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039-470-040
A 4 39-47-Jihf�� «r MICHAEL & CAROL EGGLESTON F 3725 CQS*jOAve, Chico%% , PErmit#4096-88B,P,E,M(new s ng e fa�ly :s i + I ® sz� . C-3 I�� 115D Arroy-t k,9 I v, sovir res c_ f - a G ',,�,, ��, • ' �. •� � I � � � � 't i � '.` ^ . _� . .` "', � � � I � � � � 't i � '.` ^ . . r - � _ ` � � e 4 � � ` 7 f ^ VV) f 13 0 '00,ij wtvlf-- Q- m varvaCk Ot 5 ft. from the PF'OP" lines and a setbactt of 80ft, from the road ft-Morline shall be clear of sprNctures or equipment �a2�f @ave Overh"OKM. . NG D SRT I- . 1� pp R VED •..•�..•:a�.iK:�.!•�'•:.+re+•K:T'��cStwn..'..r.rw.:..�::�.r......:h•r..:f�..... r.............. � �.•....�.�:........�...r�........... ...... . .. :-f �Retu%n DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Sec_ti.on 26-8. 1. of the Butte County Code requires L .is acknowledgement be recorded prior'tolissuance of a building permit. The property described herein is adjacent to land or included within an area zoned .for agricultural purposes, and residents of this 'property may be subject to incon- veniences or discomfort arising from the use, of agricultural chemicals, including, but not limited to herbicides, pesticides, and ferL:i.li.zers; and from the pursuit of agricultural operations including, but not 1 ' = t d 1 . 71- OO�S� 7�;OOr �.mL a to cu o vation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabl:i.shed o gr.icnl Lural- zones which have as a priority use for. *'productive agricultural. purposes, :.Ind rv.; i dell'I r; within said zones and on adjacent property should be prepared to accept such i nuonve•II i cher or disconf:orm from normal, necessary farm operations. All. that real property situate in the County of Butte, State of. Cali..f.or.n:i.a, dcscribcd !IN follows: SEE ATTACHED LEGAL DESCRIPTION. Date: March 2, 1989 State of. Ca. ). SS. County of Butte ) 0 OFFICIAL SEAL TAMI BARLOW NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY My Commiaslon Expires October 24, 1992 -PROPERTY OWNERS:, ' M* h e 1 gWt�Z G , arol E g/ ston On this the 2nd day of March 1989 before. rilc>, the undersigned Notary Public, personally appeared Michael Eggleston and Carol Eggleston Personally known to me. x0 Proved to me on the basis of satisfactory evidence. .be the persons) whose name(s) are bscribed to the within instrument and acknowledged ChaL _t Ney ecuted the same for ,the purposes 'therein contained. 1.N WI'm r{tis. EREOF; I hereunto set my hand and official. seal.. ,Present A.P:- No. 39-470-040 c ' Tami Barlow Notary Public EXHIBIT "A" 1.09-07034 THE LAND REFERRED TO IN THIS POLICY IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF CA24PER TRACT, NEAR CHICO, BUTTE COUNTY, CALIFORNIA", W'HICH -'kP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE ,COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19, 1890, IN BOOK 1 OF MAPS, AT PAGE(S) 28. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL: BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 9; THENCE NORTH 1 DEG. 15' EAST, 2.79.82 FEET ALONG THE WESTERLY LINE OF SAID LOT 9, THENCE NORTH 71 DEG. 45' EAST, 827.00 FEET PARALLEL WITH THE SOUTHERLY LINE OF LOTS 8 AND 9 ACROSS SAID LOT.8 AND 9 TO A POINT IN THE EASTERLY LINE OF SAID LOT 8; THENCE SOUTH 1 DEG. 15' WEST, 279.82 FEET ALONG THE EASTERLY LINE OF SAID LOT 8 TO A POINT IN THE SOUTHERLY LIFE OF SAID LOT 8 AND THE NORTHERLY LINE OF ROGERS AVENUE; THENCE SOUTH 71 DEG. 45' WEST, 827.00 FEET ALONG THE SOUTHERLY .LINE OF SAID LOTS 8 AND 9 AND THE NORTHERLY, -LINE OF SAID ROGERS AVENUE TO POINT OF BEGINNING. END OF DOCUMENT � .R 1 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building`) A.P. Number3q- y-7- V0 Building Department No. School District �j� �{� City = County 1 Jurisdiction / Property Owner %%%% Ch"9J.Vj Ca", 1 2'q qle Project Location/Address s^ Subdivision Ch Residential Development: # of Living MHI Units Lot Number F ` Sq. Footage �o �d- Addition (Group R) t Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) r Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) T District Id No. g % n 7 J a. (f,A; (_p LZto , L- Q -d School District certifies that 1�e a 11 P A 117 3 V3 -a�. . (Applicant Names J (Phone Number) 7 �/ S- Co s Street Address) ",0/; , ,1 { (City) (State) (Zip Code) has complied with the requirements of Resolution No. -Q by thnt of $ /P(26. d 0t,representing �� square feet. e paym )n t2&da,�� 31,4 10 School Dis rict Re reseative Date Af PAID BY CHECK NO. r,• BANK NO PAID BY CASH REMARKS: M.. white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Certificate of Compliance: Residential SHEET Project (Page 1 of 2) CFAR Date Project Address Bob Metzger - O.D.S. 8659688 or 342-9688 Building Permit# Documentation Author Telephone Point system 11 Checked By Date Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only .t GENERAL INFORMATION Total Conditioned Floor Area: ft2 Building Type: c Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: No / East / South / West / All Orientations (circle one or more) Number of Dwelling Units: 1 Floor Constriction Type:Slab Raised floor (circle one or both) Infiltration Control• Stand tght (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, e . Wall. .....:.... 