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030-102-023
1 1 O�-23 1497'91B tP,E,M F32 2 3C 0 - ' 9 . " SACRAMENTO R M T ACRAMENTO,34TH'ST-LAND,�Co 1 4 1 5 Tehan 1415 Tehama A;v6 Or-ov-111'e' -cont.: O&P Const -Network e i 3,92' (new sf) o e i ., .. i II ii i', �� ' li ri �! i i} !� o ` 4 ,i 1� I' II Il �� v i'I l� i . I RESIDENTIAL 30-102-23 1497-91B,P,E,M ' SACRAMENTO 34TH ST LAND CO 1415 Tehama Ave, Oroville cont: 0&P Const Network (new sf) i. j k OFFICE COPY Address r 'A ' GAS Meter By Date —� ELECTRIC Meter By Date OFFICE COPY y s Address GAS 'Date ---- Meter patesMeter By I ELECTR Meter By JOB FINALED ( te) Signature v=Ok O=Not OK =NotNo Applicable, 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 Clearance Date Card B-1 Date Card B-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 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAC2ES, (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-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 boa rds-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 V OK O=Not OK =Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' =� � Date UPOERFLOOR PJjans OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. Grnd.- " tg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-kCXFtg. Depth 4. Ftq., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8 Piers -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 1. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground ->-ms & Ducts; Clearance -Material -Support -Ins. 4. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date -� Card B-1 Date Card B-1 Date a -H-7/card B-1 -Date Card B-1 Date PLUMBING (Permit) OK except a's ter Htr.; Vent -Access -Combustion Air -Baffle kfr Water Pipe; Test & Anchor -Nail Protection W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date 27X'79 ZCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except fi's •22. Fix e & Transformer Clearance -Ins. Protection per-Elec. Receptacles Spacing -Lights & Switches at Doors • ize Boxes & No. of Conductors -Stapled Leo m mex Installed Close to Edge of Studs & C.J. 2 quip. Ground mad p w/Mech. Fastner Wa Appliance Circuts in Kitchen & Conductor Size/GFI 2B Subfeed-Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. 4kl ga C or�Al-men Circ. / / ga. Cu or Al. Insulated Neutral U'Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31_.E4uip. Clearances Panels-Motors-Mech. Equip. o es Closet Light -Shower Light -Spa Light r�moke Detector Date% G� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except k's Ducts Insulation & Support 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA ING'(Plans) OK except N's . Sls, Proper Material & Anchors alls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing X12. Draft Stop in Walls (rat proof) 4<F. a Stops; Furred Ceilings -Stairs -Chases -Tub ZAIC Headers & Beam -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors Ve'Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. . ireplace Ties or Type A Flue -Fireplace Throat clearance 48 ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles LART-OB'drm. Windows or Exiting Doors -Sill Hgt. & Dimensions f arage Fire Protection Framing 54_12ropefty-4_4ne Firewall & Openings L. 2 Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers ,5&, -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access L5T. Glazing Area -Glass Protection-Sk*U*4ts-Plastic 58-6hear-WIts; Nailing -Bolts 9. Insulation -Walls -Ceilings ,__elT Infiltration -Walls -Windows Date 2 Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except If's 61. Ext. Steps -Door & Sidelight Protection -Landings moke Detector 161 rnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels airs & Rails 68. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. 79,=!(it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7 Elec. Outlets & Receptacles at Kit. Counter 72. arage Fire Door; Swing -Landing -Closer e -A -C. Duct in Garage -Damper V--74-Wt;. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 6.FJec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic Yes d Rails & Deck Construction -Post Caps 9. Fdn. Vents & Crawl Hole Door -Drainage od-Earth Cle lance Looked underpeor Pn Yes Following instld.; Driv es 0 No; Walks 0 Yes t< Planters 0 Yes No co; Brown -Finish { C Unit; Disconnect Electrical Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings er Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground . Ventilation TJ�roughout House Glass Protection 88. Corrections from Previous nsp ction 89. est -Meters Ta ed; as -EI is 90. Water & Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Date rd Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS a 1469 Humboldt Road, Chico, CA - (916) 8912751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE I 1i1(:;N *7 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 tlilsAiffic wen correction of work is completed. If you have any questions pertaini,tW.' matter, or need additional explanation, pleasep!nctAXoffice immediately. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA -'(916) 891-2751 X' 7 County Center Drive, Oroville, CA - (916) 538-7541 j, l 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 1 � OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. I Date Inspector. REV 11/ Owner LOCATION ROOF MATERIAL THICKNESS Permit No: ENERGY CERTIFICATION DESCRIPTION OF.INSULATION BRAND NAME THERMAL RES. A. P. NO. EXTERIOR WALL MATERIAL FI r 9ASS BRAND NAME. LPUAIKTEED THICKNESS DL ' THERMAL. RES. - / CEILING BATT OR BLANKET TYPE-FiberglasHRAND,NAME CERTAINTEED THICKNESS THERMAL RES. LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CER NTEED THICKNESS / 'THERMAL RES. - FLOOR,ELEVATED MATERIAL FIBE9 ASS BRAND NAME CF,.IWAINTEED THICKNESS n " THERMAL RES.