HomeMy WebLinkAbout039-540-0173 -syr
0,. 2698-90B,P,E,M
NIX, Tom. J.'
947�Dllen, Ct, ,Durham'
(,new single family) 3b'�
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RE I N IAL
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2698-90B,P,E,M
NIX, Tom J.
947q Dillon Ct, Durham
(new single family)
-----------------
-
OFFICE COPY
—[ 7 -T D i C
• Address. w wa1 �•
0
GAS
Meter By Date
r ELECTRIC
Meter By Date
remP- G Fel C (ZAG C- fj =t..
JOB FINALED (Date) I— J12
Signature
u
a
J,= OK
O=Not OK
Not
' = Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ P L" ft./ /"LPG
Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged ,
9. Exits; Insp.-Sketch `
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, 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. Caroorts: Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances -GF[
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit
9. Health Department. Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
� �t
V OK
O=Not OK #
- = Not Applicable
Not Ready RESIDENTIAL (Single
' =
Date UNDERFLOOR Plans OK except #'s
Zoning=Se cks-Easement -Flood-Slope'
�p pg., Main; Soils-Elec. d.-/1'Ftg. De th
. Ftg., Garage; Soils-Steel-Elec. Grnd.-1 /" Fig. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Id Downs and Special Anchors
Slab; Steel -Wrapped Q . I - QD
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors I
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -fns.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Ei Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUM ING Permit OK except #'s
Water Htr.; Vept-AccesbrCombofion Air -Baffle
tf1' Water Pipe; Test & Anchor -Nail Protection
kg' W.V.; Test -Fittings & Anchor -Nail Protection
Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
24'. Gas Pipe; Size & Anchors
Date JJ_%"q6 Card B-1 G DateCIO Card B-1
Date t\- I3 a Card B-1 GG Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
. Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
Rsmex Installed Close to Edge of Studs & C.J. _
Equip. Grour(d made up w/Mech. Fastners-Bond s & War
2 Appliance Circuts in Kitchen & Conductor Size/GFI
Subfeed Wire Size i2/ ga. Cu oreA.C. Wire Size /(d ga.
Cu oro
z7A"Range Circ. / / ga. Cu or AI -Oven Circ. / ga. Cu or(t;17
Insulated Neutral )R Yes No
36 Service -Riser Conductors & Ground -Main Disconnect
34—Equip. Clearances Panels-Motors-Mech. Equip.
3T Clothes Closet Light -Shower Light -Spa Light
312' Smoke Detector
Date t(-J�-q6 Card B-1 (r�� Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34-*'A'.C. Ducts Insulation & Support
38' Vent Fan; Exhaust above insulation
36rCondensate Drain & Overflow; Size & Grade
37! Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38: Attic Access & Platform if Furnance in Attic
Date fl,S rno Card B-1 r (; Date Card B-1
Date Card B-1 Date Card B-1
Date FRA ING (Plans) OK except #'s
Sils, Proper Material & Anc rs
alls Studs -Nailing, Spacing nag': �R lates-Sound
Bearing Walls over Girders & Floor Nailing
4V'Draft Stop in Walls (rat proof)
43 Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44/Headers & Beam -Size & Bearing
'& Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Ring.
42"Fireplace Ties or Type A Flue -Fireplace Throat clearance
ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
40'13drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
fiB."'Garage Fire Protection Framing
51!Property Line Firewall & Openings
xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53 --Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
5 . plywood on Roof Overhang -Attic Vents -Rafter Outriggers
}e-55. Sidi Nailing Veneer
K36 -Y tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
O. Glazing Area -Glass Protection -Skylights -Plastic,
58. Shear Walls; Nailing -Bolts
519. InsgW,-on-Wgfls-Ceifings
6 . Infiltr on -W s -W Bows
Date t(—Mn Card B-1 ('5G Date jZ-5-196 Card B-1 6(1
Date t1 - JsP-ejC Card B-1 (r rG Date Card B-1
Date FI Plans OK except #'s
t. Steps -Door & Sidelight Protection -Landings
S oke Detector
P.1 -Furnace; Vents -Clearance -Comb. Air -Connector -
I Garage; Above •Floor-Ducts-Mech. Protection
B droom Exiting
6 . G.F.I. & Bath Fixtures & Tub Access -Spa
66"Elec. Trim & Subpanel; Breaker Sizes & Labels
6 . & Rails
u45replace or Stove; Clearances -Hearth
6 . Elec. Outlets at Wood Panel; Int. & Ext
7 . Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
ALAIec. Outlets & Receptacles at Kit. Counter
7 . Garage Fire Door; Swing -Landing -Closer
73.vA:'C7.-9uct in Garage -Damper
r. Htr.; Vents -Clearance -Comb. Air- nector-P. .
An Garage; AboveAqoor-Mech Q ina�
5. Plb., Elec. & Mech. Equip. Listed for Location
7 , Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
7 Insulation -Foam -Looked in Attic O Yes
78'1 u rd Rails & Deck Construction -Post Caps
7&-"b. Vents & Crawl Hole Door -Drainage & Wood -Earth
.QWarance Looked under Floor ❑ Yes
401"Following instld.; Drive O Yes ❑ No; Walks O Yes 0 No;
Planters 13 Yes ❑ No
84**'S-tucco; Brown-FinisD,
A.C. Un is n Electrical, Plumbing
Jl8'Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
-64.-WMr Well; Disconnect, Electrical, Plumbing
a5e'Exterior Elec. Trim; G.F.I. Receptacle -Underground
se'ventilation Throughout House
81f Glass Protection
Correction rom Previous Inspections
Gas T -Meters Tagged; Gas -Electric
WrVater & Sewer Connected -C/O to Grade -HD Approval
. Energy Compliance Certificate -Other Certificates
Date I -?,a � ( Card B-1 GG Date Card B -1 -
Date \��;� ,�) Card B-1 ( ('s 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)
. ...- y � ' � -r � : .. . , ..r-,.Fi'.rs.�i�k...t.,s ,^ ,f m a ;.✓^"�..'."!`rtti.--�"'e•
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OtoviIle — Phone: 538-7541 '
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
aI) 2698-q4
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.
