HomeMy WebLinkAbout040-360-018Z6 36 -18j
F1bod Plain"Elevation
M
X40-36 18 2313=90B,P,E,M
PATRIM,`William'`'
34, -'Fairway 'Dr,; rChico ,
Contr: Steve Schuster•: - '
(new sf)
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0-36-18 2313-90B,P,E,M
PATRICK, William r
34 Fairway Dr,, Chico
'
V
Contr: Steve Schuster— IMN-5875
,.
(new sf)
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JOB FINALED (Date) r
Signature f
J=OK
O''= Not OK
-=Not Applicable MOBILE HOMES
=Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s"
t.
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/ /"L"ft./ /"LPG
7. Utility 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
.L,
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK'except #'s -
1. Zoning Requirements -Setbacks -Easements V A
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs" -Rails ,
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing \
5. Alum. Awn.; Columns-Connections-Splice-Decal=Enclosures
6. Carports; Windows -Doors
7. Electric.
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings �.
Date Card B-1 Date Card'8;1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability'
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip': Pool Lghtg.
Boxes-Enclosures-Panelboards-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
11
V OK
,3 = Not OK
-=Not Applicable
Not Ready RESIDENTIAL (S
' =
Date UND LOOR (Plans) OK except #'s
' Z ' g -Setbacks- Ease ments-Flood-Slope
/ . Ft ain; Soils-Elec. Grnd.-/ /" Ftg. Depth
tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
• 4. Ftq4-P&ches & Decks; Soils -Steel-/ /Ftq. Depth
V wlterpwas, Main; Steel-Blockouts-Wrapped
"temwalis, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
b; teel-Wrapped
iers-Fireplace Ftg.-Steel
*05.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
ater Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. PjFliiums & Ducts; Clearance -Material -Support -Ins.
. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date'-• Sr Card B-1 Date q -(e&8 Card B-1 gG
Dategi j f-fd Card B-1 ^ 4/-" Date Card B-1
Date PLUMBING Permit OK except #'s
14/Water Htr.; Vent -Access -Combustion Air -Baffle
1; j^ater Pipe; Test & Anchor -Nail Protection
eD.W.V.; Test -Fittings & Anchor -Nail Protection
ower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
N Gas Pipe; Size & Anchors
Date O Card B-1/GG Date Card B-1
Date - q ( Card 1 G Date Card B-1
Date ELEVVftleAL (Permit) OK except #'s
2.xture Transformer Clearance -Ins. Protection
21 lec. Receptacles Spacing -Lights & Switches at Doors
V. Size Boxes & No. of Conductors -Stapled
2X. Romex Installed Close to Edge of Studs & C.J.
Zd Equip. GroXd made up w/Mech. Fastners-Bond GA< & W er
X. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
J. Range Circ. / / ga. Cu or AI -Oven Circ. /3/ ga. Cu or(9)
Insulated Neutral O Yes R No
3�1 Service -Riser Conductors & Ground -Main Disconnect
34-1!quip. Clearances Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light -Spa Light
. Smoke Detector
Date Card B-1 G Date Card B-1
Date Card B-1 Date Card B-1
Date MECH ICAL (Permit) OK except #'
Ducts InsulationSu ort
t Fan; Exhaust above insulation
ondensate Drain & Overflow; Size & Grade
urn n e- ent; Access -Comb. Air -Return Air Vent -115 outlet
38r -Attic Access & Platform if Furnance in Attic
Date t; (-�, G Card B-1 C-� Date Card B-1
Date/
7- Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
Sils, Proper Material & Anchors
40'. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41/ Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
4/% Headers & Beam -Size & Bearing
ingle & Duplex)
Date !2 G (Continued)
ers-Post Caps -Anchors -Connectors
. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng.
7. Fireplace Ties or Type A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
B rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing C C-� Or1 t L
5}/ Property Line Firewall & Openings
52�Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53�a irs; Width -Headroom -Rise -Run -Landing -Fire Protection
5yplywood on Roof Overhang -Attic Vents -Rafter Outriggers
Sidin ailin Veneer
St o M&A -Drip Scr d -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
. Shear W Is; Nailing- is
ns i allirrTs
60 nfil tion -W -Win ws
Ell
Date Card B-1 (-_ C, Date kk,?A-q O Card B-1 r,a
Date -y- Card B-1 Date -`j Card B-1
Date FINAL (Plans) OK except N's
61. . Steps -Door fSidWgh�0 Protection -Landings
W. FufyfrgXVents-Clearance-Comb. Air-Cdnnector-
raae: Above Floor-Ducts-Mech. Protection
droom Exiting
h.F.I. & Bath Fixtures & Tub
Elec. Trim,& Subpanel Brea
ails
it a or Stove; Clearances-FIh
c utlets at Wood Panel;'
JX'F Appliance; Grnd.-Air Gap -Cooking Clearance
EI . Qutlets & Receptacles at Kit. Counter
7bo0t,w6ge Fire Door -,,Swing -Landing -Closer
te"A.C. Quct in age -Damper
Wt Ht r.; ts-Clearance-Comb. Air -Conn or-oLn P
Gar ; Above Floor-Mech. Protection ti n.G
7 . Plb. lec. & Mech. Equip. Listed for Location
e eceptacles in Garage; (G.F.I.)-Romex tection
7 nsulation-Foam-Looked in Attic es
9-9a�'R`ails & Deck Construction -Post Caps
79. Fdn.ants rawl Hole Door -13 inage & Wood -Earth
Cleffran Looked under F1oGr0 Yes Z
tp!Follo ng instld.; Drive490'�es ❑ No; Walks O'Yes 0 No;
PI t rs ❑ Yes Iff No
ccp Br n -Finish
8 'VA . Unit; Disconnect, Electrical, PI Mbing
Vents Above Roof; Plbg.-Applian -Fireplace.-Clearance to
Openings
r-94. Wal ell; Disconnect EI rical, Plumbing
85. er' r Elec. Trim;.Y.f Receptacle -Underground
vA4tilatfoon Throuqhout House
from Previous In
7727�er &'Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date `. T_ "q Card B-1 G % Date Card B-1 �yI rte_
Date Card Card B-1 Date Card B-1
Date_3 $f-91 Card B-1 /A O Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
rI
/I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC'WORKS 4,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center,Drive, Oroville'— Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
n ►' n
Sm
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 icorrection of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date �/ Inspectors/�'
�►;�.`�' -'w-�.�,.-;;rv:�'''.�4:K«L.�;1.�^,�a�aicn. �,' 3.,..:�-.._:-3.6``+>,�`�'�"�s�'"�s`�s-ta��':-�
COUNTY OF BUTTE
es. DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville - Phone: 538-7.541'
747 Elliott Road, Paradise Phone: 872-6307
CORRECTION NOTICE
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date Inspector _ —11A
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 t
7 County Center Drive, Orovi Ile —'Phone: 538-7541'
`+. 747 Elliott Road, Paradise— Phone: 872-6307 `
CORRECTION NOTICE
OWNER PERMIT NO.t
1
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.
