Underground
1 86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Wester & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
l
Date/0 ^- t Card Bk Date Card -B-1
Date Card R -1V Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
;r(
. Owner
Permit No.
ENERGY CERTIFICATION
110
LOCATION A.P. N0.
DESCRIPTION OF INSULATION
ROOF
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
EXTERIOR WALL
MATERIAL FIAERGLASS BRAND NAME CE 'AINTEED
THICKNESS 57z4 THERMAL RES.. -
CEILING
BATT OR BLANKET TYPE. BRAND NAME CERTAINTEED
THICKNESS THERMAL RES.
LOOSE FILLTYPE IN UL -SAFE IIIBRAND NAME C TAINTEED
THICKNESS ( '12- THERMAL RES. - 3 o
FLOOR,ELEVATED
MATERIAL FIBER LASS BRAND NAME ERTAINTEED
THICKNESS THERMAL RES. le, 1 41 -
FLOOR, SLAB m
MATERIAL BRAND NAME
.THICKNESS THERMAL RES.
WIDTH
FOUNDATION WALL
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
SHASTA .INSULATION'INC. #530235
FIRM NAME OWNER STATE CONTR. LICENSE NO.
7
I hereby certify the above.insulation and all required items as shown
on the Building Depart. approved plans and attachments have been installed
as re.quired by the State of California.Energy Requirements.
All equipment, devices and materials.are of the quality prescribed or
are specifically approved by the State of Calif.
FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO.
' y
SIGNATURE OF GENERAL CONTRACTOR/OWNER. DATE
This certificate must be on -file with the BUILDING DEPARTMENT prior to
final inspecttion approval and a copy shall be posted within the building.
JANUARY 1984
OWNER'S NAME: l9 YAG ✓ RECEIVED
_ PERMIT NUMBER: A . P . # : DATE //0 ( I
RESIDENTIAL [] NON RESIDENTIAL RECEIVED. BY �Y� l TIME --------------
REQUIRED PRIOR TO PERMIT ISSUANCE
FROM DATA SHEET F-1 REQUESTED BY PLAN CHECKER
OTHER
R{ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REQUESTED BY CORRECTION NOTICE YES F� NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS: ro m e f
-- - - ----------x-0Q - T
WHEN APPROVED, PROCESS AS FOLLOWS:
i
Mail to owner
(Address)
Mail to contractor
(Name and Address)
Call and hold for pickup.at office.
Deliver with next inspection..
REVISED PLAN CHECK FEES PAID:
$15.00 $30.00 Additional Fees Not Required
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COIREMENPLAO SI'.CSB.OE RESEARCNDIN REPORTCO2949., NCE 4iITti
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TO BE CENTERED AI:L PLATE5 ARED ON THE JOINT, LEFT TO RIGHT AND
TOP TO BOTTOM. EXCEPT WHEN LOCA;EO.BY CIRCLE OR DIMENSION.
SEE DRAWING 130 FOR 'PLATE LOCATIONS OH TYPICAL JOINTS.'
-KOTE:�2X4 .r3 HEM -FIA OR BETTER CONTINUOUS LATERAL BQTTON
'CNaaD BRACING 0 72, MAX. O.C. REOUTAED. ATTACH WITH
CHORD BRAMAICS. BRACING^ISNOT REQUIRED IF A RIGID CEILING
IS ATTACHED OIRECTLY TO 60TTON CHORD. BRACING MATERIAL
TO BE SUPPLIED ANO ATTACHED AT BOTH ENDS TO A SUITABLE
SUpppRt
PT --f- REC_jION_CONTPACTOR.
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CONKCTOR`:PLATES MUST BE INSTALLED IN ACCOAOANCE WITH,
R UIREMENTS OF I.C.8.0. RESEARCH REPORT /2949. r
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BE -LATERALLY BRACED KITH PROPERLY -CONNECTED
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TOP CHORD SHALL
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<--PURL-INS-SPACEO AT_A_MAXIMUM-OF-24'
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�L TO BOTTOM, EXCEPT WHEN LOCATED BY CIRCLE OR DIMENSION.
TYPICAL JOiNTS.'
TOAHING
CONNECTOR DESIGNED FOR GREEN LUMBER PER �`1FS
EE 130 FOR 'PLATE LOCATIONS ON
NNECTOiBPLATES
3 FeEM-FIR OR B£TTER CONtINUOUS-LATERA(: '80TTOM
fIpTE:'�2X4'
:CHORD SPACING 0'72" MAX. O.C. REGUIFEO. ATTACH WITH
NOT REQUIRED IF A RIGID CEILING
`2m -16d NAILS. BRACING IS
DIRECTLY TO BOTTOM CHORD. BRACING_MATERIAL-.
