HomeMy WebLinkAbout040-170-023r�t+�
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Rd, Durham
91-88B,P,E,M /�/�
in single family
°"B0M)65 �' s r: 040-170 023
f MISCELLANEOUS, •� tWaterJHeater"C!O
LA '
REPCE WATER 11tATEk" •� ^#
9455 LOTTRID,
,,H ES. LISA,(jUNN
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
Site Address:
9455 LOTT RD
APN:
040-170-023
Permit type:
MISCELLANEOUS
Subtype:
Water Heater C/O
Description:
REPLACE WATER HEATER
PROJECT INFORMATION
Owner:
HINES, LISA GUNN
9455 LOTT RD
DURHAM, CA 95938
(530) 345-6670
Permit No: B07-0365
Issued Date: 02/26/2007 By KCG
Expiration Date: 02/26/2008
Occupancy: Zoning: SRI
RISSE & SONS INC RISSE & SONS INC Building Garage RemdUAddn
PO BOX 67 PO BOX 67
RIO LINDA, CA 95673 RIO LINDA, CA 95673
Other Porch/Patio Total
(916) 992-0875 (916) 992-0875
FEE INFORMATION
DBP Water Heater (qty) $55.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
RISSE 8r SONS INC 264815 / C36 C20 C34 C42 C4 C2 /
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X� 02/26/2007
s a'
Contractor's Wnature 1 Date
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
_ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier. Dept of Industrial Ripolicy Number:4505-056 Exp. Date:
(This section need not be compFeted if the permitis for one hundred dollars ($100) or less.)
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
X 6".4 D �z 02/26/2007
S nature w ' r Date
-WARNING:-F LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHA SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRE THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code) I
Lenders Address
City State Zip
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1964
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7C00)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
EI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
FJ I AM EXEMPT under Section B. & P.C. for this
1 02/26/2007
Owner's Signature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
p rty owner or am au ed to act on the property owner's behalf.
02/26/2007
-Naw [ ] nn Date
Owner ,
1-1 Contractor OR; Agent for Owner E]A§ent for Contractor
FILE COPY
•
mwl�\11000'm
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www,.buttecounty.net/dds
"PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name ,
First IIa�nn L
/tea.• / (X
Address q 55 � /�,
LO7T
City U/ r a
State
Zip �}5
7
Phone ,h_
,3�/
5 J 617, %O
i o
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
City eQ 10 �I
Address
Zp q5��3
Cily,F\;
Fax 300
State C n
Zip 950 13
Phone 91L,,qq a
7S
Fax C� i,, q I 003
E- ail
e
L'ic. #,7
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City eQ 10 �I
Address
Zp q5��3
City
Fax 300
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name "j 'm
1
1
Address 22
City eQ 10 �I
State C.,4
Zp q5��3
Phone q16 99 2- CAIS
Fax 300
E-mail
For office use only:
Zoning
Property Address
Flood Zone
Cross Street
SRA
I Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO. (j
BP 07 ( ."
BIN #
PROJECT LOCATION
AN n
010-190-
Property Address
City .
Cross Street
WORKER'S COMPENSATION
Policy Number e
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Ee C ' aXeA
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
c� oO
Received by1(,,6, Amount: r Bldg
Receipt #: biq
Date: 2_-2t,� 0
SRA
Sheriff
SMIP
Other
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ . 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A1C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans. and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form .
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
117. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
.❑ 12. Sanitation and site plan'approval from the Environmental Health Department. .
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made of no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
Ci2
lZ�Vol
PERMIT NO. 3891-88B, M
PERMIT EXPIRES
OWNER BERT MAI
CONTR. OWNER
/
40-17-23
ASSESSOR PARCEL
LOCATION 9455 Lott Rd, Durham,
M
CA� otc� )41�
C t6
T6
I
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas S,
Called P1
JOB FINALE1
Signature
= OK
0 = Not OK
' = Not Readyable MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date"'-DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except#'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements _, ` '
2.. Soils;'Special MH Support -Sketch 1
2. Footings ,Soils-Size-Depth=Spacing-Connectors-Steel `
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists-Decking-Bracing-Stairs=Rails
4. Water; Location -Test -Easement Needed (Sketch) f
4. Wood' 'Awn.; Posts- Bea ms-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / PVft. .
/ /"Nat. or/ /"L"ft./ /"LPG
+.• '.
,6..Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors ,
7. Utility Clearance
ea i. _
8. Frmg; Sills-Anchors-Studs-Rftrs-Trussg
9. Siding; Nailing -Veneer -Stucco -M x
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -B1 Date
'11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -61
Date Card -B1 Date
�/3 �y
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 -
Dead Men -Lining I
8. Gas and Electricity Tagged
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.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
Card -131 Date Card -61 Date
Card -131
Date Card -B1 Date .