4e S i C.L..2G� IA/ PC t rt R 'A Ft_PrT o, a-
DateT2 9 :::9 ( Inspector A nen
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way,,,Chico — Phone: 891-2751
7 County Center Drive, Orovitle — Phone: 538-7541,
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER 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.
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Date u- P -9n Inspector 4 - IA--�
i
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Z
Date u- P -9n Inspector 4 - IA--�
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE :KITH THE .STATE OF CALIF. ENERGY REQUIREMENTS.
SHASTA INSULATION 'INC .. #5�)92i35
FIRM NA ER STATE CO1fPR,;-_LICENSE NO.
Ihereby certify the above insulation and.akl-'O'eequired items as shown
on the Building Depart. approved plans an::O�ttachments have been installed
as required by the State of. California Energy Requirements.
All equipment, devices a.nd materials are of the quality prescribed or
are spp ically �a�p�pro/�, d by the State o lif /,y/�"
L
N
F.IRPt.NAII OWNER (PLEASE PRINT) STATE CONTRACTOR',S LICE SE N0.
SIGN TUBE OF GEN RA 'CONTRACTOR OWNER DATE
This certificate must be on file with the BUILDING DEPARTMENT prior to
final inspection approval 'and a copy shall be posted within the building.
.._JANUARY _ 1984
Owner
rmit No.
r•.
MATERIAL
BRAND NAME
TE{iCKNE;j
'rHER%!AL RES
E:iTERIOR ',ALL
-
`IATER 7LAL
�ERG;__A
BRAN D NA`!E
CERTAINTEED
THICKNESS
:jr/,& it
THER`!AL RES.
l?
CEILING
BATT OR B NKEr T Y r E
RAN'D NA`IE
CERT:AINTEED
THICKNESS
i D
—.THERMAL .RE,Y,
LOOSE FILLTYPE INSL'L-SAFE IIIBRAND NAi"PS' I/C.RTALNTEED
THICKNESS
1 Z�/s ��
THE'R`( t RES.
3►p
FLOOR,ELEVATED
MATERIAL
FIBERGLASS
BRAND NAME
CERTAINTEED
THICKNESS
THERMAL RES..
~
FLOOR, SLAB
BRAND N1' -AMEN
.MATERIAL
THICKNESS
,
THERMA,Lsg''RES .
WIDTH
FOUNDATION WALL
MATERIAL
BRAND NAME
THIC, K'1ESS
THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE :KITH THE .STATE OF CALIF. ENERGY REQUIREMENTS.
SHASTA INSULATION 'INC .. #5�)92i35
FIRM NA ER STATE CO1fPR,;-_LICENSE NO.
Ihereby certify the above insulation and.akl-'O'eequired items as shown
on the Building Depart. approved plans an::O�ttachments have been installed
as required by the State of. California Energy Requirements.
All equipment, devices a.nd materials are of the quality prescribed or
are spp ically �a�p�pro/�, d by the State o lif /,y/�"
L
N
F.IRPt.NAII OWNER (PLEASE PRINT) STATE CONTRACTOR',S LICE SE N0.
SIGN TUBE OF GEN RA 'CONTRACTOR OWNER DATE
This certificate must be on file with the BUILDING DEPARTMENT prior to
final inspection approval 'and a copy shall be posted within the building.
.._JANUARY _ 1984
•
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville• California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PER IT NO.
ASSESSOR PARCEL NUMBERZ0�7.1,t`1
0MUMIXUD 39-54-17
BUILDING PER
OWNER
Tom J. Nix
TELEPHONE
345-6178
S0. FT. OCC. BUILDING
VALUATION
D (� Q
2,295 R 91 800'00
OWNER'S MAILING ADDRESS
1036 Almendia Ct., CHico 95926
820 M 11 480.00
CONTRACTOR'S NAME
Owner
TELEPHONE
L F 'i
22/. C 2,2/.0.00
CONTRACTOR'S MAILING ADDRESS
Fireplace I A 1,000.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 106 520.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 450.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$225.25
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 700.75
PLUMBING PERMIT
Filing Fee 10.00
9479 Dillon Ct. Durham
Each Trap
2.00 22
Solar or heat pump water heater
-nn
20.00
LOT NO.
17
SUBDIVISION NAME
Durham Valley Estates
PARCEL MAP
// o -11
Water piping
5.00 5.00
Each qas water heater or vent
1 5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
1 5.00 nn
Mobile Home I S I G IW
10.00e
TYPE OF WORK
New [� Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 3 Bedroom _
Permit Fee
$52.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
10.00
10,00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�I 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.
:6
License No. Classification Classification r
❑ I, as the owner, or my employees with wages as their sole compen-
sation, 'will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.DWELLING OCCUP.E
OR ADDNS. ( ACC. BLDGS. !
,
X 2h¢sgit77. 00
NEW CONSTR. MULTI -OUTLET
NON•RESIO BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS &)
(POWER
OUTLET CIR.
EX. OCC(OUTLETS OR FIXTURES
Up
20@50Q
eAL®ao
Ex. Occup. OUTLETS FIXED P(RESID )REA.)
2.00
Temporary service
1 10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$109.50
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 PERMIT
FiIingFee 10.00
Heating
Dual P ack
Cooling 3 Ton
11.0 11.00
Hood
3.00 00
Ventilation
Permit Fee
$ 39.00
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 liabili ' s'udgments, costs, and expenses which may in any way accrue
agaiaid County in co a uence of the granting of this permit.
d-3 _ yo
X Date 7
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 0 QO
cc
Q?j
_ZQ&L.ST1 TYPE
,4(M
TOTAL FEE
$ 931. 25
HAz
CLIA
PARK
I $CHL
I FLD PAR
PD
o
Iss
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated abov for which
DI EC R"BLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
C
Receipt No. 70270 $280.25 PC//
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 _
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
— a4/- 0-01;C0 *— a
ZONING
. .