TOA SUITA
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REF 8427--8238
FATE 05/01/90
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TY¢E COMN__
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
?, 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi I le — Phone: 538-7541
747 Elliott Road, Paradise- Phone: 872-6307 ,
CORRECTION NOTICE
64AVv ffs
OWNER r 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, or need additional explanation, please contact this office immediately.
or
07
Date/ - 3 - 7) -
Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllae,-C®Ilfornle 95065 - Telephone, 816/538.7541 4
APPLICATION AND PERMIT �I-< i
Ir
ZCWNG
BUILDING PERMIT LI
T960t-MONS
533-6407
N DDR
SO. FT. OCC. BUILDING VALUAMN
13-200
CON NAMM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is 13.200
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 104.50
AR HITECT OR ENGINEER
ick Huston
L,IC NSE NO.
un�Cnown
Plan Checking Fee
$ 52.25
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
unknown
Penalty
$
BU L NG ADDRESS
'754+7 Occidental, Palermo
Permit fee
$ 181.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping,
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF a Duplex[-] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New ❑ Addition Remodel[]Utilities ❑ Installation❑ Other ❑
Describe work: add dining room, bathroom, bedroom
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
OR ADDNSCONST DWEACCLLIN GOCCUP.yd�
yz¢sgft
NEW cON5TR MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20L.030
eA3o
Ex. Occup. OUTLETS ((RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
. g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
Ioshall not employ any person in any manner so as to become subject
o the W. C. laws of California.
Not ce 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
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building co duction, and hereby authorize representatives of the County of
But to en r upon the above -m ioned property for inspection purposes.
I also ag to ave, indemnify d keep harmless the County of Butte against
all Iia hies, udgments, cos ,and expenses which may in any way accrue
agai t said ount in cense ence o__ f the g�anting of this per 't. !/
G
Date %
Signature of Applicant — Owner Contractor 1:1 Agent
An OSHA permit is required for excavations over S'0" deep and demolition or sjsu -
ion of structures over 3 stories in height. {
Mobile Home Installation Fee $
Energy Inspection Fee $ 0�—
occ
CONST TYPE
TOT E .00
HA
,/�'
cu
%.`
P SCH
P
This permit is hereby issued unoer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DI EC R OF PUBLIC WORKS
C�
By
PERMIT EXPIRES ate
Receipt No. 88460/224.00 �� �� — �Q, /S�Q
WHITE-D.P.W., YELLOW -ASSESSOR, PINK I SPECTOR. GOLDENROD -APPLICANT
l.,, -
T 1 -11. __ f,. T. .. +r•«.,.. -:,i.
COUNTY OF BUTTE - DEPARTG11E-041 F PUBLIC WORKS -`BUILDING DIVISION
X, I;
7 COUNTY CENTER DRIVE;-ORaOVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER C1110.117leS C.,1A UO& 4, - P. No.
Proposed Building Use mm".. Building Inspector— Li_ Date��`-
At time of permit application, I was advised the following data must be submitted prior,to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
•5. Hazardous Material Form. ? ..................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions / ,. , j /�
0. Fees of s. ®�A�E_ N; Ji& /ON, fg
11. Chico Urban Area fees paid ....`............ ° .....................
2. Park feespaid . .........................
13. y %1(�� School District fees paid ..............
4. Sanitation approval from n (to Health Department 406P7 I' I
15. City of Chico plumbing permit .....................................
6. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: .......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre-Inspection;for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name,Style, Classification) ... j
22. Certificate of Workmans Compensation Insurance ...............: w:
70,73. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ::: ;
4. Recorded copy of Agricultural Acknowledgment Statement .. y
25. Letter of signature authorization ............................. ... .
26.,
27.
When ou issue the permit, process as follows: Mai µo owner.. Mail to contractor.
�`33-� S/d 7'
Telephone and hold for pickup" at office. Deliver 'we/inspector.
Other
Applic t —.Date–
Copy
DateCopy of ! Idz-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 per it issuance: ( ircle new item not checked above).
1. Index permit for above items No.
2• AAA: a �_..