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -61 Date
Card -B1
Date Card -131 Date
}
r
=OK
0= Not OKt'"
- = Ngt,Applicable
= Not:Ready
Date UNDP
on
1
1
9
a
1
Card B1
Card -B1
Date
a
1
r�
RESIDENTIAL (Single and Duplex)
OK except #'s h/ ,cele 0+"l I Date FRAMI ontinued) `
Main; aoil's-Stt,-el<leck4g-rp-4,A/I /"
Garagei Soils -Steel -W/" Ftg. Dept
Po es &Dee-ks; Sb,Steel-la>,/"
nwalls, Main; $t el-Blofk6utsV—.�
nwalls, Garaqe; Steel-Blockouts-Wrap
T
Pipe; Size -Anchors
Ir Pipe; -A
Iric; Underqround r
-
n
tCard-61 Op Date 4flpr,'
Card -B1 Date
NG (Permit) OK except #'sOK except #'s
r Ht. Voat-Access-Co on Air
r Pipe; Test & Anchors -Nail Protection
G Test-Egngs & Anchors -Nail Protection
tet. - 9-n; Tes , irst Floor -Tub Access
Td1iR s
Vie; Size & Anchors
Card -B1 Dat Card -B1 Qp Dat
Card -B1 Datel.J;5✓ Card -B1 Date
S.
ft-ffixtgW& Transfer %erGloa ce4n9-Pr6fe-etlon
rec. Receptacles Spacing -Lights & Switches at Doors
Boxes & No. of Conductors -Stapled
ex Installed Close to Edge of Studs & C.J.
qui . Gro de upw/Meeh. Fasteners o
nce Circuts in Kitchen & Conductor Size/G.F.I.
bfeed Wire Size / ty ga. Cu or 'I- N.C. Wire Size /4/ga.
u
irc. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neu ra Yes No
30 ervice-Riser Conductors & Gr - ain Disconnect
uip. Clearances Panels-Motors-Mech. Equip.
&2-eloth t Light-Sh t
33,Sfrtoke Detector
Card -B r- Date,7,3/i�ard-B1 Date
Card-B1lf)a Dat -)1-4 Card -81 Date
Date MEPHANICAL (Permit) OK except #'s
. A.,Q. Ducts Insulation & Support
A"Vent Fan; Exhaust above insulation
3 & Overflow; Size & Grade
37AFurnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet
3 ' Attic
Card -B1 Da ?/i�GCard-B1 Date
Card -B1 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
ills, oper Material & Anchors
4() Is Studs -Nailing, Spacing & Bracing—Plates-Sound
4-1, Roar*ng WaUs-a eLiaU_l L R Elnnr Nailing
f)
01 ire tops; Furred• gs .84eirs- - uh--
4 ' Bader & Beam -Size & Bearing
a ers-Post Cap nchors-Connectors
ies-Purlin-Roof Brac.-Gg
thug.-Rfng.
r Typ ue-Fi earance
c ; Size & Romex Protection -Draft Sto- ns
m. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing &611 C'e-
ine grew gs
W --,Kt. Doors -One 3' -Check Garage -3rd story, 2 exits
- - - tre-Pretection
ood on Roof dyer ang-Atti ents-Rafter DiAc "§ers
55 ding -Nailing Veneer
*fktqgco Mesh -Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
5 - olts
Q�i2jj _ 9 nsulation-Walls-4j*.--G
Card -B1 Dat37.J/ ys Card -B1 ( Date OEL) -
Card -B1 ,J£� Card -B1 Date
Date FI (Plans) OK except #'s
(J,E . Steps -Door & Sidelight Protection -Landings
Sm0e Detector
¢,'i. urnace; Vents -Clearance -Comb. Air -Connector -
In - tion
Q,5! , .I. & 95h Fixtures & Tub Access-Spe—
I E ec. 3fim)& Subca reacher Sizes Lab I
,Fireplace or_Stup, Clearances- e
6 e . Outtet t Wood Panel; Int. & Ext.
t. Fix Appliance; Grnd. -Air ooking Clearance
EI . Out1 is & FtEceptacles a it. bunt
7 tiara FirEk.D,6or; Swin anding o
ef�ee•
tr. Htr.; - earance-Co . Air -C or-P..,A .-
In A n
7 b., E)ec. & Mech. Equip. Listed fo ocation
7 Rece tacles in ar CG-R�m 'x' llrote
sulation=Feerft-Looked-in Attic ❑ Yes
79-F r-Drainag-q--&-WDo4- -Oth
CJB rSiac 1 aeLeei , nedsr Clnnr l••l Yes
69-P6flowing instld.; Drive M -Y6 ❑ No; Walks ❑ No;
PI r ❑ Yes �
Stu o; B n-Fi ,4
82 C. Unit; Disconnect, E ctrical, Plumbing we
CwVents Above Ro-Applia'rce-Rtrrspf-Cleacaaee-to
Openings.