---x-:- FLOOR, ES. FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY.CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES,INC. # 62.2184 FIRM NAME OWNER STATE CONTR. LICENSE NO. .II—a/— 19--- I hereby certify the above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as.required by the State of California Energy. -Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. -------------------------------- ------------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO.. SIGNATURE OF GENERAL CONTRACTOR/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 7 County Center Drive - Orovllle, California 95965 Telephone: 916/538-7541 APPLICATION AND PERMIT P RMIT N0. ASSESSOR PARCEL. NUMBER 030-102-023 ZONING A -R BUILDING PERMIT OWNER Sacramento 34th St. Land Co. TELEPHONE SO. FT. OCC. BUILDING VALUATION 1266 R 64 566 OWNER'S MAILING ADDRESS 2035 North Pacific Ave. Santa Cruz 95060 528 M 9,504 CONTRACTOR'S Construction Network 0&P 343.7291 24 C 312 CONTRACTOR'S MAILING ADDRESS P.O. Box 147 Chico 95927 Fireplace VIA" 1,500 CONSTRUCTION LENDER Sacramento Savings UNKNOWN Total Valuation Is 75,882 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 361.00 ARCHITECT OR "LN ;INEER GM Dra f Se rvice LICENSE No. Plan Checking Fee $ 180.50 Energy Plan Checking Fee $ 15.00 R ARCHITECT OR ENGINEER'S MAILING ADDRESS 1395 41st Ave. Suite B Ca itola CA Penalty $ BUILDING ADDRESS j de, Thermalito Permit fee $ 566.50 PLUMBING PERMIT Filing Fee 10.00 14th Street & Tehama Avenue Each Trap 81 2.00 1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP a d�� Water piping 5.00 5.00 Each qas water heater or vent 5.00 1 5.00 USE OF STRUCTURE SF NY Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 9.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New.0 Addition[] Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: 3BR _ Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions C de and my license is in full force and d effect. License No. Classification7 1. ❑ I, as the owner, or my a ployees 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.&) `/zQsgft OR ACDNS. ACC. BLDGS. / 44-85 NEW CONSTR MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR, zo®soa Ex. Occup(OUTLETS OR FIXTURES .200030 FIXED APPLNS. OR \ EX. OCCUp. OUTLETS (RESID,) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. wiring 15.00 Permit Fee $ 74 RS Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j 1 shall not employ any person in any manner so as to become subject AA++ to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating dual pack 1 16.00 6.00 Cooling 22 Ton 1 6.00 6.00 Hood 3.00 3.00 Ventilation Permit Fee $ 2 5.00 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 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 Ii i I ies, judgments, c ts, and expenses which may in any way accrue agai s id County ' equence of the granting of this permit. X Date IL Signature of Applicant - Owner El ontractor Agent An OSHA permit is re u' ed for excov ions over 5'0 ' deep and de olition o nstruct- ion of structures over a ies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ Q-3 TTYPE TOTAL F $ 742.35 X Az. CUA -' PARK sc L r coF PAR PD HD• ISSU This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ove for which fees have been aid. P CTO OF UBLIC WORKS By / %Date 2G PER IT EXPIRE Date /��_ __(_ -% Receipt No. - �. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT 0 PUBLIC WORKS - BUILDING DIVISION / J 7 COUNTY CENTER DRirfE - OROyVILLE, CAIl NIA 95965 -TELEPHONE: 916/538-7541 .r• PERMIT -APPLICATION DATA SHEET Permit No. OWNER SACAQC9 A4edrf'0 I3Li4i- 5-,TRedA (,IJ,NJ G O A. P. No. Proposed Building Use AA66, ! SE :3 bdrm Btijdding Inspector s. At time of permit application, I was. advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ..................................... i..... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions . 1�\\ �L Fees of $ C,! r .............................. 1(--:2 [� 11. Chico Urban Area fees paid ....................................... 12. Park feed School istrict fees paid .............. //-26-2 Sanitation approval from &T*T-D Health Department (/ 17i 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. I vements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... OIL Recorded copy of Agricultural Acknowledgment Statement ......... //„Q/ /25. - Letter of signature authorization • oK 71.�i•ly A &e- �P_ cS %Gf �ri�.. �•�12i Gv4't� •Q� %%► S . �_l�, _ 9/ 27. When you issue the permit, process as follows: Mail to owner. - - Telephone-2�',FZ91 and hold for pickup at 640 office. _ .. -.� — -r w t -, _ U ' (Date) Mail to contractor. _Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. ___! Air Pollution Date T Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submittedpro ' to�perm t i u�: (Circle new item not checked abore). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by Zphone__rnaiI—counter by ! .date 51,7bl9i Contractor, designer, owner, was advised of above required data by—phone _maII—counter �by date Plans checked by Date Plans approved by Rte— Date 5-21-91 Sets of plans on hold in Copy -DPW File cabinet AP folder TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance "'I /oil /e%, ` owner locution /0 z - Q23: AP # Driveway permit -` Z �� has been issued for the above property. si,XCature date 64?o - f-(cG/( COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 -County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING y� — BUILDING PERMIT OWNER G(AcA�me;ito 3gthsr�zg�Znlvd TELEPHONE SO. FT. OCC. BUILDING VALUATION 6 OWNER'S MAILING ADDRESS 035-Abr4-h P,"V(Pi;� A Us oiIn&vz 5 0 CONTRACTOR'S NAM N5tt'JC+10` R� AI HONE29/ N /Cr Ce CON ACTpOR'S MAID G ADDRESS Po SJo l ( (,C0 C-Fi IFireplace 1. 