HomeMy WebLinkAbout027-150-029u
027-15-0-029'• 92-3099 BPEM
GREEN, �Wi�lliam
! t William
60 Cn n' T,Yn '0rnv4_'11Q 77�
llew 5L a I
i2
027-15-0-029 93- 39 B
GREEN, WILLIAM
60 COCO LN, OROVILLE
.DECK/SF
u
Lo
4 RESIDENT11L
027-15-0-029 92-3099 BPEM
GREEN, William
60 Coco Ln, Oroville
new sf
J=OK
O = Not OK `
= of Readyable 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/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L -ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date --card-13-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s.
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 1
9. Exits; Insp.-Sketch
10. Cert. of Occupancy "
r
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card 8-1\!
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK 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- Bea ms- RItrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1 -
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability '
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL
' =
Date UbIDERFLOOR (Plans) OK except a's
1. Zoning -Setbacks -Easements -Flood -Slope
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab teel-Wrapped
8. ' rs-Fireplace Ftg.-Steel
D. ; Fall -Fitting -Test -2 Way C%O-Sewer Test
F. Gas Pipe; Size -Anchors - yard gas pips ize-test
11 er Pipe; -Anchor-Regulator-Service Test
12. Electric; Underground
13. Pienums-& Ducts; Clearance -Material -Support -Ins.
ers-Sills-Anchor Bolts -Joists -Vents -Cripples
L . Access & Ventilation
16. Ins ation
Dat d B-1 Date Card B-1
Date .� B-1 Date Card B-1
Datel PLU NG (Permit),OK except N's
. Water Htr.: Vent -Access -Combustion Air -Baffle
-------- ------ ----------------------------
17 ter Pipe; Test & Anchor -Nail Protection
-------- -------- --------------------------
D.W.V.; Test -Fittings & Anchor -Nail Protection
------------ -- ------------------
19. Shower Pan. Test. First Floor -Tub Access
------------------ ---------------------------
20. Te t Tub & Shower. Second Floor -Tub Access
------------ --- --
------_Gas Pipe: Size & Anchors
--- - - ----� ----------------------------
Date J �'�3Card B-1 Date Card B-1
----------- ----- --- -------------ard--------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
ixt re & Transformer Clearance -Ins. Protection
- - lec. Receptacles Spacing -Lights & Switches at Doors
-- --- - - -- - - ------------
�ize�Boxes & No. of Conductors -Stapled
---------v�lHo x Installed - Close to Edge of Studs & C.J------------------------
E p. Ground made 'up w/Mech. Fastners-Bond Gas & Water
----------------
--------------------------------------
------------ -- -------------------------------------------
-----
2 A-ppliance Circuts in Kitchen & Conductor Size/GFI
------------------------------------------- --------
28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! 1 ga.
Cu or AI
---------------------------------------
29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
I--.
sated Neutral ❑ Yes C1 No
- --------
---------------------------------------------------------------
Service-Riser Conductors & Ground -Main Disconnect
------ -- 4i Eq .p. Clearances Panels-Motors-Mech. Equip
-------- ----------------------------
CIo . es Closet Light
-Shower Light -Spa Light
-------------- - -------------
- - ---- - - --
Smoke Detector
--------------------------------------------------------------------- --
Date Card B-1 Date Card B-1
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except 4's
AA -ICC_
,, �-7�. Ducts Insulation & Support
Vent Fan Exhaust above insulation
- --- ------ -- ----------------------------
36. Condensate Dram & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb Air -Return V
Air ent-115 outlet
--------------------------------------------------------- -- -- - -
38 Attic Access & Platform if Furnance in Attic
---------------
------------------------------------------- ---------------------------------------
Date Card B-1 Date Card B-1
--------------------------------- -------------------------------
Date Card B-1 Date Card B-1
Date FRA NG (Plans) OK except N's
Si .Proper Material & Anchors
W IIs Studs -Nailing. Spacing & Bracing -Plates -Sound
---- ------------------------
------ - -----------------------
1 ring Walls over Girders & Floor Nailing
------------ - ---- ---------------
--------------- ---------------------------- --
Draft Stop in Walls (rat proof)
.._...--.-..._- - _ _ _ _ _ - - -- _ ----
3. i.e Stops: Furred Ceilings -Stairs -Chases -Tub
-- - - - - -----------------------
Headers & Beam -Size & Bearing
(Single & Duplex)
Date GAMING (Continued)
—_ �4�angers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
replace Ties or Type A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
---- _—B�dr�m. Windows or Exiting Doors -Sill Hgt. & Dimensions
s69' Garage Fire Protection Framing
61�--Pro�perty Line Firewall & Openings
- - -- WCjE t.. Doors -One 3' -Check Garage -3rd Story, 2 Exits
--- ----------------
_ �S�t�airs; Width -Headroom -Rise -Run -Landing -Fire Protection
($ 4' plywood on Roof Overhang -Attic Vents -Rafter Outriggers
---------
—Siding -Nailing Veneer
----------- ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
_ �_ zi Area -Glass Protection -Skylights- Plastic
- - hear Walls; Nailing -Bolts
--- - 59_ Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 - Date Card B-1
--- -
Date Date Card B-1
Date FINA Plans) OK except'li's
Ext. Steps -Door & Sidelight Protection -Landings
ke Detector
6 e: ents-Clearance-Comb. Air -Connector-
I rets' Above Floor-Ducts-Mech. Protection
4. Bed om Exiting
Bath Fixtures & Tub Access -Spa
Elec. T ' .& Subpanel: Breaker Sizes & Labels
---- -- ------ -
Slairs & Rails
or Stove: Clearances -Hearth
tlets at Wood Panel; Int. & Ext.
- 0. t & Appliance: Grnd.-Air Gap -Cooking Clearance
1. Elec tlets &Receptacles at Kit. Counter.
2. Garage Fire Door Swing -Landing -Closer
-----------
Duct in Garage -Damper
- 4. r. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In cage: Above Floor-Mech. Protection
lec: & Mech. Equip. Listed for Location
6. lec ceptacles in Garage: (G.F.I.)-Romex Protection
- - - n ion -Foam -Looked in Attic - - es
Guard -Rails & Deck -Const ruct ion- Post Caps
7 dn. Vents & Crawl Hole Door- Draina eq &gyp( -Earth
Clearance Looked under Floor es
...... --------------- ---------- --
owing instld.: Dr-_ve ❑ o; Walks ❑ Yes M_fT0:
Planters •❑ Yes LI-1Qo
- - - --- --- - ----- -------_^-----------------
cco: Brown -Finish
nit. Disconnect. Electrical, Plumbing
3. Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to
O Ings
Water If: Disconnect, Electrical, PI
�5 x�te ' lec. Trim: G.F.I.Receptacle-Underground
ilation Throughout House --------
---- - -------- ---- --------------
Glass Prot ction
_. - ------- -----------
8d Corrections from Previous Inspections
------ --------------
89. Test -Meters Tagged; Gas -Electric
- - - - - - - - #--------------
r & Sewer Connected -C/O to Grade -HD Approval
9Y. ergy Compliance Certificate -O-- tther Certificates
D Card B-1 Date Card B-1
Date Card-B_�- --- -- Date Card B-1
Date,- _ and 6-t D e Card B-1
Comments at Final:
----1--- ---------------------------_----
".
14I.IMIIF:R-AND STREET
SUBDIVISIOIJ
F;NrR('3Y 'CERTiFICA'TION
CI'rY
I)ESC:RT1''I'.TON OF INSULATION
COUNTY
LOT NUMBER
nairinini
ROOF
MATERTAI, _ _ __
BRAND NAME
TIIICKNESS l INC11F.S) _
_
THERMAL RES.
EXTERIOR WALL
MATERIAL.. TYPE Fiberglass
BRAND NAME CertainTeed
THICKNESS (INCHES)
THERMAL RES.
CEILING
BATT OR nLANI(ET TYPE Fiberglass
BRAND NAME CertainTeed
THICKNESS ( INCHES). _ oZ
THERMAL RES.
FTt.,L TYPE Fiberglass
_LOOSE
BRAND NAME InsulSafe ill.
TNIGKNE!; S f INCHES)
_THE RIM AC..RESi-� --
FLOOR, ELEVATED
MATERIAL. lberglmss_.
13RAIID NAME CertainTeed
T!I ICI(NES (I I1CNES )
_
'THERMAL RES. ��—
I:'LOOR, SLAT"
----- —
11ATERIAt_.__
BRAND NAIIE
f H ICKNF.S (INCITES) _
_
THERMAL RES.
WIDTH
—
_ _
rCuNDATION WALL _
MATERIAL
BRAND NAME
THICKNESS (INCHES)__
THERMAL RES. --
HEATINo SYSTEM
A I(E
MODEL
RATED 13011NET CAPACITY
_
DECLARATION
I HEREBY CERTIFY "THAT THE A110VE INSULATION Wks INGTALLED IN
THE BUILDI1113 AT THE ABOVE LOCATION IN CO!IFORHANCE WITH THE
CURRENT RP131ILA'TIONS SETTING ENERGY CONSERVATION STANDARDS
FOR NEW RESIDENTIAL BUILDINGS (LOCATED IN TITLE 24 OF i -HE
CALIFORNIA ADMIIIISTRATIVE CODE).