ng
2�. erior Elec. Trim; G.F.I. Receptacle-URdef@fe4ad_
86 --Ventilation throughout House
87-6ta�5i-Protection
8&.-'6orp6ctions from Previous Inpections kr"- ZV
est -Meters Tagaed,rC-4�eetric 1,)-45 -
iter & Sewer Connected -C/O ta_Grade-HD-Approual
Energy Compliance Certificate -Other Certificates
e4irrg-6ei4atisate
Card -81 QW Date' /S Card -81 Date
Card -BMR Date 1�0aJq Card -B1 Date
Card -B1 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
g DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville -Phone: 538-754 s
747 Elliott Road, Paradise— Phone: 872-6307 F r
cL
CORRECTION NOTICE
VNER 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.
i 7'4 ""'ere' G a :;; :
Inspector a Date
_....."�e-vxcwsys+�saS#'-�•+!{yew.ca<-� t,y�,;l,��;.r"-�Mly^�'
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 Zi
7 County Center Drive, Orovi Ile — Phone: 538-7ZA y
747 Elliott Road, Paradise — Phone: 872-6307 z1-
CORRECTION
/CORRECTION NOTICE
' ��'' ✓ -36 7/ jf �1
VNER 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 rk is completed. If you have any question pertaining to this
matter, or nee itional explanation, please contact this office immediately.
�G 7 'oo/ tr'
i
zec
G� > .c/ Lir/, /moo
-4Y ¢.
Inspector Date— Z';t ��
:7E
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way. Chico — Phone: 891-2751
7 County Center. Drive Orovi I le — Phone: 538-7541
747 -Elliott_ Road, Paradise — Phone: Z72-6307
CORRECTION NOTICE
OWN 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 corre5won of work is completed. If you have any question pertaining to this
matter, need additional explanation, please contact this office immediately.
K-0 C/ Az
S!
Date
r + tf COUNTY OF BUTTE
' D PARTMENT OF PUBLIC WORKS
,t
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive,•Oroville = Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307 t
CORRECTION NOTICE
OWNER - ' PEANt1T NO.
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 correc ion of work is completed. -If you have any question pertaining to this
matter, need additional explanation, please contact this office immediately.
6,1cl 1-6
C
Inspector Date
S
COUNTY OF BUTTE l'
DEPARTMENT OF PUBLIC WORKS 4
;r 196 Memorial Way, Chico — Phone: 891-2751 }
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872.-6307
CORRECTION NOTICE =h
WN R PERMIINO.
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, o need additional explanation, please contact this office immediately. ?±
.i if. motif �P
41,
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.S£
Inspector 4
Dae fir• 2/� f.
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OATEN/� TIME,
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PHONE
AREA CODE NUMBER EXTEN
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�'RE'TURNED YO R�CALL���
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SIGNED
U`THO IN U.S.A. .
TOPS FORM 30t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS .....
k!' � 196 Memorial Way, Chico — POone: 891-2751
{
` 7 County Center Drive, OroJille — Phone: 538-7541 .+
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
r. .
1�rll
IT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at th above address and should be corrected. Please notify this office
when corre tion of work is completed. If you have any question pertaining to this
matter, r need additional
additional explanation, please contact this office immediately.
d�
A
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — RIVne: 891-2751 '
7 County Center Drive, Orovi Ile —`Phone: 538-7541
747 Elliott.Road, Paradise — Phone: 672-6307 M
CORRECTION NOTICE
G ' S22 S'
VNER 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 c tact i t
thi office immedo
3
�►���SON
a
7 AJ
. .__ i. I I - I 1,;,1ee-,7 I -
Inspector Date
'Owner:
Permit No.
E N E R.G Y C ERT IF ICAT ION
9455 Lott Rd.. Durham
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material Fiberglass Batts Brand Name Owens-Corning
Thickness(inches) 6146" Thermal Resistance(R Value) R19
CEILING
Batt or Blanket Type Fiberglass Batts Brand Name Owens-Corning
Thickness(inches) 10" & 14" Thermal Resistance(R Value) R30 & R38
Loose Fill Type Brand Name
Minimum Thicknesi(Inches) Number of Bags Wt..per bag lb.
Area covered(ft. ) Thermal Resistance(R Value)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Material Brand Name
Thickness(inches) Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy RequLrements.
Loerke Insulation Co. 499150
FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO.
November 21, 1989
SI� OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print). STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF GENERAL CONTRACTOR OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
NorthStar
Engineering
Civil Engineers • Planners • Surveyors
December 15, 1988
County, of Butte
Building Department
7 County Center. Drive
Oroville, CA 95965
Re: Bert Mais Residence, 9455 Lott Road, Durham
A.P. No. 40-17-23
Gentlemen:.:
At the request of Mr. Bert Mais, we have investigated the flooding
potential of the above referenced parcel. The recently adopted flood
insurance rate map indicates that this parcel lies within a special
flood hazard area inundated by 100 -year flood. No base flood eleva-
tion has been determined for this particular.: -area so it was not possible
to simply reference the safe finish floor elevation to an established
datum. Instead, it was necessary to.analyze the general topography of
the area in order to determine the depth of flooding on the parcel in
question.