5.10 0 CONSTRUCTION LENDER��� ��� `� _ VNKNOWN Total Valuation $ Filing Fee $ ;0.00 LENOER'S MAILING ADDRESS Pe,mi: Fee $ ARCHITECT OR LN.; EER GM A P -t -i G l^0 %c LICENSE NO. Plan Che -king Fee $ • 5D Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS �� l � 1-11-5-r ESV f'4 6 g" CAi-� ,"kA- Cry Penalty $ BUILDING ADDRESS Permit fee $ '57'(0 !s(% PLUMBING PERMIT Filing Fee 10.00 s �L� tytS�jeEE-���e�/1AM�4 AVC Each Trap 8 2.00 1Cp,U6 EJrmp 1 -t -p f} Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 .6 0 Each pas water heater or vent 5.00 1 57. 6b USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 S' -dr✓^ Mobile Home S I G I W J h0-00ea TYPE OF WORK New Addition[] 1Remodel[] Utilitiesg: nz t llation❑ Other[] Describe work: �� Cdr Permit Fee $ (0 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 000V OR LESS 100 AMP OR LESS 10.00 D,b� Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my. license is in full force and effect. License No. Classification ❑ 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 NEW CONST. DWELLING OCCe OR ADONS. ACC. BLOCS. UP. , �2¢sgft , NEW CONSTR. MULTI-OUTLET2.50 NON-RESID BRANCH CIRC ITS ea (POWER APPARATUS e\ SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20950t BAL&LO FIXED APLNS. EX. OCCup. OUTLETS PRESID. IIRE A.) 2.00 Temporary service 10.00 /000 Mobile Home Facilities 15.00 Misc. 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _ Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating DVAJ PACI<-bD Cooling Z G 'Qd 6� Hood 3.00 3,&0 Ventilation Permit Fee $ u Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ r �� E HALcuA PARK scHL FLD PAR PD 1 HD. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No. 936 7 -7 — Z .�— WNITE-D.P.W., YELLOW-A3SE39OR, PINK -INSPECTOR, GOLOENROO-AP►LI CANT e &( CAT. NO. NNO0636 TO 21954 CA (1-83) rr TICOR TITLE INSURANCE y (Corporation as a Partner of a Partnership) STATE OF CALIFORNIA COUNTY OF Bu On �y 2R, 1991 before me, the undersigned, a Notary Public in and for said State, personally appeared Orrin E. Young personally known to me or proved to me on the basis of satisfactory evidence to be the person who executed the within instrument as the Vice President, At personally known to me or proved to me on the basis of satisfactory evidence to be the person who executed the within instrument as the Secretary of the corporation that executed the within instrument on behalf of MyN the partnership that executed the within instrument, and acknowledged to me that such corporation executed the as such partner and that such partnership execut the same. WITNESS my hand/an official sea OFFICIAL SEAL N. GREMLER m NOTARY pMUC • CALFORNU Bum COUNTY I�r Cortin. Eapins )wt 7. ls9a ` Signatu :? � LNT (This area for official notarial seal) cr Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 91-2165.8 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte. County C6dg ` requires this acknowledgement be recorded - prior to issuance of a building permit. 1 All that real :property., -situate in .the County of Butte, State of California, described as follows: Parcel 1, as shown on that certain Parcel Map filed in the office of the County Recorder, County of Butte, State of•'California, in Book 88 of Maps, at page 18 on April 21, 1982. "Pk' o.30 102- ®2-3 Sacramento 34th Street Land Company Limited Partnership By.MYN, a General Partnership Date: s� �"G! PROPS WNERS: By: r in E. Yo Vice resident State of ) On this the day of , 19 before me, the SS. undersigned Notary Public, personally appeared County of ) F] Personally known to me. R Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within.instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 030 -/04-'0073 Notary Public 9 1-02 1 6 38-!' 1 Rec Fee 5.00 The property described herein is adjacent �' 1 Cash 5.00 to land or included within an area zoned for agricultural purposes, and residents Recorded 1 } of this property may be subject to incon- Official Records 1 veniences or discomfort arising from the County of 1 use of agricultural chemicals, including, Butte F but not limited to herbicides, pesticides, i Candace J. Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including, 10a47am 3 -Jun -91 I XX -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: Parcel 1, as shown on that certain Parcel Map filed in the office of the County Recorder, County of Butte, State of•'California, in Book 88 of Maps, at page 18 on April 21, 1982. "Pk' o.30 102- ®2-3 Sacramento 34th Street Land Company Limited Partnership By.MYN, a General Partnership Date: s� �"G! PROPS WNERS: By: r in E. Yo Vice resident State of ) On this the day of , 19 before me, the SS. undersigned Notary Public, personally appeared County of ) F] Personally known to me. R Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within.instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 030 -/04-'0073 Notary Public ql� 12/90 RESIDENTIAL.PLAN CUECKING GUIDE MISCELLANEOUS:ITEMS-ITO-LOOK OUT FOR 1A'S-t airway details: landings, rise and run, head clearance, handrails .(Sec. 3306). ,2-� uaG d it details (Sec. 1711 & 3306(j). ' 3-.—BrTc-R-`or stone veneer (Chapter 30) . ��xt��ior plaster - weep screeds (Sec. 4706). 5t/Proper roof pitch for roof convering (Chapter 32). 6 ----Roof covering type - (fire hazard). -7�.o`am insulation - protection. 8--36" halls and stairways. •9�--ivi-r-rg area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1.8=-Twc exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 114-I'ttic access and ventilation (Sec. 3205). 12---Cnderfloor access and ventilation (Sec. 2516). 