7 _ Wall .............. Roof ............. / Y Roof ........ _... Floor ............. . Floor ............. Slab Edge..... GLAZING Glazing Area Glass Type Orientation (Sf) (sin le, double) Front.... (A) Front.... ( ) Left...... () Left...... ( ) Rear..... (Lj) Rear..... ( ) Right... (9 Right.... ( ) ' Skylight....... Skylight....... Shading Devices Interior Exterior (roller blind. etc.) (shadescreen. etc.) Overhang Framing Type. THERMAL MASS i . Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) on etc. Certificate of Compliance: Residential SHEET T (page 2 of 2) CF -1'R a W1109 W MR -M HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output conditioner, heat um) (SE, SEER,HSPF) • (attic, etc.) R -Value tuh) In (� 1 Maximum Fumace-Heating Output: Btuh Manufacturer/ Model # (or approved eoual) HOT WATER.SYSTEMS Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT 1. This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan. to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Name: Bob Metzger O.D.S. Tide/Fun: Drafting Service (owner)-, Address: 717 5th St . ar- 1215 Mangrove Orland Ca. Ste.0 Chico Ca. Telephone: 865-9688 342-9688 Lic. ;t: N-1 A (signamre) (dace) Documentation Author Name: Same as Designer Tide/Firm: Address: Telephone: (signature) (date)' Forrn Revised March 1988 Building Owner Name: Tide/Firm: Address: Telephone: (signature) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) (date) /��s VLanda.tory Measures Clscciclist: I2csidcntial sin rr I / C MIS -AR NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used: Items marked with an. asterisk (*)may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION J(Reference loc . on plans or �� DESIGNER I ENFORCEMENT Building Envelope Measures =notes on s s . * §2-5352(a): Minimum ceiling insulation R-19 weighted average. Sects. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. E-12 * §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). Sects. §2-5352(k): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch.. N/A §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality' standards. Indicate type and form. E-12 §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. N/A §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed. E-14 §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. N / A §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measur Info . by A/C conttactor E'-5 or supplier §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. E-11 §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. . E-11 * §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. E-6 §2-5316(b): Exhaust systems have.damper controls. E-4 §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. E710 §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. E-6&10 §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater). E — 9 e §2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. E — 9 d §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2.75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. N/A Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. E-7 §2-5314(c); Gas Cued npplianees equipped with intotmittent ignition devices. -10 $2.5314(x); Refrigerators, refrigerator•freezers, fr=ers and fluorescent lamp ballasts certified 1 _ 1 by the CEC. Indicate make and model number. Form Revised Decm.ber 1987 I ii SHEET I Point System Summary: Climate Zone � 4 ProJectTitle Date BUILDING DATA Conditioned Floor Area �Ot Z Number of Stories Slab/Raised Floor t" a Check all applicable Unit Type condition(s): [ ] 'Single. Family Detached (SFD) [ ] Addition Alone ,Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition SCORE CARD 1. Ceiling Insulation 2. Wall Insulation . 3. Raised Floor Insulation . 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) P -2R Glass Area % Glass North_ East South West Skylight Total - Measures Point Scores or R. -value U -value l or. — R -value U -value - or R -value U -value 0 or R -value F2 factor Standard 0I� _L I �J ► ` A Type U -value %Total Glass Sum 1-6 % Glass SC Eff. o Glass a. Notch t(o x ►��(. _ j b. East_ x c. South (ter x -1�— d. West I x e. Skylight Q x = �- 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North x (a = b. East ((,, ,, x Lt t 4- c. South x _ _ 2 d. West x _z_ e. Skylight x 9. Interior• Thermal Mass �; C-:7 Interior Mass/CFA 10. Exterior Wall Mass --2 Exterior Wall Mass Sum 7-10 11. Heating System VA `A Ix t 2-- _ (ptJ' 1/1=:, Zonal Control? ( Y / N) SE or HSPF Nct Efficiency Effective SE or C& O HSP 12. Cooling System ''�-�- 'p x \ _ Zonal Control? ( Y / N) SEER Duct Efficiency Effective SEER 13, Water Heating��-- Type Credit Point Total. T �� Form Revised March 1988 i rpOkm I �-,A" :LAW 1, •A 11 ,p�e.