The,parcel lies in an area of old orchards that are very flat, with
only a slight fall to the south. In general, any flooding that may
occur in this area will consist of shallow, sheet flows less than one
foot in depth. It should be noted that certain areas.are bound to ex-
perience flood depths exceeding one foot depending on localized drainage
conditions (ie., roads that block the overland sheet flow). It is my
opinion, however, that the parcel in question will not experience flood
depths exceeding one foot in depth in a 100 -year event and therefor
recommend the finish floor elevation be established one foot minimum
above the surrounding original ground elevation. A reference nail has
been set in existing shed at the building site. The finish floor
elevation shall be at or above the nail.
I trust this provides the information necessary to process the permit,
however, please feel free to contact me should you have any questions.
S 4,04.
No. C34257
MA:d sj C/I �a
Very truly yours,
NORTHSTAR ENGINEERING
/) 57
Mark Adams
20 DeclaratiMA257 Exp. 9-30-91
Chico, CA 95926
(916) 893-1600
COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKSPE IT4N0g/7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754. P
APPLIOAT16N AND PERMIT
ASSESSOR PARCEL NUMBER
s
ZO N,yy,�
3
BUILDING PERMIT
ow ER
a;9
T L6—,F- P__R oNE
-7
�i
SO. FT. OCC. BUILDING VALUAT ON
C
OWNER'SJ J L I ,' D e E `. Gk ��J l• vW.. i�Y'1 �� �� ,r'
Q��
4
�y
CONTRALTO 'S NAME
wYi .4 8
TELEPHON
CONTRACTOR'S MAILING ADDR06T
Fireplace o
oo
CONSTRUCTION LENDER
UNKNOWN-
Total Valuation $
'
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ c
Energy Plan Checking Fee
$ Z57, QD
ARCHITECT OR ENGINEER'S MAILING ADDRESS .-.-
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 aq,00
�CA.•Or' 6LV-%
Solar or heat pump water heater
LOT NO.
SUBDIVISION NAME ""
PARCEL MAP
Water piping
1 5.00 S
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 —�®d
Mobile Home S G W
0.00 ea
TYPE OF WORK
Nevy] Addition❑ Remodel—�] Utilities ❑ Installat'on❑ Other ❑
Z7
Describe work: ) -4 1i7'.
r~r �tJ �+,`LP;��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
.
1000 a
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BUSInesS
10 and Professi ns Code and my license is in f 11 force effect.
License No- ,1:7 Classification s k/*J
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50 L2, t3
NEW CONST. DWELLING O
OR ADONS. ( ACC. BLDGS.
, h0sgft
NEW CONRES DT CH CRC T
NON-RESID .BRA C CIRC ITS
2.50 ea 0
/POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCUp OUTLETS OR FIXTURES
BAL030
FIXED APLNS.
Ex. OCCUp- OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. IYirin 9
15.00
Permit Fee f
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating ,
6,av
Cooling
6.00
Hood
3.00
Ventilation
3aaJ 00
Permit Fee
$ a
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 t save indemnify and keep harmless the County of Butte against
all liabilitie judg ents, costs, and expenses which may in any way accrue agai said ount iry consequence of the granting of this permit.
''5
X Date
Signature of Applica l — Owner E] Contractor K Agent ❑
An OSHA permit is required for excavations over 5'0" deep and molit' n �7ct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 36,0
/'
TOTAL PERMIT FE V J
Mc
ONST. PE
SCHoo P RCEL
PD ND ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
DIRECTOR OF PUBLIC
BY
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date, ---Z° -Y1�
/
Receipt No. 0Y ..- Jul) , 'J� o� is,
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROO-APPLICANT
4�`R'
r i v : � . h +� t A .. ... •. oo f ,.,:>• .. -• r'4Y"�'�sj�v�.=.� ti , •'M..h.w� �Y...1 _
,+h p y''►-"+. .ti!,^ -i .• t ,'-`.'F 4•'�ti.riti: _f'`- .16�-.'y�.r�;£f�i"1.t��ay�.'�► �.��y � ^�Ft , �
COUNTY OF BUTTE - EPARTi'IFNT OF PUBLIC WORKS - BUILDING' DIVISION
a
7 COUNTY CENTER DRIVE- OR VJL ALIFORN A 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER 2 r 0.► S . A. P. No. '12- 7 — )-3
Proposed Building Use S r D 4- A�`i, C1are- � o.c
p g y ¢ uiIdIng nspe2tor Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
f 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.
A*5. Planq with Energy Design Compliance Statement. ?' 5e2
(6. �^� �'""� School District "Fees Paid" Stamp on loor Ian /.I
7 Statement of Intent for Non -He ted and AC Buildings. y Aa g�
8. Fees of $ oW . , , , , , ,
Letter of signature authoriz tion. . . . . . . . . .
Sanitation approval from C�' �y. Health Dept.
11. 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 owner0, Mail to owner ❑•)
• _15. Improvements may be required. . . . . . . . . . . .
16. MoUi lehome Installation Data. . . . . . . .
=Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector +
r
18. Recorded copy of Agricultural Acknowledgment Statement,
19. Driveway Permit.
= 20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22. CUA FEES RECEIPT #
Wheeyyou issue the permi rocess as follows: Mail to owner, Mail to contractor.