• I
Contractor, designer, owner, was advised -of above required data by_phone_mail—counter by ..date
Contractor, des igner,•owner; was advised of above required data by_phone_mall_cou/er by w` date
Pjarj checked by
Sets of plans on hold in
Copy—DPW
File cabinet
Plans apprgyed by
Date
,,F
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Omer Location AP#
Plan Approved for: Sewaae Disposal Water Supply a
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other
NOTE ***
Date
Sanitaria
a COUNTY OF BUTTE - DEPARTMENT OF PUULIC WORKU
7 County Center Drive - Orovlllet California 98998 - Telephone: 918/638.7541
APPLICATION AND PERMIT
PERMIT NO.
A•$ . tESSOR PARCEL NUMORK
2(,-
NINQ (J
BUILDING PERMIT
OWNERC/� a� eS
��!! �s
H� O
S0, FT- OCC BUILDING VALUATION
yo
0 zo
WN M IN DDRE •
7sv7 D 6dem A lerm0 9s96d
CON W Q6 A
HONG
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
-2a0
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHI CT O EN 1 EERR &—/ll
_LIGE SE NO. /
�N VdfN
Plan Checking Fee $ s'L Z
Energy Plan Checking Fee $ 5�
ARCHIT CJJ OR ENGINR'S M (LING ADDRESS
UAI R JOWi
Penalty $
BUILDING AODRESS 7S/�
G � �iitt•4/ A��2 Md � �}
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00 r 0
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping -
5.00 r
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFte Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition Z Remodel ❑ Utilities ❑ Installation Other ❑
Describe work: A040 OiA:N pM
Permit Fee $ 001
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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. DELLING 0c P..ad
OR ADDNS. ( ACC. BLDGS.
, /20sgIt E.
NEW CON5TFL MULTI—OUTLET
NON-RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(ourL ETS OR FIXTURES
500100
e AL9 30
EX. OCCUp. OUTLETS P(RESID.IRE A.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 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
FiIirig Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excav tions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in hei t.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAL
CUA
PARK SCHL
FLD
CDF
I PAR
PO
I HD. ISSUE
This permit is hereby issued uncer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
PERMIT EXPIRES Date
Receipt No.ew 416 Q G�
WHITE-D.P.W.. YELLOW-ASSE130R, PIAK-INSPECTOR. GOLDENROD -APPLICANT
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR USIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded I
prior to issuance of a building permit.
"" 91-013507
The property described herein is adjacent
to land or included within an area zoned Recorded
for agricultural purposes, and residents Official Records
of this property may be subject to incon- County of
veniences or discomfort arising from the Butte
use of agricultural chemicals, including, Candace J. Grubbs
but not limited to herbicides, pesticides, ' Recorder.
and fertilizers; and from the pursuit 8:01am 9 -Apr -91
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which have as a priority use.for productive
within said zones and on adjacent property should be
or discomfort from normal, necessary farm operations.
91-13507
Rec Fee 5.00` ;
i Cash s nn'
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
All Eh -at real :property: situate in the County of Butte, State of California, described as
follows:
" ��y�':fyr2e � 7 S ¢ 7 O CC' � c6a ., �.¢� /�� . �/�- �•e�e !tic o� � � .
e rz -
Date: �{-� �4 PRO RTY OWNERS
r6le(es ltii. �24 s
>y
State of C'fl) On this the g day of �4P,eL L 19before me, the
SS. undersigned Notary Public, personally appeared
County of Eu FT 2 ) /�� / / ( /'
l_�Hl a U' [e -s M C� 0'G J e 5 r J �`=c �- 190-6, lJ e-8
i
®Daae®mseeseessaa■es®esse� Personally known to me. roved to me on the basis
® SANDRA LEE SEAMAN s of satisfactory evidence.
o m►
NOTARY PUBLIC -CALIFORNIA ®to be the person(s) whose name(s)
a Butte County :subscribed to the within instrument and acknowledged that
My Commission Expires JAN. 18, 1992 ®executed the same for the purposes therein contained. IN WIT, S
■sennommosssassssses®sssopJWHEREOF, I hereunto set my hand and official seal.
