HomeMy WebLinkAbout030-200-096U
30720-90B'-P,E,IM
'MALAMAR CONSTRUCTION
1162 Ruddy Creek Ct, Oroville
(new sf)
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RESIDENTIAL
30-20-96 3020-90B,P,E,M
MALAMAR CONSTRUCTION
1162 Ruddy Creek Ct, Oroville
(new sf )
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OFFICE COPY
Address
GAS V
Meter By
ELECTRIC Dat
Meter By
a
JOB FINALED (Date) TTT
Signatu►e
r
4. Water; Location -Test -Easement Needed (Sketch) f
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / PU'ft.
/ /"Nat. or/ P L" ft./ /"LPG
7. Utilitv Clearance
Date
Card B-1 Date Card B-1
v=dk
Card B-1 Date Card B-1
O = Not OK
MOBILE HOME INSTALLATION (Plans) OK except #'s
Applic
No Readyable MOBILE HOMES
1. Zoning Requirements -Setbacks Easements
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3. Gas; MH Test -Demand -Valve -Connector
1. Zoning Requirements -Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Special MH Support Sketch
5. Drain; MH Test -Fall -Flex Connector
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch) f
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / PU'ft.
/ /"Nat. or/ P L" ft./ /"LPG
7. Utilitv 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 i
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
A
MISCELLANEOUS
Datq DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK %xcept #'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/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V OK
O=Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFMOR (Plans) OK except #'s /
backs-Easemen
Soils-Elec.
8%Ffg„ Garage;,Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Aeookg., ore'fies & Decks; Soils -Steel-/ /Ftg. Depth
e
its, Main; Steel -Block outs -Wrapped
. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Holdwns and Special Anchors
f -Fireplace Ftg.-Steel
.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Gas Poe; Size -Anchors
Mk -WS -ter Pipe; Test-AnchorERequlator-Service Test
44W Wienums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Insulation. -^
Date'
and B-1 Date / and B-1
Date and B-1 a Card B-1
Date ` PLUM NG Permit OK except #'s
1 Water Htr.; Vent -Access -Combustion Air -Baffle
ije<ater Pipe; Test & Anchor -Nail Protection
1 .W.V.; Test -Fittings & Anchor -Nail Protection
wer Pan; Test, First Floor -Tub Access
20. Test Tub & ower, Second Floor -Tub Access
2r Gas Pipe; Size & Anchors
Date Card B-14 f6ZZDate Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22wf"ture & Transformer Clearance -Ins. Protection
24,Elec. Receptacles Spacing -Lights & Switches at Doors
80' -Size Boxes & No. of Conductors -Stapled
25-Romex Installed Close to Edge of Studs & C.J.
2fjefquip. Ground made up w/Mech. Fastners-Bond Gas & Water
24e2lAppliance Circuts in Kitchen & Conductor Size/GFI
2 ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Isolated Neutral O Yes ❑ No
39_Service-Riser Conductors & Ground -Main Disconnect
3a
qt4ip. Clearances Panels-Motors-Mech. Equip.
32 es Closet Light -Shower Light -Spa Light
A-rSmoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
3 . A.C. Ducts Insulation & Support
3 ent Fan; Exhaust above insulation
3 . Condensate Drain & Overflow; Size & Grade
37. rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attib Access & Platform if Furnance in Attic
Date 12,11-W)
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
391i9iis,
Proper Material & Anchors
49Aalls Studs -Nailing, Spacing & Bracing -Plates -Sound
4
Baring Walls over Girders & Floor Nailing
4jgwOraft
Stop in Walls (rat proof)
43
r�,Stops; Furred Ceilings -Stairs -Chases -Tub
4 .
eaders & Beam -Size & Bearing
Date FRAMING (Continued)
4 -4 -Wang ers- Post Caps -Anchors -Connectors
J,00Cing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type lue-Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
A90"Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
5 . Property Line Firewall & Openings
xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
Lairs; Width -Headroom -Rise -Run -Landing -Fire Protection
5*"glywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
es -Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
5!!S ar Walls; Nailing -Bolts
I sulation-Walls-Ceilings
e. -Infiltration -Walls -Windows
Date / Z -/ and B-144, Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL fans) OK except #'s
xt. Steps -Door & Sidelight Protection -Landings
moke Detector
6 rnace; Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
,96,tgI36droom Exiting
C F.I. & Bath Fixtures & Tub Access -Spa
r Exec. Trim & Suboanel; Breaker Sizes & Labels
fiSe-Fireplacg-or Stove; Clearances -Hearth
6Q.-D—ec. utlets at Wood Panel; Int. & Ext.
it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
7Oec. Outlets & Receptacles at Kit. Counter
arage Fire Door; Swing -Landing -Closer
7 e -Damper
7 r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec & Mech. Equip. Listed for Location
7 ec. Receptacles in Garage; (G.F.I.)-Romex Protection
717. Igatilation-Foam-Looked in Attic 0 Yes
78. GuarqELafls & Deck Construction -Post Caps
79—fn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Cleara e -Looked under Floor ❑ Yes
90,fo- flowing instld.; Drive es 0 No; Walks es 13 No;
Planters 0 Yes ❑ No
81. Wish
182. . U 't Disconnect, Electrical, Plumbing
encs Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
nec , Electrical, Plumbing
IyAeriar Elec. Trim; G.F.I. Receptacle -Underground
,I,. _Ata-Venlilation Throughout House
s Protection
8 orrection from Previous Inspections
Al. Gas T t -Meters T d;I ric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Lu-rinergy Compliance Certificate -Other Certificates
Date rd B- Date Card B-1
Date" Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
. .