GENERAL CONTRACTOR / OWNER STATE CONTRACTOR'S L GEIISE�A0
S I191JATURE DATE
HAWKINS INDUSTRIES INC. 622184
F'IR NAME STATE CON'TRACTOR'S LICENSE N
SIrNATURE
DATE
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2', 51
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNn1 PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you a any questions pertaining to this matter, or need additional explanation,
please con is office immediately.
f
i
Date _� — Inspecto
REV 10/92
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
t 11 '7 1-!
OWNER r rcnm�� nv.
A routine inspection indicates that the following violations of Butte County Ordinances. exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation.
please -contact this office immediately.
n
Date �� ZInspector
REV 11/91
COUNTY OF BUTTE
10EPARTMEINT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 881-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone:. 872-6307
CORRECTION NOTICE
OWNER
- 30- '�' el
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.
Date 7 Inspector 4z
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965'- Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
- 3099
ASSESSOR PARCEL NUMBER
027-150-029
ZONING
A 5
BUILDING PERMIT
OWNER
WILLIAM C. GREEN
TELEPHONE
534-8421
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3575 GRUBBS RD OROVILLE
R
78,246
11127 M
200,016
CONTRACTOR'S NAME
OWNER
TELEPHONE
11'2 C
1.496
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation is
99,118.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
98597.50
$ 2.75
70 ..J
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ 20.00
Penalty
$
BUILDING 60 COCO ADDRESS
95966
Permit fee
PermitOROVILLE
$ 31.25
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
Q 1 5.00
Solar or heat pump water heater
91 20.00
LOT NO.
4
SUBDIVISION NAME
PARCEL MAP
97-79
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECT FY
Gas piping system 1 - 5 outlets
5.00 5,00
Building sewer
15.00
Mobile Home S I G W
015.00
TYPE OF WORK
New [J Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: 2 BDRM
Permit Fee
$ 4.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
El I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
nd Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A)
37.50
NEW CONST. DWELLING OCCUR.&) OR ADONS. ACC. BLDGS.
3.6asq.ft. 90,00
NEW CONSTR. ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS &)
SINGLE OUTLET CIR. /
Ex, Occu p�OUTLETS OR FIXTURES
20 76
LN
Ex. Occup. out OUTLETS( PIRESID,)REA.)
3.00
Temporary service
15.00 15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 138.50
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
Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 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
FiIingFee 15.00
Heating FURNACE
.00
9,000 BTU
Cooling EVAPORATIVE & DUCT
10.0 16.00
Hood
6.50 6.50
Ventilation
4.50 4..50
Permit Fee
$ 51.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabi ities, judgment costs, and exp nses which may in a way accrue
agai st a' unt in sequence of th granting of this pe
X Date ( L/
signature of Applicant - Owner ❑ Co rector ❑ Agent ❑ yy''
An OSHA permit is required for excavations over 5'0" e d mpu o co s ruct
ion of structures over 3 stories in height. �j Zpa)
Mobile Home Installation Fee S
Energy Inspection Fee $ 40.00
C
'�
CONST TYPE
v
TOTAL FEES 1254.75
HAz
01 IMP FL o
SD PAR
PD
ISV
This permit is hereby issued under
sions of the Butte Count Code and/or
work indicat b which fees
OF PUBLIC
PERM EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
���
D��
�
122971 PC 378.75 514
Receipt No. CA �� 13
WMIT!-D.P.W., YELLOW-A59CSSOR, LINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965•- Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
Z
ASSESSOR PARCEL NUMBER
—15-0 — 02
ZONING
.-s
BUILDING PERMIT
OWNER�����
�(;6LVA e `
TELEPHONE 21
g
S0. FT. OCC. BUILDING VALUATION
%�
ODES / , R*S MAILINGgM0695 ss RD. 07 .01 aS�f 6�
2 Lif
67
I2
CONTRACTOR'SNAME
ow ner�
TELEPHONE
z G
S
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUC TI OBJ LENDER
A10
UNKNOWN
Total Valuation $ 9 9 71
c3O
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ S -75
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ 2b. Of
Penalty
$
BUILDING ADD SS
G�
Permit fee
$ e25
PLUMBING PERMIT
Filing Fee 15.00
oU i.—
Each Trap
5.00 t90
Solar or heat pump water heater
20.00
LOT N
SUBDIVISION NAME
PARCEL MAP
f%—
Water piping
7.00 OO
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF �Duplex❑ Mobiiehome❑ Other
IIIIVV��T�, SPECIFY
Gas piping system 1 - 5 outlets
5.00 S
Building sewer
15.00 S
Mobile Home I S G W
@ 15.00
TYPE OF WORK
New (X Addition ❑ Remodel[] Utilities ❑ InInstallation[]Other ❑
Describe work: f3ETI/c //�� OM _
Permit Fee
$ CTO
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
1 18.50 S
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my- license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000A)
37.50
NEW CONST./ DWELLING OCCUP.&)
OR ADDNS. 1 ACC. BLDGS.
3.60sq.ft.
NEW CONSTR ULT LOUT LET
NON.RESID BRANCH CIRC ITS I
@ 5.00
(POWER APPARATUS R1
SINGLE OUTLET CIR. /
EX. Occup OUTLETS OR FIXTURES
76d
20FIXED
APPLNS.
EX. Occup. OUTLETS IIRESID )REA.)
I 3.00
Temporary service
15.00 S�
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 139.5v
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
❑ 'I -have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating t—U(?AlAC.L
OO
O [3 1 U
Coolin 9Ufi/�OP!�%�U�l-�(,L16
C70
Hood
6.50 $Z>
Ventilation
[�5"D 5O -
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 accrueHAz
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHAwork
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 S
Energy Inspection Fee $ a�
OCC
I CONST TYPE
TOTAL FEE $ f ss
1 0FEE5 I
IMP TjL00D CDF
I PARC
D
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. IZZ971 PC -3 25
WHITE-D.P.W.. YELLOW-ASSEeeOK. PINK -INSPECTOR. GOLDENROD -APPLICANT
t
.'4�r'w'Y-.. y,i•.�.+-ti.. y,Y-•�rl:'�ir; j.y .,_Tv� �l'"I�Yy.r .v4v�t�i{(�-„�''ry...'f'i%: Vr��/+l�'t�`�i••y.�,.��.•{�'���.-.�.r"u�L*�,.`¢'�%�tii•.-1�i.v7�Y �['•IY�J'r'T"'.':`v"�'1,, .,.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER ( NjCtVVV_
Proposed Building Use
Building Inspector
P. No. Z-%-ISO-OZ9
Date 2- 2
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All itemsee been submitted . ..................................... .
2. Plot plan /4 sets, signed by preparer of plans . .......................... ?LLtfL`�
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ................. .
7. Statement of Intent for Non -Heated and Ings. ......................
OeW 8. Engineered truss details and layout i(C Tienrequired prior to plan check). ....
9. Mobilehom n"nanufacturer's installation instructions, 2 sets. .
1 Fees of $ Z 2
1 Impact fees as shown on attached schedul ......... U 't
12. Calif rnia Department of Forestry plan approval/fees. ........................
lood elevation letter (100 year flood) k�y�alifornia Engineer. ...........::
a - t77� .... Xrli
Sanitation and plot plan approval Health Department. .....:... .
15. City of Chico plumbing permit. ....... .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: I . ....... .
Contact Land Development about (A) Improvements (B) Drainage. .
19. Driveway permit (construction approval required prior to occupancy). .. .. .... Z 92J
20. Pre -inspection for to P' -'"spin" re ctquest
for
required. . . Building``'°Inspeor (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance. .
23. Owner -Builder Verification (Given to owner Mail to owner _). ..... d
24. Recorded copy of Agricultural Acknowledgement Statement . ................. .
25. Letter of signature authorization .........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34. 07
Whe of issue the permit, rocess as follows: Mail to owner
Telephone S3 - Z ( and hold for pickup at
Other
Parcel Creation
Acreage Applicant
Mail to contractor.
_ office. Deliver with in
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. �_ Other Date _
The following data must be submitted p
1. Index permit for above items No.
2. Additional items required:
uan(k.-*cle new item not checked above).
Date
spector.