�-1-r-�`v�,�b U Ick, �. 1 �1 l� CGISS. c� 1 a� Io� s -i- -1 t S (n i ►'h ac.�j Q V' O V L >c �(-ecr i Cir O O irS p v`5 P Pte,\ e,l Gvr�i�-� D.�L� S�o�C.G -k-c� `�.-�l��lc� U.��.G�•-��lr-�J�'Y`4 , ... , 411- t:3,5. 11-CI5 , I- t rte. G` `t-Cn(n1 C- Ab v �t.- 6t � A t r F-, P. �o. r.. �u ti V c e-ro��h --S e�..'�' 1 0 o, a -v- cls �. (? a,�r ., Iv e- aM,\- -a �v- P%©�-- ►� e.� -(-- c � ►-c,�J I �,�4- i d � �! ,'cue . � � '_"' , �h Sv a�-� I�► I��.�I.- a�, i ,) �2►� (v�s��,-�ck4 Uµ ecui ,�_ l--A44--t- . _-v ^ £. �.O W >°-v' I�-��•.dvS �-o be, uJol-ol e.�r- -s • 1, . � CIO Lj ® IZ - U 1 ckA- v vz,\ ., p -4-L=) i hs w Alm 0 V\ -6n a�� 1 � CLv�G�� -,o lav •� GC�h"� b'"�U O � �; %�c1 i fna IDS BU o4 W4 Wei, +d 1a%--' � :. ❑ III e_ � , oU4- e.�- g a ss 1� �, -� . Q Cl [�,�--.�-etr-- AnI rel �i" c�,� q RESIDENTIAL PLAN CHECKING GUIDE 7/85 '(S.F.., DUPLEX & MISC. ONLY) /n Bldg. Permit # OWNER f off- �J A.P. # c3 - GENERAL zoning requirements: (sideyards Valuation. U3-- lans signed by designer. � Energy Design and Compliance. 9. Existing violations on property. PLOT PLAN and number of permitted living units). LK Complete parcel size and dimensions. Q! Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. L50'0"Flood hazard. Special conditions on creation map or compliance document. FLOOR PLAN - / /Complete to scale plan with dimensions. tl� equired windows for light and ventilation (Sec. 1205). . Required windows for second exit (Sec. 1204). 44o`07Skylights (Chapter 34 & Sec. 5207). �!�Iuman impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). -8'0' Light fixtures, switches, receptacles, and exterior receptacles for mechanical equipment.. maintenance of 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. I3-`�'Smoke detectors (Sec. 1210). STRUCTURAL DETAILS I. 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. S ufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. tairway details: landings, rise and run, head'clearance, handrails (Sec. 3306). i3' Guardrail details (Sec. 1711 & 3306.(j)). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706).. L&,***' Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. tiu�-" RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 1 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) tip• Garage door or porch header sizes. Adequate bracing. —rV- Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. -IT' Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). �ttic access and ventilation (Sec. 3205). kY Underfloor access and ventilation (Sec. 2516). 4— Wood stoves, clearances, alcoves & 1 -hour shafts. ,111�Combus_tion air for fuel burning appliances. ise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. .Unusual shape, size or split level house requiring lateral design. I� 'AFFIDAVIT OF COMPLIANCE WITH COUNTY ORDINANCE 2277 ' (ADDITIONAL DWELLING IN ;SINGLE FAMILY,RESIDENTIAL ZONES) /Oc Applicanta,-& G}�' Date Zone AP - - 0 Bldg. Permit I I, e, t B�x- do declare' that the dwelling (Building Permit ) at address (present) 6&0 - �i'dT �M,-V on AP o 39 -y 7 is intended for the sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling, unit does not exceed 640 square feet.' I also understand that violations of these provisions are subject'to the penalties pro-vided•in Section 24-63.1 of the Butte County Code. ale Oro- Signed F;ri Signed T, < , �X lSt� n Dated �� ►'c�1 a. cco 1 �o Fr, ed0 G1aS ,fieri r e AFFIDAVIT OF COMPLIANCE WITH COUNTY ORDINANCE 2277 (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) Applicant 2. '.-��"� Date Zone AP 0 - D Bldg. Permit I do declare, that the dwelling (Building Permit ) at address (present) on AP 3f -y7 �U is intended for the sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. signed Dated Q- Q i i i a of TMEW PA - HEALTH Building Department �6m: Environmental Health 11 SUBJECT: Sanitation Clearance ,( C . FIR U)S%ve 04 T - (35cjra5 . . r-0Fks%P, i7D Z. Owner Locatio4j- AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for:. Water Supply Clearance for bedroom marb tE home. Other NOTE Sanitarian Date IS --Vine --' kt RT center ent rmitte ,aa-,tlonal X"Clllng j the 1,1, Departn' is not Pe b the Health I I iFee feet 0 a To a locate . s P e . factory in P ctjon c pancY of r�,E. satis . 0 01 system into u5' IFee S the penalty permit Vee Sewer Fee Building .r Receipt No Zj Zvi c l L Oip PERMIT NO. PERMIT EXPIRES OWNER MICHART S RA1 R66IEST-ON t CONTR. ASSESSOR PARCEL 39-47-1 -7 LOCATION x725 Cosby Ave, f'hiee OF w �. • :� .. Wil%` a Temp. Power Pole Called PG&E A �Elec. Service Called PG&ET���� " ��✓ Temp. Gas Service �%A"j AGCG 14 4) an Called PG&E ;JOB FINALED (Date) Signature c: = OK 0 - Not OK - = Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /'LPG - - 7. Utility Clearance Card -B1 Date Card -61 Date Card -B1 Date Card -B1 Date Date MOBILEHOME INSTALLATION (Plans) OK except'#'s .r MISCELLANEOUS Date ''r DECKS,COVERS,CARPORTS,GARAGES; (Plans)OK ex'bVt #'s 1. Zoning'Requirements-Setbacks-Easements' -rt 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists- Decking-Bracing=Stairs-Rails 4. Wood Awn.; Posts-Beams=Rftrs.