HomeMy WebLinkAbout042-090-079042-09-0-079 93-3657 BPEM
SCHRECK, RAYMOND
i EWING DR, CHICOQ..
CONTR: MONTY BETTY 3 11.3NEW SF5
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042-09-0-079 93-3657 BPEM
SCHRECK, RAYMOND
i EWING DR, CHICOQ..
CONTR: MONTY BETTY 3 11.3NEW SF5
RVAI
November 1, 2001
Butte County Building Department:
Please allow representatives from North State Engineering access to and copies of the plans for
our home at: 40 Ewing Drive cross street is Kennedy Avenue
Chico CA 95973
Thank you,
Maurice Valcarenghi
40 Ewing Drive
Chico, CA 95973
1. c)e
F,�-33 72
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Maurice Valcarenghi, M.D.
OBSTETRICS AND GYNECOLOGY
635 W. East Avenue
Chico, California 95926
Butte County Building Department
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ENGINEERING
Civil Engineers •.Planners • Surveyors
FACSIMILE TRANSMITTAL SHEET
TO: FROM:
Jeanne Steve Mickelson
COMPANY: DATE:
Development Services Building Dept. 11/13/01
FAX NUMGPR: TOTAL NO, OF PAGES INCLUDING COVER:
530.538-2140 2
PHONE WUMALIi: SENDi'A'S REFERENCE NUMBER:
530-538-7541 7552
RE: YOUR REFERENCE NUMBER:
Plans, parcel # 042090079 None
URGENT C3FOR REVIEW ❑ PLEASE COMMENT C3PLEASE REPLY ❑ PLEASE RECYCLE
NOMLVCOMMENTS:
Jeanne,
Here is the letter that Maurice brought by our office, authorizing the release of the plans
for his residence. Please send us the plans directly, or send them over to the Chico office so that
we can pick them up. Thank you for your help.
Peel free to call nae at (530) 893-1600 with any questions you may have.
Steve Mickelson
Structural Department
NorthStar Engineering
20 DECLARATION DRIVE
CHICO. CALIFORNIA9 5973
530-893-1600
a
FAX -893-2113
Toa 619'ON Z99Ldd0VTZ829 F 9NIa33NI9N3 801SHINON 6b:60 10/21/LT
November 12, 2001
Re: Notthstate Engineering
Butte County Building Deparmient
Butte County, California
Dear Sirs:
�V
Blease allow NorthItrej, ngineering to review and copy as necessary any plans
including structural plans for ow home. They are evaluating our roof. The address
follows below.
Thank you,
w
M Valcarenghi
Sally Valcarenghi
40 Ewing Drive
Chico, CA 95973
Property ASMI Number: 042-090-079-000
Z00 619'ON ZSSLddOVTZ8£9 F 9NIa33NION3 8UISHiaON 617:60 TO/2T/TT
RESIDENTIAL
042-09-0-079T
SCHRECK, RAYMOND
36 EWING DR, CHICO
CONTR: MONTY BETTY
NEW SF
Mm
93-3657 BPEM
OFFICE COPY
G�
I Address
I � h
GAS Date j( - `-fl'
Meter By
ELECTRIC ate i
Meter By
OFFICE COPY.-
Address
GAS f
Meter By Date �, ��i
ELECTRIC
Meter By Date/0=5
—
JOB FINALED (Date)
Signature"—�
&n
V=OK
O = Not OK
-
=NotReApplicable MOBILE HOMES
' =Not Reidy
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Teat -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /"L"ft.
/ /"Net. or/ /" L' ft./ /"LPG
7. Well Clearance & Disconnect
B. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
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 -Fell -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
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Graders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
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/Initials POOLS (Plans) OK except #'a
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
0
V=OK
O=Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UN EAFLOOR Plans OK except #'s
Z nin Setbacks -Easements Flood -Slope
tg Mein; Soils-Elec. 6.40' Ftg. Depth
g., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth
4. Dg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
S.'Ste walls, Main; Steel-Blockouts-Wrapped
6 to ,walls, Garage; Steel-Blockouts-Wrapped
i \ kl-vowns and Special Anchors
SI b; Steel -Wrapped
8. Pers -Fireplace Ftg.-Steel
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
t' -7 y
Date/Initials PLUMB Permit OK except #'s
r Htr.; Vent -Access -Combustion Air-Baffle
Pipe; Test & Anchor -Nail Protection
D.W .; Test -Fittings & Anchor -Nail Protection
�� 1 ower Pan; Test, First Floor -Tub Access
20. Tes b & Shower, Second Floor -Tub Access
2. as Pine: Size & Anchors
9 -
V
Date/initials ELECTRICAL (Permit) OK except #'a
---Re--FixjWe & Transformer Clearance -Ins. Protection
k_fj_p�eceptacles Spacing -Lights & Switches at Doors
2 . SizgAKxes & No. of Conductors -Stapled
V o nstalled Close to Edge of Studs & C.J.
qui ound made up w/Meth. Fastners-Bond Gas & Water
2 . A fiance Circuts in Kitchen & Conductor Size/GFI
gw�'bfeed Wire Size / / ga. Cu or AI- .C. Wire Size la ga.
Cu on
Al
Range Cir . 1Z9 ga C - n Circ. ga. Cu 6 Z&)
Ins ed Neutral es U No
ervice-Riser Conductors & Ground -Main Disconnect
. Equip Clearances Panels -Motors -Meth. Equip.
3 thes Closet Light -Shower Light -Spa Light
Se Smoke Detector
P Fa
It
Date/Initials MECHANICAL (Permit) OK except #'s
Ducts Insulation &
(3y Vent Fan; Exhaust above insulation
3§�onqAnsate Drain & Overflow; Size & Grade
31YFurnpnce-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38.lYttic Access & Platform if Furnance in Attic
Date/Initials FRAMI ana) OK except #'s
3 . il§,Proper Material & Anchors
albs -Nailing, Spacing & Bracing -Plates -Sound
4&,9e_ar4WWaII over Girders & Floor Nailing
4 raft Sto in Walls (ret proof)
S ; Furred Ceilings -Stairs -Chases -Tub
4 aders & Beam -Size & Bearing
Date/Initials /' FRAMING (Continued)
P!Eng. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng.
