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HomeMy WebLinkAbout031-234-0181-1 31-234=1$305 B,pEM BEST LINE BUILDERS 556 I l'e Yuba Ave,' Orovil (new 'sf) o-qo �,3�Ifi13 Sabhluc� p�,t watev-h��t i 31-234=1$305 B,pEM BEST LINE BUILDERS 556 I l'e Yuba Ave,' Orovil (new 'sf) o-qo �,3�Ifi13 Sabhluc� p�,t watev-h��t 0*61 - .314r� 1 j¢ t iby J F . RESIDENTIAL 31—X34-15(port) 3055-90B,P,E,M ti BEST LINE BUILDERS I 556 Yuba Ave,,-Oroville (new sf) ; e v f i� t .. �.Y v OFFICE COPY I Address 1� i._ -GAS "Meter By Date EL RIC M e y Date +r 9 1 , 1{� OFFICE COPY Address ti GAS Meter By v Date �— ELECTIRI Meter By Dat�.1/=��(p, JOB FINALED (D Signature v=ok O = Not OK ' = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s v 1. Zoning Requirements -Setbacks -Easements \. j 2. Soils; Special MH Support Sketch �. 3. Sewer; Location -Test -Fall -C/O Concrete 2 4. Water; Location -Test -Easement Needed (Sketch) y 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete,l 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ P'LPG 7. Utility Clearance Date Card B-1 Date Card B-1 r1 Date . Card B-1 Date . Card'B=1. s Date MOBILE HOME INSTALLATION (Plans) OK except #'s 0 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Vaive-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, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-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 n 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 14 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed v 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 1 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 r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1. '-4 �J v J=OK O = Not OK =Not Applicable RESIDENTIAL (S Not Ready Date UND FLOOR Plans OK except #'s lr'Zon i ng -Setbacks -Ease ments-Flood-Slope Ftg., Main; SoiI*r&We-EirrtR.-q'24" Ftg. Depth 21. fig, Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth walls, Main; Steel-Blockouts-Wrapped i 6 temwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped Uf-4 , 8. Pi s -Fireplace Ftg.-Steel . D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation AA Date2VIP-0-ard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date P MBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 7. Water Pipe; Test & Anchor -Nail Protection 8. D.W.V.; Test -Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 20. Test Tub &Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Date Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Date TRICAL (Permit) OK except #'s 2 Fixture & Transformer Clearance -Ins. Protection 3. Elec. eptacles Spacing -Lights & Switches at Doors e Boxes & No. of Conductors -Stapled �IWRomex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond' s & wuter, 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28 Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes O No 0. Service -Riser Conductors & Ground -Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. ,!�r2lothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date , and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date IMECHAMCAL (Permit) OK except #'s V A.C. Ducts Insulation & Support 35 ent Fan; Exhaust above insulation /-T6- Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet ,--19-Attic Access & Platform if Furnance in Attic Date and B-1 Date Card B-1 Date Card B-1 Date Date f_RUANrG (Plans) OK except #'s j_ M _ ) $ils, Proper.Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearin,g Walls over Girders & Floor Nailing t Stop in Walls (rat proof) Fi ops; Furrdd Ceilings -Stairs -Chases -Tub & Beam -Size & Bea jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _,l15'_Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing f , 3 roperty Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4plywood on Roof Overhang -Attic Vents -Rafter Outriggers e!19 -Siding -Nailing Veneer 56. co Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. GI ng Area -Glass Protection -Skylights -Plastic 8 ear Walls; Nailing -Bolts 9. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Dat Card B- Date Card B-1 Date • Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s teeps-Door& Sidelight Protection -Landings Smoke Detector f 6 rnace; Vents -Clearance -Comb. Air -Connector - 'In Garage; Above Floor -Ducts -Meth. Protection 4. Bedroom Exiting 65. G .I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels -&eirs� Rails 68. Fir place or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter 72 rage Fire Door; Swing -Landing -Closer ct in Garage -Damper Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. I arage, Above Floor -Meth. Protection c. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Projection i ation-Foam-Looked in Attic es uar Is & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive ❑ Yes No; Walks O Yes No; Planters ❑ Yes 0 No Brown -Finish C. it; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ___Z4 -.Water Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground a i. Throughout House ass Prot tion 88. Correcti s from Previous Inspections 89. Gas T t -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date y Card B-1 Date Card B-1 Dater 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) it OF TIM4_ A IT -C t.0E•R I F 1, C AT EOF C 0"N"T 0- R M N E� 1V rµ� x�r��i .