-Connec.- - -. Shthg.-Rfg.-Bracing 5. Alum..Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing...... 11. Ext.; Steps -Doors -Landings 1. Zoning Requirement4-Setbacks-Easements Card -B1 Date - Card -81 Date " 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade-HD,Approval 3. Pool Structure;, Steel -Connections -Thickness- ' 8. Gas and Electricity Tagged Dead Men -Lining - 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI ` 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI ' 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -B1 Date Card -B1 Date Boxes- Enc losures-Panel boards -Ins. to Main in Conduit Card -131 Date Card -61 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test - Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date 1 M �= OK o = Not OK �- _Not Ap• Applicable = Npt Ready RESIDENTIAL (Single and Duplex) Date UND OR s) OK except #'s L DateFRAMING (Continued) ' 1g(G Pipe; Size -Anchors _ 4 a gers-Post Caps -Anchors -Connectors t Main; Soils- el -EI rnd.-/ " Ftg. Depth if 1 '�g-R---F1'n-Roo c.- Shth fng. tg,fGarage; Soils el-fZ /" Ftg. Depth F' ptse Tiesor T p ue-Fi nce tg j Porches &-9echs;9FzAs 9iecf�//� /"Ftg. Depth Q --i(% ttic cess, ze & Ror>0x-Protection-Draft Stop -I B to walls, Main; S -Bio-Wrsea' PLUMBING (Permit) OK except #'s drm. Windows or Exiting Doors -Sill Hgt. & Dimensions erywalls, Garage;-Blobk5uts-Wr d 1 ater Pipe; Tdafl& Anchors ail Pr c age Fire Protection Framing /Sp dab; Steel-VVra p cS W.V.; -Fi s- s way C/O-Sew4 1g(G Pipe; Size -Anchors _ -RE'§tli lm ervi 124lectric; Underground 1 Card -131 /82 DaW Card -131 Date Card -131 E, Da L&,e �,ard-B1 Date Date PLUMBING (Permit) OK except #'s f 1 ` , 1 ater Pipe; Tdafl& Anchors ail Pr c !JJ .W.V.; T - tngs & Anchor - ail PF&M ,.ow r First Floor-Tule-Aceess 9i2,Z as Pipe; Size & Anchors Card -131 ft DateI' and -B1 Date Card -B Date /A / .) Card -131 Date xt. Doors -One 3' -Check Garage -3rd story, 2 exits Tes Width- - on 94-11Fywood on Overhang -Attic s -Rafter 9atrrl-gers t 550'tling-Nailing Veneer _ %%-5 tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Tiffs. /V azing Area -Glass Protection -Skylights -Plastic rptes 5 ' ' g -Bolts ZO , n ulation-Walls-Clg. filtration-Walls-Wndws Date ELECTRI L (Permit) OK except #'s Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors izqJ3,dxes & No. of Conductors -Stapled ome tailed Close to Edge of Studs & C.J. ui ground made up w/Mech. Fasteners- BoQd & ppliance Circuts in Kitchen & Conductor Size/G.F.I. Wr ed Wire Size / % / ga. Cu o A A.C. Wire Size //a/ga. AI 10 Circ. /b./` ga.(Der-Al-Ov irc. / / ga. Cu or Al. Insula Neutral yo— No 36 -Riser Cond Ground- ain DiStvnTe'ct uip. Clearances Panels-Motors-Mech. Equip. A CKgothes Closet Light -Shower Light -Spa Light /_1moke Detector Card -B1 dZ DatoCeZgr;Card- B1 Date Card -131 tqj2 Dat _q_S)yCard-B1 Date Date MEC ICAL (Permit) OK except #'s D A. . Ducts Insulation & Support 4a1 (ent Fan; Exhaust above insulation ensate Drain & Overflow; Size & Grade 3 rnace-V ccess�Comb+-AlFReturn ajr_ fif-1159uttet- ic Access & Platform if Furnace in Attic Card -B1 6 f Dat �iCard-B1 Date Card -B1 �j Dat'&b,5�.pg Card -131 Date Date FRAMING (Plans) OK except #'s 32 -SWT, Proper Material & Anchors 4Q-W911s Studs -Nailing, Spacing & Bracing -Plates -Sound 4 ng Dr t Stop in Walls (rat proof) 10,-17 ire Stops; Furxedl5iilings-9teirs-ChesrTS Tu 46-f-fe-ader & Beam -Size & Bearing Card -61 Dat Card -B1 Dat 0 - Card -61 O� Dat3"cj Card -131 Date Date FINAL (Plans) OK except #'s �i t. Steps -Door & Sidelight Protection -Landings 62,,Smoke Detector umace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ,64-6edroom Exiting ,#6r-G.F.I. & Bath Fixtures & Tub Access -Spa §A—Elec. Tri ' & Subpanel; Breaker Sizes -Labels 64. Sta' & Rails Z ,> fireplace or Stove; Clearances -Hearth 6J, EIV. Outlets at Wood Panel; Int. & Ext. A� it. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance -A lec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper qtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location i O lec. Receptacles in Garage; (G.F.I.)-Romex Protec. �7 Insulation -Foam -Looked in Attic Yes 78. Guard Rails & Deck Construction -Post Caps K79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive .fl Yes No; Walks ❑ Yes o; Planters ❑ Yes 2rNo Stucco; Brown -Finish r62rA.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to ✓ 1. 149 V Wa r Well; [7 bdrinect, Ele5t.Kcal, PkAriblffg o xterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection ,8$ Corrections from Previous Inpections f8' Gas Teel -Meters Tagged; Gp-Electric 00. W r & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 2. Roofing Certificate Card -81 GL4 Date i iA c-.Card-131 Date Card -81 IM Date&_Y6 Card -81 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) �� :.. "74 .. 