47 ireplace Ties or Type A Flue -Fireplace Throat clearance
Attic,/ ecess; Size & Romex Protection -Draft Stop -Ins. Baffles
4rm. Windows or Exiting Doora-Sill Hgt. &Dimensions
5 . arage Fire Protection Framing
—bf-Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
—4i3--Stejiat Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Ovefhang-Attic Vents -Rafter Outriggers
iding-Nalling Veneer
fjJZ2_'tV, cco Mesh -Drip Screed -Fd. Vents-Underflr. Access
zing Area -Glass Protection -Skylights -Plastic
Date/Initials FINA ana OK except #'s
deTx_tSteps-D_oor & Sidelight Protection -Landings
Smoke Detector
oelrurnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
d+.-teyjaw Exiting 1.
F. 1. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel;Breaker Sizes & Labels
a6'T.' Stairs & Rails
ireplace or Stove; Clearances -Hearth
69. Elec. tlets at Wood Panel; Int. & Ext.
jAeKit_.FI_xj_& Appliance; Grnd: Air Gap -Cooking Clearance
ec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing-Landing-Closer
--;99.-A.C. Duct in Garage -Damper
7�lOttM'Qr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
5. P ., Elec. & Mach. Equip. Listed for Location
70e,Efec. Receptacles in Garage; (G.F.I.)-Romex Protection
7 ulation-Foam-Looked in Attic ea
7 ygFd Rails & Deck Construction -Post Caps .
701OPdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
—efl-Following Ins .; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Pla tern Yes ❑ No
tucco; own -Finish Z, Z/
W. A. knit; Disconnect, Electrical, Plumbing
O."Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to
Ope Ings
%eWa-!VWeII; Disconnect, Electrical, Plumbing
ted c. Trim; G.F.I. Receptacle -Underground
entilation Throughout House
t7,etSls- Protection
°a �^ ctions from Previous Inspections
r - G est -Meters Tagged; Gas -Electric
.
911'Water & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
Comnwnts at Final:
1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PER IT N0.
-'� APPLICATIOWAND PERMIT '-�
ASSESSOR PARCEL NUMBER
042-090-079
ZONING
SR -1
BUILDING PERMIT
OWNER
Raymond E. Schreck
TELEPHONE
SQ. FT. OCC. BUILDING VALUATIO
3520 R 190,080
OWNER'S MAILING ADDRESS
5076 Yucatan Way,San Jose CA 95_18
768 M 13,82.
CONTRACTOR'S NAME
Monty Betty
TELEPHONE
891-0379
500 C 6,500
CONTRACTOR'S MAILING ADDRESS
3634 Bell Rd., Chico 95926
Fireplace A 1,500
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is 211,904,
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 1031.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 670.47
Energy Plan Checking Fee $ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $ 1724.97
4/0 5& Ewing Dr Chico
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00 L12.001
Solar or heat pump water heater 23.00
Water piping 15,00 15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00 15.00
USE OF STRUCTURE
SF CK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer15.00 1 15,00
Mobile Home S G W @20'00
TYPE OF WORK
New C?X Addition ❑ Remodel C1Utilities ❑ Installation C)Other ElContractor
Describe Work: 4 BEDROOM
LAWN SPRINKLERS 115.00
PERMIT FEE g 207.00
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( ZOOAORLES 1111 OR LISS ) 23.00 23.00
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. ,
OR ADDNS. ( & ACC. BLDS. ) 3.5C SOFT,
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
dl -Tam a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and mlicense is in full force and effect.
License No. Classification ,JI
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
ST. MULTI -OUTLET
-NONNEW-R S11D. ( BRANCH C RCU ITS ) @7.50
POWER APPARATUS t
6 SINGLE OUTLET CIR. I
Ex. Occup. ( OUTLET OR FIXTURES ) BAL 20 @ 1.60
Ex. Occup.FIXED APPWS. OR
�( OUTLETS (RESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
131--t-have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $ 193.08
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating 2 30.00
Cooling 50.00
Hood 6.50 6.50
Ventilation 3 4.50 13.50
PERMIT FEE $ 120.00
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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. •
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X = "-Date-
r Contractor ❑ Agent
Signature of �jplicant O OwI-r
An OSHA efmit is required excavations over 5"0" deep and demolition or
constructio of structures over 3 stories in fight.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
GCC
8_3
CONST. TYPE
VAJ
TOTAL FEE $ 2291.05
HAZ
D. FEES IMP
I FLOOD
COF PARCEL Po H
Issu
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
IndicWabewhich fees have been paid.
T R OF PUBLIC WORKS
BY/` Date / -
.yAA
JI / "Ole-
Ole-WHITE-D.D.S.-S.D.
PERMIT EXPIRES ON
(Date!
!
Receipt No.16313-0- 3.9 6 /
WHITE-D.D.S.-S.D. CA ARV -ASSESS INK-INSPECTO GOLDENROD -APPLICANT
'�:��R�.r'`Ji7.pi+V'��'.'i�"t.�'j7JR"i"�,��`"`fi���" 7" c �'"r�;�9r'�.i•�:<;�:c
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFO,.RRIA 9$5965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER /Ho,r C A. P. No. 2 — 0 5-37,
Proposed Building Use a , . Building Inspector C Date S�
At time of permit application, I was advised the following data must be -submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted. .`...................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7 Statement of Intent for Non -Heated and A/C Buildings. ..... ..............
�60Eng#jTe0ed truss details and layout in duplicate (required prior to plan check). .... _ _
obilehome data and manufacturer's installation instructions, 2 sets. ........
,Fees of $ 1 5 / 7. Pa ..........................................
Impact fees as shown on attached schedule . .............................. {`
12. California Department of Forestry plan approval/fees.
3. Flood elevation letter (100 year flood) by California Engineer ...................
4. Sanitation and plot plan approval CH" Health Department . ............C-77-1/-9�01
15. City of Chico plumbing permit . ........................... N..............
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
9. Driveway permit (construction approval required prior to occupancy). .:.......... 4 15
ecdon request
20. Pre -inspection for required. .. to Boiidin9 Inspector (Date
21. Contractor's license information. (No., Name Style, Classification) . ............. .
22. Certificate of Workmans Compensation Insurance . ..........................
91 Owner -Builder Verification (Given to owner , Mail to owner ............
aAK24'
Recorded copy of Agricultural Acknowledgement Statement. ........
25. Letter of signature authorization . ...................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... -
27. Letter of intent on building use . ................... .......
28. Mobilehome utility clearance . ...........................::............
29.`Documentation of legal access . .....................:................. .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When u issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 03xj and hold for pickup at C ei (, a office. Deliver with inspector.
Other
ParcelgCreation
Acpp
Acreage
e A licant D"ate
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By _r
The following data must be submitted r r to mit iss ie: irc r it not checked above).