ENERGY CERTIFICATION
LOCATION
A. P. NO.
MATERIAL
BRAND NAME
THICKNESS
THERMAL RESISTANCE (R VALUE)______
EXTERIOR WALL
MATERIAL_FIBEGLAS
BRAND NAMECERTAINTEED__________
THICKNESS (INCHES)
THERMAL RESISTANCE �R VALUE)
CEILING '
-------
BATT OR BLANKET TYPE FIBERGLASS_
BRAND NAMECERTAINTEED
THDCKNESS
THERMAL RESISTANCE (R VA -UE) _-
LOOSE FILL TYPE-FIBERGLASS
BRAND NAMECERTAINTEED -------
MINIMUM THICKNESS (INCHES)_ ^
----------
NUMBER OF BAGS_ T PERBAG 25 LB
AREA COVERED (SQ FT) 119THERMAL
RESISTANCE (R VALUE)
FLOOR, ELEVATED
------
MATERIAL FIBERGLASS
BRAND NAMENTEED
THICKNESS (INCHES).
THERMAL RESIST --- (R VAL-
��-'--~=-��'
FLOOR, SLAB
MATERIAL
BRAND
THICKNESS (INCHES)
THERMAL RESISTANCE (R VALUE) ��----'
FOUNDATION WALL
^/ --------
MATERIAL
BRAND NAME
THICKNESS (INCHES)
THERMAL RESISTANCE (R VALUE)
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE
ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
HAWKINS INSULATION 379407
FIRM NAME/OWNER
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE DATE
IHEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN
ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN
INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS.
ALL EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PRESCRIBED OR
ARE SPECIFICALLY APPROVED BY THE STATE OF^CALlFORNIA.
MALAMAB CONSTRUCTION.,
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
--2Ei eot4CI�jj�V6�-o
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:y lltiatamar Construction, Inc. -
Cadmdm Gtrwt •.4191,50
'Pod C ac Box 12005. Sa* Raw. CR 93406
(707) 527.9077
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Pot Q%t,&r f2=, Sada Borg CA Rme
3o�aC9
(707) SU -9077 ENERGY CERTIFICATION
r
LOCATION
A. P. N0.
ROOF
MATERIAL
BRAND NAME=
THICKNESS
THERMAL RESISTANCE (R VALUE)
EXTERIOR WALL
MATERIAL FIBEGLASS
BRAND NAME CERTAINTEED
THICKNESS (INCHES) _ r,'�
THERMAL RESISTANCE (R VALUE)
CEILING
BATT OR BLANKET TYPE FIBERGLASS_
BRAND NAME CERTAINTEED
THICKNESS
THERMAL RESISTANCE (R VALUE)
LOOSE FILL TYPE —FIBERGLASS BRAND NAME CERTAINTEED "-2"
MINIMUM THICKNESS(INCHES) NUMBER OF BAGS �
' WT PER BAG 20 LB
AREA COVERED (SQ FT) �j<�_'
THERMAL RESISTANCE (R VALUE) n K
FLOOR, ELEVATED
MATERIAL FIBERGLASS
BRAND NAME CERTAINTEED
THICKNESS (INCHES)__ 'L//
THERMAL RESISTANCE (R VALUE) -'
FLOOR, SLAB
MATERIAL
BRAND NAME_
THICKNESS (INCHES)
THERMAL RESISTANCE (R VALUE)
FOUNDATION WALL '
MATERIAL
BRAND NAME
THICKNESS (INCHES)
THERMAL RESISTANCE (R VALUE)
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED .IN THE
ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
HAWKINS INSULATION
FIRM NAME/OWNER
379407
STATE CONTRACTOR'S LICENSE NO.
/Z-7/
SIGNATURE DATE
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN
ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN
INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS.
ALL EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PRESCRIBED OR
ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA.
FIRM NAME/OWNER
SIGNATURE GEN. CONTRACTOR/OWNER
STATE CONTRACTOR'S LICENSE NO.
DATE
-1-
V
N A UJB
OWNER
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
36Z D - 5(�s
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, r need additional explanation, please contact this office immediately.
/411,0 OtaT,S i ac- Z.'J/9CV
L'(1)
Date_ l Inspector
t
J6�_'�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 89.1-2751
7 County Center Drive, Oroville —.Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER
IT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
v APPLICATION AND PERMIT
PERMIT NO.