}' ; ".. _ -. 4 `, '. y f i. �Si•}'� j? y 4"������ "611 VIM11M.y�r _ 1HE UNDERS16NED MANUFACTURER HEREBY CERT/Fl�'S 4i thdt the products identified below and on attached sheets Not,_. .._..._._.__.•...._.:are marked_ the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION'Y.. � � 'and were manufactured in conformance with applicable provisions of American National Standarde ANSVAITC A180.1-1983, Structural Glued Laminated Timber, and that such manufocturo has * } t been at our plant in VauQ,_Qr•�g��._..,.•..,.,,,_ , which plant has a quality control system'>'� ���` t ar pproved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTIT:AON `i ' and inspected periodically by such Bureau. Fi7. t; I�r � ♦ ri �1 � al tP rhe manufacture of these members complies with thcturing and fabricating provisions Of int Chapter 25 of the Uniform Building Code. P ►' o o f',' 1' o a d e d end j o i n t s (Stock) Georgia PacificJOB NAME Sacramento, Ca, y4Mtrr d��' Fi r JOq LOCATION' SAC 5291 54-4473 CU5TL1M6R'80NOkR NO4/16/90". 24F -V4` j,�r y' ,.�y 1: lova .... .. .._. ._. .. ......__.... ....__.._.... ..._...... __._...__..+._�__._ _....._....__._�........_.. _.�._....•. �. �.__ . i +rt. 141 r SIGNATURE ANY_ Bohemia In c rO Clair L. Pittman C Su ervi sor Vaughn t * c• }^ TIlif Q.S_._._._...._.A...._...._._..._.._AOORCSS._._...... Ore.7.9 DATE 4113/90 tii3. F !`�5 dtr'.r ."dl, . " .. .. se,�.,. :•er:.r�r�v-sus.namefwrw+•rw'�tar+�vrr�st-ti..--I �� � HER E3 Y CE R TIFIRS that the said company at its said plant is licensed by the' �1 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respectr?a products which comply with applicable provisions of said Standard, that the adeituacy of the quality ir�� control system in effect at said plant is periodically inspected and verified by the Inspection Bureau the. AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, Arid that, in the'judg"' nt.-of AITC,;,,, said company is capable of complying with 'applicable manufacturing and testing provisions of told's§i Standard in respect of products manufactured at said plant. Conformance with the Standard in respect '���c;r"= }� p� -f-%% of any specific or particular product is the sole responsibility bf the manufacturer; AITC's guaranteo +; hereunder being that the said company is qualified to produce a product meeting the said Standord i and that its plant is periodically inspected and verified by the AITC Inspection Bureau. JI�4" ;,�� � 4 F' a - co. ^,+ ht ZiX• AIT 63435 A ti�,s; nY ► C Ce tll�cate No. ° Ff AMERICAN INSTITUTE OF TIMBER CONSTRUCTION'lr'���'r { r 'a .T I • � S *. , ' r 1993 AMERICAN INL'I I'rU'1 F OF TIM1ltF GQNST'RUCTIQN a{:� I y , -AITC FORM IBCA 1 r J •l1 ..r r.ew n.. .../r•.-4—....VY M.o,•l ••'u n' c. •. .e+, +.or. Ut de i Ul 1. • y sF- ! �' Y? 9, 4'.2. % r Ilei 111, r':{ U11d rIJ• -•11' 1•t.�•• �Ic01Yn ill! rh# IYOiCiI 4W 3111Y R1J1-ki, tMI(•. i� x &f. �F�)�t3' t�"lr 1•' �1 !I1 iflf(tltllt d1.01 Ij.•:la:l.) fJ:lly.}W IiFP t)Ilr►10:(t 01 IIIIJr.t/st10n a5 ktft.l�i,.a,c•,;,?'�3•i1:'.,! •o. • � ~ ? , } 9� 7 sC y fi`" ♦'.�� 1� c YGA. CUS1'ONi PRODuCT QU„1TY. MARK400 �j - u•� 5,}a ra •t � IM � v l .�Ln,dl f � : k•r r xs r P- 143....,.._. ,»... _ •. ' I :.ITC de..', ewliun of : {pjalit _ ! N `. pT , tF tea' ' !/A I TC A194 • , 1--19.8.3 �' r p r � tit_ s �'�+ � • t `"� f'1 r r., S�`�'' r t ,'aA'� lN - i. 'fie t t _t 1'• (. , i.;I J ••J 'ei't?fP.i•11 (7i -fl:' �. � „�1 yTii i} 1b. i`rt,dl I ...Q. 11.1 •!'li. • Iur fI•.Lt�ila•d:lltlr IN, -J..6 : ,rtlllil .1 I;Jii1 r, 1 I:IdicaLa curlfalrr,rna. to ANS11A1 1')f•1.� .,Ila =.r 1 t G1i1':Ili�/ ••I,1wrled by • l ti 1 A190.1 , 19tl3-StlucturW Glut! t f .fit I auu Tinitxr rt; r tea• +��,.. , "t-: e ... t"'t.'''I' ' '.� r- �'?a j"E i• i ' f A 4 • �i•! �rA .fit. tr 'C 4 1; 1 Y �� a�*�►L";T�YP CAL NON -CUSTOM, PRODUCT QUALITY. MAH K '141' i. .:.,� • i . ,tit ;+ �.t , , Ideurllica.tson• Of struetsrral yfk dl, n rc 4 .lalr(J uy fynlGOk: ' -° i...___. ......_... _ _. ..._ ..^ 8•-simpla .p;1:i bending member, 1J.ra'nj?ve;ston enernilH, T-1•:'fiCN1 n1�F� 4 ;i Ler` .G i•-cur,rinuous or. cantilerltl G U S E ARCH • II•:I ltiiny Irl.:llthl:r j ( r •.y �, • 1 11.111., r Il) I.IrI Y 8 t y .11 1 a t' Illa!JI• .# IN 1: 't r, '•� �?•lik*t._ Fir' -.� V (i A _, Ft i! P.'* 3 ittuulal,i. ARCH Architectuln i R} '•PRE&i Plul111U111 .a ri'aFr +�sQ Y: S+ C i.. ` i l : u•. ;1' 1:1";.M a pt ' tlu'A lull '.�liltllll} l yt i.lel'll ,11;r1 1•.t:�'ll.•, JIfn1)►rV�• 1'%'tLD;tWOMM '�',' , Y, ,�!'i�•1 il��.f � 1� •n • . ,, \IIS •1.'.•! J►If11:'r1:1'a J. u, NSII{I IIID +tl.l�lt s� �' h VANITY,oao-00 co F- - ...l:,I,LL, • �� ,y r `• °;� AN S I /A 1 TC , Ni: *.1! i!1 «„r„J 3111'l: 1!1 i1.�L� i !4) `�Mr t+f,`r`9 Sij " n.t A190.1-1983 ,.'... eI1, I 1 t7Lt a ,�I TI, tWr►'r•�t a I, r �t) fuJllLin drill COrtllJinat141�*SYInfN t�4 I.iol example; "117•85.2�F t1 a•ie�hl'It o 111 1 ..11:1i 1'Ll,li�:1) �;I•JIII 1'uJl('JL•:S L:Y1I+Illll.li11.1' ty ANSI:A11(' hTi 1 Vt aJ ` UJ1jl! s t 1 I I 1 A X0.1' 8;'J, tiliyrturrl t)I'J•:J Loon::- fJr 1f;CJ Ii e� � d� f y �:•�+ , T I ' 1 Iit11...: Illn..11t � Cl, ltf(el 1 v -d 1 !7.LF.:' ( £ Pni s L Itis 4 aa fat t f Is I 1. + i', 2 +• ♦ ,1 `' C'i�:� 74', :y1 � �,, Y t � .. ... •i..