1. Index permit for above items No.
2. Additionsitems required:
MP k) b
Contractor, designer, owner, was advised of above requ' ed data by _ phone _ mail Counter by _Date
Contractor, designer, owner, wasad is d of above required data by _ phone _ mail Counter by _ Date
Plans checked by �%i Date Plans approved by Date
3 Sets of plans on hold in 4-�File cabinet AP folder T&Au F
Copy - Department of Public Works ! `-C
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
e
3 y
owner I 1 ation
Se k V &aljj b
6 g 7f
AP #
Driveway permit e 1jeeld has been issued for the above property.
%3
s i ature date ._
�x
r
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-
I'I�il I'I:m AuucheJ_- _-- -
Simi to II:U: __-- -_-
7�
Owner Location AP//
Plan Approved for: Sewage Disposal Water Supply:` Public Private Well
Clearance for bedroom mobile home. Other pair Zeal ./t°SIG��l2Cr�
Final, clearance U.K. lor: _
NOTE:
�O!
Environme al Health V ecialist
8/92
7 12 B- f I
Date
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA -.(91.6)538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO,
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office When correction'of work
is completed. If you have any questions pertaining to this matter, or.need additional explahation,
please contact this office immediately.
4
77— d
Date inspector
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
_sC-ga q3 -3G5 7
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
M
REV 10/92
Insul,ition Certif irate 6�IVI r --f a,4J5,,-;—
rtjmt).f ,nj sUM c,ry
los '14 urnbcr
Description of Installation
ROOF_
N U tcr> J Brand Namc
Thickness (ir:hcs)Thermal Rcsis:arcc (It-Valuc)
CEILING
Batt orBLznkctType FIBERGLASS BrandNamc CERTAINTEED
Thickness (inches) 2 Thermal Resisu (R=Value)
Loose Fill Type INSUL-SAF E III. BrsndNai a CERTAI -EEP
Contractor's minimum installed wcight/ft' lb Minrmum thick= ss 1 inches
Martufactutu's installed weight per squats foot to acheive-Ihcrmal Resistance (R -Value)
EXTERIOR WALL
Mstcaial
Thickness (inches)
RAISED FLOOR...
Material FIBERGLASS
Thickness (inch--.$)
SLAB FLOOR
Mav-rw
Thickrc3s (inches)
Width (inc; cs)
FOUNDATION WALL ,
titatcriul FIRERGI.ASS
Declaration
BtandNameCERTATNTREM
Mictmal R=im= (R -Value)
BrsndName CERTAINTEED
Thermal Resivarice (R -Value)
Brand Name
Thczmal RCS*LS=m (R-Volur)
BrandNa.^lc CERTAINTEED
Thermal Resistance (R-Vzluc)
I hereby ecrify etiu fc ibcvc ilsuladon wis imtallcd in the building at the above l=do.nin conformance with
the current Building En:rgy Efficiency S=dards for new ruidential buildings contained in Title 24 of the
Califonva Administrative Code.
G rwJConaYto,(Ila uJicr) LuwcNumbca
Sljn"t WTide
S11ASTA INSULATION ° 272941
Sub- ur - wontruutla) Q LxwcNumbct
S�p,ws.r.iT,de.
Due
� J..\t,�'/.,�.! IAI_ iL�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754
APPLICATION AND PERMIT q=f_3=*
ASSESSOR PARCEL NUMBER 077
ZONING
BUILDING PERMIT
OWNER
c J'
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
20
r
OWN S MAILING ADDRESS �/�
%7Z " UC WA 4'. SA N -'
76C A% `
13 92,4-1
CONTRACTOR'S NAME
TONE OJ
���SSS 2%.
/J
- D
6.
CONTRACTOR'S MAILING ADDRESSJ ,, py
ZL t ," G``� i 6�5
Freplace
CONSTRUCTION LENDER
C
UNKNOWN
Total Valuation $ 7— O v
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ t�
ARCHITECT OR ENGINEER_v
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ 2.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSEE
FEE
$ 9 %Z q, IC
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
(p 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.%7 SUBDIVISION'S NAME
C/ —S % Z
p L MAP
' ?.�
Each gas water heater or vent
15.00 f
USE OF STRUCTURE
SF W Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
'15.00
Mobile Home S G W
` 20'00
TYPE OF WORK-
_��
New U Addition ❑ Remodel ClUtilities❑ Installation Cl Other CI
Describe Work:
PERMIT FEE
$ ,
Contractor
ELECTRICAL PERMIT
F• ing Fee 20.00
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service200A TO t000A )
46.00
NEWOR AODNS T % �'1 DWELLING BACCBLDSOCCUP, )
�/(
3.5C FT. it O
L•G
NEW CONST.' MULTI -OUTLET
NON•RESID. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I decla under penalty of perjury (check one)
am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No 30'9—Classification!
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS 1
a SINGLE OUTLET CIR. I
Ex: Occup. ( OUTLET OR FIXTURES )
BL. @x.50
Ex. Occup.FIXED APPLNS. OR
( OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
81—have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT.
Filing Fee 20.00
Heating
2 3�
Cooling
Hood
6.50
Ventilation
LIZ
PERMIT FEE
$ 2 -
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
Alupl_l Date
Signature # Applicant - Owner ❑ Contractor Q Agent
An OSH permit is r uired for excavations over 5"0" deep and demolition or
construction of structures over 3 stori i height.
Mobile Home Installation Fee $
Energy Inspection Fee 8 YAC
cr
consrr. v
V
TOTAL FEY$ Z Z �!%" � `
HAZ.
O. FEES
IMP
FlCOF
I PARCEL PD
--- —I
HD ISSUE
I
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
WORKS
Date
!Dere/
2
Receipt No. .5 333 -/ J ,
WHITE-D.D.S.- .D. CANARY -ASSESSOR PIN -I SPECTOR GOLDENROD -APPLICANT
�..,z°X57'p't^'ufi,c�"T..re.�,sps"'.,f..-"•3,.a,F"`^"�r'¢4�<':�u^.�`;s�yFi,��us�'Ci'r�4'� i 's4�S1`•szri�7?•,y"-�' ":.,nrz.;..-w-
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form -Per Building)
School District C All Building Department No.
yL. 09, 1,� -)5
A.P. Number Jurisdiction � City / County
Property Owner tr� �✓ e
Property Location/Address rI i ! ,,C, V&
Subdivison �cy-t,�-7C (� �p.'t�-rte Lot No.
Residential Development
No. of Living MHI Addition
Units
Commercial/Industrial
{
Building
C - eL
l0
Sq. Footage 35- Z o
(Group R)
0 = Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Representative
(Floor Plans reviewed by School District Personnel)
/i Zog. 53
Date
District Identification No.