13 Combustion air for fuel burning appliances - L.P.G. requirements. 1 requirements on duplexes. l ergy design. " 1'. Flashin at all exterior openings. . CDF responsible area requirements. S URM ITE D) RESIDENTIAL PLAN CHECKING GUIDE 12/90 (S.F., DUPLEX &,MISC. ONLY) Bldg. Permit # gCt7 OWNER �aAc. 30�-s-r- 1�1� Co A. P. K. -30-- /0 Z- Z3 GENERAL Plan Checker 1 l�! Zoning requirements: (sideyards and number of permitted living units). .aluation. t�;zlPlans signed by designer. Proper description of work on application. i—�fxisting violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). = -R coded notice of violation. PLOT PLAN I.�-omplete parcel size and dimensions. 2�' Setbacks, sideyards, easements, etc. 3--0ttrer- buildings or structures. ding, fills, drainage. 5t' -Flood hazard. tepee -a1- conditions on creation map, ustible, and foundations). 7-----FA-t-&—FAS road setback. (noise, CDF, fire sprinklers, non-comb- 8--Btti-1-d ng or utilities across lot lines (Record form). FLOOR PLAN 1. Complete to scale plan with dimensions. 1 >equired windows for light and ventilation (Sec. 1205). 3►� Required windows for second exit (Sec. 1204). 4- 4<--y ghts (Chapter 34 & Sec. 5207). 5�--liximan impact glass (Sec. 5406). 6. equired room sizes, ceiling heights (Sec. 1207). 71l GCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). 8f/ Light fixtures, switches, receptacles, and exterior receptacles for main- nance of mechanical equipment. 9 ocations of water heater, heating and cooling equipment, other electrical *r gas equipment. l0arage firewall, door size, and closer (Sec. 503(d)(3)). l�Y. = 3'0" exterior exit door (sec. 3304 (f). 1 eplace and wood stove location, alcoves, and clearance. imoke detectors (Sec. 1210). 1 Plumbingfixtures, u es, water closet clearances and shower size. STRUCTURAL DETAILS Sta and bracing or engineered design (Table 25V) ape, size, or split level house requiring lateral design. undation plan complete enough to construct building. loor construction details complete enough to construct building. t.��levations and wall construction details complete enough to construct building. 6 Roof construction details complete enough to construct building. -• � lace construction details and talcs if. necessary. 8�!, $after ties or bearing ridge beam. age door or porch header sizes. 1Z��d heights. l Adobe soils - special foundation design. eta' ng walls requiring design. 1 . pecial Inspection required. Certificate of Compliance: Residential (Page I of 2) CF -IR AMI L I99 1 Project Title Date Project Address rd 1. ,{ 6IA S' �. UE 5 F t�l� (I 0b) `t7 Building Permit # Documentation Author Telephone 11 Checked By / Date Compliance Nlethtxl (Package; Point System or Computer) Climate Zone Bnforccment Agency Use (hdy GENERAL INFORMATION Total Conditioned Floor Arca: ft` Building Type: Single Family Hotcl/Motcl (check one or more) Multi -Family (lets than 4 stories) Addition Multi -Family (4 or mors; stories) Existing; -Plus -Addition Front Entry Orientation: North East/ South /West/ All Orientations (circle one or more) Number of Dwelling Units: 1 Floor Construction Type: Slab tj ailed Flog (cir(.ic one or both) Infiltration Control: Standar fight (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garagc; typical, etc.) Wall .............. ALL C.cltJ 2 111 Q NJ D Wall .............. Roof ............. ; pp Roof ............. . Floor ............. 19 Floor ............. Slab Edoe ..... — GLAZING Glazing Area Orientation (sf) Front.... 1L Front.... ( j Left...... O� Left...... ( ) Rcar..... Rear..... ( ) Right.... (W) o— Right.... ( ) Skylight....... — Skylight....... THERMAL MASS Shading Devices Glass Typc Interior Exterior Overhang Framing Type (single, double) (roller blind, etc.) (shadescrecn, etc.) (ycs/no) (metal/wood) - ►- X1,1 nl D L– I Typc/Covering Arca Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath etc.) WOOp /-nue 24 2.0j1 Certificate of Compliance: Residential (Page 2 of 2) CF -111 M YN Et\ITM 9t'S�- 12 A I S- MI Project Title. Dale HVAC SYSTEMS Minimum Duct Type (furnace, air. Efficiency Location Duct Output Manu facturer/Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Bluh) (or approved equal) -�:uiZ�jALF, i?.o i. LF- AWi- 2. I 7000 TAf �1�ItaNT -A -311nC,AVD3rvo'I-o Maximum Furnace Heating Output: Btuh IIOT WATER SYSTEMS Tank Manufacturcr/Modcl # System Type (storage gas, etc.) Capacity (or approved equal) Special Features) s-ro�a (1 E Lu15 L t. X1.4 -50 �o� >✓Qtla L G�.G - APPF?o ✓E[>> SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This. certificate of compliance lists the building 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. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary arc indicated in the Special Fcatures/Remarks section. Designer Name: G�. NIITGHTa VV Titic/Firm: G Fn$ DRAFTiN?- ".HrIVIC1 Address: 1395 4' s' J: Telephone: Lic. k - (signature) I / (date) DocumentatfadAuthor Name: /a Title/Firm: G iAF'1AFTING SE 3VICr .' Address: 1395 4ist Ave., Suite B Capit:>la. CA 9�r,'iQ Telephone:- r.,r,.;r (signal re) (date) Form Rcviscd March 1988 Building Owner Name: Title/Firm: Address: Telephone: (signature) (date) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) .Mandatory Measures Checklist: Residential NIF-11Z NOTE: Lowrise residential buildings subject to .the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this'checklist is incorporated into the permit documents, the features noted shall be considered by all parties 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(x): Minimum ceiling insulation R-19 weighted average. 