�ll i,l..,l'►i('(•., !'•': II• :Ija• P•..•'' i:.a !I.i' , :1.•gU1.t I 1: .lP•ll t,' ,.i. t r , r � i'#� �r�`� } .1 ,J1•::.1 crblt. docuntr Ir:. t r , .}ell + `'u: tion custlwl prodUOS, Mell11@I def;j;l$ Jilt- il1Clu(1•:(} Ort trlr; f ; w f - 4 t• e x TZ� s, ii '•e ,(• ` -S 4x..55 ��'Z� �I!I 'T :ir,mlL.rcA}:.1'� .. ;+s. • .. ts. r_tt:..y...r..t':: o'i� +' yY lip Owner 1 �e il�.J �- J Ccs Permit �To: - ='•- ENERGY CERTIFICATION le LOCATION ROOF MATERIAL_ THICKNESS A.P. NO. DESCRIPTION OF INSULATION BRAND NAME - THERMAL RES. EXTERIOR WALL MATERIAL w_ FIBFj -LA.SS.-/--.N . BRAND 'NAME ORTAUTTEED THICKNESS _.cU y _-?HERMAL RES. -Iq CEILING BATT OR BLANKET TYPE BRAND NAME CERTAIA'TEED THICKNESS THERMAL RES. LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CEPTAIN-TEED THICKNESS ,Q THERMAL RES.__ - 3© FLOOR,ELEVATED MATERIAL FIBERGLASS THICKNESS FLOOR, SLAB MATERIAL_ THICKNESS WIDTH BRAND NAME CERTAINTEED THERMAL RES. - BRAND NAME THERMAL RES. FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. SHASTA INSULA ION INC. #530235 FIRM NAME OWNE STATE CONTR. LICENSE N0. III - T—`I a I hereby certify the above insulation and all required items as shown on the Building Depart. approved plans and attachm.ents.have been installed as required by the State of California Energy Requirements. All equipment, devices and AwgZ'{:rials are of the quality prescribed or are specifically approved by the State. of Calif. tet. f FIR"AME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. ATURE OF GENERAL CONTRACTOR/OWNER DATE L bis certificate must be on'file with the BUILDING DEPARTMENT:prior to ffinal inspection approval and a copy shall be posted within the building. JANUARY :...1984 - :::: • :•-..:...... .: 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 L V VTR 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 Date ` GV Inspec - -COUNTY.OF BUTTE- DEPARTMENT UTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538=7541 sJ 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE y, OWNER PERMIT NO. 'C 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 y have any question pertaining to this matter, or need additional explanati please contact this office immediately. 3 } Date I rispector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way. Chico — Ph6ne: 891-27.51 7 County Center Drive, Orovi Ile — Phone: 538-7541* 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE VN E Fff- -PERMIT NO.. A routine. inspection indicates that the following violations of County Ordinance' exist- at the above address and should be corrected. Please notify this office when correction of work is completed. -if you have any question pertaining to this matter, or need additional explanation, please contact this off ice' immediately. �y SkjD"j-j COUNTY OF 13UTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.� ASSESSOR PARCEL NUMBER 31-234-15 ort ZONING AR L BUILDING PERMIT . OWNER Best Line Builders TELEPHONE 534-6406 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1363 Feather River Oroville 95965 440 M 6,160-00 CONTRACTOR'S NAME Same TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $999-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 556 Yuba Ave-, Oroville Each Trap 8 2.00 16.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 5.00 5,00 Each qas water heater or vent 1 5.o0 5.00 USE OF STRUCTURE SF [X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5,00 Building sewer 1 5.00 5.00 Mobile Home I S I G JW 10.00e TYPE OF WORK NewlX Add ition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: 3 Bedroom _ Permit Fee $46,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 1 10.00 10.00 1 Main service EA. ADD -L. 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): K,rla'm licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full ce 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"I OR ADONS. l ACC, BLDGS. X 21/hOsgft 39.00 NEWCONSTR. MULTI. NON-RESID BRANCH CIRCITSPOWER 2,50 ea APPARATUSal SINGLE OUTLET CIR. EX, OCC Up(OUTLETS OR FIXTURES eAL@AL030 z30 EX. Occup. OUTLETS (RESID )FIXED APLNS.REA.� 1 2.00 Temporary service 11 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ave 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 FiIingFee 10.00 Heating 116.00 6.00 Forced Air Cooling g Hood 1 3.00 1 3.00 Ventilation 1 .00 1 3.01) permit Fee $ 22.00 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. 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 conseq nce of the granting of this permit.t000 X .�� �� r � �/� G2 _, �' 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 Insp ction Fee $ 30.00 f C-oNs PE �/ i TOTAL FEE $630.00 F{qZ 0. -CUA PARK SCHL ELD PAR o HDISSUE , 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 PET EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date /o- I-90 [__Receipt No. 73346 PC $201.00// 73g%e- 4a 91! v e , WHIT-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �..r„-� .r-- -,vim-.-,� r-,"-��,..,.v^.,,y.y:,r.-r...--`�.•'Y'�1i4fi^7'r.t:�.iy` f':.