_a 1 I C_ 0 at1ALp0)J School District certifies that 0Yl y
(APPIic
991-6
(Street Address) (Phone Number)
(City)
has complied with the requirements of Resolution No
representing 3-5a 0 square feet.
School District Representative
(State)
X91- 9a
Paid by Check Number � 3Remarks:
Bank Number
` Paid by Cash
(Zip
' by payment of $
Date
If,'subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to '
additional`school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) ' ' feeformmkf (4/92)
I
COUNTY OF BUTTE -
DEPARTMENT OF DEVELOPMENT
SERVICES -
BUILDING DIVISION
7 COUNTY CENTER
DRIVE, OROVILLE CA 95965
- TELEPHONE
(9.16) 538-7541
OWNER
A. P. #2.
PROPOSED BUILDING USE be"! L4, DATE
L2e SCHOOL DISTRICT FEESC L C)
(paid at District Office) ..........................
.�1. SHERIFF FEES
(paid at Building Department)
Residential .......x 3i 1oJ =$ �-
unit amt.
Commercial (sgft) x =$
sq.ft. amt.
URBAN AREA FEES
(paid at Building Department)
Residential (per unit) I x �✓ 3 =$ b i
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
CJ 4. RECREATION DISTRICT FEES
(paid at District Office) .........................
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division)...............
6. SRA FIRE INSPECTION AND PLAN CHECK = $$9.00......
_(paid at Building Department)
7. OTHER
8. OTHER
REC. # DATE REC
C'/ l /yha
f /r3o�iAlla S-
At time of 'permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT
.�• -i.ti r..-,u•..+o'`-•'f-tir L.P t' i-rr�'-t4•*wrv'1.r'YI'�-rte Lb�d'i�+i%�v#�•..M.,r�►r'v�;�+.{+►�-f•rJ�ri.+r�yy�`'�Ij�•'0^,Ks T'^►^6�``i�"T}��i''�ryd�C±�'�'•.f ...,:v�'�:,,;�. �.�-��y".
BUTTE COUNTY PARKS DEVELOPMENT FEE.CERTIFICATION FORM
CHICO AREA RECREATION AND PARK DISTRICT
Assessor Parcel Number(s) 2- = D — 1 -
Property Owner
Project-Location/Address
•Subdivision Si 'd ` /'04Yh, Lot Number(s)
Residential,Development: (check one)
_jWw Development _Alteration/Addition Mobilehome(s) _Non -Residential
to Residential
Total Number of Dwelling Units ni
Comment:-
. l ,�
B lding Department Representative Da e
Chico Area/Recrea
1 ako,4
„
(A icant Name
'(S�re et Address
c
ty
Park District(CARD) certifies that
(gob) 9-(0(0 - 420
(Phone Number)
(State)
(Zip Code
has complied with the requirements of Butte,Co. Resolution No. 90-14Q by
payment g,r dwelling units @ $1,189 for total payment of $
CARD Representative
PAID BY CHECK NO.
BANK NO.
PAID BY CASH
RECEIPT NO.
REMARKS:
Distribution: White --Applicant
Pink --CARD
park.fee (form revised 11/90)
Date
Yellow --Butte Co. Building Dept.
Goldenrod --City of Chico Building Dept.
0
c�
# 4�5 �7141- m (1..
Return to DPW
77�'JT7F C07 %, u 1 YY RECORDER
Sys Ru:�lo 3/ 779
HEFCOADED AT THE REQUEST 05
WCD VALLEY TITLE COMPANY
DATE RECORDa=MAL 2 7 1994
TIME: gw)A•n
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledge-
ment be recorded prior to issuance of a building permit.
The property described herein is adjacent to laud or included
within an area zoned for agricultural purposes, and residents of
this property may be subject to inconvenience 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 gen-
erate 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 nori>:Idl necessary farm operations.
All that real property situate ill the County of Butte, State
of California, described as follows:
Date: July 25, 1994 PROPERTY OWNERS:
RA M517 E. SG11Ittc. , TRUSTEE OF THE
RAYMOND I:. Sc:HRECK I(EVOCABLE 'TRUST
Joelle M. Seremil k
�� �y COMITI.111027559
STATE OF CA ORNIA NOTARY PUBLIC-CALIFORNI
SANTA CLARA COUNTY
COUNTY OF 'T7 7 C� f /iYL-/� Comm. EXOMIS May 22, 1098 -►'
ON r %J `l , BEFORE ME, &t e /Vl..�.. 2161
PERSONALLY A PEAKED~
P-»SONALL-Y=—K- WN=TO=ME- (OR PROVED TO ME pN THE BASIS OF SATISFACTORY
EVIDENCE) TO BE THE PERSON (S) WHOSE NAMI; (S) IS/ARE SUBSCRIBED TO THE
WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT HE/Si1E/THEY EXECUTED
THE: SAME IN HIS/fI #'�R AUTHORIZED CAPACITY (11;5) , AND THAT BY
HIS/RE"TR. SIGNATURE (5) ON THE INSTRUMENT THE PERSON (S) OR THE
ENTITY UPON B1✓HALF OF WHICH THE PERSON'(S) ACTED, EXECUTED THE;
INSTRUMENT.
WITNESS MY HAND AND OFFICIAL SEAL
SIGNATURE lJ O5;�J9 — O.:Z 4:::;'
.''Al
ORDER NO. BU -143714 MC
DESCRIPTION:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I:
LOT 6, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SOUTH FORK ESTATES",
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON JULY 20, 1989, IN BOOK 116 OF
MAPS, AT PAGE(S) 32 THROUGH 35.
A CERTIFICATE OF CORRECTION RECORDED SEPTEMBER 18, 1989, UNDER
BUTTE COUNTY RECORDER'S SERIAL NO. 89-35466.
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS, ROAD AND PUBLIC
UTILITY PURPOSES OVER THAT PORTION LYING WITHIN EWING DRIVE, AS
SHOWN ON THAT CERTAIN MAP ENTITLED, "SOUTH FORK ESTATES", WHICH MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON JULY 20, 1989, IN BOOK 116 OF MAPS, AT
PAGE,(S) 32 THROUGH 35.
A CERTIFICATE OF CORRECTION RECORDED SEPTEMBER 18, 1989, UNDER
BUTTE COUNTY RECORDER'S SERIAL NO. 89-35466..
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
PARCEL III:
AN EASEMENT FOR STORM DRAINAGE PURPOSES OVER LOTS 2, 3, 4, 5, 7, 8
AND 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SOUTH FORK ESTATES",
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON JULY 20, 1989, IN BOOK 116 OF
MAPS, AT PAGE(S) 32 THROUGH 35.