By
Contractcr, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was adpe of above required data by _phone _mail Count�ef by _Date
Plans checked by /< Date 9 -/¢-Jnr Plans approved by K Date �vz2'-g7
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Encroachment Permit Section
- RE: Driveway Clearance
(!e jferz
owner
location
27-
AP #
Driveway permit 4o �ei"�rt��7� has been issued for the above property.
yz
si ature date
T11.11. 1Ish ()\I.Y
Plot Ilan A1luahed —/
Flour Ilun Alu(ehed
Sent to II.U.-`---®%-2
TO: Building Department
FROM: L-nvironmcntal Health
SUBJECT: Sanitation Clearance
C -k <- V / & C%; Co k �, -%0
Owner Location AP#
Plan Approved for: Sews+,e Disposal Water Supply: I'ublic Private Well A
Clearance for -2— bedroom I home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist ., Date
8/92
COUNTY OF BUTTE - DEPARTMT OF PUBLIC WORKS - BUILDING DMSION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER M H (A VV , N I��� (/� A.P. NO . 2-7 SCS ' V /
PROPOSED BUILDING USE - ►', 2 6�r/` DATE
&/l . School Distridt Fees CRO U/()10./(/
(paid at District Office)
2. Sheriff Fees
(paid at Building Department)
Residential .......... X
unit amt.CJ =$�
Commercial(per.sq.ft.) R =$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) R =$
# units amt.
Commerical(per sq.ft.) % _$,
sq.ft. amt.
4. Recreation District Fees
(paid at District Office) ..........................
5. Drainage District Fees
(Contact Land Development) .........................
6. Other
7. Other
REC. # DATE REC
Wig /92
12 S 8Gq 2919-z
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT DATE / v
92-039357 92-039367 92-039367
Pile -
� 1 Cain N5c 00
:Recci�rd�i �' • �
County jai
Butte �.
Candace J*. Grubba .!
Rodordgx . 1
3 -Sep -92 t PU$L X
7
-ur ,i to DPW AGRICULTURAL STATETTMT OF ACKN01WLEDGE,`MN`T
FOR RESIDENTIAL DEVELOPi% NT
Sect: +n 26-8.1 of the Butte County Code
Jequ res this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent
to land or included within an area zoned
SEP 1 1992
for agricultural purposes, and residents
of this property may be subject to incon-
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
92-039367
and fertilizers; and from the pursuit
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
Butte Countv has established agricul-
tural zones which have as a priority use for productive
agricultural purposes, and residents
within said zones and on adjacent .property should be
prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows:
)'-I t 0 EFS aE--Eit-
7 r
i FAVe-79
Date: - 3
State of t )
County of
COUNT! OF BUTTE
BUILDING DEPT
SEP 0 2 1992
On this the
SS. undersigned Notary
PROPERTY OWNERS:
day of 11,I& 1AL
before me, the
Public, peri nally appeared
PPl' i I E, / 6 r'nr' S
C,/W, s iA/,yE /'7W /IVEs
Personally known to me. Proved to me on the basis
aE•� OrflUALSM of satisfactory evidence.
M LANDERS o be the person(s) whose name(s)
NOTARYYF011^.CALIFOANIA ubscribed to the within instrument and acknowledged that h C�L_
BUTTE COUNTY secuted the same for the purposes therein contained. IN �IITNESS
►avCoars!xiIXP"twSEr"!E�1rA221936 EREOF, I hereunto set my hand and official seal.
r
Present A.P. ,,
Notary Public _
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to .avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction o.f
the proposed property improvement yes or no)
2. I ave 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 Ovide the major work:
Name
Address
Phone Contractors License No.
City
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
Signed:
Property Owner,
Social S itty Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
. 19832 of. the California -Health and .Safety Code. -
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
OWNER �5p—EE.N
GENERAL
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
8/91
Bldg. Permit # q2- 3099
A.P. # 2-7 - 1 s - z.9
Plan Checker v-/¢-9?�-
/�B N g�
1. ni
v
ng requirements: e;ards and number of permitted living units).
. Valuation.
&!.Rlans signed by designer.
Proper description of work on application.
'rte-- Ez�-ting violations on property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
-7- eLrorded notice of violation.
PLOT eeG V
P .Complete parcel size and dimensions.
2— Setbacks, sideyards, easements, etc.
cher buildings or structures.
4 Grading, fills, drainage.
54`�'Flood hazard.
q-30' 7�
Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
7. FAU & FAS road setback.
Building or utilities across lot lines (Record form).
FL00 , PLAN
P
lete to scale plan with dimensions.
uired windows for light and ventilation (Sec. 1205).
uired windows for second exit (Sec. 1204).
lights (Chapter 34 & Sec. 5207).
V.Z uman impact glass (Sec. 5406).
equired room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
ight fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
9 Lo ations of water heater, heating and cooling equipment, other electrical
gas equipment.
1 Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 1' 3'0" exterior exit door (sec. 3304 (f).
ace ood stove location, alcoves, and clearance.
1Smoke detectors (Sec. 1210).
1 Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
d� Standard bracing or engineered design (Table 25V)
" u5�31 shape, size, or split level house requiring lateral design.
-3-- erestory requiring balloon framing and/or engineering.
• rr-ee—vt6ry building requiring engineered calculations and plans.
mandation plan complete enough to construct building.
6r oor construction details complete enough to construct building.
�/ Elevations and wall construction details complete enough to construct
j�R000ffconstruction details complete enough to
-9 lace construction details and talcs if
1 Rafter ties or bearing ridge beam.
111. image door or porch header sizes.
1 Stud heights.
311 Adobe soils - special foundation design.
1 Retaining walls requiring design.
. Special Inspection required.
y
construct building.
necessary.
building
8/91
RESIDENTIAL PLAN CHECKING GUIDE
M
�ISC
CEELLANEOUS ITEMS TO LOOK OUT FOR
161 Stairway details: , landings, rise and run, head clearance, handrails
eC 3306) .
ardrail details (Sec. 1711 & 3306(j).
Y_X_!�Cer�ior
or stone veneer (Chapter 30).
plaster - weep screeds (Sec. 4706).
;.��Roof
�oper roof pitch for roof convening (Chapter 32).
covering type - (fire hazard).
sulation - protection.
•
8 36" halls and stairways.
9.—Uving-azea-over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
1 three-story dwellings (sec. 3303 & see Mezannines - 1716).
11A"-je access and ventilation (Sec. 3205).
1 . derf loor access and ventilation (Sec. 2516).
1 Combustion air for fuel burning appliances - L.P.G. requirements.
rements on duplexes.
1 ergy design.
1 . Flashing at all exterior openings.
17 -EDF -responsible area requirements.
slM+w—
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building) . `, , . •- r O � � _ /"��/�
School. District ORD, UAJ I UA) f -/t 61:1 Building Department No.
A.F. Number 27- /SO - 02 9 Jurisdiction .;, City [County
Property Owner , I (� 1 -CK 0A G c
Prcperty Location/Address C) t -/V I �t Q
Subdivison Lot No.
Residential Development
Commercial/Industrial
*
Bu [ding Department
0
No. off Living MHI
Units
Plans
Sq. Footage 'A
Addition (Group R)
0 Sq. Footage
New Addition (Including Exterior
Roofed Areasp
hool District Personnel)
Date
t: 930558
ict Identifi 1. ation No.
L �l h •'ol District certifies that ` M'
(Ciy) (State) (Zip Code)
has complied with the requirements of Resolution No. _ � " �L� by payment of $ C
representing square feet.
School District Representative Date
Paid by Check Number / Remarks: l� 66J4QU�-7CJ SCJ C!"C'
Bank Number Q ,
Paid by Cash
If, Subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to�
additional school fees to fully mitigate its impact on the school districts schools.
r
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/'�4
- f
S r
N
ry
92-39367 �'�
Rec Fee 5.00
Cash 5.00
PUBL X .1
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows:
Ts+ / 0 ( Cx; 45( —1
c&v,Ay Clgu-fi_�,.s+AE 6C C4h6l? 4 , bee
Date: 1, 3 % /
State of0 /ir )
��//_ ) SS.
County of AGi7T�' )
On this the 31
undersigned Notary
PROPERTY OWNERS:
day of (la/,1"I'd_,L 19:_:2f2L1 before me, the
Public, per � nally appeared
( .P_o.i l F. �61nP 5
C'f{/2l S 7-A i X/e lei`AiNEs
& .•i i i 1 Personally known to me. 1:1 Proved to me on the basis
1 END OF DOCUMENT
or�ic�LsFAL of satisfactory evidence.
IDWCOWWONUPMESSEFTEWEM1995
M,LANDERS o be the persons) whose name(s) j -)NOTA�iYFUDLiGCALIFOANIA ubscribed to the within instrument and acknowledged that
B�i'6iECOlJiVTY xecuted the same for the purposes therein contained. IN WITNESS
EREOF, I hereunto set my hand and official seal.
Present A.P. No.bZ7-(�0
Return to DPW AGRICULTURAL STATEMENT OF ACQNOWLEDGEM NT
FOR RESIDEANTIAL DEVELOPM XT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
92-0393671
The property described herein is adjacent
to land or included within an area zoned
I
for agricultural purposes, and residents
Recorded I
of this property may be subject to incon-
Official Recorde 1
veniences or discomfort arising from the
County of I
use of agricultural chemicals, including,
Butte I
but not limited to herbicides, pesticides,
Candace J. Grubbs 1
and fertilizers; and from the pursuit
Recorder I
of agricultural operations including,
12:16pm 1 -Sep -92 I
92-39367 �'�
Rec Fee 5.00
Cash 5.00
PUBL X .1
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows:
Ts+ / 0 ( Cx; 45( —1
c&v,Ay Clgu-fi_�,.s+AE 6C C4h6l? 4 , bee
Date: 1, 3 % /
State of0 /ir )
��//_ ) SS.