BUILDING PERMIT "
OWN EB�_� ,<
TELEPHONE
�6� B
S0. FT. OC BUILDING VALUATION
OWNER' MAILING ADORES
CONTACT R'S NAME TELEPHONE
Z /
CONTRACTOR'S MAIL NG ADDRESS
CONSTRUCTION LENDER UNKNOWN
Fireplace 0 o
Total Valuation
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
5 10.00
Permit Fee
Plan Checking Fee
$
$ ,
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDIN ADDRESS
70 ��ti
Energy Plan Checking Fee
$
Penalty
Permit fee
$
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00 Z+�
Solar or heat pump water heater
20.00
LOT NO.
1%
SUBDIVISION NAME
PARCEL MAP
Water piping
5
Each pas water heater or vent
Gas piping system 1 -.5 outlets
5,00 Ov
5.00 Q p
�,{ USE OF STRUCTURE
SFf;e Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G W10.00e
TYPE OF WORK
New Addition❑ Remo I❑ Utilli�t7ies❑ Installation❑ Other❑
Describe work: //CI-1/!�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6000 V OR AMP ORLESS10.00
(9�
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professioonns[ Code and my license is in full force and effect.
�J T��Jr` J
License No. Classification
❑ I, as the owner, Of 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)
El I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. AOD'L 100 AMP
2,50 a,
NEW CONST. oCCUP.aI
DWELLING
oR ADDNS. ( ACC. BLDGS.
/2¢sgft:Z C26
NEW CONST R.ULTI.OUT LET
NON-RESID BRANCH CIRC 'ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES
20 P 30C
9ALN 30C
FIXED APPLES. OR
Ex. Occup. OUTLETS (RESTO.) EA.)
2.00
Temporary service
10.00 ,
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.
71 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
Q
$
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
ag ai County in consequence of the granting of this permit.
Oate
Signature of Applicant — Owner F�ZContractor Agent ❑
An OSHA permit is required for excavations over 5'0' ep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FE
E $
HAz
I CUA
PARK
I SCHL
FLo
PAR
PD
HO
SSUE
This permit is nereby issued under
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to to
have been paid.
WORKS
Date
Receipt No. �'—�
WHITE-D.►.W.. YELLOW -ASSESSOR. PINI(-INSPECTO OLDEHROO-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
( OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
Permit No.
A. P No. y I- 7
Building Inspector Date
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) C -Lit "
9. Mobilehome installation data including manufacturer's installation
instructions. I
0.)Fees of $ c.
'/•..........................................
T1. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
VTD School District fees paid .............. Z' U
Sanitation approval from <—'-% /G (i 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
19. Driveway permit (construction approval required prior to occupancy,
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 ..................
23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) .....
—S)Recorded copy of Agricultural Acknowledgment Statement .........
5. Letter of si n ture aut orization ..................
6wly N 0
27.
When you issue the permit, process c3s follows: Mail o Mail to contractor.
__I�Telephone and hold for pickup at ffic Deliver w/inspector.
Other
Applica t Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. ----Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other = Date By.
The following data must be submitted prior to permit iss ance: (Circle ne . it of checked above).
1. Index permit for above items No. P 1 2 YVl i OP -
2.
P-
2. Additional items required:
wLes �c 46 -1 7-9,0
Contractor, designer wne was advised of above required data by phone_�n il_counter by date
Contractor, designer owne , was advised of above required data by `phone_mall_counter by � date &29-9)
Plans checked by bLA�-_ Date Plans approved by DL*oe—' Date E3 27
2 Sets of plans on hold in �le cabinet AP folder i <
Copy—DPW
TO Building Department
FROM:- Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
.Plan Approved for: Sewage Disposal � Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water.Supply
Clearance for bedroom home. Other
NOTE ***
Sani arian
Cp-
Date
5/89
RESIDENTIAL PLAN CHECKING,.GUIDE
MISJULLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
xterior plaster - weep screeds (Sec. 4706).
roper roof pitch for roof covering (Chapter 32).
f
oof covering type - (fire hazard).
after ties or bearing ridge beam.
Garage door or porch header sizes.
Adequate bracing.
. Living area over garage _ complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
. Attic access and ventilation (Sec. 3205)...
Underfloor access and ventilation (Sec. 2516).
_qqoeombustion air for fuel burning appliances.
-
5 -. -Noise requirements on duplexes.
. Adobe soils - special foundation design.
. Retaining walls requiring design.
. Unusual shape, size, or split level house requiring lateral design.
Flashing at all exterior openings.
b
1
i
1
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
^�- Bldg. Permit # 2(.9'e-9 0
I
OWNER G'kv% W iX , A.P. # 319--54-
GENERAL
Zoning 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).
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map or
FAU & FAS road setback.
ioffiTiTllaI"! Lli
compliance document.
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec.
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
1205).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles
5/89
for maintenance
of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical or
gas equipment, and plumbing fixtures. /
.Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (Sec. 3304(e)).
Fireplace and wood stove location, alcoves, and
Smoke detectors (Sec. 1210),
clearance:
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
,V Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
rY%?`s:•i7enYt-•1lrr�..-.,.n,.:+.rk'�:s�'*r.:�� .?' f,`[. ;�i�+hNt�}`.,....� rt. y�L'fy"•+„rp. ;i,.n� _,� , `. � :_: , r, � r 1 .�
fcw `C•.`wt:.r:siK �:.r4F•7.+A,c'�,ri �� x � t is 'W:.
'� � � k �;�n^„�!y".,1 i''J `�'�t` � �a�.tr,i.:��.•r�,l '�J�.'rt,.•t.Kf6 c+"N..r. ,
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE.CERTIFICATION FORM
O,nef'orm per Building)
`l
A.P. Number -- Building Department No.
School District CIA; City n County 1z Jurisdiction
. r
Property Owner BVI N1 3e -ri-
Project Location/Address
Subdivision 4 VA CS -Lot Number
Residential Development:
a= Sq. Footage 1
# of Living MHI Addition (Group R)
Units
r , ,
Sq. Footage
Addition (.Includi`ng Exterior
` Roofed Areas)
A
Dafe
Commercial/Industrial:
New
ngobepartment Representative
(Floor Plans reviewed by School District Personnel)
District Id No. /sl�f 1�
School District certifies that
(Applicant Name) (Phone Number)
(Street Address)
'&,Lh_A_,,^
(City
CA
(State
(Zip Code
has complied with the requirements of Resolution No.
by t e)payment of $ ,3rf 6 -c)-cl
School District Representa
PAID BY CHECK NO.