Present A.P. No. v' -d
Not y ubli
END OF DOCUMENT
CD
i
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
All Eh -at real :property: situate in the County of Butte, State of California, described as
follows:
" ��y�':fyr2e � 7 S ¢ 7 O CC' � c6a ., �.¢� /�� . �/�- �•e�e !tic o� � � .
e rz -
Date: �{-� �4 PRO RTY OWNERS
r6le(es ltii. �24 s
>y
State of C'fl) On this the g day of �4P,eL L 19before me, the
SS. undersigned Notary Public, personally appeared
County of Eu FT 2 ) /�� / / ( /'
l_�Hl a U' [e -s M C� 0'G J e 5 r J �`=c �- 190-6, lJ e-8
i
®Daae®mseeseessaa■es®esse� Personally known to me. roved to me on the basis
® SANDRA LEE SEAMAN s of satisfactory evidence.
o m►
NOTARY PUBLIC -CALIFORNIA ®to be the person(s) whose name(s)
a Butte County :subscribed to the within instrument and acknowledged that
My Commission Expires JAN. 18, 1992 ®executed the same for the purposes therein contained. IN WIT, S
■sennommosssassssses®sssopJWHEREOF, I hereunto set my hand and official seal.
Present A.P. No. v' -d
Not y ubli
END OF DOCUMENT
Q
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number 2! Building Department No.
School District151?0 -gitsT! City n County = Jurisdiction
Property Owner Qat./e-s (;,- AV e _S
Project Location/Address 75`/ / QC6t-d,PAl4 1, LA Ie(M0 C"NO4W 68
Subdivision
Lot Number
esid�al Development:
Sq. Footage 330
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a' Sq. Footage
New Addition (Including Exterior
/+ Roofed Areas)
Building Department Representative Date
*******************************************************************
(Floor.Plans reviewed by School District Personnel)
1.
District Id No. 9 10 19 2
A _ _� _ t •,
cant Name
Street Addres
School District certifies that
(Phone Number)
. - - _(CityT (State) f ( Zip Code)
has complied with the requirements of Resolution No. 76,5— C/ !�
by e payment of $ representing square feet.
- 712 V- F- C7 /
ool District Reprecffintative Date
PAID BY CHECK NO. REMARKS:
BANK NO
PAID BY CAS
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
COUNTY OF $UTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
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. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
/ 2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I 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
Sign
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 PLAW CHECKING GUIDE .12/90
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER 4��24dES A. P. # _Z -e --
Plan Checker
GENERAL
/� Zoning requirements: (sideyards and number of permitted living units).
k2: Valuation.
Plans signed by designer.
Proper description of work on application.
xisting violations on .property.
tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
Recorded notice of violation. -
PLOT PLAN
-iromplete parcel size and dimensions.
etbacks, sideyards, easements, etc.
ther buildings or structures.
la/Grading, fills, drainage.
�Ilood hazard.
Special conditions on creation map,
ustible, and'foundations).
,�FAU & FAS road setback.
(noise, CDF, fire sprinklers; non -comb -
Building or.utilities across lot lines (Record form).
FLOOR PLAN •
//-Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
i.�/Required windows for second exit (Sec. 1204).
VK'ZSkylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
V. Required room sizes, ceiling heights (Sec. 1207).
i,7'/GFCIs_ln•baths, garage, kitchen, and exterior outlets (Article 210-8).
L- Li'ght fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
/-or gas,equipment.
/Garage'firewall, door size, and closer (Sec. 503(d)(3))..
1 - 3'0".exterior exit door (sec. 3304 (f).
1�2 Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
ST CTURAL DETAILS
./ Standard bracing or engineered design (Table 25V)
`�?/ /Unusual shape, size, or split level house requiring lateral design.
Foundation plan complete enough to construct building.
�4 Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
fig\ Roof construction details complete enough to construct building.
�f Fireplace construction details and calcs if necessary.
Rafter ties or bearing ridge beam.
/ Garage door or porch header sizes.
Stud heights.
1lli Adobe soils - special foundation design.
i� / Retaining walls requiring design.
n. Special Inspection required.
12/90
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS_ITEMS TO LOOK OUT FOR
Y Stairway details: landin11 gs, rise and run, head clearance, handrails
/(Sec. 3306).
1/ Guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
ZI Exterior plaster - weep screeds (Sec. 4706).
- /Proper roof pitch for roof convering (Chapter 32).
6//Roof covering type - (fire hazard).
1/Foam insulation - protection.
8. 3"6" halls and stairways.
iving area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
.,Attic access and ventilation (Sec. 3205).
. Underfloor access and ventilation (Sec. 2516).
3 Combustion air for fuel burning appliances - L.P.G. requirements.
Noise requirements on duplexes.
FfEnergy design.