County of AGi7T�' )
On this the 31
undersigned Notary
PROPERTY OWNERS:
day of (la/,1"I'd_,L 19:_:2f2L1 before me, the
Public, per � nally appeared
( .P_o.i l F. �61nP 5
C'f{/2l S 7-A i X/e lei`AiNEs
& .•i i i 1 Personally known to me. 1:1 Proved to me on the basis
1 END OF DOCUMENT
or�ic�LsFAL of satisfactory evidence.
IDWCOWWONUPMESSEFTEWEM1995
M,LANDERS o be the persons) whose name(s) j -)NOTA�iYFUDLiGCALIFOANIA ubscribed to the within instrument and acknowledged that
B�i'6iECOlJiVTY xecuted the same for the purposes therein contained. IN WITNESS
EREOF, I hereunto set my hand and official seal.
Present A.P. No.bZ7-(�0
'O�`�-Oad
Notary Public
-k
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RPlal-DENTIAL
027-15-0_029
GREEN, WILLIAM 93-2339 B-�
60 COCO LN, OROVILLE
DECK/SF
q Z-- "
V=OK
O=Not OK
= Not Reeaadyable MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearencea-Grnd-/ /Amp -Concrete
8. Gas; Location -Teat -Wrap: / P'Vft.
/ /"Net. or/ P L" ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
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
8. 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
MISCELLANEOUS
Date/Initial DEeKS, COVERS CARPORTS GARAGES Plana OK except #'a
1.-Zadfng Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists-Decking:Bracing-Stairs-Rails
4. Wood Awn.; Posta-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
B. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nall I ng -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials 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
S. Elec.; Pool Lighting; 15 volts-GFI
8. 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 Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK a
O = Not OK
- = Not Applicable RESIDENTIAL
= Not Ready
Date/Initials UNDERFLOOR (Plans) OK except #'s
1., Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg:, Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Materiel -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17, Water Pipe; Test & Anchor -Neil Protection
18. D.W.V.; Test -Fittings & Anchor-Naii Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. 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 Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral O Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Wells over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Single & Duplex)
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brec-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Wells; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
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 -Lending -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic O Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instld.; Drive ❑ Yes O No; Walks 13 Yes 13 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
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califdrnia 95965 - Teleph ( ► 538-7541 PERM
APPLICATION AND PERMI 93-2339 IT N
ASSESSOR PARCEL NUMBER
027-150-029
ZONING
A5
UILDING PERMIT
OWNER
WILLIAM GREEN
TELEPHONE
534-8421
SO. FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3575 GRUBBS RD OROVILLE 95966
104 0 728
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
21.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 60 COCO T.N. OROVITLE
PERMIT FEE $
64.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7,00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex ❑ Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition INX Remodel IDUtilities ❑ Installation ❑ Other O
Describe Work: DECK FRONT & REAR
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 1 BOOV OR LESS 1 23.00
2OOA OR LESS
Main Service ( 200A TO 1000A 1
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. 1
3.50 g0, FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
ofessions Code and my license is in full force and effect.
ense No. Classification
/1,s the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS 1
@7.50
POWER APPARATUS 1
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES 1
20 @ 1.00
BAL. @ .60
Ex. Occup. FIXED AP"S. OR
p• ( OUTLETS IRESID.1 EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
ZeIlding Division a Certificate of Workmen's Compensation Insurance or a
rtificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE S
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
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, cost and expenses which may in any way acc ue a ainst said
County in co s quence o e granting of this permit.
X Date
SigkaAfre of Applicant Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" del and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 64.00
HAZ. IMP
FLOOD CDF ARCEL PD
1711/1
HD ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
DIRECT
By
PERMIT EXPIRES ON
provisions
to do work
paid.
RKSt�
Date s�
g
ReceiptNo. 143702
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,. rF�;.tY �t - :�.^",,"'�i•'e:'e`irYt"p,�-�«.y i,t"`' J"+7�`'1'Y'i"'!A"''�..,','+
COUNTYOF BUTTE - DEPARTMENTOF 6MENTS C -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - LEPHO E (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER ffV #11111V i_/"&env A. P. No.
Proposed Building Use Building Inspector AD Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
' 2. Plot plans,,*4 sets, signed by preparer of plans . ..........................
3_ Complete pans, 3/4 sets, signed by preparer of plans.
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry pian approval/fees. ....................... .
k,13. Flood elevation letter (100 year floo5 by California Engineer. ...... .
14. Sanitation and plot plan approval e -Aa Health Department. �D 3
15. City of Chico plumbing permit. ........
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .
20. Pre -inspection for required. .. e�°�d a o�eao� (Date
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization. ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use. ........ ` ............................... .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits. ......................................
32. Plan check I,jn�t n ......... / n /
SRA Me KCu;e�,� `jcK}' /51q� I°(e�urKr-d'
3a. .
Whenou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone S and hold for pickup at-�C/�T/ office. Deliver with inspector.
Other T . _ A
Parcel Creation
Acreage Applicant
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone -mail C unter by _ Date
Plans checked by Date Plans approved by Date Z �__?
L ,� Sets of plans d in <15U Qal5imet AP fun
Copy - Department of Public Works
TO:
FROM:
SUBJECT:
2 -
Building Department
Environmental Health
Sanitation Clearance
oour4ry
Bu"b'IYG ospT�E
`AUL 2 0 1993
Ilot Plan Attuched
Vlour flan AUuched�
Sent to ILU, I
W A(I Qv!l CIre 6O l a c� L e�7- %�"o�
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: n Public Private Well
P hom (hcr �roti1' QQ
AC,r
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Heal(h\Specialist
8/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
C� a -7 Cha
��SO —
ZONWG
A--5-
BUILDING PERMIT
OWNER re a
v
.?3 TELEPHONE Z
g
SQ. FT. OCC. BUIL�D7ING.VALUATION
OWNER'S MAILING ADDRESS /�
%S C- / Q 5 b
CONTRACTOR'STELEPHONE
(MAILING /ADDRESS
CONTRACTOR'S
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filling Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
2 /. a2 ---
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
?, 3 • m
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS/
PERMIT FEE $
Q—
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'SNAME
PARCELMAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
0�SDuplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
20.00
' TYPE OF WORK
Additio O Remodel ❑ Utilities ❑ Installation Other ❑
,�O*-$
/
Describe Wo �Ci� f (,DV`� N �{�Q)�
PERMIT FEE
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ' BooV OR LESS )
200A OR LESS
23.00
Main Service , 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. / & ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI.OUTLET
•NON-RESID. BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
@1000
e20AL. .
Ex. Occu FIXED APPLNS. OR
p' ( OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20,00
Misc. Wiring
23,00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree. to save, indemnify and keep harmless the County of Butte against all
st id
liabilities, judgments, costs, and expenses which may in any way �7;�
County in consequence of the granting of this permit. X Date
Signature of Applicant - C)Owner O Contractor ❑ Agent
An OSHA permit ,is required for excavations over. 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEES
HAZ.
D: FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
PERMITEXPIRES ON
!Dere/
/L/2'
Receipt No. 7,-)76,Z
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r>
r�
OWNER
COUNTY OF BUTTE - DEPARTMENT OF DEVEL0PMENT SERVICES - BUILDING DIVISION
7 COUNTY.CENTER DRIVE, OROVILLE CA 9596.5-- TELEPHONE (916) 538-7541.
PROPOSED BUILDING USE P,
1. SCHOOL'DISTRICT FEES
(paid at District Office) .........................
2. SHERIFF FEES
(paid. at Building Department)
Residential...... ux =$
nit 'amt.
Commercial (sqft) x =$
:sq.ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office) .........................
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
Z6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00......
(paid at Building Department`
DATE
REC. # ATE R C
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANTA. U/ Y V
DATE // /�
COUNTY OF BUTTE - Department of Public Works
7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to.provide the major labor an mTerials 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 wo .
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 Lidense 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
Signed:
Property Owner
Social Sec r' umber
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must.be completed and returned to our office before we are per-
mitted to issue the permit.
f i lY TFns set of plans b
V P kept on the jo tall time
make any c nges or altera
written Permission from the I
Works, County of Butte.
9a • 1r/
ALL STRUCTURES AND EQUIPMENT INCLUDING
OVERHANGS SHALL BE Ct EAR OF ALL EASE?AENTS.
A SET BACK OF - . FROM THE SIDE AND
,S- FT. FROM THE R R PROPERTY L1 NES AND
FT. FROM THE RO eeiffERapirCe"All OF
CLEAR OF MUCTURES AND EQUIPMEI EPT
FCS A 2 FT. EAVE OVERHANG.
P64imli/ �01-
R-OtA � 449-
ions MUST bb
is.unlawful to
same without
nt of Public
so,
NOTE: ---All Materials & Workmanshlp Steell 8e-16
Apco'rdance with Recognized Good Practices and
I of a quality prescribed for the Specified use in the
I Uniform Building;' Plumbing & Mechanical Codes and
'the National Electrical Code.