�Y1 d
i
Date I I G -4 J Inspector
COUNTY OF BUTTE T -
DEPARTMENT OF PUBLIC WORKS ,
196 Memorial Way, Chico — Phone: 891-2751 !
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
• CORRECTION is
NOTICE
P c Z3 r3- Bio
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.
Cy O-e,el9-,,w L
- (LouriS6 T t ss Tv
T r+ c I rs lei r Ixr sy-A-c C. r
F1,j A C
` V SN)w�.O= 'PAN TcS-v !Z9-I,1t ro TIC15
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Date / ��%0 Inspector )CfU -✓S
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 Country Center Drive, Oroville — Phone: 538-7541
7 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
1n
OWNER PERMIT Nf
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.
Datey '�� Inspector
F. COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 _
7 County Center Drive, OroviIle — Phone: 538-7541
747 Elliott Road, Paradise— Phone`872-6307
CORRECTION NOTICE
t>a 4 T, k f213 -10
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.
I 1 lam. c�, Ci Por OQ �f �� r c� A 0 -� d
Date l d �7CJ Inspector �f�.�
Owner;
Permit No.
E N E R,G, Y .0 E R T I F I C A••T I O N
34 Fairway, Chico, Ca.
OIC lfDJ3PI 1
LOCATION A.P. No$
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material FIBERGLASS BATTS
Thickness(inches) 64"
Brand Name
Thermal Resistance (R Valu)
Brand Name QWENS-QQBNTNG
Thermal Resistance(R Value)17 R119„�
CEILING
Batt or Blanket Type FIBERGLASS BATTS Brand Name OWENS-CORNING
Thickness(inches) 9;" Thermal Resistance(R Value) R3300
Loose Fill Type FIBERGLASS Brand Name _
Minimum Thickness(Inches) 12 3/4" Number of Bags 49 Wt, per bag 35 T lb.
Area covered(ft.2) 3150 Thermal Resistanee(R Value)
FLOOR, ELEVATED
Material Fiberglass batts
Thickness(inches) 64"
FLOOR, SLAB
Material
Thickness(inches)
W idth(inches)
FOUNDATION WALL
Brand Name Owens-Corning
Thermal Resistance(R Value)_.,
Brand Name
Thermal Resiataace(R Valve)
Material Brand Name '
Thickness(inches) Thermal Reaistanae(R
I hereby certify that the above insulation was installed in the abpv0 building
in Conformance with the State of California Energy Requiremonte•
LOERKE INSULATION CO., INC. 499150
FIRM NAME/OWNER STATE CONTRACTOR'S LICEN
January 22, 19911-.,;_
SIGNATURE 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 ine�aZled 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.
51t., -L
FIRM NAME/ R (Pie ae p i t) STATE CONTRACTORS LIkN$$ N0•
SIGNATURE (W G ONTRACTOR OWNER DAT
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT FRI0419.FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE 8U1LPINQ;,
January 1984 +"
. F.
COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT 1
ASSESSQ;R PARCEL NUMBER
40-36-18
ZONING
-1
BUILDING PERMIT
OWNER
William Patrick
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
3 412 R 136 480.00
OWNER'S MAILING ADDRESS
13 Sk Mount i
1 100M 15 400.00
Steve Schlister CONTRACTOR'S AME
TELEPHONE
_
250 C 2,580.00
C7 C7
CONTRACTOR'S MAILING ADDRESS
Ave-- CHiCn 95926
Fireplace I A 1,000.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 155 460.00
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 5p73.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 286.50
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 884.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
14, 2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
88
NAME
1 Butte Creek Estates
PARCEL MAP
3L .3 J
Water piping
5.00 5,00
Each qas water heater or vent
1 5.00 5.00
USE OF STRUCTURE
SF NJ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
1 5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
NewEN Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: 3 Bedroom _
Permit Fee
$ 8.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6111 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50 9.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. %Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.6i
OR ACDNS. ACC. BLocs.
2/zQsgft 2.
X80
NEW CONSTRESIC, RANCH CIRCUITS)
NO N.R ESIO BRANCH CIRC ITS
2,50 ea
POWER APPARATUS o-
SINGLE OUTLET CIS. )
Ex. Occup(OUTLETS OR FIXTURES
BAL®30
Ex. OCCUp- OUTLETS P(RESID )REA.)
1 2.00
Temporary service
1 10.00 10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$145.30
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.
Notce 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
Filing Fee 10.00
Heating
2 6.00 12.00
Dual Pack
Cooling 3 Ton
2 6.00 12.00
Hood
1 3.00 3.00
Ventilation
Permit Fee
$ 37.00
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, i demnify and keep harmless the County of Butte against
all liabi ities ju gme ts, o ts, and expenses which may in any way accrue
against u y i co uence of the granting of this per 't.
X Date
Signature A icont - Ownern Contractor)Z Agent
An OSHA permit is required for excavations over 5%U"' deep and demolition or Construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
ocC
A
CONST E
TOTAL FEE $1,154,80/
HAz CUA
PARK
scHL
FLD
PAR Po
Ho ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
D O F PUBLIC
r
By � 7K.