12-5352(b): Loose fill insulation manufacturer's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfrltration 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 sealed. §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: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2=5352(h) and 2-5315: Setback thermostat on all applicable heating systems. •.§2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): 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) for storage and backup tanks for solar water heating systems (fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception I): Pipe insulation on steam and steam condensate return & 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 §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Revised July 1990 Point System Summary: Climate Zone 11 P -2R Project Title Date BUILDING DATA Conditioned Floor Area21 S (y Number of Stories Slab/Raised FloorArISED Check all applicable Unit Type condition(s): [ ] Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building (] Multi -Family (MF) [ ] Existing -Plus -Addition SCORE CARD Measures Point Scores 1. Ceiling Insulation 3l3 or R -value [381 U -value 10.0301 2. Wall Insulation Il or c� R -value (11) 11 -value (0.098] 3. Raised Floor Insulation 19 or — R -value 1191 U -value [0.0371 —� 4. Slab Edge Insulation — or — qS R -value (0) F2 factor [0.77] 5. Infiltration Standard 0 6. Glass Heat Losst< Type [double) U -value [0.65) %Total Glass 1161 Sum 1-6 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North 2.1 x LV(9 = 1. l B t b. East lD .d x = + 2 Z _i Z c. South p(p x = 039 d. West x e. Skylight — x 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North 2.1 x 29 = 18 3 b. East ta.d- x c. South x = .0171 d. West x�— e. Skylight. — x — _ _- 9. Interior Thermal Mass Interior Mass/CFA 10. Exterior Wall Mass til 0 - F Exterior Wall Mass _ Sum 7-10 11. Heating System '130 , x Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.781 Effective SE or [0.72/6.6] HSPF [0.56/5.151 12. Cooling System x = _� Zonal Control? ( Y / N) SEER 19.51 Duct Efficiency 10.74] Effective SEER (7.031 13. Water Heating z2, 0-- -- Type [SG1 Credit [none] _+ Point Total. Form Revind Morrh 1988 Thermal Mass Worksheet : WS=111 M Y 1�1 iJ'rF 1? I S F S A_?P L 1991 Project Title Date INTERIOR THERMAL MASS Use one of the two following options for calculating interior mass as explained in Section 4.2 of the Energy Conservation Manual (ECM). Method B must be used for mass elements that have an interior unit mass capacity less than 1.7. Method A: Look up the Interior Mass/CFA.value from ECM Table 4-7 reprinted on the reverse side of this page. iType 1 mass has a Unit Interior Mass Capacity (UIMC) greater than or equal to 4.2 (see ECM Tables 4-8a and 4-8b reprinted on Attachment). Type 2 mass has an UIMC greater than or equal to 1.7 and less than 4.2. Mass % is the mass surface area divided by conditioned floor arca (CFA). For mass elements exposed on both (two) sides to conditioned space, enter the area of only one side to calculate the percentage. Mass % Type 1 Mass Area: Type 2 Mass Arca: Interior Mass/CFA from Table 4-7: Method B: Calculate the Interior Mass/CFA value using the worksheet space below. Look up the Unit Interior Mass Capacity (UIMC) for each interior mass surface in ECM Tables 4-8a, 4-8b and 4-9 reprinted on the Attachment. Include the interior surfaces of exterior mass walls. For interior mass walls exposed on both -(two) sides to conditioned space, enter the surface area of only one side. Include the inside surfaces of exterior mass walls as explained in Section 4.2 of the ECM. Unit Interior Interior Description Mass Arca Mass Capacity Mass Capacity X' _ X X = X = 72 y I2�ly = .05 7 Total CFA Interior Mass/CFA EXTERIOR WALL THERMAL MASS Calculate the Exterior Wall Mass of all exterior walls. Look up the Exterior Mass Factor for each opaque wall element from ECM Table 4-9. reprinted on the Attachment. Only exterior mass wall surfaces may be included in this calculation. Opaque Exterior Description Wall Arca Mass Factor X = X = X = Conventional Walls x 0 = Total Form Revised A1arch 1988 Total Opaque Exterior Wall Area Wall Mass FORM 5 HEATING SYSTEM Owner:�� Location: ozVjj l.', System type: Documentation author: CONDUCTIVE HEAT LOSS W Area,ft U value. AT. Loss, BTU/hr Glazing: (double) Zo5,5 X ,(os X 38 = So1—s Glazing: (single) X X 38 = Wall: (type 1) 9 -fO,S X ,09f3 X 38 =" 352-+ Wall: (type 2) X X 38 = Ceiling (dropped) 112-15(0 X , o3v X 38 (cathedral or Roof: open beam) X X 38 = (over vented Floor: crawl space) 125 LO X p�'j X 19 = 682 Door 35 X ,33 X 38 = 4-7 Lo Other: X X = Note: Use overall U values only Subtotal 1 113 $ (Include framing factors) INFILTRATION IZS(p ft X g ft X .0185 X 38_9=2 conditioned weighted LT air floor area average changes ceiling height per hour Subtotal 3 DUCT HEAT LOSS (Enter 0 -if there are no ducts.). 0.15 X Line 3 = 4 Zlo(o Total ------------------------------------------------------ design heat loss (BTU/hr) 5 -1, o(� ------------------------------------------------------ HEATING SYSTEM OUTPUT MAXIMUM 1.3 X ( 2o4c)ip + 10 X 12c,(o ) = 6 �Z,gSS line 5 floor area maximum out W THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROV-ILLE, CALIFORNIA 95965 • • TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Address: Acct. No: A. P. No.: - Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: A I�H `66 a o��npp Preliminary Review By: Application $ Arrearage CSA 26 v Remarks: SC -OR 1st mo. S.C. Other Total Fees Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID APPLICANT RECEIVED FROM OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOKS LAND DEVELOPMENT SECTIb �! Blau � 00 z to ISSUED lB4Y&L,_ s t2 --J DATE REC61PT No. TOTAL TENTATIVE ERIS CHECK STR UT PUBLIC comp- FIRE R ucalva o MAPS spEcT SIGNS DOCU-UNTS LIANC13 HYDRANT OTHER RECEIPT 12534 a ��(Lc, 0 904202/1211 c -K'7 - ZZ PAY _19 TO THE ORDER OF.