BANK NO 9D — 7/i 3o�/d %� ~
PAID BY CASH
representing ,r,?i? js"� square feet.
ve
REMARKS:
/a - y D
Date
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
90-3913+
ReLb+r1I-t*DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section L6-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior. to issuance of a building permit.
90-039134 1 Rec Fee 7.00
The property described herein is adjacent
Check
7.00
to land or included within an area zoned
Recorded
Cor agr.i.cul.t.ur.al. purposes, and residents
Records ;
of this property may be sub:jec.t to incon-
County of
ven.ie.nces or discomfort aris�.ing from the
,
Butte.ural
use of agr.:ic:ul.tchemicals, including,
Candace J. Grubbs ;
but not l.imiLed to herbicides, pesticides,
corder
Recorder
and CerLJ Liners; and from the pursuit
12: . p!n 12 -Sep -90 ;
X 2
of agr.i.cu.ltural opera Lions :including,
but not Jim:i.ted to cultivation, plowing,
spraying, prl.Ining, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established
agric.u.l-
Lur.al zones which have as a priority use for
productive agricultural. purposes, sand
r.esi.dew s
within 'sai.d zones and on adjacent property
should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, dc:,c r i.bed as
f ol.l.ows :
"SEE SCHEDULE C ATTACHED HERETO AND MADE A PART HEREOF FOR LEGAL DESCRIPTION"
Date: 9/11/90
04�_n,h i � - �
V•TiMl
State of Calif ) On this the 11th day of September 19 90 , before me,
SS. the undersigned Notary Public, personally appeared
County of Butte )
Tom J. Nix
11111{IIIIIIIIIIIIBII{IIIBA{1111111111111111111111111111!
OFFICIAL S E A L �� Personal] y known to me. Proved to me on the 1)�15 i s
L. NORMOYLE of satisfactory ev:idc>nc.�.e.
�0°� NOTARY PUBLIC — CALIFORNIA'd� Lo be the persons) whose names) is
C COUNTY OF BUTTE Z subscribed to the within instrument and acknowledged that he
_ Comm. Exp. Oa. 3, 1993 = executed the same for the purposes therein contained. f N W.ITNCSS
�mu11{{wuunnuuuuumuulluuluumM111 WHEREOF, I hereunto set my hand and official seal..
1'resenL A.P. No,b.;., Notary Pu is
SCHEDULE C O fir;' 3
The land referred to herein is described as follows:
All that certain real property situate in the County of Butte, State of
California, described as follows:
PARCEL I:
Lot 17, as shown on that certain Map entitled, "DURHAM VALLEY ESTATES",
which Map was recorded in the Office of the Recorder of,the County of
Butte, State of California, on May 4, 1989, .in Book 116rof Maps, at page(s.)
9, 10, 11 and 12.
PARCEL II:
A non-exclusive easement for ingress, egress, support and storm drain over,
across and under Dillon Ct., and G. Warren Dr., as shown on that certain Map
entitled, "DURHAM VALLEY ESTATES", which Map was recorded in the office of
the Recorder of the County of Butte, State of California, on May 4, 1989,
in Book 116 of Maps, at page(s) 9, 10, 11 and 12.
PARCEL III:
A 10.foot storm drain easement over Lots 2, 3, 16 and 18, as shown on that:
certain Map entitled, "DURHAM VALLEY ESTATES", which Map was recorded in
the Office of the Recorder of the County of Butte, State of California, on
May 4, 1989, in Book 116 of Maps, at page(s) 9, 10, 11 and 12.
AP No. 039-540-017
EN® OF DOCUMENT
ECOMP.
Ex.
..�--.�• .�. _ _ .�.-.. ' _- ...... - Qa;. _ ` .. • .A It V Y >
i
0.04
.1
1. Ceiling Insulation
0
0.02
4
r•
1
Number of stories
10
i
3
R -value
One
Two
Three
R-value(01
i
R-0
-103
-49
.32
-11
-7
R-19
-8
-4
-2
3
R-11
R-30
-2
-1
-i
-1
y
R38 .
0
0
0
�-
Number of Stories
U -value
R -value
One
Two
Three
• R-0
0.50
-176
-84
-54
8
5
0.30
-102
-49
32
3
F2 factor
0.10
-26
-13
-8
4
3
0.08
-18
-9
-6.. .
0
0.70
0.06
-11
-5
-4
6
4
0.04
-4
-2
•1
•- :w ^
1.
0.40
.d
0.02 ..
0.00
.4
11
2
5
:: 1
3
-9 -7 -6 -5.. . -4 "
3 2
3
2
Glass Single Double .60 .50
.40
less
2. Wall Insulation
-4 :..
-3 0 2
..
3 4 5
8.9
9.0
y
-1
Single-
Single•
-10
4
]
-3 1 2
Famity
Family
Multi -
1
40
R -value
Detached
Attached
Family
-1 2 4
_: 5 6 7
R-0
-68
-51
34
-75 -29 -19 •9
1
R-11
0
0
0
10.5
7 6. 5 4 3
R-13
2.. ..
2
1
12
3.0 •
R-19
8
6
4
3
i
U -value
5
12
3.5
2 5 7
.. . 9 :.. 9- , 10 .
. .'. 0.80 .. _ ...
_153.........
_114
-55: 5 .:
13
.j
0.50
91
-68
-46
6
27
0.30
-47
36 ..'::
: '. -24
3 7 8
10 11 11
0.10
0
0
0
.
i
:._.i'..:.:
0.08
4
3
2
Effailve SEER
4.5
25
0.06
9
7
5
5 8 9
11 12 12
0.7
0.04 "
14
11
7
8
14
6.0
0.02
19
.14
10
32
23
-40 -11 -4. 2
0.00
24
18
12
12 13 13
4.9
Sun of 7-10
5.3
:.I.