'Fc.p��( -rel—.''".�"`i...-N.'�K+....Tf+.,s,..s•='1sr�w.d_ COUNTY OF BUTTE - DEPARTMENT OF PUBLhC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 S 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist -at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. G/' UA6,oi !yy 2 f., q- //y/h /l Pte_ o ra P I r(f;1 e,-, Hoz-- / Inspector Date COUNTY OF BUTTE "''• v DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 02-6307 CORRECTION NOTICE co OWN ERMIT N0. 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 ques 'on pertaining to this matter, or need additional explanation, please contact is office immediately. rl -14 �7r�,O fti7 /t L S�s7� r 0 S�Zw'� 11-s -/-- Inspector 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 ... OWN Tr" r P i 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 ction of work is completed. If you have any question pertaining to this mat r, orreneed additional explanation, please contact this office immediately. '� Inspector Date %- Z 7_�� COUNTY OF BUTTE DEPARTMENTkOF PUBt-IC 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 A routine in indicates that the following violations of County Ordinance existat t 16 above address and should be corrected. Please notify this office when cor ection of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector I / Date / v •PNPYtcee;l".'w}K ''"7: :!,ae!L... •.1:a_f•• �: . •... ..•••,• ... •,•• Ire ENEItGY CERTIF'I.CATI0N ��� �5 �s��` i�u� . C`� \cam ' � ,� Ste`/�•� y�l� LOCATION A. P. No. DESCRIPTION OF INS111.ATION ROOF Material Brand Name`____ Thickness(iuches)_ Thermal Resistance (R Value) EXTERIOR WALL Nateri.t'.L Fiberglasss Thickness(inches)_ �7a CEILING Batt or 131an1cet Type Fiberglass Thickness(inches) I(l Loose Fill Type Fiberglass Minimum, ThicknesWitches) Aren covered(ft.) FLOOR, E!,.I:VAIED Material Fiberqlass L111:Jkness(inches) FLUOR,: SIM Ila teriaL TIIiclaieAs(incIIes) _ Widtit (inches) FOUNDATION WALL Matnr.ia1 Thickness(inches) Brand Name CertainTeed Thermal Resistance(R Value) Brand Name .CertainTeed Thermal Resistance(R Value) Brand Name CertainTeed Number of Bags Wt. per bag 25 16. Thermal Resistance(R Value)_ Brand Name CertainTeed Thermal Resistance(R Value) Branca Name -,Thermal Resistance(R VnItte) Brand Name Thermal Resistnnce(R Vnitie) I. herchy cert:J.fy that the above itucu)a tion was installed in the above building in conf•ortnance with the State of California Energy Requirements. Hawkins Insulation 379407 F:[It11 NAIll;/OWiIER STATE CONTRACTOR'S LICENSE, 1,10. —IDL t SICRATURE ")F INSTALLATION APPLICATOR t DATE .1 hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as a•.__red by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by -the State of California. iJ 1;;/OWNIIt (Please print) S'1'A'1'E CONTRACOlt'S LICENSE' HU. co /,/� /�,� * . 5IG 1'Uh.1; 01 11 NE1 CONl'RAC'1'Ul.t OWNER DNFE THIS CERTIFICATE IMST BE ON FI:LJ WITII THE BUILDING DEPAR'1'MI Iff PRIOR TO FINAL insri-C ION APPROVAL A14D A COPY SHALL BE POSTED, WI'T111N THE BUILDING . January 1984 f 0 COUNTY OF BUTTE - bEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviltle. California 95965=l,Telephone: 916/538-7541 APPLICATION ANV-PERMIT ERMI NO. MD ASSESSOR CE ER �— Q ZON G BUILDING PERMIT OWNERL TELEPHONEd,D SO. FT. OCC. BUILDING VALUATION OWNER'S MW AD ; ESS p a"�o CONTRA TOR'S NAME7_ TELEPHONE /7 +� CONTR CTOR'S MAILING ADDRESS Fireplace 0 0� CONSTRUCTION LENDER UNKNOWN Total Valuation Is A 3 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ r ARCHITECT OR ENG I 'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tae $ PLUMBING PERMIT Filing Fee 10.00 1� l� Each Trap 10 2.00 ).p, Solar or heat pump water heater 20.00 Z0, LOT NO. �t SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 7- USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 otJ Mobile Home S I G W 0.00 ea - TYPE OF WORK New V/ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 /�, to Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE 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. DWEL�� uP.el , -70 New OGONSTR.� ACC.LTai.00UTLET ) h¢sgft r NO N.RESID .BRA CH CIRC ITs 2.50 ea POWER APPARATUSa OUTLET CIR. Ex. OCcu1.20050t Occup(OUTLETS OR FIXTURES AL030 FIXED PR Ex. Occup. OUTLETS (RESID IEA.I 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Penult Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �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. MECHANICAL P Filing Fee 10.00 Heating Cooling AJQU 4a 142 Hood 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 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 against s County in sequence o the granting of this permit X Date a 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 $ TOTAL PERMIT FEE c1P. Phis CONST. YPISCPLD! N00 ✓ PARCEL PD s ! permit is hereby issued under sions of the Butte County Code and/or work indicate ve for which Dl TO LIC By PERIMT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS at Receipt No. v Z&WEA WHITE-D.'