A CERTIFICATE OF CORRECTION RECORDED SEPTEMBER 18, 1989, UNDER
BUTTE COUNTY RECORDER'S SERIAL NO. 89-35466.
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
OWNER Sr- I/__
GENERA
1.oning requirements: (sideyards and number
luation.
.lans signed by designer.
Proper description of work on application.
h---E_xi ming violations on property.
8/91
Bldg. Permit #_ 9.3- 34;,5%
A. P. # 9? --&>9-79
Plan Checker F-:' K //— zz_9
of permitted living units).
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
ceded notice of violation.
PLOTPLAN
11� p/lete parcel size and dimensions.
2� Setbac s, sideyards, easements, etc.
rrading,
buildings or structures.
4. fills,drainage.
hazard.
_6�-Special conditions on creation map,
ustible, and foundations).
FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
FLOOR PLAN
j�7Re
mplete to scale plan with dimensions.quired windows for light and ventilation (Sec. 1205).
uired windows for second exit (Sec. 1204).
lights (Chapter 34 & Sec. 5207).
Homan impact glass (Sec. 5406).Required room sizes, ceiling heights (Sec. 1207).
�. CIs. in baths, garage, kitchen, and exterior outlets (Article 210-8).
ght fixtures, switches, receptacles, and exterior receptacles for main-
r]
echanical equipment.
of water heater, heating and cooling equipment, other electrical
uipment.
ewall, door size, and closer (Sec. 503(d)(3)).
exterior exit door (sec. 3304 (f).
and wood stove location, alcoves, and clearance.
ectors (Sec. 1210).
fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
3`�Clerestory requiring balloon framing and/or engineering.
ree story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
oor construction details complete enough to construct building.
-7-.—EIvations and wall construction details complete enough to construct
*.----'Roof construction details complete enough to construct building.
emplace construction details and calcs if necessary.
1W.'�2after ties or bearing ridge beam.
lage door or porch header sizes.
1 Sjud heights.
Adobe soils - special foundation design.
1j+. Retaining walls requiring design.
15. Special Inspection required.
building
RESIDENTIAL PLAN CHECK,ING-GUIDE
MISC&I,t.LANEOUS ITEMS',TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
-LSP-c— 3306).
2. Guardrail details (Sec. 1711 & 3306(j).
ri c or one veneer (Chapter 30).
x prior plaster - weep screeds (Sec. 4706).
5L- Yroper roof pitch for roof convering (Chapter 32).
0o covering type - (fire hazard).
",'minsulation - protection.
36" halls and stairways.
Living area over garage - complete 1 -hour separation
inc u g--9-u-pporting walls and posts, etc.
exits on three-story dwellings (sec. 3303 & see
Attic access and ventilation (Sec. 3205).
erfloor access and ventilation (Sec. 2516).
1 Co'Pbustion air for fuel burning appliances - L.P.G.
a�,=shing
'e requirements on duplexes.
1gy design.
at all exterior openings.
K. CDF responsible area requirements.
8/91
required on garage side
Mezannines - 1716).
requirements.
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lownse residential buildings subject to the Standards must contain t6ee e,measures regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by morn- stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features
noted shall be considered by all parties as binding minimum component perto mance specifications for the
mandatory measures whethe` they are shown elsewhere in the documents Won this checklist only.
DESCRIPTION I DESIGNER I ENFORCEMENT I
Building Envelope Measures
- 5150(a): Minimum R-19 ceiling insulation.
§150(b): Loose fill insulation manufacturer's labeled R -Value.
- §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
- §150(d): Minimum R-13 raised floor insulation in framed floors: minimum R-8 in concrete raised floors.
§150(1): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no
greater than 2.0 pemvinch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116.17: Fenestration Products. Exterior Doors and InfdtradoNExfiittation Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage.
b. Manufauureil fenestration products have label with certified U -value, and infiltration certification.
Q Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§150(g): Vapor barriers mandatary in CI'unam Zones 14 and 16 only.
§150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c Rue damper and control
2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110.13: HVAC equipment. water heaters. showerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§150(j): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined intenonexterlor insulation (R-16 or greater).
2. First 5 feet of pipes closest to water heater tank, non-recircuiating systems, insulated (R-4 or greater).
3. All buried or exposed Piping insulated in recirculating sections of hot water system.
4. Cooling system piping below SVF insulated.
S. Piping insulated between heating source and indirect hot water tank.
- §150(ml: Ducts and Fans
1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: duan insulated
to a minimum installed value of 8-4.2 or. ducts enclosed entirely within conditioned space.
2 Exhaust fan systems nave backdrah or automatic dampers
1. Gravity venaiatino systems servmo conoitioneo space have either automatic or readily accessible.
manually operates camoers..
§114: Pool and Spa Heating Systems ana Eguloment
1. System is cerafied with 78% thermal efficiency, on-off switch. weatherproof operating instructions.
no eiectric resistance nearing and no pilot light
2 System is instailea with:
a. At least 36' Pipe oetween kilter ano heater for future solar heating.
b. Cover for outdoor owis or outdoor spa.
3. Pool system has cirectionai inlets ana a circulation oumo time switch.
§115: Gas-tireo central furnace. pool heater, spa neater or household cookino apptiance have no
continuously buena esot light. (Exception: Non-eiectncal cooking appliance with pilot < 150 Btu/hr.)
Lighting Measures
§ 150f kl: 40 lumenswar, cr greater for general lighting in kitchens and rooms with water dosets: and
recessea ceding fixtures iC (insulation coven aoproveo.
COMPUANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply'with Title 24, Parts 1 and 6, of
trta California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feahze that is varied is indicated in the Special FeaturestRemarks section.
Designer �oyr1 Owner (pw Ousinnins &7Profaasfona coda)
/'
Name: e /Wr-r
TidWFrm:
Address: y L 75.
Telephone: Si -9 01 7 q
Lia. a: 0 T-8' 9 S /
(signature) I ) U (date)
Enforcement Agency
Name:
Tide:
Agency:
Telephone:
(stgnaturerstamp) tdatel
Documentation Author.
Name:
Title/Frm:
Address:
Telephone:
(signature)
(date)
Certificate of Compliance: Residential
Pro ject Tltle ,
• 3�. �wi�r. t��.
Project Address
4
Climate Zone 11
93 - 3lo5Z
Building Permit 0
• gee. il-�22-9Z
Checked By/ Date
Fontana nt Agency Use Only
B UII.DING SHELL INSULATION
Component Insulation 1.ocatiioar/fomments .