-37 -9 3 3
3. Raised Floor Insulation
15
7,0
6 9 11
13 13 14
Insulation
in Floor
16 or
21
34 -7 -2 4
10
15
Number of stories
6 10 11
"
SEER
R -value
One
Two
Three
10
11 .
16
.16 ..
R-0
-17
-8
5
-30 -25 -21 -17 -13
-9
R-11
3
.2
-1
1.7
1.9
R-19
0
0
0
I 17
-23 ' -1 3i 8
R-30
3
1
f
42
6.6 "
U -value
-2
j ..
-20 0 4 9
13
17
---0.60
-144
-70
-46
0 0 0 0 0
8
_
0.50
-120
-58
38
10. Exterior Wall Thermal Mass
y;o
0.40
-95
-46,,;; W; 3X
-14 3 7 10
12 4 8 it
14
15
0.30
-69
.34 _
- -22
'
7
0.20
-13
-21
-14
Wag
Family
0.10
-17
-8
-5
11 " ;
3 7 10 13
0.08
-11
-6
-4
Attached ' " Family
120
0.06 ..
3
.3
-2
0.04
.1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
9: Interior
Thermal Mass
Number of stories
R-value(01
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
le: exposed
--'
�-
Number of Stories
sssumeSducts In attic
( )
R -value
One
Two
Three
• R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
- 0 1 1
SEER
lest .. •15 .1 .6 +5 +15 more
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
.d
12
8
4
Interior MasslCFA
Type 2 M3:
Eff.%Glass
-30 or
s. 5
�
R-value[381
U -value [0.030]
or
1
U -value [0.098]
5. Infiltration (Air Leakage)
'
R -value [191
9: Interior
Thermal Mass
12. Cooling Syst?m
R-value(01
Specification Points
Standard
Interior
' Stab Floor "
Raised Floor
Type [double]
U -value [0.651
.72 X
3 = BOO
SE or HSPF
tt.1•ut .C•..21
,
Mass
Stones "
Slopes
EER
Standard
'
0
le: exposed
HCFA One Two Three
One Two Three
sssumeSducts In attic
( )
0.0
0.1
-8 -5 -4
-8 -5 3
.2 -1 -1
-1 0 0
Stm of -7-10
-25 or -24 io 04 to -410 +6 to 16
or
6. Glass
-
Heat Loss
- - -
--. --
0.3 ---7-
- -4 -2
- 0 1 1
SEER
lest .. •15 .1 .6 +5 +15 more
0.5
-6 3 -1
1 1 2
Total
7 -U
-value
.
0.7
-5 -2 -i .....
1 2 2
8.0
-14 12 -10 -8 -0
•4
Percent
.51 to ...41 to 31 to 0.30 or
0.9
1.1
5 1 0
1 1
2 3 3
3 4 4
; 8.5
-9 -7 -6 -5.. . -4 "
3 2
3
2
Glass Single Double .60 .50
.40
less
1.3
-4 :..
-3 0 2
..
3 4 5
8.9
9.0
5 4 4
-4 3 -3 -2 .2
-1
50
-121 -53 -39. -24
-10
4
1.5
-3 1 2
4 5 5
0.8
1.1
1
40
-90 37 -26 -14
3
8
20
-1 2 4
_: 5 6 7
t j 0
2
4 3 3 2
3.4
35
-75 -29 -19 •9
1
10
2-5
0 3 5
7 7 8
10.5
7 6. 5 4 3
2
30
-01 -21 A3 _--4
4
12
3.0 •
.1 .,--.4 ,.; .. 6
8 8 . ." 9
:.11.0 ,
10 '" 9 7 6 4
3
29
-58 -20 -12 -3
5
12
3.5
2 5 7
.. . 9 :.. 9- , 10 .
_: 120 ----15 13 11 9 7
5
28
-55: 5 .:
13
4.0 ...3
_, 6 8
.... 9 10 .. 10
.`13.0
20 17 14 12 9
6
27
-52 •17 -9 -2
6
13
4.5
3 7 8
10 11 11
2
-
24
26
-49 -15 -8 -1 -
7
14
5.0
4 7 9
11 12 12
4.1
Effailve SEER
4.5
25
-46 -14 -7 0
_7
14
5.5
5 8 9
11 12 12
0.7
(SEER xduct eMciene7)
1.1
24
-43 -12 -5 1
8
14
6.0
5 8 10
12 13 13
28
3
32
23
-40 -11 -4. 2
8
15
6.5
6 9 10
12 13 13
4.9
Sun of 7-10
5.3
22
-37 -9 3 3
9
15
7,0
6 9 11
13 13 14
Effective
-25 or. -24 to -14 lo -410 +6 lo
16 or
21
34 -7 -2 4
10
15
7,5
6 10 11
13 14 14
SEER
les: •15 S +5 +15
more
20
19
31 " -6 0 _ _ . 5
-29 -4 i : 6 .
10
11 .
16
.16 ..
8.0
8.5 "
7 10 11
7.. 10 12
13 14 14
13- • 14 15
5.0
-30 -25 -21 -17 -13
-9
18
-26 3 2_ 7
12
16
1.7
1.9
21
6.0
-12 •11. -9 -7 3
-4
I 17
-23 ' -1 3i 8
12
17
3.8
4
42
6.6 "
-5 . -4 -4 3 .. -2
-2
j ..
-20 0 4 9
13
17
5.9
6.1
SS%
7.0
0 0 0 0 0
0
..16
15
17 t 6 to
14
17
10. Exterior Wall Thermal Mass
y;o
s la 2 9 7
5
14
13
-14 3 7 10
12 4 8 it
14
15
18
18
Exterior Single-'.
Single-
.
10.0
22 19 16 13 10
"26
7
12
-9 6 9 12
15
19
Wag
Family
Family Multi
11.0 "
23 19 15 12
8
11 " ;
3 7 10 13
16
19
Mass
Detached
Attached ' " Family
120
30' 26 22 18 14
9
10
-3 9 -:-M-14
17
1913.0
4.6
0
0 _ 0
5.2
33. 29 24 20 . 15
10
9
-1 10 ... 13'._.-_15 _..
17
20
0.00
0.0
3
2 " 1
1.7
1.9
22
8
2 12 14 16
_..