&"40_1910
i
ASSESSOR PARCEL NUMBER
�i30-20-96 (qC22Ymmsmi-)
OWNER
ZONING
AR
\
BUILDING PERMIT'
TELEPHONE
SQ. FT. iOCC. BUILDING VALUATION ,
OWNER'S MAILING ADDRESS
P-0 Snntn Rosa Q5406
460 M 440.
0
TO
CONTRACR'S NAME
TELEPHONE
ov 160:00
CONTRACTOR'S MAILING ADDRESS
as
Fireplace A 1 000.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation .00
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
115
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$•
Penalty
$
BUILDING ADDRESS A
/ u k C
Permit fee
$ 440
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
9 2.00 18.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
-'( 3
Water piping
1 5.00 5.00
Each qas water heater or vent
1 5.00 5.00
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00 5.00
Building sewer '
11 5.00 5,00
Mobile Home I S I GILL
0.00 e
TYPE OF WORK
New ® Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 3 Bedroom
Permit Fee
$ 48.00
Contractor
ELECTRICAL PERMIT,-
Filing Fee 10.00
Main service 0V OR LE
100 AMP ORSLESS100
11 10.00 10.00
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.:5::/74S-0 Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with, licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. DWELLING occuP.9
ADDNS. ACC. BLDGS.
XOR 2Yz�sgft 42.30
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &
SINGLE OUTLET CIR,
EX. OCCUp(OUTLETS OR FIXTURES
aA 0530
Ex. DCCUp. OUTLETS (RESID.)REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 62.30
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
116.001 6.00
Dual Pak
Cooling 2 Ton
1 7.00 7.00
Hood
1 3.00 1 3.00
Ventilation
Permit Fee
$26,00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County -Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
a ainst said County in consequence of the granting of this permit.
X �i
Date
Sign ture of Applicant - Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is qpod for excavations over 5'0" deep and demolition or construct-
ion of structur ov sin height.
Mobile Home Installation Fee $
Energy Inspection Fee30.00
C07T P
T0TA F .
FYAZ
i -
cuA
PARK
Sc
PAR
PD
ND Issue
This permit is nereby issued under
_ions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR F PUBLIC
By
PEPAffT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date /-:)'%gam
�7
Receipt No. 73315 i (SOS
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. OOL ROD -APPLICANT
r . -.T -..s,tr .g.z �T �[-'111 11 1Rr1ji!1 11 , 1116A'�L J
COUNTY OF BUTTE - DEPARTMENTIF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95985 - TELEPHONE: 918/538-7541
PERMIT APPLtIO-0 OYII1 DATA SHEET
Permit No.
OWNER //[ajal{'Ya4 �A. P. No.'a�' 20'9(0
Proposed Building Use SFIZ BuiIding Inspector 2�6 Date 9 02-90
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ .........
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate%triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings .. ............
8. Engineered truss details and layout in duplicate (required prior to plan check) `1- ZO -9dJ
9. Mobilehome installation data including manufacturer's installation
instructions.
10. Fees of $ ; /.�..� ..................... to -1-70- (9(:;-g
11. Chico Urban Area fees paid .................... .................
12. Park fees paid "
13. OKD i7 H•S School(strict fees paid .............. — 9v /
_� 14. Sanitation approval from a' /z ID Health Department 9- 96 13w
15. City of Chico plumbing permit .............
16. Plot plan and business license approval from City of
(see City for other requirements) ��k
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for rea,0ired/ 1Pre-Inspec. request lo
Building Inspector (Date)
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 ❑) .. `
24. Recorded copy of Agricultural Acknowledgment Statement ......... /Z 1?C1
��. Le ter of sigPature authorization . ..... .. .d ................. .
g p.!/)'YlQ U ��I�t lctn FP,DI�.t
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephonr--7d7)1527-1U77 and hold for pickup at 6/20 office. Deliver w/inspector.
Other
Applican
�`----�� Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issua ce: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
i
Contractor, designer, owner, was advised of above required data by—phone--mai [—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date Plans approved by Date _ a
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance 1
h
a 14W",
7-0 l�
owner location AP #
Driveway permit W416 At 2ddd has been issued for the above property.
/V f ��
date
si ature
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
0 • d - 9 f1lfrJ 44(d
ZONING
19(Z
BUILDING PERMIT
OWNERTELEPHONE
i07
Jr27-90%%
S0. FT. OCC. BUILDINGljVALUATION _
123 re
LL7\J
OWNER'S MAILING ADDRESS
Pd-tdax /200s �os� 546
n
CONTRACTOR'S nnNAME
f r'rl/(.G�
TELEPHONE
1
//
16 r 6 --
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $O
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ J.52rlJV
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty $
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee
10.00
Each Trap
2,00
8.60
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
5- d7)
Each qas water heater or vent 5.00
5.0D
USE OF STRUCTURE
SF [y Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer 5.00
Mobile Home S I G I W 10.00e
TYPE OF WORK
New[2 Addition El Remodel❑ Utilities❑ Installation❑ Other 11
Describe work: 06M ,� f��
Permit Fee $d1b
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
LESS
Main service 1001 OR AMP
Main service EA. ADD'L 100 AMP
10.00
2.50
.(t
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 OCCUP.E
OR ADONS. ACC. BLOGS.
2/2QSgft 42.30
NEW CONSTR ULTI-OUTLET
NO N.R ESID BRANCH CIRCUITS2.50 ea
( POWER APPARATUS 61
(SINGLE OUTLET CIR. I
EX. OccU OUTLETS OR FIXTURES 20®30S
P 9AL990
FIXED APLNS.❑
EX. Occup. OU LETS PIRESIO.IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $ 60,z,30
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee
10.00
Heating
Cooling
—7,0
Hood 3.00
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County or
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ &4-1,3d ��
HAz
CLIA
PARK
I SCHL
FLD
I PAR
PD
ISSUE
Th;s permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable
resolutions
have been
WORKS
Date
provi-
to do
paid.