Flashing at all exterior openings.
CDF responsible area requirements.
t
•
t
t
I
cz 13
COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive s Oroville, California 95965
Tel epirone:'534-4541
APPLICATION AND PERMIT
authorize representatives of the,County of Butte to enter upon the
abov��e�jmentioned property forli/nspection purposes.
X/L�.�c Date -7J
Signature of Permitee or Agent
Receipt No. ' ` z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the But County Code and/or resolutions to do work indicated
a o which fees have been paid.
DI EC F P_U LIC WORKS
Date
Building permit expires Date`
BUILDING
Owner `? ,� " ' ' �,
S0. FT. OCC. BUILDING VALUATION
Mailing Address
Tel hon No.
Contractor '-! .t ,..� �
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee /i : U�
Building Address '`?
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
i
Repair drainage or vent piping 1.50
A. P. No. ,' c.r `' '� � - �
Zo i ZF'lanning
Water piping t.50
Each gas water heater or vent 1.50
Fels
W:"
Sanitation
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parcel Ap rovol
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q
14
Permit Fee $
$
ry f {
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR00V OR LE LESS5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNSt CONST. DACCLBLDGSLING CCUP, k 22 sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
T
NEW CO ID BRANCH CIRCUITS 2.50ea
NEW CONSTR BRANCH CIRCUITS
NEW CONSTR. (POWER APPARATUS .&
NON•RESID. ,SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES BA�@1
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 110.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
�am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
® permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
FF
Hood -2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$ i (✓' C-'�
authorize representatives of the,County of Butte to enter upon the
abov��e�jmentioned property forli/nspection purposes.
X/L�.�c Date -7J
Signature of Permitee or Agent
Receipt No. ' ` z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the But County Code and/or resolutions to do work indicated
a o which fees have been paid.
DI EC F P_U LIC WORKS
Date
Building permit expires Date`
COUNTY OF BUTTE —. DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - �-Oroville, California 95965
Tel ephone :
1. Ceiling Insulation
2. Wall Insulation
Single-
Number of stories
-46
R -value'
One
Two
Three
R-0
`-103
-49
-02
R-19
-8
0 -4
-2
R-30
0
.. -1
•1
R-08
_-2
0
0
0
U -value
8
6
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
3. Raised Floor Insulation
Single-
Single -
-46
Number of stories
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-6
-3
-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
1.2
3. Raised Floor Insulation
U -value
--..-0.60 .
Insulation In Floor
-70
-46
Number of stories
-120
R -value
One Two
Three
R-0
-17 -8
-5
R-11
-3 -2
-1
R-19
0 0
0
R-30
3 1
1
U -value
--..-0.60 .
-144
-70
-46
0.50
-120
-58
-08
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
Single-
Slab Floor
Number of stories
.
Fl -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2
-2
.2
R-19
-1
-2
.2
-4. Slab Edge Insulation
40
- -- --
-07
Number of Stories
-14
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
-58
-20
-12
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
8
4
S. Infiltration (Air Leakage)
Specification Points -
sttlndard 0
6. Glass Heat Loss
Total
Single-
Slab Floor
Effective Percent Glass
.
U -value
gmvent glass x SC)
Percent
Effective
Detached
.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
-07
-26
-14
-0
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
-01
-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
-0
9
11
14
17
19
9
.1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
Single-
Slab Floor
Effective Percent Glass
---EffeNre
Percent Glass
gmvent glass x SC)
Stories
Effective
Detached
(percent Stass x SC)
Family
Effective
One
%Gins
North
E29
%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 allowed
-1-
-9
1
lB. Shading (Shade Closed)
Single-
Slab Floor
Effective Percent Glass
Raised Floor
Mass
gmvent glass x SC)
Stories
Effective
Detached
Stories
Family
ICFA
One
%Gins
North
E29
Saudi
West
Sityfght
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
-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
na . not allowed
3
7
8
10
9. Interior Thermal Mass
Interior
Single-
Slab Floor
Stan of 1
Raised Floor
Mass
Family
Stories
Mass
Detached
Stories
Family
ICFA
One
Two Three
One
Two
Three
0.0
-8
-5
4
-2
-1
.1
0.1
-8
-5
-0
-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
20
-1
2
4
5
6
7
25
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
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
.12
12 . 1
6.0
5
8
10
12
13
13 j
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 -
Stan of 1
Wall
Family
Family
Mule
Mass
Detached
Attadled
Family
0.00
0
0
0 i
0.20
0.40
3
5
2
4
1
3
0.60
0.80
8
10
6
8
4
5
1.00
1.20
13
13
10
12
7
8
1.40
12
13
9
1.60
1.80
10
10
13
12
11..