18
20
3.2
5
4 3
3.8
Zonal Control Adjustment
4.3
45
._-.....
4.9
5.1
0.40
0.60
0.80
c
8
10
6 4
8 5
5.9
10 8 7 6 4
3
70%
7. Shading (Shade Open)
1.4
:"..
1.00
140
13
13
10 7
13
25
No Cooling System Installed
29
3.1
3.3
3.5
3.7
i
4.1
9
4.6
4.8
5
5.2
5.4
5.6
58 •
1.60
10
13 " n 11....,...
• Stories
"
15
1.7
ErrectlrePercent Glass
. 21
180
10"-
12 12
One
5' 4 3 •2
2
3.5
(percent glass x SC)
4
200
10
11 13
Two+
3 3 2 2 2
i
Effective
5.7
5.9
6.1
6.3
65
BOY.
1.4
- 1.6
1.8
%Glass
North East South : West Skylight
lI. Heating System`
26
2.8
18
5 1 4
1
na
,
4.3
4.5
Single
-Family Iktaehed and Attached
S.1
54
56
5.8
6
6.2
64
66
85%
1.4
1.7
16
4 2 5
1
na
2.7 '
SE or HSPF
3.1
Unit Size (sl)
3.5
14
4 2 5
5
1
2
na
-
4.6
(asstrmes ducts In attic) .-
Water
i 199 1200' "1700 2200
2700
12
11
3 3
3 3 5
2
na
na
_ __`
6 7
90%
Healer
C -refit or q 10 to to
Z_
2.2
2 3 5
2
1
3
Sum of 13
- -
T
Type.
T lass 1699 2199 2699
more
10
9
2 3 5
2
2
4.9
25 or -24 to
-14 to 4 to +6 to 16 or
"
SG
None 0 0 0.. 0
0
8
2 - 3 5
2
2SE
HSPF less -15 ..
-5 +5 +15 mora
or
Solar 12 8 6 5
4
7
1 -.3 -4-.._•.- .
2
2
0.72
.6.60 0 0
0 0 0 0
HP-
-HWR 8 5 4 3
3
6
1 4
2
3'
0.75 :6.88
3 3
3 2 2 1
6
WSB 5 3 3 2
2
5 ."
._•3
1 2'-' 4
2
3
0.80
7.33• 8' 7
6 5 4 3
_
POU •_8 5 4 3
_ 3.
4
.0 2 3
1
3
I" 0.85
7.79 13 11
10 " 8 7 5
SE
None 37 -24 -18 -15
-12
3
0 1 2
1
3
0.90
17 15
13 11 9 7
l
. Solar -1 . -1 -i 0
0
2
0 0 ' 1
0
3
0.95
.8.25
8.71 20 18 "'
15 13 11 8
i
HWR -18 -12 -9 -7
-6
1
-1 -1 -1
-1
2
4.1
Errective SE or HSPF
5.1
WSB.. -25 -16 -12 -10'
-8
0
-1 .2 -4
-2
0
6.6
(SE or HSPF
x duct eRciency)
1 '
POU -18 ...12 -9
-6
na = not allowed
2.5
21
Effective -25 or -24 to -14 to 4 to 4610 16 or
IG
_-7
None '15 -3 -2 .2
-2
3.8
4
4.2
4.4
SE HSPF
0.30
less -15
275 -73 -64
-5 +5 • +15 more
-56 -A7 38 -30
5.2
Solar 7 . 5 •4 3
POU .3 2 1 1
2
1
5.9
6.1
6.3
'
6.7
na
3.41 -45 -39
-34 -29 -24" -18
IE
None -28 -19 -14 -11
-9
Shading (Shade Closed)
2.8
0.40
3.67 -34 30
-26 -22 -18 -14
3.6
Polar. .
4.1
4.3
4.5
4.7
4.9
0.50
4.58 -10 -9
-8 -7 -5 -4
-...
-10 3 S 4
3
6.4
Erfeelfve Peremt Glass
6.8
0.56
5.13 0 0
0 0 0 0
2
Muld-Family (individual units)
25
2.7
(percent glace x SC)
3.1
0.60
550 5 5
4 3 3 2
3.9
UM Size( sQ
4.4
4.8
4.8
5
5.2
0.70
6.42 17 15
13 11 9 7 "-
Water
699 7DO 1200700
1
2200
Effective
6.9
7.1
0.80
7.33 25 22
19 16 13 10
ar Credit or b 10 10
of
%Glass Norih East South
West
SiglSght
0.90
825 32 28
24 20 17 13
Type
ype less_ 199 1699 21 g9
more
-
18
�-14 �8 -&9
-64
na
1.00
9.17 37 32
28 24 19 15
SG
None . 0 0 0 0
- 0 .
16
-12 -42 -59
35 -50
-55
-46
na
na
Zonal Control Adjustment
or
HP
Solar 14 7 5 4
HWR 9 5 3 2
3
2
14
12
-10
-8 .29 -40
37
na
System Type
POU 9 5 3 2
2
11
-7 -26 36
-33
na
103
.23 31
-29
•74
Resistance 10 9
7 6 4 3
SE
None -45 -23 -15 -11
-9
9
.5 -20 -27
-25
35
Otter
6 5
4 3 2 2
Solar 2 1 1 0
0
8
-5 -17 .23
-21.
-56
HWR '-23 -12 -8 3
'.5
7
-4 -14 -19
-18
47
WSB -25 -13" -8 3
-5
6
3 -11 -15
-14
38
__EQU_ }3 -12 .8 -6
5
' " -2 - 9 -11
-10
30
IG
None 3 -4 -3 .2
_-S
{ .2
4
-1 -6 3
-7
.23
-
Solar 6 - 3 2 1
! 1
3
0 -4 -5
-4
-16
-"---
POU_ 1 10 0 0
_0
2
1 -1 -2
-1
-9
E
Nene 30 -15 -10 ' -8
4
1
I 1 1..