Type R -Value (atrie, to garage. Da=Lai. eta)
Roof ............ �23S
Roof..........WaU ...
.............
Wall..........
Floor ........ »».
Floor .............
Slab Edge ....:
FENESTRATION Shading Devices
Eenestlration, Area TyPe Interior, Exterior Overhang Fr ming.Type
Orientation (sf) (sinP� double) (roller blind. ete.) (shadt=wm etc.) (yes/tto) (me silwood)
North
North ( )
East ( ) -
East ( )
South ( )
South ( )
West ( )lk
West ( )
'Skylight....... �
•lff� f_
THERMAL MASS
Type/Covering Area 'Thickness W➢LD'N{� ��p�p�`i�
(slab/exo�osed. tile, etc.) so (inches) l.ocation/Descnodon ( ttc ort. ba a e.
ADo aIr- M
HVAC SYSTEMS Minimum Duct
Type (fluence, air Efficiency Location Duct Heat Pump
conditioner, hent otnno) (AFUE;SEER,HSPF)(attic etc,) R -Value Thermostat Type (split or nlr l,.
�d iZ
IIOT WATER SYSTEMS Tank R Value
�vstcm Type (stora¢e gas, ctc.) Caoacity Number Energy Factor Ext. Tank Tn.;-,,
S, co So _ o . S 3 _ Iz-12 _ S Tt$
>PECIAL FEATURES/REMARKS
Fenestration
BUILDING DATA
Area %
Conditioned Floor Area 3 Number of Stories_
North �r Z
Slab/Raised FloorNumber of .Units
East /if 2
Single Family Detached (SFD) [ ] Addition Alone j
WestSout
Wei
Single Family Attached (SFA) [ j Existing Building
Skylight
( ] Multi -Family (MF) [ 1 Existing -Plus -Addition
_ ..
—�—
Total - Z 1, 7
B UII.DING SHELL INSULATION
Component Insulation 1.ocatiioar/fomments .
Type R -Value (atrie, to garage. Da=Lai. eta)
Roof ............ �23S
Roof..........WaU ...
.............
Wall..........
Floor ........ »».
Floor .............
Slab Edge ....:
FENESTRATION Shading Devices
Eenestlration, Area TyPe Interior, Exterior Overhang Fr ming.Type
Orientation (sf) (sinP� double) (roller blind. ete.) (shadt=wm etc.) (yes/tto) (me silwood)
North
North ( )
East ( ) -
East ( )
South ( )
South ( )
West ( )lk
West ( )
'Skylight....... �
•lff� f_
THERMAL MASS
Type/Covering Area 'Thickness W➢LD'N{� ��p�p�`i�
(slab/exo�osed. tile, etc.) so (inches) l.ocation/Descnodon ( ttc ort. ba a e.
ADo aIr- M
HVAC SYSTEMS Minimum Duct
Type (fluence, air Efficiency Location Duct Heat Pump
conditioner, hent otnno) (AFUE;SEER,HSPF)(attic etc,) R -Value Thermostat Type (split or nlr l,.
�d iZ
IIOT WATER SYSTEMS Tank R Value
�vstcm Type (stora¢e gas, ctc.) Caoacity Number Energy Factor Ext. Tank Tn.;-,,
S, co So _ o . S 3 _ Iz-12 _ S Tt$
>PECIAL FEATURES/REMARKS
Doint System Summary: Climate Zone 11
Ceiling Insulation
Wall Insulation
or
U -value [0.028(
or
U-valuo (0.0651
Raised Floor Insulation or
R -value [191 U•value (0.0371
• Point Scares
-
Slab Edge Insulation or
R -value (01 F2 facax [0.751
Infiltration Any Ducts in Unconditioned Space? ( Y I N) (Yl
Fenestration Heat Loss 17- % % ----p u-
1.1 -value (0.651 Total % Fortes. 1161
7. Fenestration Heat Galrt
% Fenestration SCshade open Eff. % Fenes.
North -StZ x 4 • a
East to 2, x = D r
South ru 2- x
West x =
Skylight _�_ x _
Overhangs? ( Y / N
S. Interior Thermal Mass _� or
% Exp. Stab (201 Int Mass/CFA
g. Exterior Wall Mass
Shade Elf. Ratio
00 to
10. Heating System
xt. Wall Mass
x
Ems_
�3 =
cn�'2-
-
AFUE or SPF
t
Duct Effie. (1 story:
E AFUE
f
-S
(78% or 6.81
0.63: 2+ story: 0.881
or HSPF
11. Gaoling System
/0 x
- '6 r =
w I_
0
SEER (10.0(
Duet Effic. [1 sorry:
Efterave SEER
1
3. Raised
0.81; 2+ story: 0.871
-41
12 Water Heating
Single•
-27
-25 -22
System 1
Family
Mum -
One Two
Heater T
Energy Factor
Ext Ins. A -value
Auxiliary Input
(SG501
[0.531
1121
[None(
Zonal Control
Adjustment 101
Adjuautlent (01
Oi�txi,o y
[STDI
System 2
Heater Type (None) Energy Factor Ext ins. A -vacua Aux►uary Input Oistnoxmon
1. Ceiling Insulation
R•value
Number of stones
One Two
Three -
R -0
-74
-48
-27
R-19
-S
-4
.2
R-30
-1
-1
0
R-38
0
0
0
2. Wail Insulation
1
3. Raised
Floor Insulation
-41
Sings♦
Single•
-27
-25 -22
Family
Family
Mum -
R -value
08tached Attaeled
Famity
R-0
-72 -57
-43
R-11
-7 -6
-4
R-13
-5 -4
-3
R-15
-4 .3
-2
R-19
0 0
0
R-21
1 1
1
3. Raised
Floor Insulation
-41
•36
Insu1atim In Floor
-27
-25 -22
Numoer of stones
-66
R -value
One Two
Three
R-0
-14 -9
-5
R-11
-3 -2
-1
R-19
0 0
0
R-30
2 1
-23
Point Total:
4. Slab Edge Insulation
Numaer at Stones
3
Sum 1-6
A/
Sum 7-9
0
R-0 ' 0 0 o S, Infiltration (Duct Air Leakage)
R-5 6 4 2 Ouas in Untartdrttttned Space 0
R-7 7 4 2 No Ou= in UnconarttOnea Soace 3
6. Fenestration Heat Loss
Total 1.31
Percent or
nesirmon more
1.21
to
130
1.11
to
1.20
1.01
to
1.10
.91
to
1 00
.81
to
90
.76
to
80
it-wdue
.71 .66 .61
to to to
75 70 65
50%.