Z? -1570- OZ 7
e.The attached Fire Safe
requirements must be compfei6d
as specified and approved
by C.D.F.
lud F4d
APPROVED
Butte County
ronmental Health
cnvironrrein,., .: �:,� BUTTE GOWITY
JUL 15 1993 BUILDING DEPARTMENT.'
Oroville, California A r P R O V E
9=Zci�
� 32
i9a0y/
M',
REVIEWED By
BUTTE CO. FIRE DEF
CALIF. DEPT. of FORESTAY
0 approved as submitted
approved with conditions
per attached ' eet. Z�zT
Date
signature
The attached Fire Safe
requirements must be completed
as specified and Approved
by C.D.F.
BUTTE COUNT'
BUILDING. DEPARTMENT:
T-1
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D 2-i �D D 2 ATTACHMENT 1
—f
i 9 w,
AP # PERMIT # N E
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this
permit. These requirements are minimums and will be superseded by
Butte County local regulations which equal or exceed these standards.
Field inspections will be made by the Butte County Building Department
for compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued availabK-
ity, access and utilization of the defensible space
provided for in these standards, annual maintenance must
be provided for by the land owner.
Driveway Standards
Q�] 1273.02
Surface. All driveway surfaces and structures (bridges,
1273.07
culverts and other appurtenant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, including
sedans and fire apparatus weighing up to 40,000 pounds.
1273.03
Grade. Not to exceed 16 percent unless paved.
1273.04
Driveway Radius.
�1 N
1. No roadway shall have a horizontal inside radius or
curvature of less than 50 feet and additional surface
width of 4 feet shall be added to curves of 50-100
feet radius; 2 feet to those from 100-200 feet.
]
2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet
long with a minimum 25 foot taper on each end.
r\j 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic land and unobstructed vertical clearance of 15
feet along its entire length.
BUTTE COUNTY
13UILOING DEPARTMENT
A P P R 0 V. -ED
D Z?-rS -D2�j V
- 2 -
01] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more than
400 feet apart.
(V] 1273.10 Turnaround.
A
turnaround
shall be provided at all
/ building sites
on
driveways over 300 feet in length and
shall be within
50
feet of the
building.
1273.11 Gates.
[ 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
N11-
2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic land
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
1 1. All parcels 1 acre and larger shall provide a minimum
30 foot setback for buildings and accessory buildings
from all property lines and/or the center of the
road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
( 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable vegeta-
tion and fuels caused by site development and construc-
tion, road and driveway construction and fuel modifica-
tion shall be completed prior to completion of road
construction or final inspection of a building permit.
o z7 —/ S-- o Z9
Other Requirements
-Z1 q 3
Date
- 3 -
�iQ C/C�iLt/
Signature
-5 _7 ��
Certificate of Compliance: Residential Climate Zone 11
�12CE?�J
Project Title
4660 CCD Ca LN
Project Addrm
92 - 3v92_
BuadizMPamit#
tc-
Checked By / Date
Fidbrowwrit Agency Use Only
BUILDING DATA
Glass Area
Areeaa % Glass
North ?�
Glass Type Interior Exterior Overhang
Conditioned Floor Area Number of Stories
East Z*(w
5X7
(sf)
Slab/Raised Floor =Is Number of .Units
South 4-91
North ( )
AmSingleFamily Detached (SED)AdditionAlone
W 3.0
Air L.
Single Family Attached (SFA) [ ] Existing Building
Skylight 46P
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition
Total
BUU,DING SHELL INSULATION
Component Insulation LocafforvCaomments
Type R -Value (antic, to affine. Sy al, etc.)
Wall ..............
Wall. ..........
Roof ............. Q 3g
Roof .............
Floor...'. ........
Floor .............
Slab Edge .....
GLAZING Shading Devices
Glazing
Area
Glass Type Interior Exterior Overhang
Framing Type
Orientation
(sf)
(single. double) (soUer blind. etc.) (du descreen, etc) (yeelhto)
(metal/wood)
North ( )
10
DSL,.
Air L.
North ( )
East
East ( )
South ( )
��—
South ( )
West ( )
West ( )
Skylight.......
THERMAL MASS
Type/Covering
Area Thickness
_
(slab/exposed, tile. etc.)
(sf) - (inches) Location/Description (kitchen. bath, etc:)
HVAC SYSTEMS Minimum Duct
Type (fumace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner, hestptlmp) (SE, SEER,HSPF) (atticUt1t)�►
, etc.) R -Value (Btuh) (or a>�d,el]Uall___
_—
/— u Q v�tr a s G W�/IVI\ 1)
� � nceenrn,�t-'t►r,
Maximum Furnace Heating Output: Btuh '
HOT WATER SYSTEMS Tank Manufacturer/Model #
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject io the Sond%nU mutt c4mWn three ttwam reyrtardtea of the cornpliw=
approach used. Items marked with an asterisk (•) may be superseded by mine suringan compliance requutments fisted
on the certificate of compliance. When this checklist is incorporated into the Permit doettrrteruts, she k -owes noted at -u
be considered by all parties as binding minimum component performance specifications for the mardatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCIUMON DESIGNER ENFORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
62.5352(br Loose fall insulation manufacturer's labeled R -Value.
• 62-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
12.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor
transmission rate no greeter than 2.0 pemV=h.
§2-5311: Insulation specified or installed meets California Entergy Commission (CF-(:) quality
standards. Indicate type and form.
§2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
12.5317: Infiltration/Exfiltration Controls
L Doors and windows between conditioned and unconditioned spaces designed to limit a-tr
leakage.
b. Doors and windows certified.
c. Doors and windows wealMrstripped: all joints and penetrations caulked and sealed
§2-53352( Special infiltration barrier installed to comply with 12-5351 meets CEC quality
12-5352(d): Installation of Fireplace
I. Masonry and fatxory-built fireplaces have
a. Tight fitting. closeable metal or glass door
b. outside air intake with damper and control
c. Flue damper and control
2. No continuous bunting gm pilots allowed.
HVAC and Plumbing System Measures
12-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
62-5352(h) and 2-5315: Setback thermostat on all applicable heating systema.
• §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC.
12-5316(b): Exhaust systems have damper controls.
62-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
12-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
12-5352(i): Water heater insulation blanket (R-12 or greater) orcombined interior/exlerior
insulation (R-16 or greeter). rust 5 feet of pipes closest to tank insulated (R-3 or greater).
12.5312(Exception 1): Pipe insulation on steam and steam condensate return k recirculating
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 water inlet.
Lighting and Appliance Measures
12=5352(j): Lighting - 25 lumerWwatt or greater for general lighting in kitchens and bathrooms.
12-5314(e): Gas fired appliances equipped with intermittent ignition devices. _
12-5314(x): Refrigerators• refrigerator -freezers, freezers and fluorescent lamp ballasts eenified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of complianoe lists the building feah= ndperformance specifications needed to Comply with
Title 24.,C hapter 2-53 and Title 20. Q=pw2. Subdu#er4. Article 1 of the California Administrative code. This _
Cemficate 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 ptudmwr of the building,
i Designer
None ' -
rwc/FWW
Address:
Telephone
tic. #:
(signature) (dace)
Documentation Author
Titk/Firm:
Address:
Building Owner -
Name
TitkJFimt:
Address:
Telephone
(signature) (date)
Enforcement Agency
None:
Agenry:
Tekphonc
i. Ceiling Insulation
U -value
0.50
-176
Number of stories
-54
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
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
:. Wall Insulation
. Raised Floor insulation
Insulation in Floor
Number of stories
R -value One Two Three
R-0
Single-
Single -
-5
R-11
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
-95.
-46 ..
30
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
. Raised Floor insulation
Insulation in Floor
Number of stories
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
8 4
.40
less
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 Crawlspace
-9
-2
Number of stories
-13
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
'.4
3
R-11
-2
.2
-2
R-19
-1
-2
- -2
Slab Edge Insulation
23
-40
-
Number of Stories
2
R -value
One
Two
Three
' R-0
0
0
0
R-5
8
5'
2
R-7
8
6
3
F2 factor
0.90
-4
-3 .1
0.80
-1
.1 0
0.70
Percent
East
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
S. Inriltration (Air Leakage)
Specification - PMntc,
Starbard 0
6. Class Heat Loss
Total
-14
-12
-48
-42
39•
-59
-64
-55-
U -value
%Glass
Percent
East
South
.51 to
Alto
.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
t
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)
EBeetive Percent Class
(percent :last x SC)
Effective
-14
-12
-48
-42
39•
-59
-64
-55-
na
na
%Glass
North
East
South
West
Skylight
18
5
1
4
1
na
16
4
2
5
1
na
14
4
2
5
1
na
123
-1
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
r-
3
4
2
3
5
1
2
4
2
3
4
0
2
3
1
3•
3
0
1
2
1
3-
5
7
7
8
3.0
1
1
-1
-1
1
-1
3.5
0
-1
•2
-4
.2
10
na = not allowed
3
6
8
9
1B. Shading (Shade Closed)
Eftadve Percent Cissa
(lit itlam x SC1
Effeclin
Nw6 Esq South West Sitylot
18
16
-14
-12
-48
-42
39•
-59
-64
-55-
na
na
14
12
-10
-8
-35
-29
-50
-40
-46
-37
na
na
11
10
-7
-6
-26
-23
.36
-31
-33
. -29
na
-74
911
8
-5
-5
-20
-17
-27
-23
-25
-21•.
