HomeMy WebLinkAbout027-300-032A 27-30-32,
}. r WILLIAM, SIBLEY •ka t. t
2640 Williams Ave, Palermo
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}. r WILLIAM, SIBLEY •ka t. t
2640 Williams Ave, Palermo
ContR: Best Line Buildersl�a`0 x
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PErmit#3703-88B,P,E,M(new single fam-
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PERMIT NO. 3703-88B,P,E,M
PERMIT EXPIRES
OWNER WILLIAM SIBLEY
. 4
CONTR. Bestline Builders
ASSESSOR PARCEL 27-30-32
LOCATION 2640 William Ave, PAlermo
1--3 _ \
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service /
Called PG&E
JOB FINALED (Date)
Signature
= OK
0 = Not -OK
' = Not Readyable MOBILE HOMES
MISCELLANEOUS - -
Date MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS, GARAGES, (Plans)OK except #'s
VZoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch `-
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P1 ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131 Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131 Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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
Card -131 Date Card -B1 Date
Card -131 Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -131
Date Card -81 Date
=OK
O=Not OK
- = Not Applicable
_ Not Ready
RESIDENTIAL (Single and Duplex).
Date UND FLOOR (Plans) OK except #'s
o 2 g -Setbacks;- Easements- Floo Slope
g., Main; Soils-Steel-Elec. dr7ld.4,0/" F
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg...Porches & Decks; Soils -Steel-/ /"F
45,8femwalls, Main; Steel-Blockouts-Wrapped
6. St walls, Garage; Steel- Blockouts-Wrappi
lab: Steel-Wraooed
8. Pi rs-Fireplace Ftg.-Steel
AoID.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card-B1G/�// Datgf-7 fj� Card -131 Date
Card -131 Date Card -81 Date
Date PL MBING (Permit) OK except #'s
Lif mer Ht. Vent -Access -Combustion Air -Baffle
ater Pipe; Test & Anchors -Nail Protection
8. D.W.V.; Test-Fttngs & Anchors -Nail Protection
Te=�rst Floor -Tub Access
2nd Floor -Tub Access
Gas Pipe; Size & Anchors
Card -61 Date - Card -61 Date
Card -B1 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22 Ixture & Transformer Clearance -Ins. Protection
1,1'3,Elec. Receptacles Spacing -Lights & Switches at Doors
,-e4,-Size Boxes & No. of Conductors -Stapled
5. Ro ex Installed Close to Edge of Studs & CJ.
quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
7. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
moire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
-2U7R5-nge'Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
S rvice-Riser Conductors & Ground -Main Disconnect
Equip. Clearances Panels-Motors-Mech. Equip.
Light -Shower Light -Spa Light
Smoke Detector
Card-B1Datel-' Card -131 Date
Card -131 Date Card -61 Date
Date MECHANICAL (Permit) OK except #'s
tion & Support
35. Vent Fan; Exhaust above insulation
36fondensate Dro & Oyefflow; Size
,& Grade
Fufiace-V Acc s -Com r -Re et
38. Attic Access & Platform if Furnace in Attic
Card -B1 Date/- Card -131 Date
Card -131 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
Sills, Proper Material & Anchors
t"40.,Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
yBearing Walls over Girders & Floor Nailing
D aft Stop in Walls (rat proof)
ire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
Date FRAMING (Continued)
fingers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-P.urlin-Roof Brac.-Tr s-Shthng.-Rfng.
e A Flue -Fireplace Throat Clearance
WT is Access; Size & Romex Protection -Draft Stop -Ins. Baffles
L49-Bdrm. Windows or Exiting Doors -Sill Hgt. &.Dimensions
on Framing
rewa & Openings
2. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
5-Headro -Rise-Run-Landing-Fire Protection
4. PI •wood on Roof Overhang -Attic Vents -Rafter Outriggers
L,RrSiding-Nailing Veneer
Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
5 olts
59. Insulation- s -CI .
60. Infiltration-Walls-Wndws
Card -131 DatqQ6JSJ Card -B1 Date
Card -81 Date Card -81 Date
Date "AL (Plans) OK except #'s
61 ,xt. Steps -Door & Sidelight Protection -Landings
2. Smoke Detector
aa�urnace; Vents -Clearance -Comb. Air-Connector-
arage; Above Floor-Ducts-Mech. Protection
4 edroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim &-8yI3TMre1I`1Breaker Sizes -Labels
6 e; Clearances -Hearth
Panel; Int. & Ext.