12
200
10
11
13 41
11. Heating System
SE or ASPF
(assumes ducts In attic)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
1
12. Cooling Systm
COND. FLOOR AREA $
Stan of 1
' 1
Interior M.us/CFA
1
1
One
.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
4
3 3
Effective SE or HSPF
2
1
(SE or
HSPF x duct
efficiency)
4
3
Effective -25
or -24 to -14 to
�4 to
+610 16 or
SE
HSPF
less
-15
-5
+5
+15 more
0.30
275
-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
+5
-4
0.56
5.13
0
0
0
01
0
0
0.60
5.50
5
5
4
'(,%
3
2
0.70
6.42
17
15
13
11
9
7
0.80
7.33
25
22
19
16
13
10
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
1
12. Cooling Systm
COND. FLOOR AREA $
' 1
Interior M.us/CFA
1
1
One
-5
-4
-4
-3
SEER
-2
Two +
3
3
2
(assutnel ducts
In attic)
1
Single -Family lietached and
Attached
S►m of 7.10
Zonal Control? ( Y / N)
9.51
li Unit Size (SO
p.�•ui.[v.11
-25 or -24 b t14 to
.4 b
+6 to
16 or
SEER
less
-15 1 -6
+5
+15
more
8.0
-14
-12 .10
-8
-6
-4
8.5
-9
-7 -6
-5 •
-4
-3
8.9
-5
-4 -4
-3
-2
.2
9.0
-4
-3 -3
-2
-2
-1
9.5
0
0 0
0
0
0
3
4
3 3
2
2
1
.10.0
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
Oy.
HWR
Effadve SEER
-12
-9
-7
-6
(SEER xAud eMdency)
WSB
-25
-16
.:n of 7-10
-10'
-8
2.7.
Effective -25 or -24t* -1410
.4110
+6 b
16 or
SEER
less
-15 -5
+5
+15
more
5.0
-30
-25 • -21
-17
-13
.9
6.0
-12
-11. .9
-7
-6
4
6.6
-5
4 -4
-3
.. -2
-2
7.0
0
0 0
0'
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed ' I
---Stories
COND. FLOOR AREA $
' 1
Interior M.us/CFA
One
-5
-4
-4
-3
-2
-2
Two +
3
3
2
2
2
1
Single -Family lietached and
Attached
=
Zonal Control? ( Y / N)
9.51
li Unit Size (SO
p.�•ui.[v.11
Water
�Cditjn
one]
.199
1200
1700
2200
2700
Heater
t;redit
or
10
to
to
or
Type
Type
less
,1699
2199
2699
more
SG
None
0
4 0
0.
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
WSB
5
3
3
2
2
S%
POU
8_
5
4
3
3
SE
None
-37
-24
18
-15
-12
75%
Solar
-1
-1
-1
0
0
Oy.
HWR
-18
-12
-9
-7
-6
1.3
WSB
-25
-16
-12
-10'
-8
2.7.
POU
-18
_-12
-9
-7-
-6
IG
None
1-3
4.8J�
-2
-2
-2
0.2
Solar
7'
5
4
3
2
1.6
POU
3_
2
1
1
1
IE
None
-28
-19
-14
-11
.9
'4.6
Solar
8
5
4
3
3
0.6
POU
-10
-6
-5
-4
.3
2
Multl-Family (Individual
24
units)
29
3.1
13
3.S
Unit Size (sQ
3.9
Water
4.3
699
700
1200
1700
2200
Heater
Credit
or
to
to
to
or
Type
Type
less
.1199
1699
2199
more
SG
None
0
0
0
0
0
or
Solar
14
7
5
5.6
3'
HP
HWR
9
5
3
,4.,-.
21
. t2 Fr,
1.9
WSB
9
4
3
2
, 2
3.4
POU
9
5
3
2,
2 ; <
SE
None
45
23
;15 ""11.1
, <-9i'•
50%
Solar
2
1
0-,0,
0
21
HWR
-23
-12
-8
-6
,y';5 r
3.8
WSB
-25
-13
-8
-6.