Receipt No. /.3315
"
WNIT[-D.P.W., TELLOW-A99[990R, PINK•IN9PECTOR, GOLDENROD -APPLICANT
THERMALITO IRRIGATION DISTRICTt �0 '-� r 1822
410 GRAND..AVENUE
OROVILLE, CALIFORNIA 95965
• TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: Ruddv Creek Court
Owner's Name: Ma.lama.r Construn.t, on Tne
Date: 9/0:;/90
Address: P.O. Boy; 12005
Acct. No:
Sa.rita Rosa -..CA 95406
A.P. No.:30-200-096
Phone: (707)h27-0077
No. Units: t
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application. 0 ( 0
Arrearage
Preliminary Review By: Date:
CSA 26 n r
Remarks: Sewer connection fees. will be those
SC -OR 900 ( 0
9.t time of connection to the sewer
1st mo. S.C.
collector system, and must be paid prior to
Other TAP ' (0
conneaction. Cleanout up to grade required at
-75
property line.
-rrr -. -5 e
Total Fees 1, 772 (0
Collected By:�
Date:
Field Review By: Date:
�uFcf` �7E'f
Remarks:
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
❑ Date of TI approval of completed building sewer (early connection).
❑ 30 days after date above, or on date of D.P.W. approval of completed lsu.ilding 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 - TIO, YELLOW APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
ice+. .-- sR'R'•i/'Wrg"
. -WL
a. -
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
0-To`0a0-09'(0,„.(One Form per
,,Building)
y r
A.P. Number 3Q -2O-6 (o Building Department'No.
School District Dr0.(&t0,AH S City n County ® Jurisdiction
k',
Property Owner m/,r.,(l&AMi 11/4 6%1?/)�U;1,7ttlyl
Project Location/Address
~ Subdivision Lot Number 2
Residential Development: � a
1 Sq, Footage /23Z
# of Living M.H.I. Addition (Group R)
Units
j4.t 1
l�
Commercial/Industrial: F t Sq. Footage
New Addition (Including Exterior
Roofed Areas)
- G(ic,Q dA,,."
Building epartment Representative Date
.(Floor Plans reviewed by School District. Personnel) ~'
rict •Id No.
School District certifies that
(Applicant Name) (Phone Number)
.Street Addr s�
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
by e payment of $ �(O.�ID representing /p square feet.
SchoolDisttNictogepresentat,ive Date
PAID BY
BANK NO
PAID BY CASH �1
white -applicant, yelloVw-building department, pink -school district
r+
SCHOOL.FEE (8/88)
Return. to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT -o s 3 9 1 3 7
FOR RESIDENTIAL .DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded 7 -,—
prior to issuance of a building permit.
90-039137 ; R e c F e e
8.00'
The property described herein is adjacent
' Check
5.00
to land or included within an area zoned
Recorded
[or agricultural purposes, and residents
Official Records ;
of this property may be subject to incon-
k' County of
,,•
veniences or discomfort arising from the
Butte
Candace J. Grubbs ;
t
'
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
f. Recorder-
ecorder-and
andfertilizers; and from the pursuit
1.32pm 12-S.ep-90 ;
X 1 '`
of agricultural operations including,
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 disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows: p 1
pare l 2. C S �o-�^^^ o .n ina� Ce.r't-at v1 pu n wA MAP _ � l lul t,,A A- X 16 i � I
R.e S ' �-c Ca�.�'Z., �Y� &, 19'8—S
/tit Baole `j`J /1a���Z-
RG S e- Vt Vt� 7k •e r� i �^aw� o� — ca X c.t U S (V -r_
Pit cti s
`i -o a Ara
}� y
r 4_ w. oc L't t 1 a IA & +�"
hetet �`- 0 a"I / 0 d- cA &-<-,t
Date:
apop rif'i"e ti« ti
PROPERTY OWNERS:
11J4L*Mt4K__
State of CA. ) On this the 12th day of SEPT. 19 90, before me,
SS.- the undersigned Notary Public, personally appeared
County of BUTTE )
MALCOLM I. HALL
Personally known to me. ® Proved to me on the basis
® of satisfactory evidence.
�.pRN1A to be the person(s) whose name(s) IS
NVAMsttt v subscribed to the within instrument and acknowledged that HE
9�.�mm•. 20, 199i executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A. P. No.
Edi® ® ®CUMENT Notary Public
0
� 9�
11'11
S'c� �
..
.
s.�,�,�`°
��� ��i�'vi•
1
RECEIPT
TOTAL
TENTATIVE
ERIS
CHECK 41
STREET
PUBLIC
COMP-
FIRE
OTHER
APPLICANT
RECEIVED FROM
BATE
NO.
RECEIVED
MAPS
INSPECT
SIGNS
DOCUMENTS
LIANCE
HYDRANT
OFFICIAL RECEIPT
l(/ COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
LAND DEVELOPMENT SECTION
RECEIPT 11721
ISSUED BY
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # :60A0 -q0
OWNER A.P. #0
GENERAL
f
oning requirements: (sideyards
aluation.
lans signed -by designer.
nergy Design and Compliance.
xisting violations on property.