(� Telephones" 7 and.hold for pickup at office, Deliver w/inspector.
Other
lei 3 Applicant Date
r
Copy of plans sent Health Dept., Fire Dept., Other
The following data must be submittedto p r it iss ce: (Circle it of he ab ve).
>I
1. Index permit for above items No. PT.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date
Contractor, designer, owner, was advised-of'above required data by—phone —mal l—counter by date
Plans checked by DZ Plans approved by J Date
Sets of plans on hold inFile cabinet AP folder
74K
PC
Copy—DPW
tirr.��''��"'.j i�: i "MGd��„�di,aw}J't.�s�•"�'�i:�Y'�'�"..r,.�,.-'�r'A'Stbg•'t17� �1*�r•,k,+t�'r°"•;,''"�'rr=,et.^vs:+ru'W.w.�,.:rt���+x"FY':-•.w.,.•a.r1..w,� d.�t'7"'�..�—r
t ism BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
( One Foi#m {por Building)
A.P. Number Building Department Not.
School District /) u r City. Q County LA Jurisdiction
Property Owner f7� e r+ yl! a_; S 4
f /
Project Location/Address q �{ S.S �.•� Rel Q,r4ayrr
Subdivision' �' Lot Number-
`/Residential Development:
q - 5 9l 1y . - S .- Foota e S x
# of Living MHI Addition (Group R) ,,
Units
-w.....+*.-•ay►.r.+`..+.�"+r+w►y......-++r..�.k*+'-.[:';.u++r�..sw •+;r.�'.«w.� r..nk ... .+r-.. r+'.���1Pr3N'.'. _••r __,S..,iw,,.yC„_�..:. .c •c....�.. y.r•F•+.�.•..-- +.—
Commercial/Industrial: ;'.� Sq. Footage- f '
,"N_ew Addition (Including Exterior
' Roofed Areas)
Com- • 1 � � q �` J�' —' [Tei � f
Building Deparpnent Representative Date
,Y District 'Id•No.
CQllr�l6Lfi7 / /� ^ /• School District certifies4 that ^,
(Applicant Name) (Phone -Number)
(Street Address
• I�
( City)
has complied with the requirements of Resolution No.
by the payment of $ 3l0 7d' �� representing -;1V11417square feet.
.§,cIhool District Representative
PAID BY CHECK NO.
O 4,
BANK NO 9� .��•� ,.
r
PAID BY CASH
_r
,REMARKS
Date
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
r
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
s Zoe
'fit
A
'fit
l
RESIDENTIAL PLAN CHECKING GUIDE (CONT'D)
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
A Garage door or porch header sizes.
Adequate bracing.
-1Or Living area over garage - complete 1 -hour separation required on garage side.
including supporting walls and posts, etc.
,1-1- Two exits on.three-story dwellings (Sec. 3303 & see Mezannines 1716).
1.,2 Attic access and ventilation (Sec: 3205).
,,13._.Underfloor access and ventilation (Sec. 2516).
1-4' Wood stoves, clearances, alcoves & 1 -hour shafts.
&-5-'--Combustion air for fuel burning appliances.
I-& Noise requirements on duplexes.
n7,,. Adobe soils - special foundation design.
-12 -e -.--Retaining walls requiring design.
1 -9 --'Unusual shape, size or split level house requiring lateral design.
7/85
� "Ild Llr 4
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
7/85
Bldg. Permit # ��X/
OWNER �)2H ma l �-Cl A.P. # 1-/d / 7 " r9—
GENERAL
Zoning requirements: (sideyards
2j Valuation.
Plans signed by designer.
; Energy Design and Compliance.
.5-:- Existing violations on property.
PLOT PLAN
and number of permitted living units).
L10"' Complete parcel size and dimensions.
r2! Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
5.�, Flood hazard.
Special conditions on creation map or compliance document.
FLOOR PLAN
ta1:� Complete to scale plan with dimensions.
!' Required windows for light and ventilation (Sec. 1205). vv
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207.).
1s7�G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
48': Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
/ mechanical equipment.
�9. Locations of water heater, heating and cooling equipment,,other electrical or gas
equipment, and plumbing fixtures.
,1,0'. Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (Sec. 3304(e)).
,l*2'Fireplace and wood stove location.
La?"'Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
Foundation plan complete enough -:to construct building.
Floor construction details complete enough:to construct building.
130?1*, Elevations and wall construction details complete enough to construct building.
k4< Roof construction details complete enough to construct building.
,ireplacee construction details and calcs if necessary.
Sufficient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
1.1�Exposure I plywood on exposed locations and overhangs.
.2 -"'Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
-3-"Guardrail details (Sec. 1711 & 3306(j)).
,4!- Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
&�6-..Proper roof pitch for roof covering (Chapter 32).
,7"" Rafter ties or bearing ridge beam.