.51
5.1
P4U
_23
--:12--8-
5.9
..6 i
. 5
IG
None
-8
-4
-3
.2
i -2
24
Solar
6
3
2
1
1
3.9
POU
1
0
- 0
0
0
IE
None
-30
715
-10
-8
•6
1.2
Solar
18
9
6
4
4
2.7
POU
-8
. -4
-3
-2
-2
Interior Mass/CFA
S TYPE ! PSS
COND. FLOOR AREA $
' 1
Interior M.us/CFA
..-.
Exterior Wall Mass
TYPE 2 MASS AREA _ $
ND. L OR AREA
_1
-
x
_ • 5�1
M t f Zonal Control? ( Y / N)
SE or HSP
Duct Efficiency [0.78] Effective SE or
HSPF
• �, ; >�
(0,7
[0.5415.15]
• 12. Cooling System
x
=
Zonal Control? ( Y / N)
9.51
74] Effective SEER [7.03]
p.�•ui.[v.11
[SG]
�Cditjn
one]
I
a Type1 NAsi
(OD C
+ 4.2, ie: exposed
slab)
-
t
Ic.ryet.d .1_b)
-P-
.,
p
\,
0%
S%
.10%
' 1S%
20%
2�%
X30%
35%
40%
45%
SK
55%
60%
6 5i
70%
75%
80%
85Y.
90%
95%
100%
105% 110Y. 115% 120% 125`
Oy.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
21
23
25
2.7.
29
3.2
3.4
3.6
3.8-
4 '
4.2
4.4
4.6,
4.8J�
5"
. 53
toy.
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21
23
25
'27
2.9
3.1
3.3
3.S
3.7
4
4.2
4.4
'4.6
4.8
5
5.2
`5.4'
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
2.7
29
3.1
13
3.S
3.1
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
05
0.7
0.9
1.1
1.4
1.6
1.8
2
22
24
26
28
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
5.8
40Y.
07
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.8
3
32
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9 _
5.1
5.3
5.5
5.7
5.9
50%
09
1.1
1.3
1.5
1.7
1.9
21
23
25
27
3
32
3.4
3.8
3.8
4
42
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
24
2.6
28
3
32
15
3.7
3.9
4.1
1.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
2.3
2.5
2.7
2.9
3.1
33
3.S
3.8
4
4.2
4.4
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
14
3.6
3.8
4
4.3
'41.3
4.S
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
25
27
2.9
3.1
13
33
17.
3.9
4.1
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
1.9
21
23
25
2.7
3
3.2
34
16
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
M.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
39
4.1
4.3
4.5
4.1
4.0
5.1
5.4
5.6
5.8
6
6.2
64
6 6
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
S4
5.6
5.9
6.1
63
6S
67
90%
1.5
1.7
22.2
2.4
26
2.8
3
3.2
3.4
3.6
38
4.1
4.3
4.S
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
68
95%
1.6
1.8
2 .
2.2
2.5
27
2.9
3.1
33
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
100Y.
1.7
1.9
21
23
2.5
28
3
3.2
3.4
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
6.7
7
105%
1.8
2
2.2
2.4
2.6
28
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
110Y.
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.6
3.8
4
42
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
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
7.2
120%
_
2
2.3
2.5
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
5 8
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
M
2.3
25
2.8
3
3.2
3.4
3.8
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5 •
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation So or
R -value (381 U -value [0.0301
2. Wall Insulation 13 or
R -value (l l] U -value [0.098]
3. Raised Floor Insulation or
R-val e(19) U -value [0.0371
4. -Slab Edge Insulation ®� or
R -value (0) F2 factor [0.771
S. Infiltration Standard
6. Glass Heat Loss 1
Type [double] 1.1 -value [0.651_' % Total Glass [ 161
7. Shading (Shade Open)
%Glass SC Eff. %Glass
a. North x
b. East S.7 x = 4.4
c. South $- x
d. West 2.2 x =
e. Skylight '..4W x =
8. Shading (Shade Closed)
%Glass SC Eff.%^ � ass
a. North �_ x .77 = .2x,6-_
b. East S'.? x .21 = /. T
C. South 2,5 x _��
d. West 77, :2 x -7.7 = `
e. Skylight x
TYPE 1 MASS AREA
9. Interior Thermal Mass
COND. FLOOR AREA $
' 1
Interior M.us/CFA
,,10 ExteriorAll Ma$>!
.