.W.. YELLOW-ASBC330R. PINK -INSPECTOR. NR: LICANT i� � _ �� �, _ � � ` � . I k ., .Svk.lit. ��.:� .,, .. .�{r ,�. +M1} ": .�.. , ter'* •C'r:. �'i", ,y - ti COUNTY OF BUTTE - DEPARTMENT OF PUBLI!C�WWORKS - BUILDING DIVISION �� 7 COUNTY CENTER DRIVE - OROVfLLE, CALIFORivfA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET _ Permit No. OWNER y'"`�' G24 s` A. P. No. Proposed Building Use `S� - Building Inspector A Date—I 7110(t At 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. . . . ... . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. 2-. Plot Complete plans in duplicate./triplicate, signed by preparer of pla . 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans -with Energy Design Compliance Statement. 6. l School District "Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings.. . Fees of $ 1 011 . . . Lette of signature authori tiV,9 0itation approval from (.cHealth Dept. 1. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . 13. Contractor's License Information (no.*, name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector ---1'8. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 0. Plot plan approval from city of l"21. Engineered trusses in duplicate (required prior to plan check).Q)' 22, CUA FEES RECEIPT # When you issue the permit, process as follows: Mail �too`w�n'er, Mail to contractor. Telephone �3 ��"9'7 .and hold for pickup ate9-office, Deliver w/inspector. Other /�,, Applicant������`��G`"` Date L/ Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted p for to per it issua ce: Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: • 47 Contractor, designer, ow r, was advised of above required data by—phone _jnall_ ounter by 60 date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date Plans approved by ✓�y� Date _2 ~� -Sets of plans on hold in Fi cabinet AP folder i Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA .95965 Phone: .916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I �/have not) 4signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I'plan to provide portions of this work; but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: `7Z Property Owner Social Sec ity Number Date ze. 0 NOTE: This Owner -Builder Verification is.sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must.be completed and returned to our office before we are per- mitted to issue the permit. TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance er Locatii Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: Clearance for _ bedroom m"Ile home. Other NOTE Sanil6a—r ian AP# Water Supply Water Supply Water Supply Date t Certificate of Compliance: Residential Climate Zone 11 nil • �L'�t � � 44 �� s�or. � ProjectTWe 4tG q p� Building Permit k Project Address �� r Checked By/ Date Documentation Author Telephone Enforcement Agency Use Only . Glass Area % Glass BUILDING DATA North_,,_ Conditioned Floor Area / 4 l7, Number of Stories 1 East_ et wised Floor Number of .Units � South F � /• I [ rSingle Family Detached (SFD) [ ] Addition Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight ty_ �— [ ] Multi -Family (MI's [ ] Existing-Plus-AdditionTotal R!4a._ BUILDING SHELL INSULATION Component Insulation Location/Comments Type _ R -Value (atdR to garagisi typical, etc.) f Wali .............. Wall ............. Roof ............. R 30 Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING_ _ _. Shading Devices Glazing Area Class Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (yoller blind, etc.) (sltad�tcreen, etc.) (yes/no) (metttl/wood) 4 North ( ) _ L North East ( )_ East ( ) South ( ) / r / _ 4e - South West West ( ) Skylight.....:._ jt THERMAL MASS a Type/Covering Area - Thickness (slab/exposed. tile, etc.) S inches Loeadon/Deserition itches, bath, etc. 1 s - ; ax HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) i et'nn,� or �n i Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model #- r ,�,NA`j`✓' System Type (storage gas etc.) Capacity (or approved equal) SpecMFeature(s)_. %3� Mandatory Measures Checklist: Residential MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I EMRCEMENTJ Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R•19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed waits R.I l weighted average (does riot apply to exterior mass walls). 62.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(p: Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: InfiltratiorvExfrltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit sk leakage. b. Doors and windows certified. c. Doors and windows weatherstripped. all joints and penetrations caulked and seakd §2.5352(e): Special infdtration barrier installed to comply with §2-5351 mats CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing. attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. ' §2.5316(3): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper contorts. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. 12-5314: HVAC equipment, water heater, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) orcombined interior/exterior insulation (R-16 or greater): fust 5 fees of pipes closest to tank insulated (R-3 or greater). 12.5312(Exception 1): Pipe insulation on steam and steam condensate raum & recirculating piping. y §2-5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater; e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance pleasures 62-5352(1): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. 12-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(x): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Building O r Name: Name: TitWFirin . TstWFisn. Addn=: Address: 6 Telephone: Telephone (% Lic. 8: (signature) t5 -/dr w, Documentation Author ` Name: SPECIAL FE ARKS (Add extra sheets if necessary) +Tideffium Address (date) .(signature) Enforcement Agency Name: Agency: Tekphom- (date) 1. Ceiling Insulation SCORECARD Interior Number of stories Slab Floor Raised Floor R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 .2 -1 -1 R-38 0 0 0 U -value .24 .10 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 5 13 2. Wall Insulation -52 -17 -9 Single- Single - 13 26 Family Family Mul6- 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 -4 2 8 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 -23 -1 Insulation in Floor 8 12 17 Number of stories -20 R -value One Two Three R-0 -17 -8 -5 R-11 3 -2 -1 1 R-19 0 0 0 R-30 3 1 1 U -value 4 8 11 - 0.60., 444 -70 •46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace Solar 2 Number of.stories _ 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 1 - 16 Number of Stories 2 R -value One Two Three '- R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor no 11 3 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) Specification Points Standard 0 ` 6. Glass Heat Loss SCORECARD Interior Total . Slab Floor Raised Floor SEER Mass 1200 U -value 2200 Percent One .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 -e -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 r 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 3 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 SE or (HSPF None c -23 -15 (assumes ducts In attic) -9 7. Shading (Shade Open) Solar 2 Sum of 1.6 Effective Percent Glass 0 0 3.6 (percent glass x SC) +6 to Effective SE HSPF less .15 -5 +5 +15 more 0.72 6.60 %Glass North East South West Skylight 18 .5 1 1 4 1 na 16 4 2 7.79 5 1 na 14 4 2 9 5 1 na. 12 3 3 0 5 c^ no 11 3 3 15 5 2 na 10 2 3 0.30 5 2 1 9 2 3 -45 -39 -34 -29 5 2 2 8 2 3 .14 5 . 2 2 7 1 3 5.13 4 2 2 6 1 3 3 4 2 3 5 1 2 0.80 4 2 3 4 0 2 1.1 3 1 3 3 0 1 2.6 2 1 3 2 0 0 4 1 0 3 1 -1 -1 5.5 -1 ._1 5.9 2 0 -1 -2 1.4 •l -2 0 na = not allowed 2S 27 2.9 3.1 3.3 iB. Shading (Shade Closed) 3.7 3.9 4.1 Effective Percatt Glass 4.6 4.6 5 oweent glass x SC) . 5.4 5.6 58 6 6.2 64 75% Glass North End South West Skylight 18 -14 -48 2.7 -69 -64 na 16 -12 -42 4.2 -59 -55 na 14 -10 35 5.7 -50 -46 na 12 -8 -29 1.6 -40 37 na 11 -7 -26 3 -36 -33 na 10 -6 -23 4.5 -31 -29 -74 9 -5 -20 6 -27 -28 -65 8 -5 -17 1.9 -23 -21.. -56 7 -4 -14 3.3 -19 -18 47 6 -3 -11 4.8 -15 -14 _ -38 5 -2 -9 6.3 -11 -10 -30 4 -1 3 2.2 -8 -7 -23 3 0 -4 3.6 -5 -4 -16 2 1 .1 5.1 .2 .1 . -9 1 1 1 66 1 1 -4. 0 -2 3 2S 4 3 0 9. Interior Thermal Mass SCORECARD Interior - Measures Slab Floor Raised Floor SEER Mass 1200 Stories Stories 2200 /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 i 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 it 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass -4 -4 Exterior Single- Single - -2 -7.0 Wall 0 0 Family Family Multi 0 Mass 9 Detached Attached Family 0.00 3 0 0 .0 14 12 0.20 7 3 2 1 22 0.40 13 5 4 3 11.0 0.60 23 19 8 6 4 8 0.80 .30 10 8 5 14 1.00 13.0 13 10 7 ; 1.20 10 13 12 8 i 1.40 5 12 13 9 6 1.60 3 10 13 11. Cooling System Installed 1.80 3.2 10 12 122 4 2.00 2 _- 10 - - 11 13 POU 11. Heating System 5 3 2 2 SE or (HSPF None c -23 -15 (assumes ducts In attic) -9 2.2 Solar 2 Sum of 1.6 1 0 0 3.6 -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 0 - 0 Effective SE or HSPF 0 IE (SE or HSPF x duct efficiency) 30 15 Effective -25 or -24 to -14 to 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 12. Cooling Systi:m SCORECARD Unit Size (sQ - Measures Water SEER 1199 1200 1700 2200 2700 (assumes ducts In attic) or to to Sum of 7-10 or Type Type l9ss J -25or .24to 44110 db +610 160r SEER less -15 -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 , _.-12 -9 Effective SEER -6 IG None =5 (SEER x dud efficiency) -2 -2 -2 Sum of 7-10 Solar 7 5 Effective-25or -24 to -14 to -410 +6 b 16 Of SEER less .15 -6 +5 +15 more 5.0 -30 -25 -21 -17 -13 .9 6.0 -12 -11. -9 -7 3 4 6.6 -5 -4 -4 -3 .. 