%"00 _ $ oc DOLLARS 11 FOR ---1: 1 2 114 20 2 SOD 20000 1,00 6110 c� OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOKS LAND DEVELOPMENT SECTIb �! Blau � 00 z to ISSUED lB4Y&L,_ s t2 --J a ��(Lc, 0 904202/1211 c -K'7 - ZZ PAY _19 TO THE ORDER OF.%"00 _ $ oc DOLLARS 11 FOR ---1: 1 2 114 20 2 SOD 20000 1,00 6110 c� ,'. a-• . ti -1 lk.' .y` .c'� i$ .. f M.. .t..,r �. ...-fMri .{c .;�.:.aa'ry{rk.....�.5.yve.r5 �. 'rwta.•'�r^%.• r.r..�...-......,,,. 'r.. r' , r;....w•r.:....,r .... , __ BUTTE COUNTY SCHOOLS -DEVELOPMENT FEE CERTIFICATION FORM (One Farm -per Building) A -�►/ A.P. Number � — 102 � 3 Building Department No. School District �� "r"1/cT City n County Jurisdiction Property Owner sAr AkAmato 3q fA s-Vteez�- e riAld C i Project Location/Address,,,, l le MM,4 IVC :gwlva Oto 6;4 - Subdivision Lot Number Residential Development: ULivjing Sq# of .MHI Addition Units Commercial/Industrial: Footage (Group R) Sq. Footage New Addition (Including Exterior Roofed Areas) Bui ding Department Representative Date ******************************************************************* (F1'oor Plans reviewed by School District Personnel) nvry District I d No. 9 2 0 3 6 6 444-930 EJNIoiing Wo"A p ©ya-oy�.L QWL"6-p �Qt 1b School District certifies that Itad (Applicant Name) (PYone lumber) /11 J< 14 11�� ., (Street Address) J City tate 0 - has complied with the requirements of Resolution No. p c:oae by the payment of $ a,�0�. ` representing 1, -Ula feet. "Z? School District 4Zepresentative Date PAID BY CHECK NO. BANK NO Q / 'I�ZOZ PAID BY CASH REMARKS: tv white -applicant, yellow -building department,:yp�ink-school district �, SCHOOL.FEE (8/88) THERMALITO IRR1.GATION DISTR1d"*0"me""1ie8rl» 4gp`VRAND AVENUE APR 14 1992 OROVILLE. CALIFORNIA 95965 rn TELEPHONE 533-0740 Orowle, California CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Address: Acct. No: - - A. P. No.: , Phone: - No. Units: r �, Applicant/Agent: Agents Proof: Address: " Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: S '- SC -OR ` 1st mo. S.C. I Other y X - Total Fees ` Collected By: / Date: y•'/1,1', Field Review By: -1' .,;—/..-,.,--Date: Remarks: - , r 7' 6 -ie_ ir' 17 MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID 1. Ceiling Insulation 2. Wall Insulation Single- Single - Number of stories . I 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 -153 -114 -76 0.50 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation U -value Single- Single - -48 -42 35 Number of stories Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -21 -14 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 -4 3 Insulation in Floor 0.80 -1 Number of stories 0 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 -14 -12 -10 -48 -42 35 Number of stories .____0.60 - -144 a0 -46 ' 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -13 -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 -14 -12 -10 -48 -42 35 Number of stories -64 -55 -46 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 40 -90 37 Number of Stories -14 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -58 -20 -12 0.90 -4 3 -1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0:40 12 8 4 S. Inriltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total -14 -12 -10 -48 -42 35 -69 -59 -50 -64 -55 -46 LI -value North Percent .29 -26 -23 Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 .9 1 10 30 -61 -21 .13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 .8 .1 7 14 25 24-_ -46 -14 -7 -43 -5 0 1 7 8 14 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 b 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) EtRetlie Percent class (Pereeat glass; x SC) Effective -14 -12 -10 -48 -42 35 -69 -59 -50 -64 -55 -46 %Glass North East South :West .29 -26 -23 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 10 3 2 3 5 5 2 2 na 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 -2 2 6 1 4 (2% 3 5- 1 -1f,-- 4 3 3 4 0 2/ 3 1 3 3 0 1 2 1 3 2 -17- 0 1 0 3 -3 1 - - 2 0 1 -4 -2 0 na = not allowed 6 7 25 8. Shading (Shade Closed) Efrecdve Perea2t Glase Qmventglasaxsc) %Gctive W Witt End S" West Skybpht 18 16 14 -14 -12 -10 -48 -42 35 -69 -59 -50 -64 -55 -46 na na na 12 11 10 -8 -7 -6 .29 -26 -23 •40 -36 31 37 33 -29 na na -74 9 8 7 -5 -5 -4 . -20 -17 -14 -27 -23 -19 -25 -21.. -18 -65 -56 -47 6 5 3 -2 -11 -9 -15 -111 -38 -30 4 3 2 -1 0 1 0 4 f -8 -5 1 1 -4 "`1� 1 -23 -16 -41 � 0 . 2 0 4J 3 0 na . rat allowed 0 1 1 0.5 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /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 it 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 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 i 11. Heating System SE or 13SPF (assumes duels In attic) Zonal Control Adjustment System Typo Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 i 12. Cooling Syst!m I SCORE CARD % Glass SC Sum of 1-6. a. _ SEER -5 -25 or -24 to -14 to d 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 1 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 10.5 7 Effective SE or HSPF 3 2 (SE or HSPF x duct efficiency) 9 7 Effective -25 or -24 to -14 b -4 to +6 to 16 or SE HSPF less -15 3 +5 +15 more 20 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 0A`' 0�� 0 0 0.60 5.50 5 5 P 2 I 3 2. 0.70 6.42 17 15 13 ,3.1 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Typo Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 i 12. Cooling Syst!m I SCORE CARD % Glass SC Eff. % Glass a. North SEER -5 -4 4 3 -2 (assume( ducts In attic) 3 . 3 2 Stm of 7-10 2 1 Single -Family g mdy Detaehed and -25 or -24 b p14 to -4 to +6 to 16 or SEER less -45 1 -6 +5 +15 more 8.0 -14 -12 -10 -8 .6 -4 , _ . 