-100
-76
-69
-62
•55
-48
-41
-38
-34 -31
40%
-77
-58
-52
-47
-41
•36
-30
-27
-25 -22
35%
-66
-4
-i4
-39
-34
-29
-25
-22
-20 •11
30%
-54
-0
-36
-31
•27
-23
-19
-17
-15 -I:
281/.
-50
-36
-32
-28
-25
-21
-17
-15
-13 -11
26%
-45
-33
•29
-25
-22
-18
-14
-13
-11 -9
24%
-41
-29
-26
-22
-19
-16
-12
-11
-9 -7
227.
-36
-25
-22
-19
-16
-13
-10
A
-7 -5
2QX
-31
-22
-19
-16
•13
-11
.3
-6
-5 -4
18%
-27
-18
-16
-13
-11
-6
-6
-1
-3 -2
16%
-22
-14
-12
-10
-8
-6
-3
-2
-1 0
14%
-18
-11
-9
-7
•5
-3
-1
0
1 2
12%
-13
-7
-6
-t
-2
-1
1
2
3 a
10%
-a
-t
.2
-1
I
2
3
4
5 5
8%
-4
0
1
2
3
4
6
6
7 7
.56 .51 .46 .41
to 10 to to
60 55 50 45
-27 -24 -20 -17
-19 -16 •13 -11
•15 •12 -10 -7
-11 -6 -6 -1
-9 -7 •5 -3
-7 •5 -4 -2
-6 -t •2 -1
.4 .2 -1 1
-2 1 1 2
1 1 2 3
t 2 3 4
3 4 5 6
4 5 6 7
6 7 8 8
6 8 9 9
.36 .35
to or
13 -10
3 -5
-5 -3
.2 0
•1 1
0 2
1 3
2 4
3 5
4 6
6 7
7 8
8 9
9 10
10 11
7. Fenestration Heat Gain
(teased on Shade Eftecweness Ratio)
0.00
-3
0
2
0.20
Ell
10
Norm
•2
7
-t
East
-1
20
South
0
0.80
west
10
Skylight
%
.87
.67
.52
.51
.87
.67
.52
.51
.87
.67
S2
.51
.87
.67
.52
.51
.67
.66
Fen.
or
t0
t0
or
or
to
t0
or
or
t0
to
or
or
to
t0
or
or
or
extra-
more
.86
.66
less
mote
.86
.66
less more
.86
.66
less
moi e
.86
.66
less
more
less
bon
+6
Method
B
HP
HP
Int
to
Sib Floor
to
Raised Floor
Mass
Stories
less
-15
Stones
.5
CFA
18 %
.5
.4
.3
-2
-21
-20
•15
-12
-26
-23
•16
-12
.36
.32
•23
.16
•75
•50
16%
-4
-4
.2
-1
-18
-16
-13
-10
-2119
•5
-13
-9
•31
•27
.19
.14
-65
dd
14%
-4
-3
.2
-1
-14
-13
-11
-8
16
-1s.
•10
.7
-26
-23
-16
-11
-55
-38
121.
-3
-2
-1
-1
-11
-10
.8
.6
-12
.10
1 .7
-4
.21
-18
-13
-8
-46
-31
11%
-2
-2
-1
0
-10
-9
.7
.6
•10
-8
.5
.3
.19
•16
-11
-7
-41
-28
1CY.
•2
.2
.1
0
-8
-8
-6
-5
-8
.7
-4
•2
.16
.14
-9
-6
-37
-25
9%
'-2
-1
.1
0
-7
-7
-5
-4
-6
.5
-3
-1
-14
.-12
-8
-5
-32
-22
W.
-1
-1
•1
0
-6
-5
-4
-4
-4
-4
-2
0
-11
-10
-6
-4
-28
-19
71/.
-1
-1
0
0
-5
-4
-4
-3
-3
-3
-1
0
-10
-8
-S
-3
-24
•17
6%
-1
-1
0
0
-4
-4
-3
-2
-2
-2
-1
0
-8
-7
-4
•2
-20
.14
5%
.1
0
0
0
-3
-3
-2
-2
-2
-1
0
0
4
-5 -
-3
-1
-16
-12
4%
0
0
0
-2
-2
-1
•1
-1
0
1
-4
-4
-2
0
-12
-10
3%
0
0
0
0
-1
-1
-1
0
0
0
0
1
-2
-2
0
1
-9
-7
2%
0
0
0
1
0
0
0
0
0
0
1
1
0.
0
1
2
-6
-5
1%
1
1
1
1
1
1
1
0
0
0
0
1
2
2
-3
-2
0%
1
1
1
1
1
1
1
1
0
0
0
0
3
3
3
3
0
0
8. Interior Thermal Mass
Method A (Slab -on -grade Construwon Only)
Percent Cite Two Three
Exons Stones Stones
0
0.00
-3
0
2
0.20
1
10
2
•2
7
-t
4
-1
20
8
0
0.80
0
10
0
30
14
1
9
1
17
1 .
40
1.40
3
14
2
1.60
1
50
13
4
23
3
14
2
60
19
5
4
3
100%
2
70
13
6
9
4
4
2
80
(SEER x duct efficiency)
8
-17
5
32
3
90
Effective
9
-17
6
Sum of 1.6
3
100
Gas
to
Pkg
6
-24
4
-4
+6
Method
B
HP
HP
Int
to
Sib Floor
to
Raised Floor
Mass
Stories
less
-15
Stones
.5
CFA
One
Two
Three
One
Two
Three
0.0
-11
-3
-6
-1
-1
0
0.1
-10
-7
3
0
0
0
0.3
-9
-6
-5
1
1
1
OS
-8
•5
-4
2
2
2
1.0
-6
.3
.1
4
4
5
1.5
-4
.1
1
6
6
6
20
-2
2
4
8
8
8
25
1
3
5
9
9
9
3.0
3
'6
5
11
10
10
4.0
4
6
7
13
13
13
S.0
4
6
8
14
14
14
5.0
5
7
9
15
15
15
7.0
7
8
10
16
16
16
8.0
8
9
11
18
17
17
9. Exterior Wall Thermal Mass
Exterior Single- Single-
Wag Family Family
Mass 00tacned Attacned
Multi
Family
0.00
0
0
0
0.20
3
3
2
0.40
7
5
4
0.60
9
8
6
0.80
12
10
7
1.00
14
12
9
1.20
17
13
10
1.40
18
14
11
1.60
21
17
13
1.80
23
18
14
200
24
19
14
10. Heating -System
Houses With Ducts (R-12)
Sum of 1-6
Gas Split Pkg -25 -24 -14 -4
AFUE HP HP or to to to
- NSPF HSPF less -15 -5 +5
+6
to
+15
16
or
more
781.