PERMIT EXPIREV Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date Z 7
Receipt No. 664 46 PC �i�4� 5n�i �� ��� ��3, 3
WNITE.D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
m COUNTY OF BUTTE-
DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
4i.
O
7 COUNTY CENTER DRIVE - ROVIIJ LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMILT APPLICATION DATA SHEET
Permit No.
OWNER AM P cc rz A. P. No. 7 4 6
Proposed Building Use �'� Building Inspector Date �4d
At time of permit application, I was advised the following data must be submitted prior t4erm'it 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)
s 9. Mobilehome installation data including manufacturer's installation
nstructions.......................................
10. ees of $ 13 F ......... .
Chico Urban Area fees paid ..NA -.1/N. P,.,qfA. 6w& b/4_.W ,P......... -7- 0
Parkfees paid ...................................................
C_I-/<;D ScPDOI District fees paid ............. .
- Sanitation approval from H Health Department s — Z/- 5;rj �S
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: ......
Improvements may be required. Contact Land Development Section DPW 04
riveway 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 ..................
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24 ecorded copy of Agricultural�Acknowledgment Statement .........
5. Letter of signature authorization .... _
When you issue the permit, process as follows: Mail t owner. Mail to contractor.
Telephone !2941 hold for pickup at —Mai
Deliver w/inspector.
Other n n �I A _l1
Applica
Date
Copy of Haz-Mat form sentHealth Dept. Fire Dept. Air Pollution Date �
Copy of plans sent Health Dept. Fire Dept. Other Date—,,By
The following data must be submitted or o per it is uapce. Cir. a ne ite not a kedyal e).
1. Index permit for above items No. -' / f.
2. Additional items required:
on�,actmr.,
signer, owner, was advised of above required data by_phone_mail—counter by ate
S'
G o signer, owner, was advised of above required data by—phone—mall c ter by date
Plans checked by Date Plans appraved by Date
Sets of plans on hold inFile cabinet AP folder
Copy—DPW
TO: Building Department
T
FROM: Encroachment Permit Section
RE: Driveway Clearance
owner location AP
Driveway permit ` �o l(7 has been issued for the above property.
si ature
date.
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Plan Approved for: Sewage Disposal _� Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Ciearance for -� bedroom mobile home. Other
NOTE * * *
Sani arian Date
COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSE,SOR PARC LJMBEER O
ZONING /
BUILDING PERMIT
OWNERe. n^
,C
TELE/�P�/H'�ONrfE
S0. FT. OC BUILDING VALUATION
OWNR'S MA LING ADPRESS
3 S 11 c
H1,00
0 aI
CO TRAC OR' DIAME
OG TET AtI
TELEP ONE
/ -
40
i
CIG AD/l/RESS RACTOR'S MAIL^
Fireplace 00
i
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ ed I
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ S O
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS��
Ca`f ICa
Permit fee
t
$ t
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 ZB,Q
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME �
6,^ 41Z
PARCEL MAP
Water piping
5.00 , Q�
Each qas water heater or vent
5.00 5-,00
USE OF STRUCTURE
SF Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 L7, 0 d
Building sewer
5.00 rD�i
Mobile Home S I G I W
0.00e
TYPE OF WORK
New] Addition ❑ RemodelUtilities ❑ Installation❑ Other ❑
Describe work:/`„/
Permit Fee
$ tQ
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service iCCO AMP OR1 OR LESS10.00
O7�v
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I'declar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Code an y license is in full force and effect.
License No. Classification
F-1 1, 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING orCUP.tf2
OR ADDNS. ( ACC. BLDGS.
i
/20sgft i
NEW CONSTR. ULT'.OUT LET
NON.RESID BRANCH CIRC ITS
t
2.50 ea 1
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(ouXS OR FIXTURES
TAL030
20 0 50c
e
FIXED
EX. OCCUp. OUTLETS PR
IRESID.)EA.)
2.00
Temporary service
10.00 ,v
Mobile Home Facilities
15.00 I
1
Misc. Wiring
9
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California. '
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
2,(J
Cooling
(POO 4R. 00
Hood
3.00 rQ
Ventilation
Permit Fee
$od
Contractor
I
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save , indemnify and keep harmless the County of Butte against
all liabi it'e j . gm nts osts, and expenses which may in any w y accrue
against d o ty c n equence of the granting of this perm .
X Date
J
Signature A icant— Owner❑ Contractor Agent
A permit is required for excavations over 5' deep and demolition or construct-
tructures over 3 stories in height.t
Mobile Home Installation Fee $
Energy Inspection Fee $ Q
occ
CONST TYPE
'/
TOTAL FEE $ S7�
HAZ
CUA
PARK
SCHL
FLD
PAR
Pil
Ho
'ssuE j
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
No.By
.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
t
.�.-,��,.SJ`V .,3..r�"s.. v"'f `v i�rt ��v=vrwv u '� `'.'t'",�'L:.vi�-'.."' Y .'+�,-" t✓"r r k"v�;y ,-. .-
BUTTE COUNY PARKS DEVELOPMENT FEE CERTIFICATION FORM
CHICO AREA RECREA`riON AND PARK DISTRICT
.Assessor Parcel Number(s)
Property Owner f/V1 1)'k I/ t
Project Location/Address �_611, ,^ !A /W
Subdivision l,� {. �.r 1�� �;,;� f (� Lot Number (s) '`�jj
Residential Development: (check one)
XNew Development
Alteration/Addition
_ Mobilehome(s) _Non -Residential to Residential
Total Number of Dwelling Units t
Comment: hi est_ ,�..__. ,' a 1 �� Al l
7"7.C)o
Building Departmdnt Representative Date
yr�k�k�nk�r�r�r�rYr��kyt�r�r�rYr�r�k�k�rxnk�ryrYr*�r�r�c�r�r�r�c�r�r�rw�r�r�r�r�r�r,r�r�r�r�,r�r�r�r�r�r��rvr�r�r�r�r�r�r�r�r,�w�c�r�r�r��c
Chico Area Recreation and Park District(CARD) certifies that
(Applicant Name) (Phone Number)
(StreetAddress)
(City) (State) (Zip Code)
has complied with the requirements of Butte Co. Resolution No. 89-081 by
payment for 1 dwelling units @ $722 for total payment of $.