-65
-56
7
6
-4
-3
-14
-11
-19
-15
-18
-14
-47
-38
5
4
-1
.9
-6
-11
-8
-10
-7
.30
-23
3
2
0
1
-4
J1-
-5
.2
-4
'_-1
-16
9
0
0
2
3
4
3
-2
na . not allowed
9. Interior Thermal Mass
Interior
S, le .
Stab Floor
Raised Floor
Macs
Family
Stories
Multi
Stories
Detectied
/CFA
One
Two
Three
0
Two
Three
0.0
-8
3
-4
,
-1
.1
0.1
-8
-5
-3
_2
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
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10 •-
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
'13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Wall
S, le .
S4191e-
Sum of 14
46 to
Family
Family
Multi
Mass
Detectied
Atmched
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
200
10
11
13
11. Heating System
SE or HSPF
(assumes duets In aerie)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6. 5 4 3 2' 2
12. Cooling Systgn
SEER
(assume; ducts In attic)
Sim of 7-10
-25 or -24 to
14 to
Sum of 14
46 to
16 or
SEER
less
-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
-
Is --, 15
-or
13
11
8
3
2
- E..Is--
fective SE HSPF
10
9
(SE or
HSPF x dud efficiency)
-
Effective -250r-2410 -141110
-4 to 46 b 16 or
SE HSPF less
-15 -6
+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
-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
e
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
12. Cooling Systgn
SEER
(assume; ducts In attic)
Sim of 7-10
Zonal Control A Justment
10 8 7 6 4 3
No Cooling Systei i Installed
-Stories
-25 or -24 to
14 to
•410
46 to
16 or
SEER
less
-15
r.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
95
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
0
ERadve SEER
HWR
-18
-12
(SEER
xduet eff clency)
-6-
WSB..
.25
Sime of 7-10
-12
-10
Effectiire-25 or
,24 to
-141*
-4b
+6 b
16 or
SEER
less
-15
-6
+S
+15
more
5.0
30
-25
•21
-17
-13
-9
6.0
-12
-11
-9
-7
3
-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
120
30
26
22
18
14
9
13.0
33
29
24
20
15
10
Zonal Control A Justment
10 8 7 6 4 3
No Cooling Systei i Installed
-Stories
SCORE CARD
One, -5
-4
-4
1.
-2
-2
Two + 3
3
Interior Mass/CFA
2
2
1'
Wall Insulation
i or
Single -Family *13ched and
Attached
3.
Raised Floor Insulation
t
Unit Size iso
-1200
Water
:i99
'1700
2200.
2700
Heater Credit
or
-i b
b .
to
• or.
Type Type
less. ..11699
2199
2699
more .
SG None
0
1' 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
HWR
-18
-12
-9
-7
-6-
WSB..
.25
-16
-12
-10
-8 -
POU
-18
__._-12
-9
_-7
.6
IG None"
-5
-3
.2
-2
-2
Solar
7.
5
4
3
2,
POU
3
2_
1
1
1
IE None
-28
-19-
44
-11
-9
Solar
8
5
4
3
3
POU
-10
-6
-5
-4
3
Multi-Famiry
(individual upnits)
-
4.6
4.8
Is
5.2
5.4
Water
699
700
1200
1700
2200
Heater Credit
or
b
b
b
or
Type Typo
less
1199
1699
2199
mixt
SG None
0
0
0
0
0
or Solar
14
7
5
4
3
HP HWR
9
5
3
2
2
WSB
9
4
3
2
2
POU
9
5
3
2
2
SE None
45
-23
-15
.11
.9
Solar
2
1
1
0
0
HWR
-23
•12
-8
-6.
-5
WSB
-25
-13
•8
-6
-5
4.3
4.5
4.7
4.9
5.1
IG None ..
-8
; -4
.3
-2
-2
Solar..
6
3
2
1'
1
POU_,_
.1_
0
0,
0
0
IE None
-30
-15
_
-10
-8
-6
Solar
18
9
6
4
4
POU
-8
-4
.3
.2
.2.
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1.
Ceiling Insulation
"t or
Interior Mass/CFA
R-valu [38]
U -value [0.030]
2.
Wall Insulation
i or
R.value 1 i]
U -value [0.0981
3.
Raised Floor Insulation
Iq or
R -value [ 19]
p;
4.
Slab Edge Insulation
or
R -value [0]
F2 factor [0.77]
S.
Infiltration
Standard
6.
Glass Heat Loss
VIZ100,
t nn r iu�st
r►'V.stpcet'blel.bl
Type [double]
U -value [0.65] 96 Total Glass [ 161
t TYPE
I
.�
LUSS
(OIMC & 4.2.
Les
exposed
slab)
0%
5%
10%
15%
20%
2S%
30%
35%
40%
45%
50%
55%
60%
Oft
70%
75%
80%
6S%
90%
95%
100% 105% 110% 115% 120% 125`
0%
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
21
23
2.5
2.7
29
32
3.4
3.6
-3.8
4
4.2
4.4
4.6
4.6
5
5.3
10%
0.2
0.4
0.6
0.6
1
1.2
1A
1.6
1.9
21
23
25
2.7
2.9
9.1
-3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
5
5.2
5.4
20%
0.3
0.6
0.6
1
1.2
IA
1.6
1.8
2
2.2
24
27
29
3.1
3.3
3.S
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.1
0.9
1.1
1.4
1.6
12
2
2.2
2.4
26
2.8
3
32
3.5
3.7
39
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
40%
0.7
OA
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
SS
5.7
5.9
50%
0.9
1.1
1.3
13
1.7
IA
21
23
25
27
3
32
3.4
3.6
ae
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
SM
0.9
1.1
1.4
IS
1.8
2
2.2
24
2.6
28
3
32
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
12
1.4
1.7
1.9
21
2.3
2.S
2.7
29
3.1
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
63
65%
1.1
1.3
1.5
1.7
1.9
22
2A
2.6
2.8
3
9.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
53
55
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.8
2
22
25
27
2.9
3.1
3.3
33
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
64
75%
1.3
13
1.7
1.9
21
23
25
2.7
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.8
4.6
5.1
5.3
5.5
5.7
5.9
5.1
6.3
6.5
80%
1.4
IS
1.8
2
2.2
2.4
26
2.6
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.0
5.1
5.4
5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
33
3.8
4
4.2
4.4
4.6
4.6
5
5.2
54
5.6
5.9
6.1
6.3
65
67
90%'
1.5
1.7
2
2.2
24
26
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
66
95%
1.6
1.8
2
2.2
25
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
100%
1.7
1.9
21
2.3
25
28
3
3.2
3A
3.6
3.6
4
4.2
4.4
4.6
4.9
5.1
5.3
53
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
LI
2
2.2
2.!
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
43
4.7
4.9
5.1
1.4
5.6
1.8
6
6.2
6A
6.6
61
7
110%
1.9
2.1
2.3
23
27
29
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
6.9
7.1
115%
2
22
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
62
6.4
-ES
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
4.6
5
5.2
SA
5.6
68
6
6.2
6.5
6.1
6.9
7.1
7.3 '
125%
2.1
2.3
25
2.8
3
32
3A
3.6
3.8
4
42
4.4
4.6
4.9
5.1
5.3
53
5.7
5.9
6.1
6.3
63
6.7
7
7
7 e
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1.
Ceiling Insulation
"t or
R-valu [38]
U -value [0.030]
2.
Wall Insulation
i or
R.value 1 i]
U -value [0.0981
3.
Raised Floor Insulation
Iq or
R -value [ 19]
U -value [0.0371
4.
Slab Edge Insulation
or
R -value [0]
F2 factor [0.77]
S.
Infiltration
Standard
6.
Glass Heat Loss
VIZ100,
Type [double]
U -value [0.65] 96 Total Glass [ 161
Point Scores
0
62 Sum 1-6
7. Shading (Shade Open)
%Glass SC Eff. %Glass
a. _ North 1"ii?/ x 7-7 = :515
b. East 2 e 4P x I_ O O
c. South X I= �-
d. West 3,c x Z1 C�-
e. Skylight /r%' Tf r x
8: _.Shading (Shade Closed) `
% Glass SC Eff. % Glass
a. North
b. East
c. South
d. West
e ` Sk li f'
- . t .j ; 4i Y.� tat.
9. Interior Thermal,Mass
10. Exterior Wall Mass
*4V(
11. Heating System
Zonal Control? ( Y / N ,
X = - I
X c t _ _
�.o x 24 0
r x. - Q
TYPE 1 MASS AREA
COND. FLOOR AREA
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
TYPE 2 MASS AREA $
ND. FLOOR AREA
X e+%.I:�'
L)ua buiclency IU. -15J btferAlve Sb or
[0.72/6.6] HSPF [036/5.151
SEER 193 Duct Efficiency 10.741 Effective SEER [7.03]
Type [SGJ Credit [nWeJ
ip
sum 7-10
1
Point Total: _ T 1
Certificate of Compliance: Residential Climate Zone. 11
Project Title 92 — 309
O GOe o L 1V
Building Permit #
Project Address a 9-14-92
Checked By/ Date
Documentation Author Telephone Enti amen Agency, Use Only
BUILDING DATA Glass Area % Glass
North 5,!t_ 3,7
Conditioned Floor Area Number of Stories �East 97 4. e
Slab/Raised Floor Number of :Units South' 23
- —%�
Single Family Detached S ) [ ]Addition Alone West 27
( Single Family Attached (SFA [ ] Existing Building Skylight
yylight 14,
_ / • /
[ ] Multi Family (MF) [ ] Existing -Plus -Addition
BUII,DING SHELL INSULATION
Component Insulation LocaY a mments
Type R -Value attic, .to m Dmical, etc.)
Po r NT *rOrRL
Wall ..............
Wall .............
Roof .............
Roof ............. C
Floor .............
Floor ............. / �� -
Slab Edge .....
GLAZING Shading Devices t A016;0, q 0 0
\W
ding
Area Glass Type Interior Exterior Overhang Framing Type
Orientation (Sf) (single, double) (roller blind. etc. (dwlescreet>t. etc.) (yea/no) (metaliwood)
North ( ) _15' ¢ flgL. M T t_
North ( )
East
East ( )
South
South ( )
West ( )
West ( )
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.)(So,_L.oeatioNDescri tion itches. bath. etc.
81
HVAC SYSTEMS Mifumum Duct
Type (furnace, air Wficiency
conditioner, heat um) (S SEER,HSPF)
Location
(attic, etc.)
Duct Output
R -Value tuh
Manufactuiler / Model #
or a roved ual .
V RN ,(,o
.¢-r-rl c
4.7..-7
OV�
4 -VAP, LCt�I.ETL-
VAr%W
Maximum Furnace Heating Output:
Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
A P P RQ)V 6 D
ser MA,o
SPECIAL FEATURES/REMARKS (Add extra sheets.if necessary)
Mandatory Measures Checklist: Residential MF -1R
a.
NOTE: Lowrise residential buildings subject to the Standards must contain these meas:'res milmdt-ss of the compliance a a
approach used Items maned with an asterisk (•) may be superseded by move stringent compliance requirements lined
on tAe Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall
be considered by all panics as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose fill insulation manufacturer's labeled R -Value.
•.§2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
62-5352(1): Slab edge insulation - water absorption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 permli ch.
62-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
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 weatherstripped; all joints and penetrations caulked and stake
62-5352(e): Special infiltration barrier instal led to comply with 62-5351 mats CEC quality
standards.
§2.5352(d): Installation of Fireplace
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
12-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations.
62-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
•
12-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
62-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
12-5314: HVAC equipment. water heaters. showerbeadt and faucets certified by the CEC.
§2-5352(1): Water heater insulation bLvtket (R-12 or grazer) or combined interior/exteriorinsulation (R-16 or grater); fust 5 feet of pipes closest to tank insulated (R-3 or grata).
62-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2.5318(d): Swimming Pool Heating
1. System has:
a. ONoff switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow, for solar.
.2. 75 percent thermal cffrciency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
12.5352(i): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
12-5314(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.
COP"IJANCE STATEM qT
DFSIGNFR I EMRCEMENr
This certificate of compliance lists the Wftg features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20, Chaptcr2. Subdiapter4. Article 1 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 purcl aser of the building.
Designer
Name:
Tttk/Fu=
Address:
Telephone;
tic. 0:
(signature)
Documentation Author
Name:
TitWFtrrrt:
Address:
(date)
Building Owner
Nath
TitkJFum:
Telephone:
(signature) (date)
Enforcement Agency
Name:
Agency:
Tekphotte
1. Ceiling Insulation
-4
4
5
5
-3
Number of stories
0.80
R -value
One
Two
Three
R-0
-103
49
32
R-19
-8
-4
-2
R-30
-2
-1
-1
R38
0
0
0
U -value
1
-4
8
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
-13
-4
4
2. Wall Insulation
29
-58
-20
Single
Single -
5
12
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
-7
0
7
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
-29
-4
Insulation in Floor
6
11
Number
of stories
-26
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
1
6
10
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 Crawlspace
2
Number of stories
14
R -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
0
7
0.80 7.33
Number of Stories
,
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-4
4
5
5
-3
-1
0.80
-1
5
5
5
-1
0
0.70
2
5
5
4
2
1
0.60
6
4
4
4
2
0.50
9
•
6
3
0.40
12
1
-4
8
4
S. infiltration (Air Leakage)
Soeeifit:abon . s Points
7. Shading (Shade Open)
Effective Percent Glass
(parent slap x SC)
affective
6 Glass North East South West Skylight
18 5
16 4
14 4
Standard
4
5
5
1
1
1
na
na
na_
0
3
3
3
5
5
5
2
2
2
na
: na
1
9 2
8 2
7 1
3
3
3
5
5
4
2
2
2
4. Glass Heat Loss
6 1
5 1
-3
2
4
4
Total
3
3
4 0
3
2
2
1
0
3
2
j.
U -value
3
3
3
IPercent
-1
-2
1
-4
.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
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
(parent slap x SC)
affective
6 Glass North East South West Skylight
18 5
16 4
14 4
1
2
2
4
5
5
1
1
1
na
na
na_
12 3
11 3
10 2
3
3
3
5
5
5
2
2
2
na
: na
1
9 2
8 2
7 1
3
3
3
5
5
4
2
2
2
2
2
2
6 1
5 1
-3
2
4
4
2
2
3
3
4 0
3
2
2
1
0
3
2
j.
1
1
3
3
3
1 -1
0 -1
-1
-2
1
-4
1
-2
2
-Ir
a = not allowed
3
-2
-11
-15
-11
-14
-10
IB. Shading (Shade Closed)
Effective Peremt Glass
(parent slaw x SC)
%%G�lec6 NoM Est SoA West Slgbght
18 -14 -48 -69 -64 na
16 -12 -42 -59 -55 na
14 -10 -35 -50 -46 na
12
11
-8
-7
-29
-26
-40
-36
-37
-33
na
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
5
3
-2
-11
-15
-11
-14
-10
-38
-30
.4.
3
-1
0
-4
-8
-5
-7
-4
-23
-16
2-
5
1.5 -3
1 2 4
5
9 .
2.0 -1
2 4 5
6
7
25 0
3 5 7
0
2
3
4
3
0
na - not
allowad
9
10
4.0 3
6 8 9
9. Interior Thermal Mass
U -value [0.030]
or
Interior
Slab Floor Raised Floor
Masa
Stories
Stories
Interio nss/CFA
/CFA One Two Three One
Two
Three
0.0 -8
-5 -4 -2
-1
-1
0.1 -8
-5 3 -1
0
0
0.3 -7
-4 -2 0
1
1
0.5 -6
3 -1 1
1
2
0.7 -5
-2 -1 1
2
2
0.9 -5
-1 0 2
3 -
3
1.1 -4
-1 1 3
4
4
1.3 -3
0 2 3
4
5
1.5 -3
1 2 4
5
5
2.0 -1
2 4 5
6
7
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
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 it 13
14
14
8.5 7
10 12 13
14
15
10. Exterior Wall Thermal Mass
25%
Exterior
Single- SUVIB-
,24 to -141c
-410
Wall
Famk Famif
MuII
Mass
Detachall Attached
Famiy
0.00
0 0
0
-30
0.20
3 2
1
-9
0.40
5 4
3
-7
0.60
8 6
4
-5
0.80
10 8
5
-2
1.00
13 10
7
0
1.20
13 12
8
9
1.40
12 13
9
3
1.60
10 13
.11--
9
1.80
10 12
12
22
2.00
10 11
13
7
11. Heating System
26
23 19
15
SE or r3SPF
8
12.0
(assumes ducts in attic)
26 22
18
14
Sum of 1-6
13.0
33
29 24
-25 or -24 to -14 to 4 to
+s 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
0.90 8.25
13 11 10 8
17 15 13 11
7
9
5
"7
0.95 8.71
_ 20_118 _15_ 13
11
8
-3
Effective SE or HSPF
-2
(SE or HSPF x duct efficiency)
3
Effective -25 or -24 6 -14 In 4 to +6 l0
6 or
SE HSPF less -15 -5 +5
+15
ore
0.30 275
-73 -04 -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 TT'
0
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
WSB
System Type
3
2
2
Resistance
10 9 7 6
4
3
Other
6 5 4 3
2
2
Point System Summary:. Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation
2. WallInsulationk'sogr-
fta.14ei[1
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration Standard
6. Glass Heat Loss Dls LL
Ty& [Couble]
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
B. Shading (Shade Closed;
a. North
b. East
c. South
d. West
e. Skylight
9. ` Iriterior Thermal Mass
10.; Exterior Wall Mass
or
U -value [0.030]
or
U -value [0.098]
12. Cooling Syst •m
Interio nss/CFA
U -value [0.037]
or
SEER
Interior Mass/CFA
AREA = $
U -value [0.65]
(assume, ducts
In attic)
7- X
.
Sol of 7-10
SE or HSPF
Duct Efficiency [0.78]
Effecti4 SE or
r2J, . •A
-25 or
,241o,r1410
-41D
+610
16 or
SEER
less
-15 I .6
+5
+15
more
8.0
-14
-12 -10
-8
-6
-4
8.5
-9
-7 -6
-5
-4
-3
F
8.9
-5
.4 -4
3
-2
-2
9.0
-4
3 -3
-2
0
-2
0
-1
0
9.5
<� 10.0
0
4
0 0
3 3
2
2
1
10.5
7
6 5
4
3
2
_i
11.0
10
9 7
6
4
3
--, 120
15
13 11
9
7
5
`13.0
20
.17 .a 14
12
9
6
Ef Ative SEER
(SEER xduct efficiency)
5%
10%
15%
Son of 7-10
25%
30%
Effective -25 or
,24 to -141c
-410
+610
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
4
-2
7.0
0
0 0
0
0
0
6.0
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
.1
Zonal Coatroi Adjustment
1.4
IS
1.8
2
10
8 7
6
4
3
i
t
No
Coolingy System Installed
9.9
Stories
4.3
4.5
4.8
5
5.2
One
-5
-4 -0
-3
-2
-2
Two +.
3
3 2
2
2
1
Single -Family Detached and Attached
26
2.8
Unit Size (sQ
32
Water
9.7
"09 1200
'1700
2200
2700
'Heater
Credit
or .I to
to
to
:or .
Type
Type
less. 11699
2199
2699
more
SGNone
1.9
0 ;' 0
0.
0
0
or
Solar
12 " 8
6
5
4
HP
-HWR
8 5
4
3
3
55
WSB
5 3
3
2
2
1.3
POU
8 5
4
3
_3.
SE
None
37 -24
-18
-15
-12
3.8
Solar
-1
4.4
4.6
4.8
5.1
HWR
-118 -12
-9
-70
-6
55%
WSB...
-25 -16
-12
-10'
-8
2
POU __-1B
_712
-9
-7.
.6
IG
None
--5 -3
-2
-2
-2
4.5
Solar
1 5
.4
3
2
5.8
POU
.3 _ 2
1
1
1
IE
None
-28 -19
-14
-11
-9
2.7
Solar
8 5
4
3
3
4
POU
-10 3
-5
-4
-3
5.2
Multi-Famry
(Individual units)
54
6.1
6.3
Urtit Size (sp
1.1
1.3
Water
1.7
699 700
1200
1700
2200
Heater
Crept
or b
to
10
or
Type
Type
less 1109_
1699
2199
more
SG
None
0 0
0
0
0
or
Solar
14 7
5
4
3,
HP
HWR
9 5
3
2
2'
3.5
WSB
9 4
3
2
2
4.8
POU
9 5
3
2
2
SE
None
-45 -23
-15
-11
-9
1.7
Solar
2 1
1
0
0
3
3.2
9.4
9.6
9.8
4
4.2
WSB
-25 -13
8
.8
-5
__ _�
-8 _ -...-6
5.9
-5
Iia
None.
-8 ; -4
-3
2
-2
2
Solar...,
6 3
2
1
j 1
- _
POU
_1 0
0
0
0
fE
None ;
-30 -15
10 '
-8
3
S.8
Solar
.18 9
6
4
4
j
POU '
-8--4
3
2
-2
Point System Summary:. Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation
2. WallInsulationk'sogr-
fta.14ei[1
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration Standard
6. Glass Heat Loss Dls LL
Ty& [Couble]
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
B. Shading (Shade Closed;
a. North
b. East
c. South
d. West
e. Skylight
9. ` Iriterior Thermal Mass
10.; Exterior Wall Mass
or
U -value [0.030]
or
U -value [0.098]
or
Interio nss/CFA
U -value [0.037]
or
Interior Mass/CFA
AREA = $
U -value [0.65]
ND . L R
AREA
7- X
.
-
SE or HSPF
Duct Efficiency [0.78]
Effecti4 SE or
r2J, . •A
HSPF[0. (115.15]
V � C x
-
SEER [9.5]
`
Effective SB [7.03]
Type IsGi
Credit [none]
W"X 2 MSS
•-•
-
� .•�.ei
yet.4
rnac.e
4 TYPE 1
MASS
WIMC 4.2,
tet
ea
_J1Otad
slab)- -
0%
5%
10%
15%
20%
25%
30%
35%
40%
45% 50%
55%
80%
6%
70%
75%
00%
85%
00%
95%
100% 105% 1 f0% 115% 120% 125`
0%
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
2.1
2.3
2.5
2.7
29
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.3
10%
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21
23
2S
2.7
2.9
9.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
S
5.2
5.4
20%
0.3
0.6
0.8
.1
1.2
1.4
IS
1.8
2
2.2
24
27
29
3.1
3.3
9.5
3.7
9.9
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
22
2.4
26
2.8
3
32
9.5
9.7
s9
4.1
4.3
4.S
4.7
4.9
5.1
S.3
5.6
5.8
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
2.6
2.8
3
3.2
3.4
9.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
.50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
2S
27
9
3.2
9.4
9.6
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
9.2
3.5
3.7
9.9
4.1
4.3
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
9.1
3.3
9.S
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
54
6.1
6.3
65%
1.1
1.3
1.5
1.7
1.9
2.2
2A
2.6
2.8
3
9.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
S.5
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
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
So
6
6.2
64
75%
1.3
15
1.7
1.9
21
23
25
2.7
3
3.2
9.4
9.6
9.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
65
eo%
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.0
5.1
5.4
5.6
S.8
6
6.2
64
66
85Y.
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
54
5.6
5.9
6.1
6.3
65
67
90%"
1.S
1.7
2
2.2
24
26
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
68
95%
1.6
1.8
2
2.2
2.5
27
2.9
3.1
3.3
3.5
3.7
34
4.1
4.3
4.6
4.6
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100Y.
1.7
1.9
21
2.3
2.5
28
3
3.2
3.4
3.6
9.e
4
4.2
4.4
4.6
4.9
5.1
S.3
55
5.7
5.9
6.1
6.3
6.5
6.7
1
105%
1.8
2
2.2
2.4
2.6
28
9
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
6.6
7
110%
1.9
2.1
2.3
2.5
2.7
29
9.1
3.3
9.6
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
115%
2
2.2
2.4
2.6
2.8
9
9.2
9.4
9.6
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
2.9
9.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
63
6.7
6.9
7.1
7.3
125%
2.1
2.3
2.5
2.8
3
9.2
3.4
9.6
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
.2
7.2
7.4
Point System Summary:. Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation
2. WallInsulationk'sogr-
fta.14ei[1
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration Standard
6. Glass Heat Loss Dls LL
Ty& [Couble]
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
B. Shading (Shade Closed;
a. North
b. East
c. South
d. West
e. Skylight
9. ` Iriterior Thermal Mass
10.; Exterior Wall Mass
or
% Glass
3107 a-. X
G_x
X
2� x
/. X
Point Scores
O
501
% Total Glass [ 161 Sum 1.6
SC
Eff. % Glass
V7 = �� �-
6AS Z10 '460 1.
SqM&I A Z-ve ?_ # y
X = . 03
Z'y X_ # 7
X ) t3
/t► X i7i D .iZ
11. Heating System
Zonal Control? ( Y N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
/
U -value [0.030]
or
U -value [0.098]
or
Interio nss/CFA
U -value [0.037]
or
F2 factor [0.77]
AREA = $
U -value [0.65]
% Glass
3107 a-. X
G_x
X
2� x
/. X
Point Scores
O
501
% Total Glass [ 161 Sum 1.6
SC
Eff. % Glass
V7 = �� �-
6AS Z10 '460 1.
SqM&I A Z-ve ?_ # y
X = . 03
Z'y X_ # 7
X ) t3
/t► X i7i D .iZ
11. Heating System
Zonal Control? ( Y N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
/
TYPE 1 MASS
AREA $
COND. FLOOR
ARE
Interio nss/CFA
TYPE 2 MASS
AREA = $
Exterior WaaUy Mass
ND . L R
AREA
7- X
.
-
SE or HSPF
Duct Efficiency [0.78]
Effecti4 SE or
r2J, . •A
HSPF[0. (115.15]
V � C x
-
SEER [9.5]
Duct Efficiency [0.74]
Effective SB [7.03]
Type IsGi
Credit [none]
-�4
Z
Sum 7.10
0
Point Total: ��