Exterior Wall Mass
TYPE 2 MASS AREA _ $
ND. L OR AREA
Heating System
x
_ • 5�1
M t f Zonal Control? ( Y / N)
SE or HSP
Duct Efficiency [0.78] Effective SE or
HSPF
• �, ; >�
(0,7
[0.5415.15]
• 12. Cooling System
x
=
Zonal Control? ( Y / N)
9.51
74] Effective SEER [7.03]
13. Water Heating
[SG]
�Cditjn
one]
Point Scores
�. �0
Sum 1.6
-z
0
A.
'Sum 7-10
�-3
Point Total.,
f'
Certificate of Compliance: Residential Climate Zone 11
Bmnkf&
Cli-edied By /
Fnforoanent Axency, Use Only,
BUILDING DATA Glass Area % Glass
North
Conditioned Floor Area Number of Stories East
S1abfiWsed Floor Number of -Units South
(] Single Family Detached (SFDj ( I Addition -Alone West
[ J Single Family Attached (SFA) [ I Existing Building Skylight
(] Multi -Family (MF) KExisting-Plus-Addition Total /
BUILDING SHELL INSULATION
Component Insulation Locatilon/Comments
Type R -Value (attic, to garage, r pial, etc.)
Wall .............. �3
Wall ..............
Roof .............
Roof .............
Floor .............
Floor .............
Slab Edge.....
GLAZING Shading Devices
Glazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation (Sf) (sinek double) (roller blind etc_1 khadetcreen_ etc -1 Ar"Annl Im .roltiu,....at,
No rth ( ) L
North ( )
East ( ) _gam._
East
-South
Sou Lh ( )ZVOM
West ( )
West ( )
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (SO (inches) Location/Description (kitchem bath, etc.)
HVAC SYSTEMS
Type (furnace, air
conditioner. hent vumv)
P
Minimum Duct
Efficiency Location Duct Output Manufacturer/ Model #
Maximum Furnace Heating Output: 4r"3
HOT WATER SYSTEMS
R -Value (Btuh) (or anoroved eaual
S� w
Btuh A RTMWT-
Tank Manufacturer/Model #
Ppv
^
al Features) Et)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)�/�_
- .eco — I -- — // a �. ...� err
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards nfust contain these measures regardless of the compliance
approach used. Item marked with an asterisk (-) may be superseded by more stringent compliance requuements listed
on the Certificate of compliance. When this checklist is incorporated into the permit documents. the features noted &hall
be considered by all parties as binding minimum component perfomumx specificz6ons for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION I DESIGNER I ENFORCEMENT I
Building Envelope Measures
§2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(6): Loose fill insulation manufacturer's Labeled R -Value.
° §2-5352(c): Minimum wall insulation in framed walls R-1 I weighted average (does not apply to
exterior mass walls).
§2-5352(k): Slab edge insulation - water absorption rate no greater than 03%. want vapor
transmission rate no greater than 2.0 perntfuKh.
§2.5311: Insulation specified or installed mats California Energy Commission (CEC) quality
I standards. Indicate type and form.
§2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage -
b. Doors and windows certified.
c. Doors and windows wead+erstripped: all joints and penetrations caulked and sealed
§2-5352(e): Special infiltration barrier installed to comply with §2-5351 meetsCEC quality
standards.
§2-5352(d): Installation of Fueplaces
I. Masonry and factory -built fireplaces have
a. Tight fitting. closeable metal or glass door
b. Outside air intake with damper and control
e. Flue damper and control
! 2. No continuous burning gas pilots allowed
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2-5352(h) and 2-5315: Setback themasm- eo at1 applicable heating systems.
• §2.5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC.
i §2.5316(br Exhaust systems have damper controls.
§2-5314(c): Gas -fund space heating equipment has intermittent ignition devices.
62.5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC.
1 §2.5352(1): Water heater insulation blanket (R-12orgreater) or combined interiorkxterior
i insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.53 T 2(Excepaon 1): Pipe insulation on steam and steam condensate mum & recirculating
piping.
1 §2.5318(d): Swimming Pool Heating
I. 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 water inlet.
Lighting and Appliance Measures
§2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance spedfications needed to comply with
Title 24e Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article I of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purcimser of the building.
Designer
Nan=
Title/Fimt:
Address:
Telephone
Lic. 0:
(signature) (date)
Documentation Author
Name:
7 idc/F'um:
Address:
Building Owner
Name:
TitkJFum
Address:
Enforcement Agency
Name:
Agency:
Telephone:
V