-;;;'�rC '� t^It'" COUNTY OF BUTTE - &DEPARTMENT OF PUBLIC WORKS -iBUILDING DIVISION 4 7 COUNTY CENTER`DFJIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �y / 'f J ''PERNFFT APPLICATION DATA SHEET Permit No. OWNER ST �--� �1 (J LDr✓ /ZS A. P. No. a Proposed Building Use SF -Building Inspector Date 3 P At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation 10. instructions. ./ r� Fees of $ _/ . d......................... 10- 2_ - Po 11. Chico Urban Area fees paid ....................................... 12. 13. Park fes aid .......................................... 0 �j 11YScho .I D' t. rees paid .............. -fes -- 2 - r5 4. Sanitation approval from Health Department 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. Improvements may be required. Contact Land Development Section DPW I 19. Driveway permit (construction approval required prior to occupancy)- P� 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... '22. Certificate of Workmans Compensation Insurance .................. 2Owner-Builder Verification (Given to owner ❑, Mail to owner ❑) ..... -24. Recorded. -copy of Agricultural Acknowledgment Statement ......... /n_ 25. 26. Letter o_f signature authorization -oaaua [da /n _ 2 To IL C S_ 27. When u issue the peri it process as follows: Mail tner. Mail to contractor. IZ Telephone .5 nd hold for pickup at office. Deliver w/inspector. Other Applicant ~ to a 3d9a 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 issu nc (C' cle n w 'tem not checked above). 1. Index permit for above items No. T- 2. Additional items required: Contractor, designer, owner, was advised of above required data by j�'—phone_mail—counter by_*,!L..date %' `lg-96 Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked Copy—DPW Date Plans approved b ` Date PP Y - Sets of plans on hold in File cabinet AP folder 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 BUILDING PERMIT OWNER N „ �� I n���(/ 5r/.LZETI?gr ,6 SO. FT. O BUILDING VALUATION OWNER V I J / CONT T R;,S N TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 0 CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Ca 00 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Q Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING D E 5 1�,4 V Permit fee $ Q PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ,Q(� Solar or heat pump water heater 20.00 LOT'N SUBDIVISION NAME PARCEL MAP Water piping 5,00 0 lo Each qas water heater or vent 5.00 0 0 j�,� USE OF STRUCTURE SF1� Duplex[]Mobilehome❑ Other �T SPECIFY Gas piping system 1 - 5 outlets 5.00 , 190 Building sewer 5.00 ,Q Mobile Home S I G I W 10.00e cq (� TYPE OF WORK New j Addition Remodel Utilities❑ Installation❑ Other❑ Describe work: &it Permit Fee $ Contractor ELECTRICAL- PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& ORADDNS. ( ACC. BLDGS. esQft 3 r NEW CONSTR ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e) ,SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES P SAL930e 2ALosO FIXED Ex. Occup. OUTLETS PIRESID )APLNS.REA.) 2.00 Temporary service 10.00 Qr� Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 FiIingFee 10.00 Heating 62Q 22 Cooling Hood 3,00 Ventilation I 1 9Q Permlt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, casts, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 3 occ CONST TYPE TOTAL FEE $ 3�r 0di HAZ I CUA I PARK SCHL FLD PAR PD Ho IssuE 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 provi- resolutions to do have been paid. WORKS Date / Receipt No. �7� 3 6 —�U/ -MITE-D.P.W.. TELLOW-ASSC P - S R GOLDENROD -APPLICANT '.�.-.•...•.u+wyrp�}y,-�'--`S+,'..-..s. a..r+...r+•r-+-:,'rc'r'--v.-...-w--.....-..•y..,y;•-..r-w.-.-..»..-y,...�..-.-...7'�,�Y�"�i�4''t��,�N7�"'"`i`n'?'S�v'*rp'y.r„1+.;lia-rr-a• •-s..,c-.....,.e a r BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION,FORM .(One Form pe- Building)- A.P. Number •�O �j � - Z �� "% � Building Department No. School'' District QV_a }+ City n `County �-�;} ' Jurisdiction Pro pert Y� Owner Project Location/Address Cra �u aP' iq Y f'i } Subdivision Lot Number Residential Development: Sq. Footage # of Living- MHI Addition (Group R) Units • Commercial/Industrial: a Sq. Footage New Addition (Including Exterior RoofedAreas B ilding Dep, rtment Representative Dat (Floor Plans reviewed by School District Personnel)',,. ersonnel)',, } 10084 61;i t I� ,d•No. Scho 1 District certifies that 05 ,(Applica t Name) (Phone Number) ( treet Address) (City) (State) (Zip Code) - has complied with the requirements of Resolution No.leyI D on by the payment of $ a representing �/�� square feet. E -School Distri t R presentative Date PAID .BY CHECK NO. REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) if v"!i• r.;lVf.`✓r rr,,ry',! ,., .:.w; r:wsitf.t,itYt� .• ';.. ne.,r.+.i :.•1,i:J•vh:cs. �.,c'ir: THERMALITOIRRIGATION_ DISTRICT ' 410 GRAND AVENUE' 0ROVILLE. -CA LIFORNIA-95965 TELEPHONE 533-0740 • r CSA, 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: I i n#4 Date: /90 Address: cam,• r.. y�r,. 1r �r_a', It 1 v_ . , i Acct. No: ' ..'F` 7 L eh_ Z.l•- of l * (!� jfRl .�..,± �6•. _ (•- ..A � A.P. No.:3i--'a:12 US Phone: �.'