0. it. Fixt. & Appliance; Grnd.-4ir6e0+CoQ6wg-GIowance
lX-1. Elec. Outlets & Receptacles at Kit. Counter
-Landing-Closer
7,q t-4Dttet-im e -Damper
4. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
I Garage; Above Floor-Mech. Protection
k7r5. Plb., Elec. & Mech. Equip. Listed for Location
7 Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic ❑ Yes
78. ai s e truction-Post Caps
s raw Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Driv es ❑ No; Walks ❑ Yes 6416;
Planters ❑ Yes grNo
2. C. Unit; Disconnect, Electrical, Plumbing
4,"93. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
ater Well; Disconnect, Electrical, Plumbing
terior Elec. Trim; G.F.I. Receptacle -Underground
V ntilation throughout House
Glass Protection
88. Correctiop om Previous In cfl ns
89. as st-Meters Tagged; Gas -Electric �-
QiWater & Sewer Connected -C/O to Grade -HD Approval
31.Energy Compliance Certificate -Other Certificates
Card-BDate ./,,,2 and -B1 Date
Card -B1 Date Card -131 Date
Card -B1 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
0
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 I ediately.
r
I
InspectorDate r4�'
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A/ I+ IS/ 41(-7
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OAD
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L C R T I' L A F 1 O N '
BEST LINE BUILDERS
. J
illiams Ave.(Sibley) Palermo,CA t` V. No.
DESCR I I'1 [UN OI' �-r [0%,
HO -Ir
'later LjI
►hicknesskr.: hrs)
EXTERIOR WALI.
Material Flb<r;!
Thiekness(inzIles)_ ell
CEILING as
Batt or Blanket 'f),pc
Thickness(inches)
Loose Fill Type .
Minimum Thickness(Inche;)
Area covered(;t.2)
FLOOR, ELEVATED
Material Fiberglass
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
.Material
Thiekness(i:lchcs)
Brand N.ime
Ther=il Resl;E.7nCC (R Value)
Brand Name Certaintced
Thermal Res i;tance(R Value)
Brand Name Certaintecd
Thermal RCS i Itance(R Value)
Brand Name Certainteed
Number of Bags Wt. per bag ib.
Thermal Resistance(R Value)
.Brand Name Certainteed.
Thermal Rei ;cance(R Value)_
brand Name
Tlicrmal Resistance(R Value)
Brand Name
Thermal Res istance(R Value)
I hereby certify that the ahwc.,insula tion was installed in the above building
in-ronf�onnanec wit!► the Statef (California Energy Requirements
r.
Shasta Insul`t�0-n 530235
IRM-IZ �plt STATE CONTRACTOR'S LICENSE
7 N0.
SIG,L� E r/INSTALLATION APPLICATOR n[ lA
DATE
I hereby ccrcify Lhe ah,,vr insi(latiun and all required
Buildingitems as shown on the
Uepart;:(int approved plansand attachnicn.ts have been installed as
required by the Statc of Califoi;nia Energy Requirements.
All. equipment,. devi'crs -111(i inaterials arc of the quality prescribed or are
Specifically .(liprove(1 I,y Ll ii State of C,atifcirn a.
F1RM NAME/OWNER (Please print)
STATE CONTRACTOR'S .LICENSE'NO.
SIGNATURE OF C-FNEI(,1L CONTKACTOI( OWNER
DATE
THIS CERTIFICATE. MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO!
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7 4
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CO TRACTOR'S NAMELE
HONE
CONTRACTOR'SMAILING ADDRESS
/ /--1 &i-Aer �i �cT ,�� �, D, -O U, t'e. 9576 5
Fireplace
CONSTRUCTION LEER
S Jav
UNKNOWN
nn
Total Valuation $ 0 2. 21
Filing Fee
g
$ 10.00
LENDER'S MAILING AD RE53
i C & ('o. a C
Permit Fee
$ /7 Q. 50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 519, ?5
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
-7 37-
$ 3,
PLUMBING PERMIT
Filing Fee 10.00
/
U �[ 14t)Each
Trap
2.00 6 d"o
PC-
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 574-0
Each qas water heater or vent
5.00
,—,� USE OF STRUCTURE
SFS Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 .�
Building sewer
5.00
Mobile Home I S G W
0.00 ea
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation[] Other[]
Describe work:
Permit Fee
S 4"&-v
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
/Q,wo
Main service EA. ADD -L. 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions a `SSr d license is in full ce and effect.