Items on data sheet.
PLOT PLAN
and number of permitted living units).
_-)�-Complete parcel size and dimensions.
,2: Setbacks, sideyards, easements, etc.
-�-- Other buildings or structures.
-4—. Grading, fills, drainage.
Flood hazard.
Special conditions on creation map or compliance document.
--7: FAU & FAS road setback.
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec.
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
1205).
5/89
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance
of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical or
gas equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (Sec. 3304(e)).
Fireplace and wood stove location, alcoves, and
Smoke detectors (Sec.•1210).
clearance.
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
ISCELLANEOUS ITEMS TO LOOK OUT FOR
JStairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
• Guardrail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
Exterior plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof covering (Chapter 32).
'r Roof covering type - (fire hazard).
Rafter ties or bearing ridge beam.
Garage door or .porch header sizes.
Adequate bracing.
9''Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
Attic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
LCombustion air for fuel burning appliances.
. Noise requirements on duplexes.
Adobe soils - special foundation design.
. Retaining walls requiring design.
nusual shape, size, or split level house requiring lateral design.
cashing at all exterior openings.
• Certificate of Compliance: Residential Climate Zone 11
Project Title ,
Project Address
Documentation Author
BUILDING DATA
WVTI T�
/ / 4! .71
Condi ' Floor Area /23 f Number of Stories_
ab/RIWs oor Number of Units 4—
Single Family Detached (SFD) [ ] Addition Alone
[ ] Single Family Attached (SFA) [ ] Existing Building
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition
BUILDING SHELL INSULATION
Component Insulation LocaYiorVComments
Type R -Value (attic, a garage tipi�ei, etc.j
Wall ..............
Wall ..............
Roof ..............
Roof .............
Floor .............
Floor .............
�0 0� O q0
Buildin Permit M
Checked By / Data
Enforcement Agency Use only
Slab Edge.....
GLAZING Shading Devices
Glazing Area Glass Type Interior Exterior
Orientation (sf) (single, double) (roller blind. etc.) rshadeK.,
Overhang Framing Type
North ( )
Glass Area
% Glass
North
East ( )
3.
East
South ( )
South
South ( )
S• D
West
West ( )
Skylight
�—
Total
Type/Covering
Slab Edge.....
GLAZING Shading Devices
Glazing Area Glass Type Interior Exterior
Orientation (sf) (single, double) (roller blind. etc.) rshadeK.,
Overhang Framing Type
North ( )
Noah ( )
East ( )
East ( )
South ( )
South ( )
West ( ) L—
West ( )
Skylight.......
THERMAL MASS
Type/Covering
Area Thickness
(slab/exposed, tile, etc.)
(so (inches) LocationAXscription (kitchen, bath etc.)
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location Duct
conditioner, heat pump) (SE. SEER.HSPF) (attic, etc.) R -Value
dsu.f ,i�' • 7-) ft n 7
Output Manufacturer / Model #
-r o% u I T
6,7 3 3.2-?
Maximum Furnace Heating Output: Btuh _
HOT WATER SYSTEMS.
Tank Manufacturer/Model # O V
System T (Stora a as, etc.) Capacity ora roved equal) S cial• a
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
c
THERMALITO IRRIGATION DIST ICT
410 GRAND AVENUE
OROVILL-E, CALIFORNIA 959 5
TELEPHONE 533-0740
I
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: L.
Owner's Name: ..,..a�_ �� _ = r.,,, Date: L
Address: _ , �_ Acct. No:
::...,.... ..�_ y = A . No.:ti,r;�.;0—�,
Phone: No. Units:_1
Applicant/Agent: Agents Proof:
Address: -
Phone:
Preliminary Review By: Date:
Remarks: . .
_ :„ ,nom
Fees:
Application $
Arrearage
CSA 26 .
SC -O R
1st mo. S. C.
Other
Total Fees
Collected By:
Date:
Field Review B%..
Y� .�..,'. Date: �/,' A ..
Remarks:
Awl 11
MONTHLY SERVICE CFARGES 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
ell sr!+i��n� 'alllnap
0661 � 1 010
411eaH leluewuoalnu3
1. Ceiling Insulation
2. Wall Insulation
Single-
Number of stories
-76
R -value
One
Two
Three
R-0
-103
-49
32
R-19
-8
-4
-2
R-30
-2
-1
-1
R38
0
0
0
U -value
8
6
4
0.50
-176
-84
-54
0.30
-102
-49
32
0.10
-26
-13
-8
0.08
-18
-9
-6
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
U -value
0.80
Single-
Single -
-76
0.50
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
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
Insulation in Flour
0.60
-144
Number of stories
-46
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
-11
-6
-4
0.60
-144
-70
-46
0.50
-120
-58
-38
0.40
-95
-46
30
0.30
-69
-34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
-1
3 -1
Number of stories
-1
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
-53
-39
--
Number of Stories
4
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-1
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
5. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Single-
Slab Floor
Effective Percent Class
Total
Family
%Glass
North
East
U -value
West
Percent
18
5
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
Effective Pei cart Glatt
(Percent Plast x SC)
Effective
Single-
Slab Floor
Effective Percent Class
Mass
Family
%Glass
North
East
South
West
Skylight
18
5
1
4
1
na
16
4
2
5
1
na
14
4
2
5
1
na
12
3
3
5
2
na
11
3
3
5
2
na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
2
2
7
1
3
4
2
2
6
1
3
4
2
3
5
1
2
.4
2
3
4
0
2
3
1
3
3
0
1
2
1
3
2
0
0
1
0
3
1
-1
-1
.-1
-1
2
0
-1
-2
-4
-2
0
na = not allowed
�. Shading (Shade Closed)
Single-
Slab Floor
Effective Percent Class
Mass
Family
(Pdreent glad x SC)
Mufti
EffX%Glmlm
Stories
Attached
1CFA
One
Two
Three
Norb
Etat
South
West
Slty*t
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29 .