. ..,,,A,,;t. ' r No. Units:. Applicant/Agent:„,<t r r” Agents Proof: Address: r .,. ,�. f, r. ,! nn,41 L. ti ,.. „ Fees: Phone: Application $ ' .'V f Arrearage , Preliminary Review•By: Date: CSA 26• �•''It" �U Remarks:rrr 146 _at t. of. i:L ►1. o)e th6!t-2 SC -OR q�,� , F"717•l�'f (`F :ni. :-r; v, I' /1r ('C?'�3r14=�C 1•YfYii. sr t� iitl.ttr et V,. -o L' 1St mo. J.C. , r,r:r y+. Nys'�.! +1 f`T)1/ r.11ar ffF t'] #tn t1" i J r` Other i+! oC_r'.... Lt,.►, it �. a -r, 1 i��^Jr r�%..r�• }.r;p Total Fees (to Collected By::.,,. r'• ,.' . 1 - Date: IU," 2.' �} Field Review By: Date: r Remarks: i MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: 1. El Date of TID:approval of completed building sewer (early; connection). 0 '30 days after date above, or on date of D.P.W.'approval,of completed building sewer,- whichever comes first`("exis4ing construction;', prior to Mar. 5, 1974). r ' E, 180 days after dateabove, or on date of D•PW. approval of completed building sewer, which ever comes first("new'construction"; after Mar. 5, 1974). v it DISTRIBUTION: WHITE - TIO,. YELLOW - APPLICANT, PINK - DPW,` GOLDENROD - DPW to TID `V Return. to DPW. AGR TURAL STATEMENT OF ACKNOWLEDG!T FOR RESIDENT AL DEVELOPMENT Section 26-8.1 of the Butte County -Code ,requires. this acknowledgement be recorded prior to _issuance of abuilding permit. , The property described herein is adjacent. to land -or included within an area zoned for agricultural purposes, and residents` ACCEPTED FOR RECORDING' of this property may be subject to incon- AT 8:01 A.M. veniences or discomfort arising from the useof agricultural chemicals, including,. QCT 3 1990 but not limited to herbicides, pesticides; , and ' fertilizers; and from. the pursuit. of agricultural operations including,"' BuTTE C®P butnot limited to cultivation., plowing, spraying,, pruning, and harvesting which' occasionally generate dust, smoke, noise, and odor. Butte County has' established aRricul tural- zones which have asa 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 Countv of Butte, State of California, described .as follows: Date: LOT 16, IN BLOCK 25, AS SHOWN'ON'THAT CERTAIN. MAP ENTITLED, "MAP OF THERMALITO, BUTTE COUNTY, GALA", WHICH MAP. WAS RECORDED.IN THE OFFICE OF -THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 6, 1887. 10/2/90 PROPERTY OWNERS: State of ,CALIFORNIA SS. County of BUTTE ) On this the 2ND %'o�/ OCTOBER 19-U—, before me, the undersigned Notalic, personally appeared NORMA'F. WILLIAMS AND JAMES WILLIAMS QX Personally known to me. Proved to me .on the basis of satisfactory evidence. o be the person(s) whose name(s) ARE o CIatsEa� ubscribed to the within instrument and acknowledged that SANDY A. STACK xecuted the same for the purposes therein 'contained. IN WITNESS N0TA8Y PUBLI.C-CALIFORNIA OF, I hereunto set my hand and official seal. Pnnc ons in surra county Commissbn Ex DEC 71993 • Present A. P. No . Notary Public THERMAL I TO T. /R#V R. M. , AKD. B. 8 M / zz J _ N •. re m f LI1AAl4 AVA ..� JSD � � � � � f� n,Sft 1? -l" J tj C � � I _ . - �• iu�i � � ISaI � I 4771 �O• b :Y I � J � T � /'! ^ •,1! IO • t . B ' T GD !�© 9 8 • P E B ...f !0 'o ',� + .w ,t.i ;.F. T 'kt) NJ. } 1: RSl�,y 1! O O'�f b s,e:.•J'?.i! V .. �6 7 ♦ J 1 :r �n'A. f :3 T � � 1 -.KS'. � '. , _ 1 25 T34C 3! n- -=- --_; _ 71 ? Jr. B i 9 ` /O ft , t! 3? E,r;u.50 �N�tS r617Ti7B�IfIIO'T7 IT?• Z f % rB 79,8' 7!'72 ,b ��lJ /♦;f •6I Y010 G t A- /� 31- 23 a ok t ani a `:. °tO `I +s+'tiyxa`'W °tox dam ' Assessor's Map No. 3I- 23 TNiRN,ILI70 ry 4. R. JVAIL HOS. 4 8 6 County of Suite, Calif. , t.. i 3 59 a ok t ani a `:. °tO `I +s+'tiyxa`'W °tox dam ' Assessor's Map No. 3I- 23 TNiRN,ILI70 ry 4. R. JVAIL HOS. 4 8 6 County of Suite, Calif. , � �u� F2si L/! !I//J�J1 u1�?✓! SQt�L1! t { a RBC a PT TOTAL TUNTATIVU CKD8P6CT CK SI °TRUST PUDLIC COMP• PIRA 910N° DOC YM @NT8 LIANC6 HYDRANT N I`a I• DATA NO. RBPBIV60 MAP° HR18 OTK4R APPLICANT RECEIVED, FROM I - _ • is � ,''` ` . � �u� F2si L/! !I//J�J1 u1�?✓! SQt�L1! t { a RBC a PT TOTAL TUNTATIVU CKD8P6CT CK SI °TRUST PUDLIC COMP• PIRA 910N° DOC YM @NT8 LIANC6 HYDRANT N I`a I• DATA NO. RBPBIV60 MAP° HR18 OTK4R APPLICANT RECEIVED, FROM I - _ 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) Exterior plaster - weep„ screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). Roof covering type - (fire-hazard). Rafter ties.or bearing ridge beam". Garage door or porch header sizes.. tAdequate bracing.ving area over garage --complete 1=hour separation required on garage side cluding supporting walls and posts, etc. o exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). ttic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. ,2516). .. Combustion air for fuel burning.appliances. . Noise requirements on•duplexes. Adobe soils — special foundation design. . Retaining'walls.requiring design. _ �lnusual shape, size, o`r split,level house requiring lateral''design.� lashing at all exterior openings. . ob f A y 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC'. ONLY) Bldg. Permit # s 40 OWNER L�t� s G A. P. # ! l :=- - - /,,5- GENERAL S GENERAL 11----Z'*oning requirements: (sideyards ,• ,Valuation. • Plans signed by designer. • Energy Design and Compliance. Existing violations on property. Items on data sheet. PLOT PLAN and number of permitted living units). ilk Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. .1r.