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Home My WebLink About042-770-013I� CRAIG MARONGIU 742 Ciulla Lane lot- • 1'7 / 2, ChiPermit��1074-86B, P, E (new privo p�_ _ -Lt2 770--� o r Contr: G1ebb Howes �-y�� 8 Permit#1770-868, P, E M.(_new , n� g.. _ fpmily, 1� 4 r I \ I P V 1� 4 I 0 .t ' rr'rem% W12 4f� PERMIT NO. 1074-86B P,E PERMIT EXPIRES— CRAIG MARCINGIU I OWNER owner CONTR. ASSESSOR PARCEL 42-34-83 742 Ciulla Lane, lot 2, Chico LOCATION f3 Sates Ao-e- Q OFFICE COPY Z, I —Address' GAS Temp. Power Pole Meter By Date Called PG&E ELECTRIC Meter By—w", Date Temp. Elec. Service I Called PG&E OFFICE copy Temp. Gas Service Address. Called PG&E GAS Meter'By Date 12- z -:K ELECTRIC JOB.!FINALED (Date) Meter By Date Signature— Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB.!FINALED (Date) Signature— J OK' 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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.-Rfg.-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 N'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 Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 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 Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -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 -I Date Card -BI Date Card -BI Date Card -BI Date r: V = OK 0 =•Not OK' Not Applicable Not Ready , RESIDENTIAL !Sjnnnale and Duplex) � = Date UND FLOOR Plans OK except#'s Date FRAMING (Continued) . Zoning requirements-Setba asements 48. Property Line Firewall &Openings 2. gtg., Main; Soils -Steel -EI rnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits AV Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. S mwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access yrs -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _9, -Gas Pipe; Size -Anchors -+8. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground -'�-.m._Plenums & Ducts; Clearance -Material -Support -Ins. -13-Girders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date j, rW Card -BI Date Date FINAL, (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 60o"Ext. Steps -Door & Sidelight Protection -Landings - 5rr bmoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 15. W ter.Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs &Anchors -Nail Protectiongedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access b;l,-.�Elec. Trim & Subpanel; Breaker Sizes -Labels _ Gas Pipe; Size & Anchors _52.-3t2irs & Rails _ _1_9. i -re place or Stove; Clearances -Hearth r6�--Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date _it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date _66.--EIVc. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s . Garage Fire Door; Swing -Landing -Closer -C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection -69--Wt tHtr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection --- 21. Elec. Receptacles Spac g -Lights Switches at Doors Elec. & Mech. Equip. Listed f r Location 22. Size Box No. of C ductor t led 71. lec. Receptacles in Garage; G. .I.)- omex Protec. 23. Romex I o dge S u & C.J. - 24. Equip. Cound mad up w/Mech. Fasteners -Bond Gas & Water .fig -Insulation -Foam -Looked in Attic EJ Yes _ 25. 2 Appliance Circuits n Itchen &Conductor Size --1Tr uard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size/ / g o Al-A.C. Wire Size / / ga. Cu or AI .�n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El 27. 28. Range Circ. / / ga. i�u or AI -Oven Circ. / / ga. Cu or A[, Insulated_ Neutral !--,Y ❑No _Service -Riser Conductors & Ground -Main Disconnect 5a."owing instld.: Drive E] Yes E] No; Walks F] Yes ❑ No; Planters ❑Yes ❑No 7 co; Brown -Finish 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. -- - Card B -I Card 8-I _ Clothes Closet Light -Shower Light -- - ---- - _Date__ Card -BI Date _ Date Card -BI Date __Z8 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -49--*Mer Well; Disconnect, Electrical, Plumbing -,80-ETMrior Elec. Trim; G.F.I. Receptacle -Underground _4}ventilation throughout House _42_-Qless Protection Date MECHANICAL (Pern,i OK except #'s _ r89-�IIrrections from Previous Inspections _ ae ras Test -Meters Tagged; Gas -Electric --@&--1Mter & Sewer Connected -C/0 to Grade -HD Approval _ 31. 32. 33. A.C. Ducts: In lation & Support Vent Fan; Ex_ust above Insulation _ Condensate _rain & Overflow: Size & Grade .._4@--I!5ergy Compliance Certificate -Other Certificates _ Card -BI Card -BI 34. 35. Furnace -Vent: Access -Comb. Air -Return Air Vent -_115V outlet Attic Access & Platform if Furnace in Attic Date Card -B I_ Date Date Card -BI Date Card -BI Date -BI Date Card -BI ate Card -BI Date _C Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. 37. 38. 39. 40. Sills; Proper Material & A h ¢\s Wall uds-Nail ng, Sp i 1_&�8racingg-Plates_-Sound Bea in I ers & Floor- ailing__ Dratp nW_ (rat proof)_ _ Fire Stops: Furred Ceilings -Stair s - ub 41. 42. 43. 