{�T5'�'%^'1►�v'+o.,..;7�^-•'•+'r'.�a'%ir�r�spK}.Y'°'�.lY`t4`lk�r1Y`+a`�' _..��%�+►.y^rc�'iGl'�'t'�At4j�Cv3'i�wyn'iy'.tA°�`�'Ijd!".'ylJtirw.:•H.`i�=,r+.�,r1a^-+�..v,:Mmr+�i"n•�.:...,y.•,..
BUTTE.COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
( One Fo'•rm° -per Building) `
A.P. Number ,-� --a Building ;Department No.y r
School District% ,e) } Fes:` City ® Countyj L"'1 'jurisdiction
Property Owner ", a)7--
Project Location%Address 9r� L� /f' /e�A
i Lot Number
Subdivision ..
Residential Development: <:
' I F
J �Sq. Footage
�' Y# of Living. MHI Addition (Group R)
Units �u �.,Q 00 7/) bz- d A) $ F7
Commercial/Industrial•: Sq. Footage
New, Addition (Including Exterior
Roofed Areas)
7 _/577
BuildiLrigDepartment Representative Date,,,
I
#.. + «District Id No.
j School
G/&,lz
District`+ certifies. that
(Applicant Name '-
Phone Number-
Ile
(Street Address)
'(City): (State)
(Zip Code)
has complied with the requirements of Resolution No.
by the p ment of $ -���. �� representing /�9,�-S square feet.
1
S o District Representative
Rate.
PAID BY CHECK NO. REMARKS:
BANK NO
PAID BY CASH
f
� 1
I
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
TO Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal v— Water Supply
Hold final for: Water Supply
Final clearance O.R. for:
Clearance for � bedroom mobil home
NOTE
Sanitarian
Wat r Supply
Other �I 2
Date
Certificate of Compliance: Residential
Documentation Author Telephone
BUILDING DATA
(
ditioned Floor Area a Q OP°
Number of Stories
SI /Raised Floor
Number of Units,
-]-1ingle Family Detached (SFD)
(] Addition Alone
[ ] Single Family Attached (SFA)
[ ] Existing Building
[ ] Multi-Family(MF)
[ ] Existing -Plus -Addition
BUILDING SHELL INSULATION, -
Component Insulation - Location/Comments
Tvne R -Value (attic. to garages typical,
Wall .............
wau .--
Roof .............
Roof .............
Floor........
Floor...........
Slab Edge.....`
GLAZING
Glazing_ Area Glassiype
North
(
)
North(
East
)
V
East
South
South
(
)
West-
�:;
West
Skylight.......
THERMAL MASS
{
R �
Shading Devices
Climate Zone 11
Building Permit #
Checited By/ Date
Enforoa. ent Agency Use Onlv
Glass Area % Glass
North S
East
South
West
Skylight
Total Z-6-0
Interior Exterior Overhang Framing Type
Type/Covering E Area Thickness
/!1•LbYMewtf 610- f -W.> 5-(st) (inches)
1zh�
• E
04.
y
HVAC SYSTEMS Minimum Duct
Type (t'uinace, air Efficiency Location Duct Output Manufacturer / Model #
conditjont I I—t um ) (SE, SEER,HSPF) (attic, etci) R -Value Btiih or approvedequal)
C115/ ` (40
`Maximum Fumace Heating Output: Btuh
HOT WATER SYSTEMS. Manufacturer/Mode1 # -
�'....
Svstem TvDe (storage Pas, etc.) Capacity (or approved equal) Special Feat, -WA,$)
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
l ' NOTE: Lowrise residential buildings subject to the Standards must contain these riga regz csdrss of4he ,omPliance
( approach used. Items marked with an asterisk (•) may be superseded bymore stringent compliance nquinments listed
1' on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the (mums noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they arc shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average:
§2.5352(by Loose fill insulation manufacturer's labeled R -value.
• §2.5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to
exterior mass walls).
§2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor
transmission rate no greats than 2.0 perm(utch.
§2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
§2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiltration/Exfiltation Controls
a. Doors and windows between conditioned and unconditioned spaces designed to Emit air
leakage.
b. Doors and windows certified.
c. Doors and windows weathersrripped: all joints and penetrations caulked and sealed
§2-5352(e): Special infiltration barrier installed to comply with 02.5351 meets CEC quality
standards. .
§2.5352(d): Installation of Fireplaces
I. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable metal cc glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
12-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
•
12-5316(a): Duets constructed, installed and insulated per Chapter 10, 1976 UMC.
12-5316(b} Exhaust systems have damper controls.
§2-5314(c): Gas -rued space heating equipment has intermitter ignition devices.
§2.5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC.
§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).
§2.5312(Excepdon 1): Pipe insulation on steam and steam condensate return At recirculating
piping.
§2-5318(d): Swimming Pool Heating
I. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet
Lighting and Appliance Measures
§2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2.5314(c): Gas fired appliances equipped with intermittent ignition devices.