- Grading, fills, drainage. S! Flood hazard. .6' Special conditions on.creation map or compliance document. FAU & FAS road setback. FLOOR PLAN —f - Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). �'-kylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). :` 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)): P1 - 3'0" exterior exit door (Sec. 3304(e)). replace and wood stove location, alcoves, and clearance. .sa:'oke detectors (Sec. 1210). STRUCTURAL DETAILS foundation plan complete enough to construct building. Floor construction details complete enough to construct building. 4 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. MISCELLANEOUS ITEMS TO LOOK OUT FOR • �r• Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). l Guardrail details (Sec. 1711 & 3306(j)). Brick or stone.veneer (Chapter 30). Re Arn to DPW AGR TUR STATEMENT OF ACKNOWLEDGE, T ;90-42536 FOR RESIDENTIAL .DEVELOPMENT Section 26-8.1 of the Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit. P� The property described herein is adjacent 90-042536�. Re c. _Fee - _ 7.00. , to land or included within an area zoned Recorded_ , _� . Check 7.00 for agricultural purposes, and residents Official_Records__; of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 8201am S -Oe t�'. of agricultural operations including, VS 2. ' 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: LOT 16.,.IN BLOCK 25, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THERMALITO, BUTTE COUNTY, CALA", WHICH MAP WAS RECORDED.IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 6, 1887. Date: 10/2/90 State of CALIFORNIA ) SS. County of BUTTE ) PROPERTY OWNERS:. On this the 2ND da,of/ OCTOBER 19gn , before me, the undersigned Notary P lic, personally appeared NORMA F. WILLIAMS AND JAMES WILLIAMS" nX Personally known to me. E] Proved to me on the basis of satisfactory evidence. o be the person(s) whose name(s) ARE oFFCtALSEAt_ ubscribed to the within instrument and acknowledged that SANDY A. STACK xecuted the same for the purposes therein contained. IN WITNESS OTdlRYPItBLIC-C&IFORNIA" REOF, I hereunto set my hand and official seal. PAncipW Offtos In BUTTE County ;Commission Ex res'DEC 71893RE, • • as • • s t Notary Public Present A.P. `�No.�Z37k fes= MID -VALLEY TITLECHI . CO TEL No.1-916-893-3428 Seo 21),9L) �:4( NO.UU:!--' U.--) N,_ 9 C's z 00 ti �o c roo OODV O m c 1. Ceiling Insulation U -value 0.50 -176 Number of stories -54 R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 0.50 -176 -84 -54 0:30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 O.C6 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Single- Single - Number of stories R -value 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 -144 -70 -46 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 0.00 10 5 3 3. Raised Floor Insulation Insulation in Floor Controlled Ventilation Crawlspace -4 Number of stories Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 4. Slab Edge Insulation -53 -39 0.60 -144 -70 -46 0.50 -120 -58 -08 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 .1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -4 -3 Number of stories 0.80 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 -24 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 -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 5. Infiltration (Air Leakage) Spee fication Point i Stardard 0 I 6. Glass Heat Loss Single- Slab Floor Effective Pescn2t class Total %Glass Noah East South West U -value 18 5 Percent 4 1 .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 13 18 12 .9 6 9 12 ,15 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17' 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Percent Glass (percent Plan x SC) Effective Single- Slab Floor Effective Pescn2t class Mass %Glass Noah 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 -23 3 0 -4 lB. Shading (Shade Closed) .• Single- Slab Floor Effective Pescn2t class Mass Family (percent QWs x SC) Multi Effective Stories AttaidW /CFA One Two Three Nwih Ent South West Skylight 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 d -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5. .2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 rw . not elkrwad ' 3 7 8 10 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories AttaidW /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 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 ' 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Unit Size (sQ Wall Family Family Multi Mass Detached AttaidW 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 zoo 10 11 13 11. Heating System SCORE CARD Eff. % Glass Unit Size (sQ Measures Water SEER SE or KSPF 1200 1700 2200 2700 (assumes ducts In attic) In attic) or - less to . 1699 to 2199 Stin of 7-10 Sum of 1-6 d R -value [0] F2 factor [0.77] 5. Infiltration -25 or -24 to X14 to -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 10 9 7 Effective SE or HSPF 4 3 (SE or HSPF x duct efficiency) 13 11 Effective -25 or -24 to -14 b -4 to Ain 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 1310 9.0 0.90 8.25 32 28 24 20 17 . . 