VO
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.y! ,
OR ADDNS. � ACC. BLDGS. / Osgft (a,o2a
NEW CON5TR MULTI -OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS .&)
SINGLE OUTLET CIR.
EX. OCCup(OUTLETS OR FIXTURES 5AL030
DAL030
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. IYirin 15.00
9
Permit Fee $ ,
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
_I,A have placed on file with the County of Butte Building Department
Fl-
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating ,;1 5 &-6-v Bf L4
o -OD
cA fes
Cooling
g
Hood
3.00 3,0z
Ventilation
300
permit Fee
$ e -O
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
againstsaidCounty in c�o�ns9yuence of the granting of this permit. c�1142
X __//� �Cil�uLl Date �d
Signature of Applicant - Owner ❑ Contractor M, -,'Agent ❑
An OSHA permit is required for excavations over 5'0" de d on or construct-
ion of structures over 3 stories in hei-ght.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PET FEE $ 3
occu P.
cov. .rY !
SCHOOL F 11
PARCE
3
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
EC R OF PUBLIC
A�
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. a 1
WHITE-O.P.W.. YELLOW-A3e E33OK. NK -INSPECTOR. G Df.NROD-APPLICANT
x
i
pn ;e•+-• -r�.. -T- r- -•ti .:-'er1,�F _ `�.; -.�' 1F'� • :...rT 4R+ -jnt W-4-. rS Fgr -+-v'1 ?' ''�". aa: i : �rez+e4�lbY�, e�[i. ;
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
e,
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541,—
'i i_
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER
Proposed Building Use /V dE v.1
IR
6 //--
A. P. No. _
Building InspectorV24'
Date / /" It-/— 9?
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans.
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
Statement of Intent for Non -Heated and AC Buildings.
14-11
Fees of $ C 7 8 . . . . . . . .
�9. etter of signature authorization.. . . . . . . .
nitation approval from Health Health Dept.
APlanning approval for (A) Use: t/ (B) Parking: ?iG,i1�T" t��+��°'141
12. Certificate of Workmen's Compensation Insurance. .µ'd"�'- . ,�gdruCfiv� '
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.)
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspectcy�
8. Recorded copy of Agricultural Acknowledgment Statement. [/
. Driveway Permit.
i_20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22, CUA FEES RECEIPT #
When u issue theermit r cess as
f' follows: Mail to owner, Mail to contractor.
! Telephone � ,�Q' and hold for pickup atOrD office, Deliver w/inspector.
Other Com/% /
Applicant /,/_7i
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted pr
1. Index permit for above items No.
2. Additional items required:
issy,ajW: (Circle new item not checked ab6ve).
Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked
4__ Sets of plans on hold in
Copy—DPW
Plans approved by
File cabimet AP folder
K
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
V1 -en Willi
Owner Location/ J AP#
Plan Approved. for:
Hold -final for:
Sewage Disposal "4._
Final clearance O.R. for:
Clearance for _ Z bedroom radmbbe home. Other
NOTE * * *
Sanitarian
Water Supply
Water Supply
Water Supply
Date
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
.27
owner �- location AP #
Driveway permit erne he.2���
s i ature
has been issued for the above property
n :
1&
date
ReLur. n I_o DPW AC1"1CIJL'1'URAL STATEMENT OF ACKNOWLI;D' '11,Al' r
FOR RI S.f.D1:N'HAL, DISICBLOPMI;NT
Sccl: ion 1_6--8.1 of I:he Butte County Coda
requires Lhi.s acluiowledgement be recorded_
prior to issuance of a building permit. 4M
0RkANAL DOCU'MEW
The property described herein is adjacent
LO .land or included within an area zoned
for Igr:icu].Lural '.purposes, and residents
of this property may be subject to :incon-
veniences or discomfort ari.si.ng from the
use of--igric:u.lLural chemicals, i.nclud.i.ng, 65-0.-5q_0 0
but not I:hrti.ted to herbicides, pesticides,
and fee-I.J.lizers; and from the pursuit
of agr.icul.tural operations including,
but not li.m:iLed to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has eslab.l.isherl Igricul
Iural zones which have as a priority use for productive agr:icu.lLural• purposes, and rc•!;i,ic•nt::
w i thin sa i d zones and on adjacent property should be prepared to accepL such i nconvc•n i c•n, i
W- cl i L....�!fi!:-;I4 i'; o:ri ,:;i"ii7a1, i;ecCssary farm opera Lions.
A.1.1- that. real property situate in the County of Butte, State of Cali.forniri, dcscribc•d
fol.l.ows: PARCEL 1:
The South half of the West half of Lot 14, in Block 47, as shown on Map entitled,
"Map of Palermo and Subdivisions 1 and 2 with addition to No. 1 of the Palermo
Citrus Tract", which Map was recorded in the office of.the Recorder of the County
of Butte, State of California, ,September 17, 1888.
PARCEL 2:
The South half
"Map of Palermo
Citrus Tract",
of Butte, State
Date:
of the East half of Lot 13, in Block 47, as shown on Map entitled,
and Subdivisions 1 and 2 with addition to No. -'l of the Palermo
which Map was recorded in the office of the Recorder of the County
of California, September 17, 1888.
PROPERTY
-OWNERS:
vL x",
State ofOn this the ZE_ f day of
SS. the undersigned Notary Public, personally appeared
County of
y
OFFICIAL SEAL
Personally known to me.
10 Proved Lome on the basis
1
�P"a.
PATSY L CARTE R
of satisfactory evidence.
• m
to
NOTARY PUDLIC - CALIFORNIA
be the person(s) whose
name(s) yr
BUTTE COUNTY su )scribed to the within instrument
and acknowledged Lhat.
MY comm. expires MAY 13, 19P
cuted the same for the
_ _---1--
purposes therein con Lai ned . .I N W I'I'NI!SS
1680 U ajo, Qmv" CA 9W64
:REOF, 1 hereunto set my
haled and of fic:i.aa seal.
Present A.P. No.�-3��a-����er�
i-
Notary Public
COUNTY OF
BUT, DEPARTMENT Ul� PUBLIC WORK', BUILDING O|V.S_|O0
, 'GO LINTY* br�ncmns Uxor.us.CA, PC, Hww9545-TELEPHONE:
'
�
o1sax�ra1
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PERMIT APPLICATION DATA SHEET
Permit No.
.'.. �`.
OWNER `
ProposedBuilding Inspector
Date 1
'
At time of permit application, | was advised the |u!/owio0 data must be oubmivad prior to permit processing �
and/or issuance:
_-__- 1. All i!emahave been
�uhm|upd.
2. Plot plans indup|icam/oipUrate. signed t)y p/opa/o,ofplans.
-�_-- 3. Complete plans in dup|ics*o,'t'ip|/Gaa. ;iynau by pie -parer of plans. '
_--_ 4. Complete engineered plans and cu|cs, with am\ signature on plans. '
-_--_ 5. Plans with Energy Design Comp|ixncpSLntemoni.
6� Sohno| OiaL/iu\ "Fees Paid'' Stnmpon Floor Plan. '
_.....7. Sia1emen� c� |n��o� �n/ Non'�ye|oJ and 4C Building's.
.,/�.�
' _--_- 8. Fees of S
' Letter of ~'y^~~'e ~~^'"'`
� O.Sanitation approval frorn
-J��-alt _ept.
1l.
--___12. Certificate of Workmen's Compensation
-_--_ 13. Conti -actor's License Information (no, name u{yie. clas
_-__-14. Owner -Builder Verification (Gi:ao to mrva/0 . Mail to mmnerFl
15. Improvements may be required. Cooiacr Lund Dev. Seo. of D.P.W. -
__--'16. Mobi|ehnme Installation Data including manufacturer's installation instructions.
17. Pre -inspection /o,
mnaqu
i,od.
Recorded copy of Ag/icupeoem,
19. Driveway Permit (Construction required prior to occupancy). ,
-
-_---- 20. 1p\ut plan approval from city o[ (See city for other reqto). — -
_-_-- 21, Engineered trusses in duplicate (:equi'aJ p/icr to plan check).
22'
When
--�_'_yoo issue the peo_n_it. -n_/^c_co`ouas (o!|oo�� Mail
/o owner. _Mai| to unntnsotor.�Tumc. ` off ice'. v/innp o
toc-pickup u/
--_--- U|hec______-_-__-'--------'---------'------
GENEp4L1NF0Rk8AT|UN
BUILDING DEPARTMENT OFFICES
Chico. . , . 196 Vay
Phuoo� 361'2751
Hou--s� 8:00 a.x,' 10:00 a.m.
Oxzvi||o . . . 7 Coo"i|y`Ceo/e/ 0/ive
Phone: 538'7541
Hours-. 8:00 o.xn. 5-00 p.m -
HEALTH DEPARTMENT OFFICES ' �
Chioo. , ' , 108 Memorial Way
Phone: 801'2727
Hours: D:OO a.m. ' Q:OO a.m.
'O|e- 7�C C D
. . . County Cent rive -'
Phone: 538'7281
Hours: O:OO a.m. - 10:00 a. m.
PanzUi4o. . . 74r Elliott RoadParauino. . . 747 Elliott Road
P|moo: 872-8307 Phone: 872-6308
Hou/s: 8:00 a.m. Q:qOa'm' Hours: 8100 a.m. - S:OO a.m.
PLANNING DEPARTMENT - 7County Center Drive, O/uvi||e- Phone: 538-7601
-
Hours: 10:00 a.m. - 3:00 p.m.
'
i L / llr� TL
2.I
1. Ceiling Insulation
2. Wall Insulation
Single-
Number of stories
Number of stories
R -value
One
Two
Three
R-0
-103
-49
-02
R-19
-8
4
-2
R-30
-2
-1
-1
R-38
0
0
0
U -value
8
6
4
0.50
-176
-84
-54
0.30
-102
-49
-02
0.10
-26
-13
-8--z
0.08
-18
-9
-6
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
3. Raised Floor Insulation
Single-
Single -
Number of stories
Glass
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
Number of Stories
-75
0.60.
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
Controlled Ventilation Crawispace
Insulation in Floor
-5
Number of stories
Glass
Number of stories
One
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
-0 i
Number of Stories
-75
0.60.
'444
r -70
-46
0.50
-120
-58
-08
0.40
-95
-46
-30
0.30
-69
-34
-22
0.20
-43
' -21
-14
0.10
-17
-8
-5
0.08
-11
-6
4
0.06
-6
-3
-2
0.04
-1
` 0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
Effective Pa tett Glass
-5
Number of stories
Glass
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
26
-
-0 i
Number of Stories
-75
R -value
One
Two
Three
' R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
-55
18
10
0.90
d
-0
-1
0.80
-1
-1
0
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.40
12
8
4
5. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
Effective Pa tett Glass
-5
Effective Percent
Glass
L) -value
Percent
0.1
(percent Sim x
.51 to
.41 to
.31 to 0.31
Glass Single
Double
.60
.50
.40 le:
50
-121
-53
-39
-24
-10
40
-90
-07
26
14
-0 i
35
-75
29-19
4
9
1 1
30
-61
-21
13
4
4 1
29
-58
-20
•12
-3
5 1
28
-55
18
10
2
5 1
27
-52
-17
-9
-2
6 1
26
-49
-15
-8
-1
7 1
25
-46
-14
-7
0
7 1
24
-43
-12
-5
1
8 1
23
-40
-11
-4
2
8 1
22
-37
-9
-0
3
9 1
21
-34
-7
-2
4
10 1
20
-01
-60
-4
5
10 1
19
-29
_4
1
6
11 1
18
-26
-3
2
7
12 1
17
-23
-1
3
8
12 1
16
-20
0
4
9
13 1
15
-17
1
6
10
14 1
-14
-14
3
7
10
14 1
13
-12
4
8
11
15 1
12
-9
6
9
12
15 1
11
-6
13
10
13
16 1
10
-3
9
11
14
17 1
9
-1
10
13
15
17 2
8
2
12
14
16
18 2
1 or
S
2
2
3
3
t
4
1
5
5
5
3
i
5
7
7
7
9
9
3
3
9
3
0
7. Shading (Shade Open)
Effective Pa tett Glass
-5
Effective Percent
Glass
-1
Effective
0.1
(percent Sim x
SC)
"3
Effective
%Gieu
Norlh
East
South
%Glass
North
East South
West
Skylight
18
5
1 4
1
na
16
4
2 5
1
na
14
4
2 5
1
na
12
3
3 5
2
na
11
3
3 5
2
na
10
2
3 5
2
1
9
2
3 5
2
2
8
2
3 5
2
2
7
1
3 4
2
2
6
1
3 4
2
3
5
1
2
2
3
4
0_ ..
2
1
3
3
0
1 2
1
3
-6
0 0
1
2
1
-4
- " .
-4
2
0
-1
-4
-2
0
na = not allowed
10
11
11
16. Shading (Shade Closed)
2 A- -1 -2 1 -9
1 1 :]--> 1 -T- -4
0 2 3 4 3 0
9. Interior Thermal Mass
Interior ' Slab Floor Raised Floor
Mass Stories Stories
/CFA One Two Three One Two Three
0.0
Effective Pa tett Glass
-5
-4
(percent &iris x SC)
-1
Effective
0.1
-8
-5
"3
-1
%Gieu
Norlh
East
South
West
Sirybght
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21.
-56
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
4
-1
-6
-8
-7
-23
3
0
-4
- " .
-4
-16
2 A- -1 -2 1 -9
1 1 :]--> 1 -T- -4
0 2 3 4 3 0
9. Interior Thermal Mass
Interior ' Slab Floor Raised Floor
Mass Stories Stories
/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
1.5t3�
13
1
2
4
5
5
2.0
��JJ
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
Single-
Single -
Sum of 1.6
Wall
Family
Family
Multi
Mass
Detached
Attached
Famly
0.00
0.20
0
3
0
2
0 t
1
0.40
0.60
5
8
4
6
3
4
0.80
1.00
10
13
8
10
5
7
1.20
1.40
13
12
12
13
8
9
1.60
1.80
10
10
13
12
tt
12
200
10
11
13
11. Heating System
SE or RSPF
(assttmes ducts In attic)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other . 6 5 4 3 . 2 2
12. Cooling System
SEER
(assumea ducts In attic)
Sum of 7-10
-25 or •24 to -14 to
.410
Sum of 1.6
16 or
SEER
less
•15 -5
_
-25 or -24 to
-14 to
-4 to
+6 to
16 or
SE
HSPF
less
-15
75
+5
+15
more
0.72
6.60
0
0
0
0
0•
0
0.75
6.88
3
3
3
2
2
1
0.80
7.33
8
7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
17
15
13
11
9
7
0.95
8.71
20
18
15
13
11
8
9
1. 6
Effective
SE or HSPF
Effedive SEER
0
(SE or HSPF x duct
efficiency)
(SEER x dud efficiency)
Effective -25 or
-24 to -14 b
-4 to +6 to 16 or
SE HSPF
less
-15
-5
+5
+15 more
0.30
2.75
-73
-64
-56
-47
-38
-30
na
3.41
-45
-39
-34
-29
-24
-18
0.40
3.67
-34
-30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
-7
-5
-4
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
32
22
19 16
0.70
6.42
17
15
13
11
15
7
0.80
7.33
25
22
19
16
1
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 System
SEER
(assumea ducts In attic)
Sum of 7-10
Zonal Control Adjustment
i 10 8 7 6 4 3
No Cooling System Installed j
Stories
One -4 -4 (3 J -2 -2
Two + 3 3 2 7 2 1
Single -Family Detached and Attached
-25 or •24 to -14 to
.410
+6 to
16 or
SEER
less
•15 -5
+5
+15
more
8.0
-14
-12 -10
-8
-6
-4
8.5
-9
-7 -6
-5
-4
-3
8.9
-5
d -4
-3
-2
-2
9.0
-4
-3 -3
-2
-2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
G 5
4
3
2
11.0
10
9 7
6
4
3
12.0
15
13 11
9
7
5
_13.0
20
17 14
12
9
1. 6
-1
-1
Effedive SEER
0
HWR
(SEER x dud efficiency)
-12
-9
-7
Sum of 7-10
WSB
-25
Effective -25 or
-24 to -1410
-410
+610
16 or
SEER
less
-15 S
+5
+15
more
5.0
•30
-25 -21
-17
-13
-9
6.0
-12
-i 1. -9
-7
-6
-4
6.6
-5
-4 -4
-0
--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 1
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Control Adjustment
i 10 8 7 6 4 3
No Cooling System Installed j
Stories
One -4 -4 (3 J -2 -2
Two + 3 3 2 7 2 1
Single -Family Detached and Attached
Interior Mass/CFA
� TTPC 7 71l�SS
11.7.UPC•4.21 { TYPE i MASS (UIMC • 4.2, le: exposed slab) -
larpea.d
0% 5% 10% 15% 20% 25% 3D% 35% 40t 45%' 5074 55% 60% 66x 70% 75% 80% 85% 9o% 95% 100% 105% 110% 115% 1207: 125•i
OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 ZS 2.7 2.9 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 25 2.7 2.9 3.1 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 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56
30% O.S 0.7 0.9 1.1 1.4- 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.1 4.9 5.1 5.3 5.6 5.8
40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 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 5.5 5.7 5.9
50% 0.9 1.1 1.3 1S 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 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 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2
60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 6.3
65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64
709: 1.2 1.4 1.6 1.6 2 2.2 2.5 2.7 2.9 •3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64
75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 - 5.3 5.5 5.7 5.9 6.1 6.3 6.5
80% 1.4 1.6 1.8 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 62 64 66
85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 6.3 65 67
MY. I.b 1.1 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68
95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 . 4.8 5 5.2 5.4 5.6 5.6 6 6.2 6.4 6.7 6.9
100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7
105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7
110% 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.8 3.8 4 4.2 4.4 4.6 4.6 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1
115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 '6.4 6.6 6.8 7 7.2
120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 50 6 6.2 6.5 6.7 6.9 7.1 7.3
125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4
Point System Summary: Climate Zone 11
SCORE CARD
1.
Ceiling Insulation
2.
Unit Size (sQ
3.
Water
4.
1199
1200
1700
2200
2700
Heater
Credit
or
b
to
to
or
Type
Type
kiss
1699
2199
2699
more
SG
None
0
0
0..
0
0
or
Solar
12
8 ..
6
5
4
HP
HWR
8
5
4
3
3
WSB
5
3
3
2
2
POU
8
5
4
3
3
SE
None
-37
-24
-18
-15
-12
Solar
-1
-1
-1
0
0
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
-14
-11
-9
Solar
8
5
4
3
3
POU
-10
-6
-5
-4
-3
Multi -Family (individual
units)
Unit Size (sQ
Water
699
700
1200
1700
2200
Heater
Credit
or
b
to
to
or
Type
Type
loss
1199
1699
2199
_more
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
_ROU
_23
-12
-8
-6
-5
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
Interior Mass/CFA
� TTPC 7 71l�SS
11.7.UPC•4.21 { TYPE i MASS (UIMC • 4.2, le: exposed slab) -
larpea.d
0% 5% 10% 15% 20% 25% 3D% 35% 40t 45%' 5074 55% 60% 66x 70% 75% 80% 85% 9o% 95% 100% 105% 110% 115% 1207: 125•i
OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 ZS 2.7 2.9 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 25 2.7 2.9 3.1 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 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56
30% O.S 0.7 0.9 1.1 1.4- 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.1 4.9 5.1 5.3 5.6 5.8
40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 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 5.5 5.7 5.9
50% 0.9 1.1 1.3 1S 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 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 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2
60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 6.3
65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64
709: 1.2 1.4 1.6 1.6 2 2.2 2.5 2.7 2.9 •3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64
75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 - 5.3 5.5 5.7 5.9 6.1 6.3 6.5
80% 1.4 1.6 1.8 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 62 64 66
85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 6.3 65 67
MY. I.b 1.1 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68
95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 . 4.8 5 5.2 5.4 5.6 5.6 6 6.2 6.4 6.7 6.9
100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7
105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7
110% 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.8 3.8 4 4.2 4.4 4.6 4.6 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1
115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 '6.4 6.6 6.8 7 7.2
120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 50 6 6.2 6.5 6.7 6.9 7.1 7.3
125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4
Point System Summary: Climate Zone 11
SCORE CARD
1.