-40
-37
na
11
-7
-26
36
-33
na
10
-6
-23
31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21.
-56
7
-4
-14
-19
-18
-47
6
3
-11
-15
-14
38
5
-2
-9
•11
-10
-30
4
-1
-6
-8
-7
-23
3
0
d
-5
-4
-16
2
1
-1
-2
-1
-9
1
I.
9
1
1'
-4
0
2
3
4
3
0
no . rot ellowad
3
7
8
10
9. Interior Thermal Mass
Interior
Single-
Slab Floor
Raised Floor
Mass
Family
Stories
Mufti
Mass
Stories
Attached
1CFA
One
Two
Three
One
Two
Thi
0.0
-8
-5
-4
-2
-1
0.60
0.1
-8
-5
3
-1
0
f
0.3
-7
-4
-2
0
1
12
0.5
-6
-3
-1
1
1
10
0.7
-5
-2
-1
1
2
2.00
0.9
-5
-1
0
2
3
0.95
1.1
-4
-1
1
3
4
8
1.3
-3
0
2
3
4
!
1.5
-3
1
2
4
5
less
2.0
-1
2
4
5
6
-73
2.5
0
3
5
7
7
1
3.0
1
4
6
8
8
!
3.5
2
5
7
9
9
1
4.0
3
6
8
9
10
1
4.5
3
7
8
10
11
1
5.0
4
7
9
11
12
1
5.5
5
8
9
11
12
1
6.0
5
8
10
12
13
1
6.5
6
9
10
12
13
1
7.0
6
9
11
13
13
1
7.5
6
10
11
13
14
1
8.0
7
10
11
13
14
1
8.5
7
10
12
13
14
1
10. Exterior Wall Thermal Mass
Exterior
Single-
Single -
Sum of 1-6
Wall
Family
Family
Mufti
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
2.00
10
11
13
11. Heating System
SE or HSPF
(assumes ducts In aide)
3
1
2
2
3
3
4
4
4
5
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
1
Sum of 1-6
Water
12. Cooling Syst m
r
099
-25 or -24 to -14 to -410
+6 to
16 or
SE
HSPF
less
-15
-5
+5
+15
more
0.72
6.60
0
0
0
0
0
0
0.75
6.88
3
3
3
2
2
1
0.80
7.33
8
7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
17
15
13
11
9
7
0.95
8.71
20
18
15
13
11
8
0
10.0
Effective
SE or HSPF
2
2
(SE or
HSPF x duct efficiency)
7
Effective -25 or -24 to -1410
.4 to +610 16 or
SE
HSPF
less
-15
-5
+5
+15 more
0.30
2.75
-73
-64
-56
-47
-38
-30
na
3.41
-45
-39
-34
-29
-24
-18
0.40
3.67
-34
-30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
-7
-5
.4
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
3
3
2
0.70
6.42
17
15
13
11
9
7
0.80
7.33
25
22
19
16
13
10
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
Zonal Control Adjustment
10 8 7 6 4 3
No Coolin7 System Installed
Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Detached and Attached
1
Unit Size (sQ
Water
12. Cooling Syst m
r
099
12M
1700
2200
2700
SEER
(:(edit
or
to
to
to
(assume) duets
In aide)
Type
less
1699
Stin of 7-10
2699
more
SG
None
-25 or -24 to 04 to
-4 la
+6 to
16 or
SEER
less
•15 t -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
12.0
15
13 11
9
7
5
13.0
20
17 14
12
9
6
-5
-3
Effective SEER
-2
-2
1.7
(SEER xauct eRiclency)
7
5
4
Sun of 7-10
2
3.2
POU
Effective -25 or -24 to -14 to
-410
+610
16 or
SEER
less
-15 •5
+5
+15
more
5.0
-30
-25 -21
-17
-13
-9
6.0
-12
-11 -9
-7
-6
-4
6.6
-5
-4 -4
-3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Control Adjustment
10 8 7 6 4 3
No Coolin7 System Installed
Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Detached and Attached
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation jz. bo or
R -value [381 U -value [0.030]
2. Wall Insulation R t l or
R -value [I I) U -value [0.098]
3. Raised Floor Insulation t Cl or
R -value [ 19) U -value [0.037]
4. Slab Edge Insulation
or
Unit Size (sQ
Water
R -value [0)
099
12M
1700
2200
2700
Heater
(:(edit
or
to
to
to
or
Type
Type
less
1699
2199
2699
more
SG
None
0
0
0
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
x
WSB
5
3
3
2
2
POU
8
5
4_
3
3
SE
None
-37
-24
-18
-15
42
Solar
-1
-1
-1
0
0
10%
HWR
-18
-12
-9
-7
-6
45%,50%
WSB
-25
-16
-12
-10
-8
80%
POU_
-18
-12
-9
-7
-6
IG
None
-5
-3
-2
-2
-2
1.7
Solar
7
5
4
3
2
3.2
POU
3-
2
1
1
1
IE
None
-28
-19
-14
-11
-9
0.6
Solar
8
5
4
3
3
2t
POU
-10
-6
-5
-4
-3
3.5
Multi -Family (individual
units)
4.2
4.4
4.6
4.8
Unit Size (sQ
5.2
Water
20%
699
700
1200
1700
2200
Heater
Credit
or
10
to
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
3.2
WSB
9
4
3
2
2
4.7
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
-9 '
2.2
Solar
2
1'
1
0.