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst.im SCORE CARD Eff. % Glass Unit Size (sQ Measures Water SEER 1119!1 1200 1700 2200 2700 (assume) ducts i In attic) or - less to . 1699 to 2199 Stin of 7-10 or d R -value [0] F2 factor [0.77] 5. Infiltration -25 or -24 to X14 to -4 b +6 to 16 or SEER less -15 -5 .5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -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 12 -9 Eft'ettive SEER -6 IG None (SEER xauct efnclency) -3 -2 -2 Sum of 7-10 1.9 Solar 7 Effective -25 or -24 to -14 to -4 to +6b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 .12 -i t -9 -7 -6 4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed 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 Eff. % Glass Unit Size (sQ Measures Water Q41, or 1119!1 1200 1700 2200 2700 Heater Type (;(edit Type or - less to . 1699 to 2199 to or d R -value [0] F2 factor [0.77] 5. Infiltration S TYPE 2 MSS 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 _ 5 4 3 3 SE None -37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 1S% HWR -18 -12 -9 -7 -6 50% WSB -25 16 -12 -10 -8 6511. POU -18 12 -9 -7 -6 IG None -5 -3 -2 -2 -2 1.9 Solar 7 5 4 3 2 3.4 POU 3 2 1 1 1 IE None -28 19 -14 -11 -9 0.6 Solar 8 5 4 3 3 2.3 POU -10 -6 -5 -4 -3 3.7 Mute -Family (individual 4.4 units) 4.8 5 5.2 ' Unit Size (sq 0.3 Water 0.8 699 700 1200 17100 2200 Heater Credit or to to to or - Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 " 2' 1'21•"' 3.9 WSB 9 4 3 2 $.1 5.3 POU 9 5 3 2 2 SE None A5 -23 -15 -11 79 2.8 Solar 2 . 1 1 0 0 4 4.3 HWR -23 -12 -8 -6 -5 5.7 WS8 .25 -13 -8 -6 -5 1.7 2QU _23 --.:L2_8 _ -._..-6 2.7 -5 n None -8 -4 -3 .2 ; -2 4.6 Solar 6 3 2 1 1 6.1 POU 1_- -0 • 0 0 0 IE None -30 -15 -10 3 _ 3.5 Solar 18 9 6 4 4 4.9 POU -8 . -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD Eff. % Glass a. Measures 1. Ceiling Insulation Q41, or 6 R -value [38] U -value [0.030] 2. Wa11 Insulation E 0 _ or a • x = value [II][II]] U -value (0.098] Interior Maus/CFA or _ R -value [19] U -value (0.037] 4. Slab Edge Insulation or d R -value [0] F2 factor [0.77] 5. Infiltration S TYPE 2 MSS •. > 11.Y.°fdC•l.2) • (.�9 t.A _el { TYPE I MASS WIr2C & 4.2, i e: � exposed slab) 0% S% 10% 1S% 201/. 2S% 30% 35% 40% 45% 50% 35% 60% 6946 7O% 75% 80% 6511. 90% 95% 100% 105% 11011. 11S% 120!: 125`; W. 0 0.2 0.4 0.6 0.8 "1.1 1.3 -1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 OA 0.6 0.6 1 1.2 1.4 1.8 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 2.4 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 16 2.8 3 3.2 3.5 3.7 3.9 4.1 . 4.3 4.5 4.7 4.9 $.1 5.3 5.6 50 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 SOY. 0.9 1.1 1.3 1,5 1.7 1.9 2.1 2.3 2.5 2.7 '3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 _ 6 6.2 60% 1 1.2 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 7011. 1.2 1.4 1.6 1.8 2 2.2 2.5 2.1 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 2.1 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 t1WY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 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 4.8 5 52 54 5.6 S.9 6.1 63 65 67 90Y. 1.5 1.7 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 S.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95Y. 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.6 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 S.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 ' 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 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 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S . 5.2 S.4 S.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% .2.1 2.3 2.5 '2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Eff. % Glass a. Measures 1. Ceiling Insulation Q41, or 6 R -value [38] U -value [0.030] 2. Wa11 Insulation E 0 _ or a • x = value [II][II]] U -value (0.098] 3. Raised Floor Insulation or _ R -value [19] U -value (0.037] 4. Slab Edge Insulation or d R -value [0] F2 factor [0.77] 5. Infiltration Standard 6. Glass Heat Loss / 7- Type (double] U -value [0.65] % Total Glass 116] 7. Shading (Shade Open) Point Scores O 0 -3 fis Sum lb 8. Shading (Shade Closed) %Glass SC Eff. % Glass a. a. North 54 x �J = a• 71 6 b. East c. South 4.3 x x = 3 a • x = d. West 7 A x = • 5q _ e. Skylight 9 x = , d 8. Shading (Shade Closed) REASS A 9. Interior Thermal Mass TYPE 1 MA = is r 1 InteriorMnss/CFA COND. FLOOR AREA lU. EXter10CW81I I�TaSS TYPE 2 MASS AREA = 8 t1 5] j.,4',�•; .. i , 7 Exterior Wall Mass ND. L R AREA 11. Heating System ' ' ' 1 x F3_ y Zonal Control? ( Y / N) SEorHSPF Duct Efficiency [0.78] ' Effective SE or [0.7216.6] HSPF (0.5615.15] 12. Cooling Systelli A. x • ii = Zonal Control? ( Y / N) SEER (.5] Duct Efficiency (0.74] Effective SEER (7.03] 13. Water Heating Type (SG] Credit [none] i -7 S� �'3 % Glass SC Eff. % a. North 3 • x • l� _ �•. b. East 4� . 