6.8
6.6-
0
0
0
0
0
0
80Y.
7.0
6.8
1
1
1
1.
0
0
85%
7.4
7.2
5
4
3
2
2
1
90%
7.8
7.6
8
7
5
4
3
1
951/.
8.3
8.0
11
9
7
5
4
2
100%
8.7
8.5
13
11
9
7
4
2
0.87
(SEER x duct efficiency)
Effective AFUE or HSPF
-17
EM SEER
32
(AFUE or HSPF x duct efficiency)
Effective
of 7-9
-17
-0
Sum of 1.6
Pckg
-25 or
Gas
Split
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
NSPF NSPF
less
-15
-5 -
.5
+15
mora
One Story House
6.0
5.8
-16
-13
-9
-6
33%
29
28
-62- *-53
-7
•44
-34
-25
-16
401.
3.5
3.4
-40
-34
-28
-22
-16
-10
507.
4.4
4.2
-19
-16
-13
-10
-7
-5
60%
5.2
5.1
-4
-4
-3
-2
-2
-1
64%
5.6
5.4
0
0
0
0
0
0
701/6
6.1
5.9
6
5
4
3
2
1
WT.
7.0
6.8
13
11
9
7
5
3
90%
7.8
7.6
19
16
13
11
8
5
100%
8.7
8.5
24
20
17
13
10
6
Two or
Three Story
House
Story House
33%
29
28
-69
-58
-8
-37
-26
-15
doY.
3.5
3.4
-46
-39
-32
-24
-17
-10
501.
4.4
4.2
-24
-20
-16
•13
-9
•5
60%
5.2
5.1
-9
-8
-6
-5
-3
-2
697.
6.0
5.8
0
0
0
0
0
0
70%
6.1
5.9
1
1
1
1
0
0
80%
7.0
6.8
9
8
6
5
3
2
907.
7.8
7.6
15
13
10
8
6
3
100%
8.7
8.5
20
17
14
11
8
4
13.6
18
Zonal Control Adjustment
10
6
System Type
0
15.0
14.6
20
16
11
Resistance
3
6
4
3
2
1
0
Other
3
3
2
1
1
0
11. CnoGng System
Houses With Ducts (R-1.2)
SEER Sum of 7-9
A Sola Pdtg .25 or .24 to -14 to -4 10
AC AC less -15 •5 .5
.6 to
.15
16 or
more
10.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
120
11.6
8
6
5
3
1
0
13.0
126
11
9
6
4
2
0
14.0
13.6
13
11
8
5
2
0
15.0
14.6
16
12
9
6
2
0
8
-1
Effective SEER
7
SE
AO
0.87
(SEER x duct efficiency)
-12
-17
EM SEER
32
-19
Sum
of 7-9
-17
-0
Sold
Pckg
-25 or
-24 to
-14 to
-4 to
.6 to
16 or
AC
AC
less
-15
•5
.5
.15
more
One Story House
-12
5.0
4.9
-29
•23
-17
-11
.4
0
6.0
5.8
-16
-13
-9
-6
-2
0
7.0
6.8
-7
-6
-4
-3
-1
0
8.0
7.8
-1
0
0
0
0
0
8.1
7.9
0
0
0
0
0
0
9.0
8.7
5
4
3
2
1
0
10.0
9.7
9
7
5
3
1
0
11.0
10.7
12
10
7
4
2
0
120
11.6
15
12
9
6
2
0
13.0
126
18
14
10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.0
14.6
22
17
12
8
3
0
Two or
Three
Story House
5.0
4.9
-35
-27
-20
-13
-5
0
6.0
5.8
-21
-17
•12
-8
-3
0
7.0
6.8
-11
A
-7
-4
•2
0
8.0
7.8
-4
-3
-2
-1
-1
0
8.7
8.4
0
0
0
0
0
0
9.0
8.7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
4
1
0
120
11.6
13
10
7
5
2
0
13.0
126
16
12
9
6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
20
16
11
7
3
0
AdJuatarent for He Tank Inaolatiaa
Nurritter of Water Haaers
Water Hexer Tvoe One Two
SG50 .2 S
SG -,S •3 -6
SE -5 -4
HP .2 -4
Sans Size Adjustment
Hose Size 11th
Suomi was 1000
Water 1 leating titan to
Poem Some 1000 1499
-30
47 -5
.23
-14 .4
.20
-11 -3
.15
A .3
-10
-6 a.
.5
3 .1
0
0 0
5
3 1
10
6 2
15
9 3
20
11 3
25
14 4
House Sire AdJustment
Hose Size (ft-)
Suototat 15M 2000
WSW smut q to or
Pont Sears 1999 more
.30
0
3
-2s
o
2
-20
0
2
•i5
0
t
-10
0
t
.5
0
0
0
0
0
5
0
0
10
0
1
15
0
1
20
0
.2
25
0
.2
Zonal Control Adjustment
All 6 5 4 2 1 0
17- Water Heating
One Water Heater - No AuxiMary Credba
Di trill mn symorit2
Retse Svstems
water, Climates EwV STD HWR RoeNoNo n~enaOemoD
Heater Tvoet Zones Fa=vor POU Imul On
SG50
Ali
4Si
0
3
1
-0
-5
0
463
5
8
6
-4
0.
5
473
8
11
9
0
4
8
SG75
N
448
-2
1
-1
-12
-7
-2
0.58
3
6
5
-5
-1
4
ash
7
10
8
-1
3
7
SE
AO
0.87
-20
-12
-17
-41
32
-19
0.83
-17
-0
-13
-W
-28
-16
IG6
N
am
2
5
3
IE
N
093
-21
-12
HP
6.11,13.15
1.80
4
7
5
-5
-1
4
Two Wats. Heawn - No Angary Credlts
Sam
N
0.53
-7
.4
3
-17
-12
-7
0.63
1
5
3
-8
-4
1
0.73
6
10
8
-2
2
7
SG75
N
0.48
-12
-9
-11
-22
-17
-12
458
•1
3
0
-11
-6
.1
0.68
6
9
7
-4
1
8
SE
N
0.87
.22
•14
•19
48
•35
.22
am
•16
.7
-12
-39
-28
•15
:G
All
0.80
.4
•1
.3
1E
N
0.93
-21
-12
HP
6-11,13.15
1.80
-1
3
1
•10
-6
0
--
.,
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