8.5 -9 -7 -6 -5 -4 3 8.9 -5 -4 -4 3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 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 -1 Effedive SEER 0 0 0.8 (SEER xdud efficiency) .18 -12 -9 .Q1 ".n of 7-10 -6 23 WSB . Effective -25 or ,24 to -1410 -410 46 to 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 7 -6 -4 j 6.6 -5 .4 -4 .3 .2 2 I 7.0 0 0 0 0 0 0 8.0 9 ' 8 6 5 4 3; 9.0 16 14 12 9 7 5 10.0 ' 22 19 16 13 10 7 11.0 26 23 . 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No -Cooling System Installed -Stories SCORE CARD % Glass SC Eff. % Glass a. North One -5 -4 4 3 -2 -2 Two +. 3 . 3 2 2 2 1 Single -Family g mdy Detaehed and Attached U-value[0.098] 3. Raised Floor Insulation Unit Size (sQ or Water 099 1200' 1700 2200 2700 Heater l.redit or . Ib to to : or Type Type loss, 11699 2199 2699 more SG None 0' f 0 0. 0 0 or Solar 12 " 8 6 5 4 - HP -HWR 3 5 4 3 3 WSB 5 3 3 2 2 20% POU 8_ 5 4 3 3 SE None 37 -24 -18 -15 -12 95% Solar -1 -1 -1 0 0 0.8 HWR .18 -12 -9 -7 -6 23 WSB . -25 -16 -12 -10 -8 3.8 POU -18 =12 -9 -7. -6 IG None =5 -3 -2 .2 -2 1.2 Solar 7 5 4 3 2 21 POU .3 2 1 1 1 IE None -28 -19 -14 -11 -9 20% Solar 8 5 4 3 3 1.6 POU -10 3 -5 -4 -3 3.1 Multi -Family (individual units) 11 3.9 4.1 4.3 It Unit Size (SQ 4.8 Water 5.2 699 700 1200 1700 2200 Heater Credit or b b to or Type Type less •_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 28 WSB 9 4 3 22 4 4.3 POU 9 5 3 2 2 SE None -45 23 -15 -11 -9 1.7 Solar 2 1 1 0 0 32 HWR .23 -12 -8 -6 -5 4.6 WSB -25 -13 -8 -6 .5 _e0U 55% _23 -12 -8 -6 -5 IG None -8 -4 -3 -2 ; -2 1S Solar 6 3 2 1 1 4.9 POU - 1_ ` 0 0 0 0 IE None -30 -15 -10 ' ' -8 -6 ' 21 Solar 18 9 6 4 4 3.5 POU '+ -8 -4 -3 -2 -2 rolnt system summary: comate Gone n SCORE CARD % Glass SC Eff. % Glass a. North Measures 1. Ceiling Insulation C_ ;7 or c. Interior Mass/CFA R-value(381 U -value [0.030] 2. Wall Insulation - t / or e. Skylight It-value[11] U-value[0.098] 3. Raised Floor Insulation Q -1q or cJ�? R -value 1191 U -value [0.037] 4. Slab Edge Insulation or R -value 101 F2 faam [0.77] S. Infiltration Standard 6. Glass Heat Loss D19 l__ 11. ,n,t2NC•..2) ( c.l_nl Type [daablel U -value (0:651...._ % Total Glass [ 16) y l TYPE 1 MASS (UIMC . b 4.2. le: exposed slab) 0% 5% 10% 15% 20% 2S% 30% 36% 40% 45Y:' 50% -56% 60% 6514 70% 75% 80% My. 90% 95% 100% 105% 110% 115% 120% 125`; 0y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2t 23 25 f 2.7 19 3.2 3.4 3.6 3.8 4 4.2 4.4 4.8 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 21 2.9 11 3.3 3.5 17 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 22 24 27 29 3.1 13 1S 11 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% QS 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 3.2 15 3.7 19 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.6 5.8 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 28 3 12 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% 119 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 14 3.6 18 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.1 5.9 6.1 55% 0.9 1.1 1.4 1.8 1.8 2 2.2 24 28 28 3 32 1S 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% 11.2 1.4 1.7 1.9 21 23 25 27 29 11 13 3.5 3.8 4 4.2 4.4 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 2.2 24 26 28 3 12 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 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 25 2T 29 11 3.3 3.5 17 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 15 1.7 1.9 21 23 25 27 3 12 14 18 16 4 4.2 4.4 4.6 4.8 5.1 5.3 S.S 5.7 5.9 5.1 6.3 6.5 80%. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 17 19 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 65% to 1.7 1.9 2.1 2.3 25 2.7 29 11 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 63 6S 67 90% 1.5 1.7 2 2.2 24 26 2.8. 3 3.2 3.4 3.8 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 25 27 22 3.1 33 3.5 17 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4. 5.6 5.8 66.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 32 3A 3.8 18 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 1 105% 1.8 2 22 2.4 2.6 28 3 13 3S 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 27 29 11 13 38 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 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 14 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 3.t 3.3 3.5 1T 3.8 1.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7,3 125% 21 2.3 25 2.8 3 12 14 18 3A 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 rolnt system summary: comate Gone n SCORE CARD % Glass SC Eff. % Glass a. North Measures 1. Ceiling Insulation C_ ;7 or c. South R-value(381 U -value [0.030] 2. Wall Insulation - t / or e. Skylight It-value[11] U-value[0.098] 3. Raised Floor Insulation Q -1q or cJ�? R -value 1191 U -value [0.037] 4. Slab Edge Insulation or R -value 101 F2 faam [0.77] S. Infiltration Standard 6. Glass Heat Loss D19 l__ Type [daablel U -value (0:651...._ % Total Glass [ 16) Point Scores CD 0 O =952E7� Sum 1.6 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North Z x ?,?7 b. East x i c. South n (o X =g Z -- d. West $ ,o x = Z e. Skylight O x = Q o 8. Shading (Shade Closed) 9. Interior Thermal Mass % Glass SC Eff. % Glass a. North Z'. 8r x Z 9 b. East x = -0.9 c. South O. x = 0 . Z d. West g x (< = Z' 3 e. Skylight D x = D 9. Interior Thermal Mass TYPE 1 MASS AREA COND. e . i)M. . , ' • . InteriorI✓xu/CFA FLOOR AREA 10. Wall Masstt TYPE 2 MASS AREA _ g �Exterior J,,: . �iL K E><t-;To, l7alIMa, S ND. L OR AREA 11. Heating System 177/ x .4 _ .400 ;ZOnal'COijfrrol`9 (Y / N) SE - HSPF [0.7216. Duct Efficiency [0.78] Effective SE or HSPF 15] 10.5615. 