, _r. t ter' -% i 0
CARD Representative Date
PAID BY CHECK NO )
BANK NO. t
PAID BY CASH
RECEIPT NO. '
park.fee (7/89)
REMARKS:
tom parR►uc
a3AF_ 9a
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) '
�terior plaster - weep screeds (Sec. 4706).
g!> per roof pitch for roof covering (Chapter 32).
o. covering type - (fire hazard).
9!,R -Alter ties or bearing ridge.beam.
8! rage door or porch header sizes.
Adequate bracing.
L Liv
ing area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
o exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
',,�� ttic access and ventilation (Sec. 3205).
rfloor access and ventilation (Sec. 2516).
Combustion air for fuel burning appliances.
u'a equirements on duplexes.
1�jr soils - special foundation design.
1 Retaining walls requiring.design.
al shape, size, or split level house requiring lateral design.
lashing at all exterior openings.
,6 a x44,4, FL -o vD
CAI-" FCX 5146-01-�
13 •3o r—s
UrE
URBAN. 4R,4 pees
FIs
Wd -roo/!%E - /I/<�zv
M
%C-
5/891
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC.-ONLY) �
'Bldg.. Permit # a a� 3 -� O
OWNER E<11 c. A,,N P/9 -7X/ c -/L A.P. # yO -A r- • /
GENERAL
;5iluation.
oning requirements: (sideyards
Tans
signed by designer.
nergy Design and Compliance.
Existing violations on property.
0 Items on data sheet.
PLOT PLAN
and number of permitted living units).
4! m Tete parcel size and dimensions.
�tbacks, sideyards, easements, etc.
;; er buildings or structures.
Grading, fills, drainage.
f& e�cod i hazard.
ecial conditions on creation map or compliance document.
FAU
FAS road setback.
FT.nnR PLAN
mplete to scale plan with dimensions.
r��-te4uired windows for light and ventilation (Sec. 1205).
3! Refired windows for second exit (Sec. 1204).
4� lights (Chapter 34 & Sec. 5207).
b5<11 Hiuwan impact glass ( Sec. 5406).
. .P
red room sizes, ceiling heights (Sec. 1207).
G s in baths, garage, and exterior outlets (Article 210-8).
fixtures, switches, receptacles, and exterior receptacle's for maintenance
echanical equipment.
Locations of water heater, heating and cooling equipment, other electrical or
Mequipment, and plumbing fixtures.
�age firewall, door size, and closer (Sec. 503(d)(3)).
�3'0" exterior exit. door (Sec. 3304(e)).
1Q. F' place and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
k Foundation plan complete enough to construct building.
-� oor construction details complete enough to construct building.
3� E evations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
-75. Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOKOUT FOR
LY Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
drail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
Butte Creek Estates Service_ Corporation
- P.O. Box 1355
Chico, California 95927
August 2, 1990
To: Mr. William Patrich, Owner
Lot #88, Butte Creek Water Service Corp.
RE: Water Service to Lot #88
Dear Mr. Patrich:
This letter is to serve as formal notification that the Butte
Creek Water Service Corp. will provide water service to Lot
#88 for ONE SINGLE-FAMILY RESIDENCE provided all water fees
are kept current.
Please give us a call if you have any questions.
Sincerely,
BUTTE CREEK WATER SERVICE CORP.
George "Corky" Thompson
Board Member t
GT:1c
B.C.E. Service Corporation
Street Lighting — Storm System and Pumps — General Area Maintenance — Unlimited Domestic Water
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one
Form per Building)
A.P. Number0� a' Building Department No.
School District City D County Jurisdiction
Property owner W/ PA7-(2 ( G )C
Project Location/Address L A I 4tA/ it
Subdivision 141).7-11C Lot Number
Residential Development:
a a a Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial': �. Sq. Footage
New Addition (Including.Exterior
Roofed. Areas)
Buildi g Department Representative Date
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District Id No
School•District certifies that
(Applicant.Name) (Phone Number)
,?6 77 Qlne. .
(Street Add(tess)
�R. c
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.�-9�
by the pay nt of $ %, TZOP q6 representing - square feet.
} S 9D
School Di tr• t Representative DFate
PAID BY CHECK NO.
r
BANK NO
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
M®
a7
SCHILLER & ASSOCIATES, INC.
STRUCTURAL ENGINEERING
5550 COMMERCE BOULEVARD, SUITE 3
ROHNERT PARK, CA 94928
707-586-0567
LATERAL CALCULATIONS
FOR
NEW RESIDENCE
PROJECT LOCATION: ,
FAIRWAY DRIVE
CHICO, CA
OWNER:
WILLIAM PATRICK
DESIGNER:.
LISA SORENSEN
CONTRACTOR:
STEVE SCHUSTER
PROJECT ENGINEER:
ROBERT LATTA
JOB NUMBER:
Q�,pF ESSI pyq
90 S 24
DATE:
42905 m
JULY 26, 1990 p. R 3 `
F c NUI.
CLIENT _
PROJECT
DATE _
ENGR.
SHEET_
SCHILLER & ASSOCIATES, INC.
STRUCTURAL ENGINEERING
5550 COMMERCE BOULEVARD, SUITE 3
ROHNERT PARK, CA 94928
707-586-0567
CLIENT ��►�
PROJECT-i21Glc—
�ss.2TIAL L�TEf�1-
3
DATE
ENGR. •-1-
SHEET —'— OF
91
SC14ILLER & ASSOCIATES, INC.
STRUCTURAL ENGINEERING.