3 x = c. South a • x = d. West 7. of x = e. Skylight n x = D REASS A 9. Interior Thermal Mass TYPE 1 MA = is r 1 InteriorMnss/CFA COND. FLOOR AREA lU. EXter10CW81I I�TaSS TYPE 2 MASS AREA = 8 t1 5] j.,4',�•; .. i , 7 Exterior Wall Mass ND. L R AREA 11. Heating System ' ' ' 1 x F3_ y Zonal Control? ( Y / N) SEorHSPF Duct Efficiency [0.78] ' Effective SE or [0.7216.6] HSPF (0.5615.15] 12. Cooling Systelli A. x • ii = Zonal Control? ( Y / N) SEER (.5] Duct Efficiency (0.74] Effective SEER (7.03] 13. Water Heating Type (SG] Credit [none] i -7 S� �'3 Certificate of Compliance: Residential Climate Zone 11 Mandatory Measures Checklist: Residential MF -1R Project Title 7/)� _ v NOTE: Lowrise residential buildings sub*4 to the Standards must contain these meas res regardless of the compliance 1 , /� 7� approach used. Ivens marked with an asterisk (•) may be superseded by mare stringent compliance requirements listed S 7 �/ �(/(�e Building Permit N on the Certificate of comp+iance. when this checklist is incorporated into the permit doeumeats the features noted &hoar j LS ��/ be considered by all parties as binding minimum component perfomunce specifications for the mandatory measures J whether they are shown elsewhere in the documents or on this checklist only. Pro ed Address y Checked By / Date Documentation Author Y (� Telephone DESCRIPTION DESIGNER ENFORCEMENT �P Enforcement Agency Use only BuildinK Envclope Measures BiIIDING DATA Glass Area % Glass §2.5352(a): Minimum ceiling insulation R-19 weighted average. North 40 §2.5352(b): Loose flu insulation manufacturer's labeled R•Value. C tlOned Floor Area f / %p Number of Stories / East —_T — ' §2.5352(c): Minimum wall insulation in framed walls R. 11 weighted average (does not apply to exterior mass walls). 1 'sed Floor Number of Units �_ South 31, - §2.5352(k): Slab edge insulation - waw absorption rate no greater dun 03%. water vapor Single Family Detached (SFD) [ ] Addition Alone West transmission rte no grew than 2.0 permfiinch. [ ] Single Family Attached (SFA) [ ] Existing Building Skylight §2.5311: Insulation specified or installed meets California Energy Commission (CEG) Quality [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total An /n / / standards. Indicate type and form. 12.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exftltrtion Controls BUILDING SHELL INSULATION a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. �r.,. b. Doors and windows certified. Component Insulation Location/Comments c. Doors and windows weathcrstripped; all joints and penetrations caulked and sealed R22 R -Value (attic, to gange, rTicel. am) §2.5352(e): Special infiltration barrier installed to comply with §2-5351 meetsCEC quality Wall ..... standards. ......... I §2.5352(4): Installation of Fireplaces Wall .............. 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door Roof ............. Jt' Jj b. outside air intake with damper and contra c. Flue damper and control ROOF ............. 2. No continuous bunting gas pilots allowed. Floor ............. HVAC and Plumbing System Measures Floor............. —�� 112-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. ' Slab Edge ..... 02-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. GLAZING Shading Devices • §2-5316 b)): Exhaust systems a): Ducts have have controls pnstalled and er Chapter 10.1976 UMC Glazing Area Glass Type Interior Exterior OVerhan Framirt §2.5314(c): Gas-fired space heating equipment has intermittent ignition devices. g g Tyle §2-5314: HVAC equipment. waw heaters. showerheads and faucets certified by the CEC. Orientation so (single, double) Qoller blind. etc. shadexreen. eta.) *,no) (metal/wood) §2.5352(1): Water heater. insulation blanket (ip s to greater) or combined R-3 orrkxtaer). NorTh insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 a greater). North( ) 62.5312(Exception 1): Pipe insulation on steam and steam condensate return k recirculating piping. East ( ) 1 §2.5318(d): Swimming Pool Heating 1. Systcm has: East ) a. On/off switch on heater. South ( ) �� a b. t. WeatPlumher to allow for solar. plate on heater. South ( ) 2.75 percent thermal efficiency. ( ) 3. Pool cover. West 4. Time clock. West ( ) 5. Directional water WILL Skylight....... �_ Lighting and Appliance Measures THERMAL MASS §2.5352(1): Lighting • 25 lumens/watt or greater for gc enl lighting in kitchens and bathrooms. 12-5314(c): Gas fired appliances equipped with intermittent ignition devices. Type/Coveting Area Thickness 62.5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasucertifled (slab/exposed, tile, etc.) Of) (inches) Loeadon/Dcscription (kitchen, bath, etc.) by the CEC. Indicate make and model number. COMPLIANCE STATEMENT HVAC SYSTEMS Minimum Type (furnace, air Efficiency conditioner, heat pump) (SE, SEER.HSPF) Duct Location Duct (attic, etc.) R -Value Output Manufacturer / Model # Bi ITTF COUIN W, Maximum Furnace Heating Output: Btuh BUILUIN t-'" HOT WATER QVCTFMQ Tank .3yaLG111 1 yNG tstnrage gas. etc.) Lapacity Manufacturer/Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) N Foo This certificate of compliance lists the. building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, 0aptrr2. SubchapW4. 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 Name: TukJFamL: Address: Telephone: Lie. a: (si ) (date) Documentation Author Name: TitklFum: t Address: Building Owner Name: .Vgg 1� ralcmirm Address: Telephone (signature) (date) Enforcement Agency Name: Agaty: Tel#_44w r.r_