0
3.6
HWR
-23
-12
-8
3
-5
5.1
WSB
-25
-13
-8
-6
-5
1.1
_ PQU
_23
X12_8
_
_-6
-5
n
None
-8
-4
-3
-2
; -2
4
Solar
6
3
2
1
1
5.5
POU
1
0
• 0
0
0__
IE
None
30
-15
-10
- -8
_
26
Solar
18
9
6
4 '
4
4.3
POU
-8
-4
-3
-2
-2
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation jz. bo or
R -value [381 U -value [0.030]
2. Wall Insulation R t l or
R -value [I I) U -value [0.098]
3. Raised Floor Insulation t Cl or
R -value [ 19) U -value [0.037]
4. Slab Edge Insulation
or
R -value [0)
F2 factor [0.77] j
5. Infiltration
Standard
Interior Mass/CFA
6. Glass Heat Loss
Type [double]
.TM 2PASS
U -value [0.65]
% Total Glass [ 16)
7. Shading (Shade Open)
% Glass
SC
Eff. % Glass
a. North
;
x
, 7 % =
"A
b. East
x
c. South
x
=
11.7dulme-4.21
d. West
Z
x
e. Skylight
v
x
a TYPE 1
MASS
(UIMC 6 4.2•
le:
ea sed
slab)
% GlasSC
Eff. % Glass
a. North
-3
x
0%
5%
10%
15%
20%
25%
30%
35%=40%
5.0
45%,50%
=
55%
60%
6ft
70%
75%
80%
857'.
90%
95%
100% 105% 11015 115% 1207.125'
0%
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
21
23
2S
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
53
10%
0.2
0.4
0.6
0:8
1
1.2
1.4
1.6
1.9
2t
23
'2S
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
33
3.5
27
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
24
28
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
40Y.
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
13
1.7
1.9
21
23
2.5
27
3
32
3.4
3.8
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
26
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
23
2.S
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
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
24
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
65
5.7
5.9
6.1
6.4 '
70%
1.2
1.4
1.6
1.8
2
2.2
25
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
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
8075
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.S
3.1
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.6
5
52
54
5.6
5.9
6.1
63
65
67
90%
1.5
1.7
2
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
68
95%
1.6
1.8
2
22
25
27
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
S
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
21
2.3
2.S
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
6.1
7
105%
1.62
2.2
2.4
2.6
28
3
3.3
3.S
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
56
5.8
6
6.2
6.4
6.6
68
7
1 toy.
1.9
2.1
2.3
23
2.7
29
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.62.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
7.2
120%
2
2.3
2.5
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
56
6
6.2
6.5
6.7
6.9
7.1
73
125%
2.1
2.3
25
2.8
3
3.2
3.4
3.8
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation jz. bo or
R -value [381 U -value [0.030]
2. Wall Insulation R t l or
R -value [I I) U -value [0.098]
3. Raised Floor Insulation t Cl or
R -value [ 19) U -value [0.037]
4. Slab Edge Insulation
or
R -value [0)
F2 factor [0.77] j
5. Infiltration
Standard
6. Glass Heat Loss
Type [double]
U -value [0.65]
% Total Glass [ 16)
7. Shading (Shade Open)
% Glass
SC
Eff. % Glass
a. North
;
x
, 7 % =
"A
b. East
x
c. South
x
=
�_
d. West
Z
x
e. Skylight
v
x
8. Shading (Shade Closed)
% GlasSC
Eff. % Glass
a. North
-3
x
.1614
b. East
44. 1
x
c. South
5.0
x
=
=__�' •'
d. West
. V�_
x
=
• G G
e. Skylight
d
x
.'/ 7 _ =
D
9. Interior Thermal Mass
TYPE 1 MASS AREA = $
InteriorW:ss1CFA
COND. FLOOR
AREA
10. Exterior Wall Mass
TYPE 2 MASS
AREA ,_ 8
Exterior Wall Mass
ND . FLOOR
AREA
11. Heating System
x
_51`7 7
.Zonal Control? (Y / N)
; SE or HSPF
Duca Efficiency [0.78]
Effective SE or
4 [0.72/6.6
HSPF [0.5615.15]
12. Cooling System
?•
x
• 9�L_
_ 5
Zonal Control? ( Y / N)
SEER [9.5]
Duct Efficiency [0.741
Effective SEER [7.03]
13. Water Heating
Point Scores
0
-�3
Sum b
Type [SG] Credit [none]
DnJ«� Tnln/•
Certificate of Compliance: Residential Climate Zone 11 1
Mandatory Measures Checklist: Residential MF -IR
Project Tltie ^ h NOTE: Lowrioe residen" buildings subject to the Standards must contain these measures regardless of the compliance
_ a o t✓ approach used ms Itemarked with an asterisk (•) may be superseded by more stringent cpfnplfanoe requirements listed
on the Certificate of Compliance. When this checklist is i, features noted ncorporated // [�/Ga //LW7 Q %J✓� BuilditfQ Petmil N be considered by all pari s as binding minimum componeormance speaficaLioru for the �mandatory measures
�ll
Project Addresf `7 whether they are shown elsewhere in the documents or on this checklist only.