5550 COMMERCE BOULEVARD, SUITE 3
ROHNERT PARK, CA 94928
707-586-0567
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CLIENT L{sa. �oRE+.►SE+�l
PROJECT ✓
DATE 7 - 2S ' �O
ENGR. 2 L-
SHEET2 OF
SCHILLER & ASSOCIATES, INC.
STRUCTURAL ENGINEERING
5550 COMMERCE BOULEVARD, SUITE 3
ROHNERT PARK, CA 94928
707-586-0567
n
/QROf ESS/
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41 2, F 1990
x
ALL
i
CLIENT ��N►�
PROJECT A'ir�►U�
DATE
ENGR. �-
SHEET OF
SCHILLER & ASSGCIATES, INC.
STRUCTURAL ENGINEERING
5550 COMMERCE BOULEVARD, SUITE 3
ROHNERT PARK, CA 94928
707-586-0567
PROJECT LOCATION:
FAIRWAY DRIVE
CHICO, CA
OWNER:
LATERAL CALCULATIONS
FOR
NEW RESIDENCE
(�-TIF-tc<)
WILLIAM PATRICK
DESIGNER:
LISA SORENSEN
CONTRACTOR:
STEVE SCHUSTER
PROJECT ENGINEER:
ROBERT LATTA
JOB NUMBER:
90 S 24
DATE:
CLIENT _
PROJECT
JULY 26, 1990
F
QROf ESSIp\
� w
w Cp4 2905 m
m r_J19 ,R 31 199 O
DATE
ENGR.
SHEET OF.
SCHILLER & ASSOCIATES, INC.
STRUCTURAL ENGINEERING
5550 COMMERCE BOULEVARD, SUITE 3
ROHNERT PARK, CA 94928
707-586-0567
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DATE
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SHEET �- OF J
SCHILLER & ASSGCIATES, INC.
STRUCTURAL ENGINEERING
5550 COMMERCE BOULEVARD, SUITE 3
ROHNERT PARK, CA 94928
707-586-0567
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DATE -7
ENGR. 2 L
SHEET 2 OF
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QAAl s �Fti
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SCHILLER & ASSOCIATES, INC.yE :rr,;42,.0. 1997
STRUCTURAL ENGINEERING
5550 COMMERCE BOULEVARD, SUITE 3 -
ROHNERT PARK, CA 94918 OF AUS
707-586-0567 C �gga
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17�
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• r ,
CLIENT DATE
PROJECT ENGR. • �— ,
�'—"� i A- LLr 'f •4` SHEET OF , - .
A & Q ENGINEERING
Civil Engineers
1280 E. 9th Street
Chico, CA. 95928
893-0631 -
June 14, 1990
Building Official
County of Butte
7 County Center -Drive
Oroville, CA 95969
RE: Flood Plain Eleveation for AP'No; 40-36-18 Lot 88,
Butte Creek Estates Subdivision.
Gentlemen:
Please be advised that I have determined that the 100
year flood plain elevation at the subject,parcel site
is 204.08 U.S.C. & G.S. datum. This determination
was made using the cross sections provided by the C.O.E.
Existing ground at the proposed building site is at
elevation 203.6, U.S.C. & G.S. datum. A bench mark
(paint mark on telephone box at SE corner of Lot 88)
is at elevation 202.13 U.S.C. & G.S. datum.. Finished
floor for habitable buildings should be 1.95 feet above
the benchmark to be at or above the -100 year flood
plain.
Please call if you have any questions.
Sincerely
Mark E. Risso
RCE 24016
MER/ams �..
cc: Steve Schuster
_ 9r0 a .oN
c
�Fp OAR U� FeU
`Itllv1 s c� 9Fs
1990
Project Title
3
Project Address
Documentation Au
BUILDING DATA r
Conditioned Floor Area 3 4//•3'- Number of Stories /
-Slab/Raised Floor Number of -Units
�pKSingle Family Detached (SFD) ' . [ ] Addition -Alone
[ ] Single Family Attached (SFA) [ ] Existing Building
[ ] Multi -Family (MF) . [ ] Existing -Plus -Addition
az 3- o
t� -
(7tedced By/ Date
BUILDING SHELL INSULA- 101 -
Component - Insulation -_.. L=aHon/Cpmments
Type R -Value (ashes ca g t;4 r2E =L etc.)
-- -- .
Wall.............. - - __ _- •_-- -__ .__- __ __- _- _ _. -_
Wall ............. -
Roof .............
Roof . ;zt .
{ Floor .............
Floor...... ICs Iz
Slab Edge....
-
GLAZING. __ _ __ _ _ _ Shading Devices
�.
GIazing Area Glass Type Interior . Exterior r„ Overhang Framing Type
r
Orientation (sf) (single. double) (Tolle: blind. etc.) - (f+httdescreen, etc.) (yesfio) . (metaywood)
a - North ( ) 3 u I o��
North
' East ( ) !
` East ( ) C
South
r
Sou th
s West
West
Skylight...::.:..
.f THERMAL MASS-
Type/Covering Area Thickness
(slab/exposed, tile. etc.) (SO (inches) Location/Description (kitchen, bath, etc.)
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location
conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.)
Enibmement Agency Use Only
- '
Glass Area
% Glass
North
�
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved
East
o
-�
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
..South _.
OD.
� 9
Eldest_
Skylight
Total -
�3a .
/ r_ -
BUILDING SHELL INSULA- 101 -
Component - Insulation -_.. L=aHon/Cpmments
Type R -Value (ashes ca g t;4 r2E =L etc.)
-- -- .
Wall.............. - - __ _- •_-- -__ .__- __ __- _- _ _. -_
Wall ............. -
Roof .............
Roof . ;zt .
{ Floor .............
Floor...... ICs Iz
Slab Edge....
-
GLAZING. __ _ __ _ _ _ Shading Devices
�.
GIazing Area Glass Type Interior . Exterior r„ Overhang Framing Type
r
Orientation (sf) (single. double) (Tolle: blind. etc.) - (f+httdescreen, etc.) (yesfio) . (metaywood)
a - North ( ) 3 u I o��
North
' East ( ) !
` East ( ) C
South
r
Sou th
s West
West
Skylight...::.:..
.f THERMAL MASS-
Type/Covering Area Thickness
(slab/exposed, tile. etc.) (SO (inches) Location/Description (kitchen, bath, etc.)
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location
conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.)
Duct Output Manufacturer / Model #
R -Value (Btuh) (or approved equal)
5
Maximum Furnace Heating Output: /,;W6c�
Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved
equal) Special Feature(s)
573/.04 X 4 As -
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardleu of the compliance
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed
on the Ccnificaue of Compliance. When this checklist is incorporated into the permit documents• the features noted shall
be considered by all pansies as binding minimum component performance specifications for the mandatory measures
whether they arc shown dscwhcrt 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 fru insulation manufacturer's labeled R -Value.
• §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does nes apply to
exterior mus walls).
- V §2.5352(ky. Slab odge insulation - w„-• absorption rate no greater than 0.3%. nates vapor - - --- - - -
transmission rate no greater than 2.0 pemslunch.
✓ §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality ;;>+, :e . f
standards. Indicate type and torte.
§2-5352((): Vapor barriers mandatory in Climate Zcrses 14 and 16 only.
§2.5317: Infiltration/Esfrltmdon Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
r leakage, r.t
b. Doors and windows otrified.
c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed
§2.5352(e): Special infdtntion barrier installed to comply with 12-5351 moots CEC quality _
i standards ........ =
t' §2.5352(d): Installation of Fut:ptaces ) y •_ .,
1. Masonry and factory -built fireplaces have 1 . _
a. Tight fitting. closeable metal or glass door
I b. Outside air intake with damper and control - -
'. e. Flue damper and control '
2. No continuous burning gas pilots allowed.
+ HVAC and Plumbing System Measures S s
§2.5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations
§2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
• §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC
r 12-5316(b).Exhaust systems have damper controls.
§2-5314(c): Cas -fired space heating equipment has intermittent ignition devices
62-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC —
5.1 ori; §2.53520: Water heater insulation blanket (R-12 or greater) or combined interior/ute for - -
insulation (R-16 or greater): fust 5 fees of pipe closest to tank insulated (R-3 or greater). t" ` _aim ::v' •;•;:'r•:.{ --
_ §2.5312(Exception I): Pipe insulation on steam and seam condensate return At recirculating
piping - ..._
- §2.5319(d): Swimming Pool Heating
1. System hu _
a. ONoff switch on heater. a
b. Weatherproof instruction plate on heater.
i e. Plumbed to allow for solar.
2. 75 percent thermal efficiency. :y ,
3. Pool cover. a
4. Time clock.
5. Directional water inlet
Lighting and Appliance Measures
`- - §2.53520): Lighting - 25 himens/wan or greater for general lighting in kitchens and bathrooms
t- §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. t
§2.5314(2): Refrigerators, mirigcrator-(recurs, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists t1n building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20. Chaptrs 2. Subchapter 4. Article I of the California Administrative code. This
certificate has been signed by the individual with overall desip responsibility and the building owner, who shall
mtain a copy of it and transmit the certificate to any subsequent purdiaser of the building.
Designer . .. Building Owner
Name: Name
Tuk/Fum: Ttk/Fum-
:r
Addren: Address:
Tekp)wrse Telephone
Lic. :
(signature) (date)
Documentation Author Enforcement Agency
Name: Name:
TiticJF-utn Age
Address: r�
1. Ceiling Insulation
-� 2. Wall Insulation
-4
Number of stories
0.80
R -value
One
Two
Three
R-0
-103
-49
32
R-19
.8
-4
-2
R-30
•2
-1
-1
R38
0
0
0
U -value
2
1
R•19
0.50
-176
-84
-54
0.30
-102
-49
32
0.10
-26
-13
-8
0.08
-18
-9
-6
0.06
-11
-5
-4
0.04
-4
.2
-1
0.02
4
2
1
0.00
11
5
3
-� 2. Wall Insulation
-4
Number of stories
0.80
Single-
Single -
Two
Three
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R•19
8
6
4
U -value
8
35
: -75
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
-1
7
Insulation in Floor
--
-46
-14
Number of stories
0
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1 ___
. 1
U -value
9
15
21
0.60
-144
-70
-46
- 0.50
-120
-58 -'
38
0.40
-95
46
30
0.30
-69
_U
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
3
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
4. Slab Edge Insulation _
Number of Stories
R -value One Two _ Three
R-0 0 0 0
R-5 8 5 2
R-7 8 6 `- 3
F2 factor
0.90
-4
Number of stories
0.80
R -value
One
Two
Three
R-0
-11 '
.7
-5
R-5
-4
-4
3
R-11
•2
-2
.2
R-19
-1
.2
.2
4. Slab Edge Insulation _
Number of Stories
R -value One Two _ Three
R-0 0 0 0
R-5 8 5 2
R-7 8 6 `- 3
F2 factor
0.90
-4
3 -1
0.80
-i
•1 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
5. Infiltration (Air Leakage)
Specification Points
SWKWd - 0
6. Glass Heat Loss
Total
Exterior
_
-
Effective Pesces,t Glass
Ll -value
Stories
Percent
Multi
(Percent ttm x SC)
.51 to
.41 to
.31 to 0.30 or
Glass
Single Double
.60
.50
.40
less
50
•121
-53
-39
-24
-10
4
4A-
-90
37
-26
-14
3
8
35
: -75
-29
-19
-9
1
10
10
-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
3
7
10
13
16
19
10
-3'
9
11
14
17
19
9-1
Type
10
13
15
17
20
_
- -8
- 2-„
12
14
16
18
20
7. Shading (Shade Open)
-
Exterior
_
-
Effective Pesces,t Glass
Eff"Ove Percent Glass
Stories
Family
Multi
(Percent ttm x SC)
(percent Stas9 x SC)
Effeckm
Effective
Two
Three
One
Two
%Glass
North
East South West
Skylight
18
5
1 4
1
na
16 .
4 _
2 _ 5
1..
na
14
4
2 5
1
na
12
3
3 5
2
na
11
3
3 5
2
na
10
2
3 5
2
1
9
2
3 5
2
2
8
2
3 5
2
2
7-..
1
3 4
2
2
6
1
3 4
2
3
5
1
2 4
2
3
4
0
2 3
1
3
3-
0
1 2
1
3
2.
0
0 1
0
3
1
-1
-1 -1
-1
2
0
-1
-2 -4
-2
0
na = not allowed
-1
-2
-1
13. Shading (Shade Closed)
Exterior
Slab Floor
Raised Floor
Effective Pesces,t Glass
Wall
Stories
Family
Multi
(Percent ttm x SC)
Detached
Effeckm
One
Two
Three
One
Two
%Gists
Norte East
South
West
Sk)*t
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
•7
-26
•36
-33
na
10
-6
-23
31
.29
-74
9
.5
-20
-27
-25
35
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_
Exterior
Slab Floor
Raised Floor
Mass
Wall
Stories
Family
Multi
Stories
Detached
ICFA
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
-d
.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- .,
SCORECARD
Wall
Family ' :
Family
Multi
Mass
Detached
Attached .
Family
0.00
0 •
0 1
0
0.20
3
.2.
1
0.40
5
4
3
0.60
8
- 6
4
0.80 -
10 _
.�. 8
5 •.
1.00-..
13
10
7 ..
1.20
13
12
8
1.40
12 `"
13 '
9
1.60
10 L
13
11
1.80
10,,.-
12
12
2-00
10 : .
11
13
11. Heating System
SE or HSPF
(assumes ducts In attk)
Zonal Control Adjustment
System Type - - -
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling Systtm
No Cooling System Installed
SC
Sum of 13
SCORECARD
K_.
SEER
/ I Sr
-25 or -24 to -14 to
-410 +6 to
16 or
SE
HSPF
less
-15
-5
+5
+15
more
0.72
6.60
0.
0
0'
0
0
0
0.75
6.88'
3
3
3
2
2
1"
0.80
7.33
8
7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
17
15
13
11
9
7
0.95
8.71
20
18
15
13
11
8
1
10.5
Effective SE or HSPF
6 5
4
3
(SE or HSPF x duct efficiency)
11.0
Effective -25 or
-24 to -14 to 4 to
+6 to 16
or
SE HSPF
less
•15
-5
+5
+15 more
0.30
2.75
-73
$1.
-56
47
-38
-30
na
3.41
-45
-39
-34..
-29
-24
-18
0.40
3.67
-34
-30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
-7
-5
4
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
3
3
2
0.70
6.42
17
15
13
11
9
7
0.80
7.33
25
22
19
16
13
10
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type - - -
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling Systtm
No Cooling System Installed
SC
Stories
SCORECARD
K_.
SEER
/ I Sr
b. East
'
One
-5 -
(assumei ducts
In attic)
-3
-2
-2
Som of 7-10
3
3
2
2
-25 or -2410 -14 to
-410
+6 to
16 or
SEER
less
-1S -6
+5
+15
more
8.0
-14
•12 -10
-8
-6
-4
8.5
-9
-1 -6
-5
-4
3
8.9
-5
4 -4
-3
-2
-2
9.0
•4
-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
120
15
13 11
9
7
5
13.0
20
17 14
12
9
6
-15
'-12
Effective SEER
Solar
-1
.-1
(SEER x dud efficlency)
0
0
1.9
Som of 7-10
-13
-12
Effective -25 or -24 to -14110
-410
+610
16 or
SEER
less
45 -5
+5
+15
more
5.0
30
-25 -21
-17
-13
-9
6.0
-12
-11 -9
-7
-6
-4
6.6
-5
1. 4
3
-2
.2
7.0
0
0 0
0
0
0
8.0
9
6 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 •
'23 22
18
14
9
13.0
33
21 24
20
15
10
699
Zonal Control Adjustment
1200
1700
2200
10
k 7
6
4
3
Point System Summary:
No Cooling System Installed
SC
Stories
SCORECARD
X . &(. =
/ I Sr
b. East
'
One
-5 -
-t
-4
-3
-2
-2
Two +
3
3
2
2
2
1
Single
-Family Detached and Attached
TYPE I MASS AREA
Unit Size (sQ
�
Water
_
1199
1200
1700
2200
2700
Heater
G(edd
cr •
. io
to
to
or
Type
Type
lass
:11699
2199
2699
more
SG
None
0 1
0
0_
0_
0 :.
or
Solar
12
8
6
5
- 4
HP
HWR
8
5
4 --
3
3-
10%
WSB
5
3
3
2
2
50%
POU
6
5
4
3
3
SE
None
-37
-24
-18
-15
'-12
04
Solar
-1
.-1
.1
0
0
1.9
HWR
-13
-12
-9
-7
-6
3.4
WSB
-25
-16
-12
-10
-8
4.8
POU
-13
-12
-9
-7
-6
IG
None
-5
.3
-2
-2
.2
23
Solar
7
5
4
3
2
3.7
POU
3
2
1
1
1
IE
None
-28
-19
-14
-11
.9
1.2
Solar
8
5
4
3
3
27
POU
-10
3
-5
-4
.3
4.1
Muld-F&mlly (individual
units)
4.8
5
52
54
Unit Size (sQ
30%
Water
0.7
699
700
1200
1700
2200
Heater
Ctedd
or
to
to
Io
or
Type
Type
less '
1199
1699
2199
more
SG
None
0-
-10
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
3.8
WSB
9
4
3
2
2
5.3
POU
9
5
3
2
2
SE
None
45
-23
-15
11
.9
27
Solar
2'.
1
1
0
0
42
HWR
-23
-12
-8
-6
-5
.5.7
WSB
-7.5
-13
-8
-6
-5
1.6
EQU
-23
-12
8
-6
-5
IG
None
-8
-4
-3
.2
j -2
4.5
Solar
6
3
2
1
1
6
POU
1
0
0
0
0
IE
None
30
-15
-10
-8
-6
3.3
Solar
18
9
6
4
4
4.8
POU
-8
.4
-3
-2
•2
Point System Summary:
Climate Zone 11.