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
7.
Shading (Shade Open)
R -value 11
a. North
or
b. East
R -value [0]
c. South
Standard
d. West
Dov�c�
e. Skylight
8.
Shading (Shade Closed)
a.
North
b.
East
c.
South
d.
West
e.
Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
Measures
�-3
or
R -value [38]
U -value [0.030]
�9 or'
R -value [11]
U -value [0.098]
or
R -value 11
U -value [0.037]
or
R -value [0]
F2 factor [0.77]
Standard
Dov�c�
Type [double]
U -value [0.65]
Point Scores
v
D
0
J0, s' +--7 +-1
%Total Glass [161 Sum 1.6
% Glass SC Eff. % Glass
Z 1 C7 X
4,
X = /O
% Glass Sc Eff. % Glass
X
cf X
5-2, x = 3
2• Z X
p X = O
TYPE1 MASS
AREA 7/
$
COND. FLOOR AREA
Interior Nass/CFA
TYPE 2 MASS AREA _ 8
Exterior Wall Mass ND. L OR AREA
// p X
F 1?ua Efficiency [0.78] Effective SE or
[0.7ZI6.61 HSPF [0.56/5.15]
X
SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03]
Sr
Type [SG] Credit [none]
V
Point Total: 'rl
Certificate of Compliance: Residential Climate Zone 11
IV It, f A M SrI�L�
Documentation Author Telephone
s r
BUILDING DATA
Conditioned Floor Area_.
Number of Stories
Stab/Raised Floor Number of Units '
.��
Single Family Detached (SFD) [ ] Addition Alone
Single Family Attached (SFA) [ ] Existing Building
[ ] Multi -Family (MF) [ ] Existing-Plus•Addition
BUELDING SHELL INSULATION
Component Insulation Location/Comments
3%03 -- 8'.
Building Peemit #
Checked By / Date
Enforcement Agency Use Only
Glass Ar
% Glass
North /
Z,,0
East
► h �F
South
West
t
Skylight r7
a_
Total 10
/0's
Wall ............. .
Wall .............. '
Roof .............
Roof .............
Floor .............
Floor .............
Slab Edge.....
GLAZING _ Shading Devices
Glazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation Of) (single, double) (oller blind. etc.) (sltadmcret n• etc.) (yeshto) (metallwood)
Noah
North ( )
East ( ) 9
East ( )
South
South ( )
West
West
Skylight....... 42
THERMAL MASS
Type/Covering E Area Thickness
5
HVAC SYSTEMS Minimum Duct
Type (fumace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner, heat plump) (SE, SEER HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model # •
System Type (storage gas etc) Capacity (or approved equal) Special Feature(s)
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these meant= mgaedkzs of the compliance
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requuements listed
on the Certificate of Compliance. When this checklist is incorporated into the permit dQcunWnA tKe 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.
DESCR1PnoN DESIGNER ENFORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352 ft. Loose roll 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(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 perm(urch.
§2.5311: 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: lnfiltration/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 weatherstrippcd: all joints and penetrations caulked and sCa1ed
§2.5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality
standards.
§2.5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
IL
Tight fitting• closeable metal or glass door
b. Outside au intake with damper and Control
e. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment sizing: attach Calculations.
02-5352(h) and 2-5315: Setback thermostat on all applicable heating system
§2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
12.5314(e): Gas-fired space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC.
§2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interiorkxtcrior
insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating
piping. '
§2.5318(d): Swimming Pool Heating
I. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
e. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
62.5352(j): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms.
§2.5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators. refrigerator -freezers• freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the bul3ding features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. 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 purchaser of the building.
Designer
Name:
Titk/Fum: -
Addn=:
Tekphorte:
l.ic. 4:
(signature)
Documentation Author
Name:
ride/Fum:
Address:
(dam)
6nattu+e)(date)
Enforcement Agency
Name:
Agency:
- Telepho—
1I
11
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