12. Cooling System , x r Zonal Control? ( Y / N) SEM 19-51 Duct Efficiency [0.74]. Effective SEER [7.03] Water Heating cJ�? 113. Type [SGI, Credit [none] Z �=1v Point Total: Certificate of Compliance: Residential Climate Zone 11 Documentation Author Telephone r - BUILDING DATA Conditioned Floor Area /Zb(- Number of Stories Slab/Raised Floor ISE Number of •Units [ Single Family Detached (SFD) (] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition BUILDING SHELL INSULA71ON' Component Insulation Locaflon/Comments Type R -Value (suic..to garage, rTi=L etc.) Wall .............. 1 Wall .............. Roof ............. 2 3 R Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices ry4 7- Building Permit Checked By / Date/ Date Enforcement ARencv Use Onlv Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single.double) (Tolla blind. etc.) (shtadescreen, etc.) (veshlo) (metaltwood) No rth ( ) 2. D g L FFV Alb S 1,tTf-- North ( ) East East ( ) South Sou th ( ) West West ( ) Skylight....... _0 THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: HOT WATER SYSTEMS M; I e _ �J..V. _.►. Tank Manufacturer/Model # 901 I Mandatory Measures Checklist: Residential MF -1R NOTE: Lownse residential buildings subject to the Standards must contain these measuies regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringers eomjmlianee requirements listed on the Certificate of compliance When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this chocklist only. DESCR MON Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(br Loose fill insulation manufacturor's labeled R -value. ' §2.5352(c): Minimum wall insulation in framed waits R-11 weighted average (does not apply to exterior mass walls). §2-5352(ky Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pernw/inch. 12-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Tortes 14 and 16 only. §2.5317: Infiltration/Exfiltmdon 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 sealed 12.5352(e): Special infiltration barrier installed to comply with 62-5351 mall CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight rating, closeable metal or.glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measure §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach eak Mations. §2.5352(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(): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water beaters. showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation bLuticu (R-12or greater) or combined interior/exterior insulation (R-16 or greater): first 5 feu of pipes closest to tank insulated (R-3 or greater). §2-5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. Orloff switch on heater. b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.53520): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMFNr This Certificate of compliance lists On building 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 purdiaser of the building. Designer Name: Addinta: Telephone: tic, 4: (signature) (date) -� f1 Documentation Author Name: SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) rideffiu t: Address: Building Owner Name:4 Addeo: Te (signature) (date) Enforcement Agency Name: Agency Telephone: Glass Area % Glass North 3S Z I 4'f East 5-16.1_ South �clir_ D� West /6l_ !9,0 Skylight ev Total /,fig Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single.double) (Tolla blind. etc.) (shtadescreen, etc.) (veshlo) (metaltwood) No rth ( ) 2. D g L FFV Alb S 1,tTf-- North ( ) East East ( ) South Sou th ( ) West West ( ) Skylight....... _0 THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: HOT WATER SYSTEMS M; I e _ �J..V. _.►. Tank Manufacturer/Model # 901 I Mandatory Measures Checklist: Residential MF -1R NOTE: Lownse residential buildings subject to the Standards must contain these measuies regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringers eomjmlianee requirements listed on the Certificate of compliance When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this chocklist only. DESCR MON Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(br Loose fill insulation manufacturor's labeled R -value. ' §2.5352(c): Minimum wall insulation in framed waits R-11 weighted average (does not apply to exterior mass walls). §2-5352(ky Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pernw/inch. 12-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Tortes 14 and 16 only. §2.5317: Infiltration/Exfiltmdon 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 sealed 12.5352(e): Special infiltration barrier installed to comply with 62-5351 mall CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight rating, closeable metal or.glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measure §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach eak Mations. §2.5352(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(): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water beaters. showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation bLuticu (R-12or greater) or combined interior/exterior insulation (R-16 or greater): first 5 feu of pipes closest to tank insulated (R-3 or greater). §2-5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. Orloff switch on heater. b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.53520): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMFNr This Certificate of compliance lists On building 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 purdiaser of the building. Designer Name: Addinta: Telephone: tic, 4: (signature) (date) -� f1 Documentation Author Name: SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) rideffiu t: Address: Building Owner Name:4 Addeo: Te (signature) (date) Enforcement Agency Name: Agency Telephone: