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Home My WebLink About040-470-019IqA I 0 If { � a f I 0 OVA CMM 3'92-- J --A1 7 %31W ",nc- a 0-0e4 D v U PERMIT NO, PERMIT EXPIRES C2.z WILLARD WAKEFIELD OWNER CONTR. Wakefield Const ASSESSOR PARCEL 40-47-19 LOCATION 5 Gold Creek Way, Chico OFFICE COPY Address GAS Meter By Date- j ELECTRIC Meter By Date14 e. i r OFFICE copy.; Address GAS t 4e M t e r- By Dat ELE C -'T. F11C. Meter; By, Date Temp. Power Pole Called PG&E Temp. Elec. S Called P( Temp. Gas Sei Cal led PC JOB FINALEI Signature J = OK O = Not OK = Not Applicable MOBILEHOMES - Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except.4's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI. Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except p's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Meri-Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed• 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equioment-Heater. B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip; -Pool Lglitg. Boxes -Enc losures- Pane Iboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date' Card -BI Date Card B-1 Date Card -BI Date Card -BI Date "Card -BI Date V = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL jSingfe and Duplex) � Date UNDE OOR Plans OK except #'s Date FRAMING (Continued) o requirements -Setbacks E menu S(e Property Line Firewall & Openings g., Main; Soils - / /" Ftg. Depth o Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- / /" Ftg. Depth idth-Headroom-R i se -Run- Land i ng -F ire Protection Porches & Decks; Soils -Steel- / /" Ftg. D . Plyydod on Roof Overhang -Attic Vents -Rafter Outriggers 41�4iqmwalls, Main; Steel-Blockouts-Wrapped-SI 5 ing-Nailing-Veneer temwalls, Garage; Steel-Blockouts-Wrapped= tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access ers-Fireplace Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -lest -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts c 9. G Pipe; Size -An rs 1 W e Anchors -Regulator -Service Test 1 lectric; Underground QV - 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date ?,2 Card -BI Date 0 Card -BI tC.Date 6 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card-BIDate i s Date FI L (Plans) OK except N's Card -BI Date / Card -BI Date Date o S(J PL BI G ( e it) exce .Ext. Steps -Door & Sidelight Protection -Landings 5/Smoke Detector CZ_Water Access ti tr Wa Pi t & ors ai otect'on Furnace; Vents -Clearance -Comb. Air-Connector- n Garage; Above Floor-Ducts-Mech. Protection .W.V.; Tgt-Ftt4s & A" or a' of /Bedroom Exiting -OPIShower Pan; Test; First Floor -Tub Access A.-F.I. & Bath Fixtures & Tub Access est Tub & hgweO 2nd Floor -Tub Access W14lec. Trim & Subpanel; Breaker Sizes -Labels _ _ Gas Pipe; Size & Anchors S _ Rails Stove; Clearances -Hearth jg�Alec. Outlets at Woo Panel; Int. & Ext. Card -BI $Date Card -BI Date Kit. Fixt. & I c Grnd.-Air Gap -Cooking Clearance Card -BI '3-r,Date /e(.Card-BI Date ./Elec. Outlets & Receptacles at Kit. Counter Date o ECTRICAL Permit OK except q's ,- Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper COMMFixture &Transformer Clearance s. Protect' Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- ,KnGarage; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights &Switches at Doors ize Boxes & No. of Conductors -Stapled Elec. & Mech. Equip. Listed for Location Romex Installed Close to Edg of Studs & C.J Elec. Receptacles in Garage; (G.F.L)-Romex Protec. _ Equip. Ground made up w/ h. Fastener and & er � psulation-Foam-Looked in Attic Yes --- 2 Appliance Circuits in Kitchen & Conductor Size �,,/ ,�Oj�GUard Rails &Deck Construction -Post Caps 26' ed-Wire�i�e / / ga. Cu or AI-A.C. Wire Size / ga. Cu or AI Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - Card B -I Card -I 37.4 Range Circ. / / ga. Cu or A Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes �]No _ Service -Riser Conductors & Ground -Main Disconnect W.Equip. Clearances: Panels-Motors-Mech. Equip. CI�Closet Light -Shower Light --- - -- -----71K D- Date Card -BI Date F-- � - Date and -BI Date16. X Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; /Plawers 2Yes ❑No tucco town -Finish 7 A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 06.Aents Abp2e Roof; P . App 'ance-Fir pl.-Cleara a to Opngs. Wate II; Dis nect,EdqDcal, qMing BB .-,/Exterior Elec. Trim; G.F.I. Receptacle -Underground 8e Ventilation throughgjA House ass Protech Date M HANICAL (Permit) OK except q's Correctio rom Previous pections as st-Meters Ta d; Gas -Electric - Card -BI Card -BI A.C. Ducts_ Insulation & Support _ _ / Vent Fan; Exhaust above Insulationqej(Energy W. Condensate Drain & Overflow; Size & Grade F ace Access -Comb. Air -Return Air Vent_ -115V outlet ttic Access & Platform if Furnace in Attic $ Date - - tcC. S 2 1 Card -BI ( Date (� — `�.- _ " fZ Date s' a Card -BI Date Water & Sewer Connected -C/O to Grade -HD Approval Compliance Certificate -Other Certificates Card -BI Date p Card -BI Date Card -BI _ S Date Card BI Date Card -BI Date Card -BI Date Date F MING(Plans) OK except q's Comments at Final: _ . Sills; Proper Material & Anchors _ �yy Walls: Studs -Nailing, Spacing & Bracin g -Plates -S and 38 Bearing Walls over Girders & Floor Nailing A/ Draft Stop in Walls (rat proof)_ Fir_e_Stops: Furred Ceilings -Stairs -Chase VV/ -Header & Beam -Size & Bearing a?/ ange `-Post C�nchorson �CI . Joist- ftTruss-ShHfnq.-Rfnireplace� T/iies hroat Attic Acl s: Size & amex Protection -Draft to -Ins If e _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimen_si Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) Owner:_____.____ s Permit No. ENERGY C -E R #5 Gold Creek, Chico T I F ICAT ION LOCATION A.P. No. DESCRIPTION OF -INSULATION ROOF Material Brand Name Thickness (inches)_.. Thermal Resistance (R Value)_ EXTERIOR WALL Material_ Fiberglass Brand Natne Certainteed Thickness(inches) Thermal Resistance(R Value) R-12 CEILING Batt or Blanket Type^ Viber_•glass Brand .Name Certainteed Thickness (inches)___ 10" Thermal Resi_stance(R Value) R— L . Loose Fill Type Fiberglass _ Brand Name Certainteed_ Insulsafe. II. Minimum ThicknesWnches) 11�� Number of Bags 42 Wt. per bag 2,- lb. Area covered(ft._ )___18&0 Thermal Resistance(R Value)_ R-30 FLOOR, ELEVATED Material Brand Name Thickness(incties)_ _ Thermal Resisthnce(R Value)�� FLOOR, SLAB Material Brand Name_ Thickness(inches)!� Thermal Resistance(R Value) Width(inches) FOUNDATION WALL' Material _ Brand Name Thickness(inches)� Thermal Resistance(R Value)___ I hereby certify that the above insulation was installed in the above building in c fo a nce with the State ;Inc. orn a Energy Requirements. iI ns Inau- ion Co . ,, X378407 STATE CONTRACTOR'S 'LICENSE N0. 7-23-86 SIGWI'K&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 (2quiprneht, devices and materials are of the quality prescribed or are, spdei.fi:dal.ly approved by the State of California. i'IRM NAME/OWdER (Please print) GNA RE OF GENERAL CO CTOR 01 -R 7 "7 -3 STATE CONTRAC'POR'S LICENSS NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED 14IT11IN THE BUILDING. January 1984 Inter®®ep®Ft ental MemoFandum TO: FROM: SUBJECT: SQ�� )nA 1/1ppyLLf PATE: A. P. r V- �; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE w c, �<e -�7, c, d e - 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. tj G It l J i7 t57 4- 0 �— /.�-nom: a �-' weI ( I., Pad• Inspector o�� Date COUNTYfI°OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center °Drive, Oroville —Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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. Cd' L.iJ t ,.- P A:62 w .tee ev-Q . � v.i�'S w6�`s-- G ►�� (B I 99- C- r -d / 'l i� r T A /A -4-- -Il" ---ia i "C(4:2- - ! :y 3 P O r rA U–, ii \ r2 LiC-^AS . Inspector— / r Date 61 a � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE �-Z'' OWNER PERMIT N1 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 corre ion of work is completed. If you have any question pertaining to this matter, o need/additional explannattion, please connt"act this office,j.inmediately. / N4 kVLQAifC C �T � • Inspector , Date y < 6 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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. Inspector G r d - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT • � h PERMIT NO. A ASSES10R ^ARCE�NUMaE o ZONING r 1 BUILDING PERMIT OWNER WU AkXl TE 0 NIE SO. FT. OCC. BUILDING VALU - N OW ER'S MAIL NG DDRESS k IN �� I ^ d� CONTRACT R AME TELEPHONE t S t V CONT ACTOR'S MAILING ADDRESS ^ 1 Fireplace '� `' ND CONS RUCTIOLEN Y'S G9A t UNKNOWN Total Valuation Is Filing Fee $ 10 �. LEND MAIs 1IeA CIM QnV I ZIG � Permit Fee $ ARCHITECT OR NGI.NEER r l LICENSE NO. Plan Checking Fee $ S� Energy Plan Checking Fee $ , ARCHITECT OR ENGINEER'S MAILING A RE55 Penalty $ BUILD _ A RTES VV_e Permit fee $ , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME J �2S P -7A RCELI MAP I -/b Water piping 5.00 'V Each qas water heater or. vent 5.00 SE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 ^ Building sewer 5.00 5 Mobile Home S.I G I IN O.00ea TYPE OF WORK NewQ/ddition❑ Be d I❑ Utilities[] Installation❑ Other❑ Describe work: .J Permit Fee $ ,�10 Contractor ELECTRICAL PERMIT Filing Fee 10.00.1 Main service 100 AMP OR1 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 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. r�� Classification R ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLIN6e��oO�� OR ADDNS. ( ACC. BLIiBSd� 2'A¢sgft 3S� NEW CONSTR. ULTI-OUTLET 2.50 ea NO N.R ESIBRANCH CIRC ITS (POWER APPARATUS sI SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL030 Ex. OCCUp. OUTLETS FIXED P(RESID )REA.� 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. bYirin g 15.00 Permit Fee $ g 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 Cooling g Hood 3,00 Ventilation r 00 permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in con�equen of the granting of this permit, .L X Date Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 91��, OCCUP. �.?) C�ONrST.T PE U"� v P761PARCEL PD ND Issu This permit is herebyissued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Dat -21 7-9 t- �� l Receipt No. .�� 9 oZ g� WNITE-D.P.W., YELLOW -ASS ESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT l COUNTY OF BUTTE - DEPARTMENT. OF. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET �� 1 �}� n Permit No. OWNER U�.i �� QA. P. No. Q 0 Proposed Building Use " V__� / ,-- ' Permit Fee Based Upon: —Complete Contract Price //DPW Valuation l� Other (Explain) Building Inspector Date r At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2— Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorization. 3 Sanitation approval from 011-^0 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 owner, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Required. Pre-InspIn request to (Dote) '1 P q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. /��$� 1 9. Other DRIVIMAY PEt2MIT & CONSTRUCTION APPROVAL REQU RED PRIOR TO il�rl Y'a1 When you issue the permit, process as follows: Mail to owner. —Mail -to contractorlj: Telephone and hold for pickup at office. Deliver w/inspector. Other _ A �.0 moped A71&0V- If`�►'� � 1 Applicant � ,/Date �t / Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above a time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designe , wner) was advised of above required data by Telephone Mail Other -n / By Date Plans checked by Plans aDDroved b, Other: Copy—DPW Date Date 441 TO: Building Department , FROM: Environmental,Health'. Chico SUBJECT: Sanitation Clearance 02 Owner �T Locati n ate/ AP C .Plann approved for; sewage disposal L., --water supply Hold final for: water°supply Final clearance O.A. for: water supply Clearance for '2, --bedroom m ileo Other ' Note*** tarian Date #85698 MC I{ CoRO-D IN OFFICIAL RECon OF BUTTE COURITY. CaLIFOR?,Ild hTiHEREQUEST0F AMD VALLEY TITL& N&COMPARED WITH 1986 JAN -6 AM 1+: 35 ORIGINAL DOCUMENT ELEANOR P�1. BECKER Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ��Rf� RECORDER EEE- FOR RESIDENTIAL DEVELOPMENT �6- 36E Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot 19, as shown on that certain Map entitled, "SOUTHGATF. ACRES SUBDI— VISION", which Map was filed in the -Office of the Recorder of the County of -- Butte, State of California, on September 27, 1979, in Rook 72 of Maps, at Paqes 15 and 16. RESERVING THEREFROM the righ.t of ingress and earess over Lewis Drive. PARCEL II: The right of ingress and egress over Lots 11 throuab 18 and Lot 20, as shown on that certain Map entitled, "SOUTHGATE ACRES SUBDIVISION", which Tap was filed in the Office of the Recorder of the County of Butte, State of California, on September 27, 1979, in Book 72 of Maps, at Pages 15 and 16. Subject to Covenants, Conditions and Restrictions recorded November 1, 1979, in Book 2458, Page 379, Official Records, and as amended March 3, 1981, in Book 2599, Page 489, Official Records, and as amended April 9, 1981, in Book 2611, Page 523, Official Records, also amended January 29, 1982, in Book 2690, Page 435, Official Records. Personally known to me. / / Proved to me on the basis of satisfactory evidence to be the person(s) whose names) subscribed to �■■mA■■e■o®ea®■■�,■ta+amooa■ the within instrument and acknowledged that ,o CAROL L. 91RD executed the same for the purposes therein contain 9 Bi IN WITNESS WHEREOF, I hereunto set my hand and official seal. NOTARY PUBLIC -CALIFORNIA m . Butte County p 5 My Corrunission Expires Sept. 16. 1988 p Notary ublic Present A.P. No. 411 -• 4- `L 9 #85698 MC J. Date: , — J 61 PROPERTY OWNERS: State of ) On this the,( day of 1 before SS. me, the undersigned Notary Pu lic, personally appeared County of ) Personally known to me. Z/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to �■■■■■■>m■■m■®■■■■■ta■■■o•■ the within instrument and acknowledged that executed the same for the purposes.therein contain ■ CAROL L. BIRD � IN WITNESS WHEREOF I hereunto set m hand and official seal. ■ a � y ■ ��' NOTARY PUBLIC -CALIFORNIA o ■Butte County p My Commission Expires Sept. 16. 1686 Notary ublic Present A.P. No. I rl RESIDENTIAL PLAN CHECKING'GUIDE 7/85 '(S.F. , DUPLEX & tIISC.' ONLY) l G G /a 2� �iUA,�EF/E[.1� Bldg . Permit # �� OWNER W / / A.P. # / GENERAL k. Zoning requirements: (sideyards and number of permitted living units). �! Valuation. Z. Plans signed by designer. Energy Design and Compliance. ,,,k. Existing violations on property. PLOT PLAN Ae. Complete parcel size and dimensions. -r Setbacks, sideyards, easements, etc. i3' Other buildings or structures.' .4. Grading, fills, drainage. tY. Flood hazard. 06. Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan with dimensions. y Required windows for light and ventilation (Sec. 1205). Required windows for second -exit (Sec. 1204). ,4- Skylights (Chapter 34 & Sec. 5207). .�: Human impact glass (Sec. 5406). i(f Required room sizes, ceiling heights (Sec. 1207). r7: G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). i8: 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. -4-6: Garage firewall, door size, and closer (Sec. 503(d)(3)). •ice 1 - 3'0" exterior exit door (Sec. 3304(e)). .1-2: Fireplace and wood stove location. y3' Smoke detectors (Sec. 1'210). STRUCTURAL DETAILS X. Foundation plan complete enough -:to construct building. .,2 Floor construction details complete enough -::to construct building. Elevations and wall construction details complete enough to construct building. Roof construction.details complete enough to construct building. ,S-.�Fireplace construction details and calcs if necessary. ,Xo!' Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR ilk Exposure I plywood on exposed locations and overhangs. -2! Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). •-Y- Guardrail details (Sec.•1711 & 3306(j•)) .A- Brick or stone veneer (Chapter 30). ff Exterior plaster - weep screeds.(Sec. 4706). Proper roof pitch for roof covering (Chapter 32).. Rafter ties or bearing ridge beam. A RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) Garage door or porch header sizes. �1. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. yl� Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). Attic access and ventilation (Sec. 3205). /Y Underfloor access and ventilation (Sec. 2516). ' Wood stoves, clearances, alcoves & 1 -hour shafts. Combustion air for fuel burning appliances. .a Noise requirements on duplexes. , Adobe soils - special foundation design. "etaining walls requiring design. Z. Unusual shape, size or split level house requiring lateral design. , �ZONE 11, / POINTS OWNER Akt-'Q"- �_f/_Re6X16e0 I tatlon I 1 PERMIT NO. -8G ASSIGNED ACTUAL 1. SLAB - INSULATION 1 0 1 +1 I +2 s _ A VI 1 .37-:66 I 0 I 0 I 0 I .67-.82 2. RAISED FLOOR - R-19 i -00 I -1 I -2 South 3. CEILING - R-30 d to I to I' to I to I up 4. WALL - R-19 1 0 1 +1 I +2 I ++2 IT +3 I .19-.42 5. NORTH GLAZING - 2.4-3.6% IO I -1 I -2 I v2 -3 I .67 up 6. EAST GLAZING - 2.5-3.6% �'3 f 7. SOUTH GLAZING - 1.6-3.6% 3��p� O S. WEST GLAZING - 2.9-3.6% I 0 1 0 1 0 i 0 1 0 .37-.57 9. SKYLIGHT - 0-1.3% ! -1 I -3 I -12 1 -15 8-' up 10. SHADING (Exclude Overhang) I 1 .1 I .8 11.6 13.2 14.1) ( to I to I to I to I to EAST - .66 lob U 1 0 1 +1 I-+3 I +6 I +7 SOUTH - .19 -.42_76 -lar- p I 0 1 -1 I •-3 I -6 I - WEST - .13-.36 �pfo _� I -2 I -4 I -8 i -16 l -20 I 1 I 1 I .SKYLIGHT - .37-.57 �- I X of 11. HORIZONTAL SOUTH OVERHANG 2' 2�t 0 12, 1-10VABLE INSULATION - NONE I I I I loor Points 13. INFILTRATION (Standard=0)(Tight=+12) V3 0 14. THERMAL MASS SF 10.41 I 15. GAS FURNACE (SE) 71-76% I Area 16. HEAT PUL1P (EER) 7.5-7.97 1 11.10 10.65 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% i 0.6 - 1.0 I -2 I -3 1 WOOD STOVE i 644 WATER HEATER 6 Points ATTIC Dov % I o �3 •4 1 OTHER _ -1 I 0 I Table 3-1 I ri- n=ala- I thin I Depth, I Lnches i T -- I 0 - 11 I 12 - 15 116 - 19 I 20 + I TOTAL POINTS = Slab Floor Point_ s ? Table 3-2. Raised P R -Value of Insulstion I I R -Value of I I I Insulation I 0-2 1 3-4 1 5-6 1' 7+ -5 1 -5 I -5 I -5 -5 1 -3 I -2 I -1 -5 I -2 i -1 ( 0 -5 ( -1 I 0 I +1 7/7/83 .. J below 3 3-4 5-7 8 - 12 13 - 18 •19+ Table 3-3a. Ceiling Insulation Points R -Value of Insulation I Points I I I 1 -4 -2 0 +2 +b Table 3-4a. Wall Insulation Poin I R -Value of Insulation I Points -7 0 +2 +3 Table 3-5. North-Faclnq Glazing P[ I I Glazing Type I Total I I X of I ST. Db!. Trpl, l I Floor I U- I U- I U- I I Area 1 0.66 ! 0.42- 10.41 I I I 1.10 10.65 I dorm O +4 a 4 ♦4 I 0.1- 1.2 i +4 ! +4 ! +4 I I 1.3- 2.3 I +1 I +2 I +2 i I 2.4- 3.6 I -2� 1 +1 I 1 4.9- 6.1 I -7 I -4 1 -3 ! 1 6.2- 7.3 I -9 I -6 ! -5 1 7.4- 8.2 I -12 I -8 I -7 I 8.3- 9.7 I -14 I -10 I -8 I 9.8-10.8 I -17 I -12 I -10 10.9-12.0 I -19 ( -14 I -12 ! 12.1-13.2 I -22 1 -16 I -13 I 13.3-14.5 I -24 I -18 1 -15 I 14.6-15.3 I -27 I -20 I -17 I Table 3-7. South-Faclnq Glazine Pta 'fable 3-10. Shading Coefficient Peierc I Glazing Type ! Total I ! X of I Sngl, Dbl, Trpl, Floor I (U - I (U - I (U - I Area 11.10) 1 0.65) 1 0.41)1 Iolnts I dints I ointsl O +! +3 a 3 up to 1.5 1 +2 1 +2 I +2 1 -1 I �� I 0 1 -4 -2 I -2 I 5.3- 6.5 1 -6 1 -4 1 -3 I 6.6- 7.7 1 -9 1 -6 1 -5 I 7.8- 8.9 1 -I1 1 -8 I -7 I 9.0-10.0 I -13 1 -10 ,I -9 I 10.1-11.5 I -17 I -13 I -11 I 11.6-13.0 I -21 I =16 I -14 I 13.1-14.5 I -25 I -19 1 -16 14.6-16.0 1 -28 I -22' I -19 I Table 3-8. West-FaclnR Clazln Pts. I Glazing Type I I Total I I I X of I Sngl, Dbl, Trpl, I Floor I (U I (U - I (U - I I Area 11.10) 10.65) 10.41)1 I Ioints I oints 1 ointsl o +6 +6 1 +6 I up to 1.3 I +5 I +6 I +6 I 1.4- 2.2 I +3 I +4 i +5 I I 2.1- 2.8 I 0 1 +2 I +3 I I 2.9- 3.6 I -3 I 0 1 +1 1 I 3.7- 4.2 I -5 I 2 1 0 1 I .3- 5.0 -8 -4 I -I I 5.1- 5.6 I -10 I -6 1 -4 I 5.7- 6.2 1 -13 I -8 I -6 I 1 6.3- 6.9 1 -15 I -10 i -7 1 7.0- 7.6 I -18 1 -12 I -9 I ( 7.7- 8.2 i -20 I -14 I -11 I 1 8.3- 8.8 I -22 I -16 I -13 I I 8.9- 9.5 1 -25 I -18 I -15 I 9.6-10.1 ! -27 -20 I -16 I 110.2-11.0 I -29 I -23 I -17 I 111.1-11.8 I -35 I -26 1 -21 I 1 11.9-12.7 I -38 I -29 I -24• I 1 12.8-13.5 I -42 I -32 i -27 ! 113.6-14.3 I -46 1 -35 1 -29 I 114.4-15.2 I -50 1 -38 1 -32 I SC by I I Orten- ! X Floor Area I tatlon I 1 I East i // 1 3.2 I to 1 6.4 up j 1 I 6.3 I 1 0 -.19 1 0 1 +1 I +2 I .20-.36 i 0 I 0 1 i3 1 .37-:66 I 0 I 0 I 0 I .67-.82 0 I -1 I .83 up i -00 I -1 I -2 South 1" 0 1) 3.2 1 6.4 I s.0 I 9.f I d to I to I' to I to I up I 6.3 17.9 19.5 I 1 0 -.18 1 0 1 +1 I +2 I ++2 IT +3 I .19-.42 1 0 1 0 1 0 1 0 1 0 I 43-.66 IO I -1 I -2 I v2 -3 I .67 up .i I D I -2 I -4 1 -4 I -6 West i .111.6 13.2 6.4 19.0 I to I to to I to I up 11.5 13.1/1 6.3 7.9 I I I I I 0-.12 I 0 1 +1 I +3 I +6 I +7 .13-.36 I 0 1 0 1 0 i 0 1 0 .37-.57 i 0 1 -1 I -3 I :6 I -7 .58-.82 ! -1 I -3 I -12 1 -15 8-' up -2 Tom_ -8 1 -16 I' --20 I I I I I Skylight I 1 .1 I .8 11.6 13.2 14.1) ( to I to I to I to I to I 1 7 1`5 13.1 13.9 1 5.2 0-.12 1 0 1 +1 I-+3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .31-.57 I 0 1 -1 I •-3 I -6 I - .58-.82 -I -1 I -3 I -6 I -12 I -. .83 up I -2 I -4 I -8 i -16 l -20 I 1 I 1 I I I I I I Table 3-11 Horizo t i e h n a ou t. �BI63 Table 3-9. Skylioht Overhand. Points / ele Table 3-6. Points South Glazing - lO East-Facln Glazing Pts. I Length Out I Area, S of Floor I I Glazing Type ( I from Wall I I I Glazing Type I I Total I I I ft r - '-'--I Total I I I X of Sngl. Dbl, Trpl, 1 ( 0-6.3 I 6.4 up I I X of I Sngl, Dbl, Trpl, I Floor I U- I U - I U - I I I I I loor Points I Floor I (U - I (U - I (U - I I Area 10.66- 10.42- 10.41 I 1 0 - 0.5 1 -2 1 -4 I Area 1 1.10) 1 0.65).1 0.41)1 1 11.10 10.65 I down 1 i 0.6 - 1.0 I -2 I -3 1 I 1Pdints 1points ! ointsl 11.1 - 1.9 ! -1 I -2 I Points I I o I+ 7 +.11 •4 1 I up to 1.3 I -1 I 0 I 0 I I 2.0 up I 0 I 0 I i I up to 1.3 1 +3 1 /4431+4 1 I 1.4- 2.2 I -3 I -2 I -1 i-2.4 +1 1 +2 1 ( 2.3- 2.8 I -6 I -4 1 -3 1 Table 3-12. Movable Insulation -12 I 1 2.5- 3.6 1 -2 I 0 1 0 1 1 2.9- 3.6 I -9 I -6 1 -5 I Points 3.7- 4.6 I -5 I -2 I -1 I 1 3.7- 4.2 I -11 I -8 1 -6 I 4.7- 5.6 I -8 ( -4 I -3 I I 4.3- 5.0 I -14 1' -10 1 -8 I I Moveable Insulatlon'l -4 1 I 5.7- 6.7 I -10 I -6 I -5 I i 5.1- 5.6 I -16 I -12 i -10 I I Area, X of Floor I Points 1 72 1 ( 6.8- 7.7 I -13 I -8 I -7 I I 5.7- 6.2 1 -19 I -14 I -12 I I 1 0 1 1 7.8- 8.7 I -15 1 -10 1 -8 I I 6.3- 6.9 I -21 i -16 1 -13 I I 1 I 8.8- 9.7 I -1.7 1 -12 I -10 1 I 7.0- 7.6 I -24 I -18 i -15 1 1 0- 5.5 I 0 I I 9.8-11.2 I -21 I .-15 I -13 1 I 7.7- 8.2 ( -26 I -20 I -17 I 1 5.6 - 11.5 I +2 I 111.3-12.7 I -25 I -18 I -15 1 I 8.3- 8.8 I -28 I -22 I -19 I 1 11.6 - 17.5 I +4- 12.8-14.0 I -28 I -21 I -18 1 I 8.9- 9.5 ( -31 I -24 1 -21 I 1 17.6 - 23.5 I +6 i �:. i 14.1-15.3 I -32 I -24 t -20. 1 I 9.6-10.1 I -33 i -26 -22 I 1 >23.6+ I +8 I Table 3-13. I1f!ltr3tlnn Control Features Points I Control Features I Points I T- I I I Standard 1 0 I ! I I ! -).9 air changes per hr I I I I I T- I Tight I +12 1 I ! I I 0.6 air changes per hr I' T.tble 3-15. Gas Furnace Wlthour RefrbRerstlon Cool!r.R Points Table 3-16. Neat Fume Points r I Energy Efficiency I Points I I Seasonal Efficiency I Points I 1 (SE), t 1 � I I I 71 - 76 I 0 1 I 77 - 82 I +2 I I 83 - 88 I +4 I I 89 - 94 I +6 I I 95 up ! I ( +8 i I I +12 l I 9.2 - Table 3-16. Neat Fume Points r I Energy Efficiency I Points I I Ratio (EER) ! I 7.5 - 7.9 I +3 I 'I S.0 - 8.3 I +6 1 I 8.4 - 8.7 I +9 1 I 8.8 - 9.1 I +12 l I 9.2 - 9.6 I +15 I I 9.7 - 10.2 I +18 I I 10.3 - 10.8 1 +21 l I 10.9 - 11.5 I +24 I I 11.5 - 12.3 l +27 I I 12.4 - I 13.2 i I +30 I 1 Table 3-17. Gas Furnace With RefrlReration Coollne Points Refelgeraclonl Gas Furnace. 1 I Cooling 1 SE + 1 I171 -177-i 83 - sq --T-95-7 I 1 761 821 881 941 u0 I I 1 8.0 - 8.3 1 +21 -1 +61 +8 1 1 8.3 - 9.2 1 +41 51 +81+101+12 1 1 9.1 - 9.7 1 +61 +81+101-121+14 1 1 9.8 - 10.3 1 +31+101+121+141+16 1 1 !0.4 - 10.9 I+101+L2j+141+16i+18 I 1 11.0 - 11.5 1+121+141+161+•181+20 1 1 1 ! I 1 I 7/7/83 ZONE 11 TAELE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS MASS _ DUELLING ARFA SQUARE FOOT AREA 1,000 1 1,500 1 2,000 I 2.500 I 3,000 3,500 4,000 I I.SGO S. I SQ. FT. I A B C D A. 8 C 0 A 6 C 0 A 8 C D A 8 C 0 1 A 8 C D. A B C D I A 6 C G :D ? 00. ISO 200 253 300 350 400 Sao 600 703 d30 900 1.000 1.100 1.200 1.300 1.400 1.500 2.000 2,500 3.000 3,500 •1,090 4.500 2 2 2 2 2 2 2 0 j 2 2 2 0 1 0 0 0 0 0 0 0 o 0 O 0 0. 0 0 0 0 0 0 0of a 0 0 0! 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 D! 0 0 0 01 6 6 6 4 4 4 4 2 2 •2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 012 +29 +34 +26 +30 2 2 0! 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2. 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 1 7 r, j 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2I 2 2 2 Z! 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2-1 1 2 2 14 14 12 8 10 IG 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 712 2 1 2 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6.6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2( 4 4 1 2 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 244 2 a a a 22 20 18 12 14 14 12 8 12 12 10 6 10 •10 8 6 8 8 6 4 8 G 6 4 6 6 6 4 1 6 6 a 2 I• 6 6 4 2! 24 24 20 14 18 16 11 10 14 14 12 8 10 10 10 6 10 10 8 6 8 88 4 8 6. 6 4 l A A 5 01 6 6 R 7 1 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 IO 10 8 6 10 R 8 4 ? 6 6 4 I 8 6 6 4I 6 6 e 4 1b 28 74 16 21 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 I 's B '8 4 B B 5 41 B 8 6 t 30 JO 2 5 18 ?2 I24 20 20 14 18 18 16 10 14 14 12 8 12 12 10 '6 12 10 10 6 10 10 8 6 8 8 C dj ^, 8 6 4 i .12 37. 28 20 24 22 14 20 20 18 10 16 16 14 8 114 14 14 12 8 12 1Z 10 6 10 10 10 6 13 10 8 E�1 !a e f � 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 12 8 l4 12 12 8 '12 12 10 E ! 10 10 B 6 i 10 In 8 6 i 34 34 32 22 28 26 24 16 ! 22 22 20 12 18 18 16 10 15 14 14 8 14 12 12 6 112 12 10 6 12 1 10 10 61 10 1C r. 6• 1 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 11 8 14 14 12 8 11 I? 1G tI 10 19 1-1 36 34 34 24 30 30 26 I8 24 24 22 14 I22 20 18 12 18 18 16 10 16 lE 14 8 I4 14 12 a I17 12 10 GI ;2 12 1C 6 ! 34 34 32 22 30 30 2618 26 26 22 16 22 22 20 14 I20 20 18 12 18 18 16 10 i 1G 16 is G1 14 14 12 5 i 34 34 30 22 I30 30 26 18 26 26 24 16 24 24 22. 14 22 22 13 !2 20 20 18 !'.'1 ly l= 1t i0 34 32 30 22 30 30 26 18 28 26 24 16 124 24 22 14 22 22 20 1411 32 32 30 20 30 30 26 la i 2d 28 24 16 26 21 22 14 7 ±•t 24 20 14 ' 32 32 30 20 30 30 26 18 ! 79 2b 24 lE 1 26 15 2. if 32 32 26 10 ! 30 30 26 1E j ! IOj JJ ;G 1-6 1= A) 1. 31y Concrete Slab: HC -8.93; R•.29: Facto r•7.3 2. 3 3/4` Thick Common Brick: ,107.125; R•.13; Factor -7.3 a) 1. Sk' Concrete Slab: HC•14.106; 1.•.458; Factor•7.1 C 1. 8` Solid Filled Block: HC•20.63; R-1.90; Factor•6.1 2. 8` Seltd Filled Block With Both Sides ExposedTo Conditloned Alr. NOTE: Use all square footage directly expa-ad to conditioned at r for Thermal'Mass Area: IlC=10.164; R-.96:; Factor -6.1 DI 1` Thick Concrete/Tile: KC -2.5S; R•.083; Factor?3.7 Table 3-19. Zonally Controlled Electric Restvtance Space Heating Points i Pointsfor this measure w!11 I Table 3-271, Solar dater Heating With Cas Backuo Points i be completed after the CEC I I has approved an Alternative I Component Package for Resistance 1 I Beat. I Table 3-15. Active Solar Space Heating with Gas Points I Net Solar Fraction I Points I (:NSF), % I I 1 I I I 0-6 I 0 1 1 7 - 14 1 +2 i I 15 - 23 I +b i ! 24 - 30 I +6 I I 31 - 39 I +8 I i 40 - 47 I : +10 1 I 48 - 55 I +12 I I 56 - 63 I +14 I I 64 - 71 l +18 I 72 up I +20 I I I I wood stove 433 points -(no back up) casablanca fan + 1 point N.ultlfamll (per unitpoints) Points I I I Gas Only I I 0 I I I Heat Pomp I I Floor Area I Solar With Electric I Net Solar Fraction (NSF), Z ! per unit, I menta 1:1 Part 2 I 1 0 ! I I Electric Resistance I ! I Or. ' -40 I ft2. 0.9 10-19 20-29 30-39 40-49 59-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 (:09 and up 0 +1 +2 +4 1 +5 1 +5 1 +7 1 +9 All pothers (pe building points) _ 800-899 900-999 0 0 +5 +4 +10 +9 :14 113 +19 +17 +24 +i1 +29 +34 +26 +30 1,000-•1,199 0 +4 •1.7 ill +15 +19+22 +26 1,20rr-I 499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999Lo 0 +2 +5 +7 +9 +12 +14 +lc 2,000-','7;90 +2 +3 +5 t7 +8 +10 +11 3,01':0 ar.d uo +1 +3- +4 +5 4.7- +S +IO 1 , Table 3-21. Other Voter Heating Pts. I System Type I I I Points I I I Gas Only I I 0 I I I Heat Pomp I I 1 0 ! I Solar With Electric I I Re9lstance Backup l ! I Her.ting the Require- I I menta 1:1 Part 2 I 1 0 ! I I Electric Resistance I ! I Or. ' -40 I RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM ' /lt%A/�E L/QLD -BYo. Owner IM /L GHQ � Climate Zone /� Permit No. Floolk Area .Compliance path: Package ❑ A ❑ B ❑ C int System ❑ Budget Other MIN R -VALUE DESCRIPTION REQ'D . OW14 .. INSTALLED ITEMS (1) INSULATION: insulation: I!i Roof/Ceiling 30.00 Wall Ze oV - mass ❑ Slab Floor Perimeter ❑ Raised Floor Type (2) INFILTRATION• Ft.2 ❑, (A) A vapor barrier is required in climate zones, 1, 14 & 16. MC= (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and ❑ labeled, - Area (C) All swinging doors and windows leading to unconditioned areas R= shall be fully weatherstripped. MC= Location Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ ❑ (E) Electrical outlet plate gasket - Area ❑ (F) Air-to-air heat exchanger R= (3) GLAZING: Location (A) Location Area Glazing Vloor Area Single Double Triple [� Total Bldg 211.00 //.36 Ft. HC= North :!56.00 2 93 _✓ (8K East t� South 40.00 37 ,/ ($� West 7G .o0 3. �� ✓ ❑ Skylights HC= R= (B) Shading MC= Location Shading Coefficient 'Description ❑ Type East (06 - Area Ft. South _L R= Q/ West G (o Location ❑ Skylights [V/ (C) South OverhanA 2 / Length of projection ft. Description ❑ (D) Moveable insulation: Area ftz Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R- MC= Location ❑ Type - Area Ft. 'HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location 7/83 FORM • ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped: with tight fitting closeable metal or glass doors covering the entire opening of the firebox.; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue'damper.with a readily accessible control. *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A). -.Heating —/ L+J' Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump. (brand and model number) ACOP Btu/hr .(heating capacity at 47°F) ❑ Active Solar ;type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation co.11ector.tilt` rated y -intercept rated slope 0 Other (describe) (B) Cooling - Electric Air Conditioner 8.D (brand and model number) (seasonal EER) Btu/hr' (cooling capacity'at 95°F) _ ❑ Electric Heat Pump EER Btu/hr (cooling 'capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO=STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps: ( (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. [� (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan'type central furnaces, gas-fired fan type wall furnaces and s gas cooking appliances. ' (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (� (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 ,.• FORM 1 + (6) DOMESTIC WATER SYSTEM Gas Only Gallons (brand and model number) (tank size). ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar .(collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 :(backup heater type, brand and -model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other .(Describe) (! :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. a (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned..space shall be insulated with a minimum of R-3. Steam.and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope.shall be insulated in accordance with T20-1408 (d)'. ❑� (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING LAY (A) Lamps.used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual), sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature 2 °, elevation heating load.28%Oo BTU elevation factor /.00 _x hCatng load = maximum outlet capacity gas furnace 28700 BTU Cooling: Summer design temperature 10Y °, cooling load :7540 BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P:S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATURE OF BU NG ESIGNER OR APPLICANT [�3