1
. -4
Solar 18 '9 6 4
4
0
" ' 2 3 4
.3
0
_
POO -8 -4 3 -2
-2
m .
ren Prlf M 8d
Interior MasslCFA
Type 2 M3:
Eff.%Glass
-30 or
s. 5
�
R-value[381
U -value [0.030]
or
R -value [11] .
U -value [0.098]
or
'
R -value [191
U -value [0.037]
® . or
Interior Mass/CFA•
R-value(01
F2factor (0.77]
Standard
TYPE 2 MASS AREA
OR AREA
bac
-
Exterior Wall Mass
Type [double]
U -value [0.651
.72 X
3 = BOO
SE or HSPF
tt.1•ut .C•..21
,
HSPF [0.56/5.151
e e6� X
.67- =' 7.27
l T7PB I MASS ="C
" 4.2,
le: exposed
Slab)
`-
,e.e .1el
e,rye
.
0%
5%
10%
15%
20%
2S%
30%
35%
40% 45%
50%
55%
607E
6516
70%
75%
80%
85Y.
W%
95%
100Y.
105Y.
1107.
115Y.
120% 125-
0%
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
i.7
1.9
21
23
25
2.7
2.9
32
3.4
3.6
3.8
4
42'
4.4
4.6
4.8
5
53
107:
0.2
0.4
0.6
0.8
1
1.2
1.4
1.5
1.9
21
23
25
21
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6 ..4.5
5
5.2
54
2o%
0.3
0.6
0.8'
1
1.2
1.4
1.6
1.9
2
22
24
21
29
3.1
3.3
IS
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
3t7%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
22
24
26
28
3
32
3.5
" 3.7
39
4.1
43
4.5
4.7
4.9
5.1.
5.3
56
58
40Y.-
0.7
09
1.1
13
1.5 '
1.7-
1.9
22
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
55
5.7
59
50%
0.9
1.1
1.3
15
1.7
1.9
21
23
25
27
3
32
3.4
3.5
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
SS%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.8
28
3
32
3.S
3.7
3.9
4.1
43
4.5
4.7
4.9
5.1
5'.3
S.6
5.8
6
6.2
60%
1
12
1.4
1.7
1.9
21
23
2.5
2.7
29
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
22
24
2.6
28
3
3.2
3.4
36
3.8
4
4.3
45
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.8
" 2
22
25
27
29
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% _
13
15
1.7
1.9
. 21
23
25
27
3•
3.2
3.4
3.5
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
65
BOY.
1.4
- 1.6
1.8
2
-12
2.4
26
2.8
3
3.3
3.S
3.7
3.9 .•
4.1
4.3
4.5
4.7
4.9
S.1
54
56
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7 '
29
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
54
56
59
6.1
63
65
6 7
90%
1.5
1.7
2
2.2
24
26
2.8
3
3.2
3.4
3.5
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
64
66
68
95%
1.6
1.8
2
22
25
27
29
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
69
10011.
1.7
1.9
21
" 2.3
25
28
3
3.2
3.4
3.5
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
55
5.7
5.9
6.1
6.3
6.5
6.7
7
105% '
1.8
2
22
2.4
2.6
28
3
3.3
33
3.7
3.9
4.1
4.3
45.
4.1
4.9
5.1
5.4
56
5.8
6
6.2
6.4
6.6
6 8
7
110Y.
1.9
2.1
23
2.5
21
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
5.5
6.7
69
7.1
115%
2
2.2
24
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
1.6
6.8
7
7.2
120%
2
2.3
25
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.8
4.8
5
5.2
5.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
73
125%
21
2.3
25
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. `Slab Edge Insulation
5. Infiltration
6. Glass Heat Loss
Measures
Eff.%Glass
-30 or
s. 5
�
R-value[381
U -value [0.030]
or
R -value [11] .
U -value [0.098]
or
'
R -value [191
U -value [0.037]
® . or
Interior Mass/CFA•
R-value(01
F2factor (0.77]
Standard
TYPE 2 MASS AREA
OR AREA
bac
-
Exterior Wall Mass
Type [double]
U -value [0.651
Point Scores
+_Z
0
% Total Glass [ 161 Sum 1-6
7. Shading (Shade Open)
% Glass SC Eff. % Glass
a. North 5.4 x 77 4.15
b. East 33 - X 1�.0
�0�
c. South X =! _
d. West 1.2- x
e. Skylight -% X
8. Shading (Shade Closed)
a. North
b. East
c. South
d. West
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N )
12. Cooling System "
Zonal Control? ( Y / N )
13. Water Heating
%_Glass
Eff.%Glass
5.3 X
s. 5
�
f l�
-SC
( -
I.7
�q
x
.-27 = 153
G101
TYPE 1 MASS AREA a 26,t
Interior Mass/CFA•
COND. FLOOR AREA
TYPE 2 MASS AREA
OR AREA
-
Exterior Wall Mass
ND. L
.72 X
3 = BOO
SE or HSPF
Duct Efficiency [0.78] " Effective SE or
[0.72/6.
HSPF [0.56/5.151
e e6� X
.67- =' 7.27
SEER [9S] ' ' Duct Efficiency [0.74] Effective SEER [7.03]
2-
- O
Type [SG] Credit [none]
Point Total. D
TI
f l�
O
a
9
Sum 7-10
_P_ 3
2-
- O
Type [SG] Credit [none]
Point Total. D
.
:BUILDING SHELL INSULATION.
ej
Component
Insulation Locafion/Comments
'
Type
R -Value (aeric, to gttraga tPi.c?, etc.j'
I
Protect Tlue
9 jL7 LL_
1R��3 C�"t W��•LLS - -'
zG98- o
wallll a............
r
Prof ect Address
- , •.,
Build' g Permit #
: SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
U
Floor............
hocked
_
Documentation Author
By/Dau:
'•gg+
Telephone
- -
Fnforeernent Agenry Use Only
-
BUII.DING DATA
Glass Area % Glass
'
- e
1�
Conditioned Floor Area 2 Number of Stories
North
East
(sin double) ollet blind, etc.) (shadc=een, etc,)
(::�sed Floor Number of.Units —3
South
3—
,�$ Single Family Detached (SFD) . [) Addition -Alone
]Single Family Attached (SFA) Existing
West
[) Building
[ ] Multi -Family (N M [ ] Existing -Plus -Addition
Skylight /7 7
Tota! 332 '
,5
:BUILDING SHELL INSULATION.
conditioner, heatum) (SE, SEER,HSPF) (attic, etc:,)
Component
Insulation Locafion/Comments
'
Type
R -Value (aeric, to gttraga tPi.c?, etc.j'
I
gtuh
1R��3 C�"t W��•LLS - -'
wallll a............