�oZ WUd Checked By /Date
Documentation Author r -1-elephoiffe Enforcement Agency Use Only DFSCR1PrtON DESIGNER ENFORCEMENT
Building Envelope Measures
BUILDING DATA Glass Area % Glass . §2.5352(a): Minimum ceiling insulation R-19weighted avenge.
North 3 §2.5352(bY. Loose fill insulation manufacturer's labeled R -Value.
Con FIoor Area /23 A Number of Stories _� EaSt (/ • ' 42.5332(c): Minimum call insulation in (earned wolfs R-11 weighted average (does not apply to
ab • 's oor Number of Units South i �. p
exterior mass walls).edgdg
[ Single Family Detached (SFD) [ ] Addition - Alone West /a /, Q 42-5332(k): Slab edge insulation • water absorption rate no greater than 0 396, water vapor
�Ve=– transmission rate no greater than 2.0 perrnlutch.
[ ] Single Family Attached (SFA) [ ] Existing Building Skylight §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality
[ ] Muld-Family (MF) [ ] Existing -Plus -Addition 'Dotal standards. Indicate type and form.
§2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiltration/Esfiloation Controls
BUILDING SHELL INSULATION a. moors and windows between conditioned and unconditioned spaces designed to Emit air
leakage.
b. Doors and windows certified.
Component Insulation Location/Comments c. Doors and windows weatherst ipped; all joints and penetrations culked arta scald
Type R -Value Ltrie, tax gttra�„r�piaal, etc.) §2-5352(e): special infiltration barrier installed to comply with 62-5351 mew CEC quality
standards.
Wall .............. §15352( ): Installation of ces
Firepla
.
Wall .............. my and facwry-buill fuepfaces have:
a. Tight fitting, closeable metal or glass door
Roof ............. c. FOutside
ue da aper and intake and control
Roof ............. 2. No continuous buming ger pilots allowed.
Floor ............. 7C L `7 HVAC and Plumbing System Measures '
Floor ............. '- 42-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
Slab Edge ..... §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
GLAZING •
12.5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
Shading Devices §2.5316(br Exhaust systems have damper controls.
§2-5314(c): Gas -feed space heating equipment has intermittent ignition devices.
Glazing Area Glass Type Interior Exterior Overhang Framing Type 62-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC.
Orientation S (singlk double)(roller blind. etc. (shadescreen. etc.) es/no) (metal/wood) §2-5352(1): water heater insulation blanker (R-12 or greater) or combined interiorkxterior
insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater).
North ( > 1
North ( ) I 4 piping. Sa I�(Fxception p: Pipe insulation on arcate and steam condensate retreturnu& recirculating
ipin
East ( )�/ — §2-5318(d): Swimming Pool Heating
= ---F-- 1. System has:
East ( ) a. Ontoff switch on heater.
sOUth ( ) /_ b. Weatherproof instruction plate on heater.
r� e. Plumbed to allow for solar.
SOU Lh ( ) 2. 75 percent thermal efficiency.
West 3. Pool cover.
( ) �4. Time clock.
West ( ) S. Directional water inlet.
Skylight....... �� Lighting and Appliance Measures
12.53520): Lighting - 25 lumens✓watt or greater for general lighting in kitchens and bathrooms.
THERMAL MASS §2.5314(c): Gas fired appliances equipped with intermittent ignition devices.
Type/Covering Area Thickness §2.5314(x): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
(slab/exposed, tile. etc.) (sf) (inches) LOCation/DCSCription (kitchen. bath etc.) by the CEC. Indicate make and model number.
n V AU b T b 1 bMb
Minimum
Duct
Type (t'umace, air
Efficiency
Location
Duct
conditioner. heat pump) (SE, SEER.HSPF)
(attic, ettc..))f
R -Value
J
�S,
Manufacturer / Model #
S
maximum rumace treating output: Btuh {,� ` I
HOT WATER SYSTEMS Tank Manufacturer/Model # lsulvw ' V to
System Type (storage gas, etc.) Capacity (or approved equal) Soecial.HeaOAA
6& - --
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This omficate of compliance lists t13r budding features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20. Chaptcr2. Subchapter4. Article I of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building.
Designer
Titlr�IrtlC .
Address:
Telephone
j tic. N:
(signature) (date)
Documentation Author
i Name:
Title/Fum:
Address:
Building Owner� ,( f
Name
Ad&=:
Telephone:
44f 9— 2-9-9m
(st6nj�) . (date)
Enforcement Agency
Name:
Agency:
Teler>lv.l.`•