4 -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 or Zonal Control Adjustment 14 7 5 10 8 7 6 4 3 5 No Cooling System Installed 2 Stories One -5 -4 -4 -3 -2 -2 Two +. 3 3 2 2 2 1 Single -Family Detached and Attached Interior Mass/CFA I TYPE 2 PASS SCORECARD Unit Size (sQ - Measures Water 3 o or - 1199 1200 1700 2200 2700 Heater Crodit or to to to or Type Type l9ss J 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 Ic•ryetW •1•nl 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 0% HWR -18 -12 -9 -7 -6 35% WSB -25 -16 -12 -10 -8 70% POU .718 _.-12 -9 -7_ -6 IG None =5 -3 -2 -2 -2 1.3 Solar 7 5 -4 3 2 2.7 POU 3_ 2 1 1 1 IE None 28 19 14 -11 -9 0.2 Solar 8 5 4 3 3 1.6 POU -10 -6 -5 -4 -3 3.t Multi -Family (Individual 3.7 units) 4.2 4.4 4.6 4.8 Unit Size (sQ 5.2 Water 20% 699 700 1200 1700 2200 Heater Credit or b to to or Type Type lass 1.199 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 -6 '-5 5.1 WSB -25 -13 -8 -6 -5 1.1 _PQU _23 -12 8 -6 -5 IG None -8 -4 -3 -2 i -2 4 Solar 6 3 2 1 1 5.5 POU 1 0 - 0 0 0 IE None 30 15 -10 -8 -6 28 Solar 18 9 6 4 4 4.3 POU -8 -4 -3 -2 -2 Interior Mass/CFA I TYPE 2 PASS SCORECARD - Measures 1. Ceiling Insulation,x� 3 o or - _ R-value [[3381 U -value [0.0301 2. Wall Insulation or _� _[ R -v ue 11] U -value [0.098) 3. Raised Floor Insulation or R -value [191 -' U -value [0.037) rl•7°"'�'�•_� 4 TYPE I MASS (eIMC b 4.2, Se: ex oscd slab) Ic•ryetW •1•nl --�- • 0% 6% 10% 15% 201Y. 2S% 307E 35% 40% 45% 50% 55% 60% 65x 70% 75% 80% 857. 90% 05% 100% 105% 110Y. 115% 129% 125• OY. 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 Me 0.2 0.4 0.6 0.6 1 1.2 1.4 1.6 1.9 21 23 2.S 2.7 2.9 3.t 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 21 29 3.1 3.3 9.5 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 26 2.8 3 3.2 3.5 9.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.6 5 8 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 50Y• 0.9 1.1 1.3 1.5 1.7 1. 21 23 25 27 3 3.2 3.4 3.6 3.6 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 2t 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 709'. 1.2 1.4 1.6 1.8 2 2.2 2S 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.6 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 2t 2.3 2S 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' BOY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 6 4 66 65% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 S4 5.6 5.9 6.1 6.3 6S 67 90Y. 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 95y. 1.6 1.8 2 2.2 2S 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 5.8 6 6.2 6.4 6.7 6.9 . 100% 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.6 3.6 4 4.2 4.4 4.6 4.9 5.1 5.3 SS 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 26 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 27 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 2.6 28 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 4.6 S 5.2 5.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 S.3 5.5 5.7 5.9 6.1 6.3 6.S 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 . SCORECARD - Measures 1. Ceiling Insulation,x� 3 o or - _ R-value [[3381 U -value [0.0301 2. Wall Insulation or _� _[ R -v ue 11] U -value [0.098) 3. Raised Floor Insulation or R -value [191 -' U -value [0.037) 4. .Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e, Skylight 8. Shading (Shade Closed) or R -value [01 F2 factor [0.771 Standard Type [double] U -value [0.65] % Total Glass (16] % G lass S Eff. % Class SS X _ U,�' -.7- X - _ 4.y -X r. D x.17 % Glass, SC Eff.% Glass a. North S. S x -.1, -4 b. East• /• 7 x = c. South • Q x _ d. West _�� x e. Skylight ,(�_ X 9. Interior Thermal Mass TYPE MAss AREA COND. FLOOR AREA Interior Nnss/CFA 10. Exterior Wall Mass TYPE 2 MASS AREA = $ AREA Exterior Wall Mass ND. FLUOR 11. Heating System . ro x S3 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.781 Effective SE or [0.7V6.6] HSPF [0.5615.15] 12. Cooling System as le _ Zonal Control? ( Y / N) SE [9.51 Duct Efficiency [0.74) Effective SEER [7.03] 13. Water Heating •5 lax Type [SGJ Credit [ifonel Point Scores 0 4 +./ Sum 1.6 Sum 7-10 -3 a� Point Total. ' rr`. rk110 _��u � -cFFF zfi ` `yt v ' i = ~= � F=y- b _ -` � ��°� �z 0 - : ! FN'"'''� `'' E- - ! ,TSG- - - -_ - - ;, = t7 8s- r _ ' _ r - - C - ! - - - - _ Z. y -] "I�r _ - -ii ,:�, - - - t =_ o I - _ _ t _- - = - -- 1( _ _ - - .{ - - .y yf _E�_ j i1. ` _ - - _ _ _ j ,t _ ;' _ _ t° _ 11=x.- 111 . ._ - _ - _ . -ii- - '- _, - - _, 'i - _ 1��� 1 C- III I �_ - - I ,� - �- - - f I - i _ t { L - �� _ — ii _[ - - �-_ - - _ - -- - �F _ - - -_ __ _I. _ - �r — - 1 - _ _ -,� C ,� _ _ _ _ _ _ - _ _ _ _ - _ % _- ! - _ { _ _ - �� �-- _ _ - -i -- �� j� - — - _ _ - _ - _ - _ _ - ! __. i...• __� _ - - {]f - J - _ _ - _ - _ - - _ - - _ — - - L jt k- 4$' -iv Yy. �` 3- ..X f' _ k - - - - 'F- "_ 17 _ - L _ _ _ - _ _ �-_ — - �l _ - - _ - - _ _. -% — _ _ _1. _ _ �If -_ -_ - �- .. - - _9 _. - _ ..- " -- - - - :,t r m- �,, ;� i, ,. .'+ " . � ' r � I I ��I �f #.t � � !I i � ..