SC
Eff. % Glass
SCORECARD
X . &(. =
/ I Sr
b. East
'
x -6(-,
_ ... - c. _ South
Interior Mass/CFA
Measures
• jam/
d. West
Point Scores
_ e. Skylight _
. TTM z PASS
Ceiling Insulation ,
3
or
TYPE I MASS AREA
�
R -value 138.1 ~
_
U-value[0.0301
~.. _ ..
.r. _
4-8
2.
Wall Insulatio
Insulation -�
TYPE 2 MASS
or
;
ND. LOUR
R-value[i1J _
U -value (0.0_98) _
__ ~ __ +��
-t "
3.
Raised Floor Insulation -- •
- ii
or
Effective SE or
10.72/6.61
PE I MASS (UIMC \ TY
a 4.2,
te: eased
slab)
7.315 ,
Zonal Control? ( Y / N)
4.
-Slab Edge Insulation -" ""
Effective SEER [7.031
or,
SyC�.l=
Glj
0%
5%
10%
15%
20%
2S%
30%
35% 40%
45%
50%
55%
60%
rA%
70%
75%
80%
..
65%
_
90%
95%
100% 105% 110*/. 115% 120% 125•
0%
0
0.2
04
01.
0.8
1.1
1.3 •
1.5
1.7
1.9
21
23
2.5
'27
29
32
3.4
. 3.6
3.8
4
4.2
4.4
4.6
4.8
5
53
10% .
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
2.1
23
25
2.7
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.a
5
52
54
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
52
54
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
22
24
26
2.8
3
32
3.5
37
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
56
5 8
40%
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
59
X%
0.9
1.1
1.3
15
1.7
1.9
21
23
2.5
27
3
32
3.4
3A
18
4
42
4.4
4.6
4.8
5.1
5.3
5.5
.5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
53
5.6
5.8
6
62
60%
112
1.4
1.7
1.9
21
23
2.5
2.7
29
3.1
3.3
3.S
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
- 61
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
24
2.6
2.8
3
3.2
3.4
36
3.8
4
4.3
4.5
4.7
4.9
5.1
53
55
5.7
5.9
6.1
64
70% '
1.2
1.4
1.6
1.8
2
22
25
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
52
5.4
5.6
58
6
62
64
75%
1.3
15
1.7
1.9
21
23
25
27
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
22
24
2.6
2.8.
3..
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.1
4.9
5.1
54
56
5.8
6
62
64
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
S
52
54
56
59
6.1
63
6S
67
90%'
1.51.7
2
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
55
5.7
5.9
6.2
64
66
68
95%
1.6
1.8
2
22
2.5
Z7
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6 9
1007.
1.7
1J
21
2.3
25
28
3
3.2
3.4
3.6
a8
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
3.5
3.7
3.9
4.1
4.3
45
4.7
4.9
5.1
5.4
56
5.8
6
6.2
6.4
66
68
7
1101/.
1.9
21
2.3
2.5
27
29
3.1
3.3
3.6
3.6
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
72
120%
2
2.3
2.S
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
S '
5.2
S.4
5.6
56
6
6.2
6.5
6.7
6.9
7.1
7 3
125%
2.1
2a
25
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4J
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.
SC
Eff. % Glass
SCORECARD
X . &(. =
/ I Sr
b. East
V/
x -6(-,
_ ... - c. _ South
--------------
Measures
• jam/
d. West
Point Scores
_ e. Skylight _
1.
Ceiling Insulation ,
3
or
TYPE I MASS AREA
�
R -value 138.1 ~
_
U-value[0.0301
~.. _ ..
.r. _
4-8
2.
Wall Insulatio
Insulation -�
TYPE 2 MASS
or
;
ND. LOUR
R-value[i1J _
U -value (0.0_98) _
__ ~ __ +��
-t "
3.
Raised Floor Insulation -- •
- ii
or
Effective SE or
10.72/6.61
- - -- --
R -value [ 191 -
-
U -value [0.0371
7.315 ,
Zonal Control? ( Y / N)
4.
-Slab Edge Insulation -" ""
Effective SEER [7.031
or,
SyC�.l=
Glj
Type 1SGJ
R -value 101
F2 factor 10.771
5.
Infiltration ____ �__.
Standard
.__
_.___...
__ .._.. _ _
_ 0
6.
Glass Heat Loss'_
Type [double)
U -value [0.65)
_ % Total Glass (161
- Su
7.
Shading (Shade Open) ,_-
_ _
% Glass
SC - - --
_ Eff. % Glass
a.. North __� _
�, /
x
7
b. East_.__._
x
'22
c. South__.
.�-
X
/7
- ,-
d. West
i
x
.?7�.-
e. Skylight _
. /
x
77X-
8.
Shading (Shade Closed)
-4-
Sum 7.10
3
% Glass
SC
Eff. % Glass
a. North _
X . &(. =
/ I Sr
b. East
V/
x -6(-,
_ ... - c. _ South
/
X ro % _
• jam/
d. West
x
_ e. Skylight _
x
9. Interior Thermal Mass -
TYPE I MASS AREA
InteriorW.lss/CFA
COND. FLOOR
AREA
10. Exterior Wall Mass
TYPE 2 MASS
AREA e
Exterior Wall Mass
ND. LOUR
AREA
11. Heating System -
?'4p
x , $`„3
Zonal Control? ( Y / N)
SE or HSPF
Duct Efficiency 10.78)
Effective SE or
10.72/6.61
BSPF [0.5615. 151
12. Cooling System --
4. p
x y =
7.315 ,
Zonal Control? ( Y / N)
SEER 19.51
Duct Efficiency [0.741
Effective SEER [7.031
13. Water Heating
SyC�.l=
Glj
Type 1SGJ
Credit [none]
-4-
Sum 7.10
3