#
equal) Special
- , •.,
Roof ....:........
Roof .............
: SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Floor............
�-
::.:::i
Floor .............
Slab Edge.....
. �C� ,aGLAZING,
- -
Shading Devices
'
Glazing
Orientation
Area Glass Type Interior Exterior
.S
(sin double) ollet blind, etc.) (shadc=een, etc,)
NoI-tli (
123 L
Overhang Framing Type
North ( ) NO
East (✓Y 3o.S '
-4East ( )
:..�.: y South
3 w
South
West
West ( )
Skylight.......
THERMAL MASS
Type/Coverir-g Area Thickness
? (slab/ezoosed cite etc.) (SO rInches Locatiott/Descri Cioni en, bath, etc.
i.;54A L (0l0 tr't`
�1�4T1}S ENTIOy
—_
HVACS
YSTEMS Minimum Duct
Type (mace. air Efficiency Location
conditioner, heatum) (SE, SEER,HSPF) (attic, etc:,)
Duct Output Manufacturer /Model #
R -Value huh
l�u✓� CE ,7Z
�C=
orapproved a seal
s• 7 - 7� 3)Z
,9
.t
' Maximum Furnace Hea
gtuh
HOT WATER SYSTEMS
Tank'
l S stem T Manufacturer/Model
System eas/- etc.) Capacity (or approved
#
equal) Special
- '�`'1 6A&
Feature(s)
: SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
c .i .Mandatory Measuresheckl .s: _ �,' _�.. .....".....� ......._......_
C ist: Residential 'MF -IR
NOTE Lowrise residential buildings subject b the Standards must contain these McN •••• reprdJcss of the compliance .
approach used Items marked with an asterisk (-) may be superseded by mon: stringent corn liana
on the Certifrr of Compliance_ When this checklist is irc 8 p tcquttmT* lined
be considered b all scrod into the permit oris be ants, int features tuotrdshall
y parties as binding minimum component pvfarmanee speafiaaiyis fix t'a
trwAs
whether they are shown elsewhere in the documents or on this checklist only. nundatayures '
DESCR1Pr10N DESIC 4ER ENMRCEWENtr
Building Envelope Measures
• §2.5352(x): Minimum ceiling insulation R-19w
ighted avenge_
§2.5352(bk Loose fill insulation manufacturer's labeled R -Value_
•
12.5352(c)- Minimum wall insulation in framed wales R•I l weighted average (does not apply to
- ea taior mass walls). '
12-5352(kk stab edge insulation - water absorption rate no greater than 03%. water vapor
Uwwnusion rate no greater than 2.0 pcmV'uxh.
12.5311: Insulation specified or installed mecu California Energy Commiaidn (CEC) quality
standards- Indicate type and form.
§2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
42.5317: Infiltration/Eafilaation Controls
a. Doors and windows between conditioned and unconditionedspaces designed to limit air
leakae -
b. Doors angd windows eenified.
e Doors and windows weatherstripped: all joints and penetrations caulked and scaled.
§2-5352(e$ Special infiltration barrier installed to comply with §2 -SIS
standards. 1 meets CEC quality
12.5352(dr Installation of Fueplaccs
1. Masonry and fanory-built fueplaees have
a. Tight fitting, closeable metal or glass: door
Is. Outside air intake with damper and control "
e Flue damper and control
2. No continuous burning gas pilots alkrwed_
HVACand Plumbing System Measures
§2.5352(g) and 2-5303: Space conditioning equipment siting: atmh eakut Boas,
.§2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems,
42-5316(x): Duets constructed. installed and insulated pet Chapter 10. 1976 UMC
12-5316(b): Exhaust systems have damper controls
§2-5314(c). Gas-hred span heating equipment his intermittent ignition deviees_
§2-5314: HVAC equipment, water heaters. showerheads and fauces cartirrd by the CEC
12.53520: water heats insulation bLvhkct (R-12 or greater) orcomb-uhcd''nteriork
instion ula-16or xat^a
(R grratu): fust 5 fees o(pipet closest to tank insulated (R-3 or greater).
§2-5312(Exccption t); Pipe insulation on:tra
piping.m and steam condensate return k fecireulaung
§2.5318(d)- Swimming Pool Hczting
1. System has.
X OrVoff switch on heater.
b. Weatherproof instruction plate on heater:
e Plumbed to allow for solar_
2. 75 percent thermal efrreieney,
3. Pool cover.
4- Trmc clock.
5. Directional water inlet,
Lighting and Appliance Measures
r
12.5352(1): Lighting - 25 lumens/watt or
greater for general lighting in kitchens snd bathrooms
12.5314(e)- Gas ftrcd appliances equipped with intermittent ignition devices,
12.5314(a): Rcfrigemors, rcfrigcrator-fmczcn. frccLm and Iluoresccnt lamp ballasts certified
by the CEC nd Indicate make amodel number,
t COMPLIANCE STATEMENT
This certificate of compliance lists thf building fcatrtl and o
Title 24. Chapter 2-53 and Title 20, Cha k r � rmance Specifications needed to comply with
crrtiflcatt has born signed y 2' &I�p� 4. Article l of the Califorrfia Administrative code- This
retain ; of it ander b the individual arith overall design respansbility and the building owner, who shall
COPY 01•arLSzt3it the certificate to say subsequent purdla-ser of the building.
Designer B tri ldin
Name: g Owner-
r Address TitkJF•trrn: - - ..
` Address:
Tekphof=
� ,` (sisrhatur,c)
(date)
Documentatlon Author
Name
. TitWFttan
Address:
Tckphonc
(signantre)
Enforcement Agency
Narnc
Agency:
Telephonc
(date)