62.5314(a): 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
Name:
Titwww
Address:
Tekphonc
Lic. A:
(signature) (date)
Documentation Author
Name:
Titk/FimL
Addtiss:
Building Owner
Name:
Address:
Telephone:
(signattue)
Enforcement Agency
Nairne:
Agettry:
Tekpltonc
(date)
• 1. Ceiling Insulation
S. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
Number of stories
-48
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
-39
-24
-10
4
U -value
-90
37
1
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
-52
-17
-9
-2
2. Wall Insulation
13
26
-49
Single-
Single
-1
7
Family
Famity
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-9
-3
3
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
16
-20
Insulation in Floor
4
9
13
Number of stories
15
R -value
One
Two
Three
R-0
o -17
-8
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
-9
6
9
0.60
144
1 -70
.46
0.50
-120
-58
38
0.40
-95
-46
30
0.30
-69
-34
-22.
0.20
-43
-21
-14
0.10
-17
-8.
-5
0.08
-11
-6
-4
0.06
-6
-3•
-2
0.04
-1 ` 0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
0
4.1
Number of stories
-23
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
-4
- -
.2
Number of Stories
4.5
R -value
One
Two
Three
' R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
-10
-8
_0 _
-6
0.90
4
3
-1
0.80
-1
-1
0
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.40
12
8
4
S. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
-14
-48
Effective Percent Glass
-64
U -value
16
Percent
-42
Effective
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
-14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
-14
-48
Effective Percent Glass
-64
na
16
(percent Slaw x SC)
-42
Effective
'
na
14
%Glass
North
East South West
Skylight
18
5
1 4 1
na
16
4
2 5 1
na
14
4
2 5 1
na
12
3
3 5 2
na
11
3
3 5 2
na
10
2
3 5 2
1
9
2
3 5 2
2
8
2
3 5 2
2
7
1
3 4 2
2
6
1
3 4 2
3
5
1
2 4 2
3
4
0
2 3 1
3
3
0
11 2 1
3
2
0
0 1 0
3
1
-1
-1 -1 -1
2
0
-1
-2 -4 -2
0
na = not allowed
-1
-9
a3. Shading (Shade Closed)
1
1
1
Effective Pes cert Glass
-4
0
.2
(percent Sim x SC)
4
Effe*m
%Glass Nath Ent South West Skylight
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
d0
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21.
-56
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
4
-1
-6
-8
-7
-23
3
0
-4.
-5
-4
-16
2
1
-1
-2
-1
-9
1
1
1
1
1
-4
0
.2
3
4
3
0
9. Interior Thermal Mass
Interior
Single-
Slab Floor
Raised Floor
Mass
Wall
Stories
Family
Muth
Stories
Mass
/CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
-2
-1
-1
0.1
-8
-5
3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
2.5
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2-
5
7
9
9
10 .
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12 '
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14 .
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Single-
Single -
Unit Size (sQ
c.
Wall
Family
Family
Muth
1700
Mass
Detached
Attached
Famly
0.00
0
0
0
1
0.20
3
2
1
-41D
0.40
5
4
3
•15 -6
0.60
8
6
4
14
0.80
10
8
5
8.5
1.00
13
10
7
-3
1.20
13
12
8
-2
1.40
12
13
9
-2
1.60
10
13
11
0 0
1.80
10
12
12
4
2.00
10
11
13
`I
11. Heating System
6 5
4
3
2
SE or RSPF
10
t
(assumes ducts In attic)
4
3
12.0
Sum of 1-6
13 11
9
7
-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
-7
Effective SE or HSPF
4 1
(SE or HSPF x duct efficiency)
-5
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 34
-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
No
System Type
2
Stories
WSB
9
Resistance
10 9
7 6
4
3
Other .
6 5
4 3
2
2
12. Cooling System
North
b.
Unit Size (sQ
c.
Water
SEER
1199
1200
1700
- _ -
2700
(assumes ducts
In attic)
-_
to
to
Sum of 7-10
or
Type
Type
less
-25 or -24 to -14 to
-41D
+6 to
11601'
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 .x -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
-9
Effedive SEER
-6
IG
None
(SEER xduct efnclency)
-3
-2
-2
Sum of 7-10
35%
Solar
Effective -25 or -24 to -1410
-41*
+6 to
16 or
SEER
less
-15 -5
+5
+15
more
5.0
-30
-25 -21
-17
-13
.9
6.0
-12
-11. -9
-7
-6
4 1
6.6
-5
-4 -4
3
. -2
-2 !
7.0
0
0 0
0
0
O
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
Solar
Zonal Control Adjustment
7
5
10
8 7
6
4
3
I
5
No
Cooling System Installed
2
Stories
WSB
9
4
3
2
One
-5
-4 -4
-3
-2
-2
Two+
3
3 2
2
2
1
Single -Family Detached and Attached
Point System Summary: Climate Zone 11 .
SCORE CARD
Measures -
1. Ceiling Insulation or
-value [381 U -value (0.030]
2. Wall Insulation � Iq or
RR -value [[ 1] U -value [0.098]
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a.
North
b.
Unit Size (sQ
c.
Water
d.
1199
1200
1700
2200
2700
Heater
Credit
or
to
to
to
or
Type
Type
less
1699
2199
2699
more
SG
None
0
0
0..
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
WSB
5
3
3
2
2
POU
8
5
4
3
3
SE
None
-37
-24
-18
-15
-12
Ie•rpet.d 1•bl
Solar
-1
-1
-1
0
0
HWR
-18
-12
-9
-7
-6
WSB .
-25
-16
-12
-10'
-8
POU
-18 __-12
-9
-_7-
-6
IG
None
'5
-3
-2
-2
-2
35%
Solar
7
5
4
3
2
70%
POU
3_
2
1
1
1
IE
None
-28
-19
-14
-11
-9
1.3
Solar
8
5
4
3
3
2.7
POU
-10
-6
-5
-4
-3
4.2
Multi -Family (individual
units)
4.8
5
5.3
10%
Unit Size (SO
0.4
Water
0.8
699
700
1200
1700
2200
Heater
Credit
or
to
to
•to.;•.. or
Type
Typii`
less
1199
1699
2199•'
more
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2�
2
3.7
WSB
9
4
3
2
2
5.2
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
-9
26
Solar
2
1
1
0
0
4.1
HWR
-23
-12
-8
-6
-5
5.6
WSB
-25
-13
-8
-6
-5
1.5
1.7
_23
-12
-8
_ -6
-5
IG
_ROU
None
-8
-4
-3
.2
j -2
4.5
Solar
6
3
2
1
1
5.9
POU
1_0
1.1
0
0_
1.7
IE
None
30
-15
-10
-8
_0 _
-6
3.4
Solar
18
9
6
4
4
4.8
POIJ
-8
5.5
-3
5.9
-2
Point System Summary: Climate Zone 11 .
SCORE CARD
Measures -
1. Ceiling Insulation or
-value [381 U -value (0.030]
2. Wall Insulation � Iq or
RR -value [[ 1] U -value [0.098]
3. Raised Floor Insulation
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)
a.
North
InteriorMass/CFA
East
c.
South
d.
West
e.
Skylight
9. Interior Thermal Mass
t TTPC Z P"
1.7N/1MC•.4.n
TYPE'{ TY^1 MASS
N0114C • o
4.2, !e: exposed slab)
.
Ie•rpet.d 1•bl
-�-
0%
5%
109.
15%
20Y.
25%
30Y.
35%
40%
45%
50%
55%
60%
65S'.
70%
75%
80%
85%
90%
95%
100% 105% 110% 115% 1207.125-
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
3.8
3.8
4
4.2
4.4.
4.6
4.8
5
5.3
10%
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
12
21
2.3
2S
2.7
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
S
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
27
29
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4'
1.6
1.8
2
22
24
26
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
se
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
1.9
21
23
25
27
3
3.2
3.4
3.6
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
32
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%
11.2
1.4
1.7
1.9
21
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 '
S
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
55
5.7
5.9
6.1
6.4
70Y.
1.2
1.4
1.6
1.8
2
2.2
2.5
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
S
5.2
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
1.9
21
2.3
25
2.7
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
80%.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.1
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66 .
85%
1.4
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
S
52
54
5.6
5.9
6.1
6.3
65
67
WY.
1.5
1.7
2
2.2
2.4
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
68
95%
1.6
1.8
2
2.2
2.5
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.6
S
5.2
S.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
21
2.3
2.5
28
.3
3.2
3.4
3.6
3.8
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
28
3
3.3
3.S
3.7
3.9
4.1
4.3
4.5
4.7
4.9
S.1
5.4
5.6
5.8
6
6.2
6.4
6.6
68
7
110%
1.9
2.1
2.3
2.5
2.7
29
3.1
3.3
3.8
3.8
4
4.2
4.4
4.6
4.8
S
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
7.2
120%
2
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
2.1
2.3
2S
2.8
3
3.2
3.4
3.8
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11 .
SCORE CARD
Measures -
1. Ceiling Insulation or
-value [381 U -value (0.030]
2. Wall Insulation � Iq or
RR -value [[ 1] U -value [0.098]
3. Raised Floor Insulation
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)
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
or
R-value[191 U -value [0.0371
Point Scores
I?
Or
R -value [01 F2 factor [0.77]
Standard �, 0
9
:,Type [double) U -value [0.65] 4o Total, Glass [16] Su
% Glass SC Eff. % Gls
X =
X =
-- X
% Glass SC Eff. % Glass
IQ X
02 X _
�.3 X
. • X =
TYPE 1 MASS AREA
COND. FLOOR AREA
Intenor Hiss/CFA
TYPE 2 MASS AREA = 8
Exterior Wall Mass ND. L OR AREA
•7a X =
SE or HSPF Duct Efficiency [0.781 Effective SE or
[0.7216.6] HSPF 10.56/5.151
Q X
SEER [[9.51 Duct Efficiency [0.74] Effective SEER 17.031
'gb
Type [SG] Credit [none]
Point Total:
+ z�
Sum 7-10
0
a
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