44, 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Con ctors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ s (NOTE: An entry must be made each time you visit jobsite) 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 v 7y- Vis— 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. /./ �� d✓�G ai /C/rr-� circ /NS�%PG y/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER I 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 COUNTY OF BUTTE -. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER N ASSESSOR PARCEL NUMBER ZONING AT IIA- BUILDING PERMIT OWNER CSA bN TELEPHONE ail i SQ. FT. OCC. BUILDING.VALUATION a I JAY, OWNER'S MAILIN,% ADDRESS Qqal IS- R CONTRACTOR'S NAME I ll.i iV TELEPHONE CONTRACTOR'S MAIL NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 4 -7.q Al. do Filing Fee $ 10,00 LENDER'S ILING`ADDRESS . Permit Fee $ p ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 o' 0& c I Each Trap 2.00 y, o0 7`f2 C /W i! �� LlE Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME EL MAP f1/a 3- Water piping 5.00 s, (7 W ach qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex ❑ Mobilehome❑ Other Pry Slap PECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 S b0 Mobile Home S G W 0.00ea TYPE OF WORK NewpL Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ 2400 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of.the Business and Professions Code and my license is in full force and effect. cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure isnot 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 DWELLING OCCUP.tY\ '/z2sgft D NEW OR AODNS. CONST. ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET 12.50 ea NON, ES BRANCH CIRCUITS) /POWER APPARATUS &) (SINGLE OUTLET CIR. EOz0eeoe Ex. ccu p OUTLETS OR FIXTURES SALO 30 FIXED PR Ex. Occup. OUTLETS (RESID )EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): - ❑ The permit is for $100.00 (valuation) or less. E:]I have placed on file with the County of Butte Building Department , a/Certificate of Workmen's Compensation Insurance or a Certificate i6f Consent to Self -Insure. IrrJ�' I shall not employ any person in any manner so as to become subject to the W. C. -laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation 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 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, judgmnts, costs, and expenses which may in any way accrue agt d Count i consequence of the granting of this p rmit. _ ( XV (nom Date Signature of A p 'cant — ONor 0 Contractor ❑ Agent ❑ An OSHA permi is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ f s TOTAL PERMIT FEE $ c7 Occ"P. CONST.TYP! I I F ;I PARC PD %ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOR OF PUBLIC BY MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Sr Zp L �Z— Receipt No. X S 0 3 y WNIT!-D.P.W., YELLOW-ASSC3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t4 s... COUNTY OF BUTTE - DEPARTMENT-OF°PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF�O�NIA 95965 - TELEPHONE: 916/5341-4541 - PERMIT APPLICATION DATA SHEET !j Permit No. OWNER Cr ti i a M a_r' o rya IA. P. No. 'y a — 3 �/ ^ 9-3 Proposed Building Use Pc-� 51•�p Permit Fee Based Upon: Complete Contract Price ✓ DPW Valuation (� Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted .... . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . :-3. Complete plans in duplir�t licate. 1� <* S& (7) . y 4. Complete engineered plans and calcs. . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . �9. Letter of'signature authorization. . . . . . . . . . . . Sanitation approval from CV L -V Health Dept. . 11. Planning approval for (A) Use: (B) Parking: I . 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. . . . . . . . . . Pre-Insp17. Pre -Inspection for Required- Building request to (Dote) p q Building Inspector . 18. Recorded copy of Agricultural Acknowledgment Statement. . 19. Other -Driveway permit(const. approval re uired prior to occupancy) When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other CAL, r1 Date —v� •d �. F r'T9.4 O F N M"�D / 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 at ti of a plication, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by —Telephone��,,�iMail Other By 4Z&A—ate=04r Plans checked by at. Plans approved by Date ff ` Other: MAAI 5 ON-r—fc.F- @Ad Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovill.e, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) h"I_= signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I'plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner0AOLUI Social -Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 Craig Marongiu 2921B Jolyn Way Chico, CA 95926 With reference to the above subject: " Attached is: OTHER DATE s/Z/R6 RE: Building Permit Application A. P. # 42-34-83 Application for permit Mobilehome Utilities Installation Sheet Building Plans _ Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. itation approval from Butte County Health Department at: X 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Reco ded copy of agricultural acknowledgement statement. S 7 R G-`� nfl;rjLetter of intended use of building. Provide information on area above storage. Should you have any questions concerning the above, please contact this office. Yours very truly, William Cheff Director of Public Works .F. Glander JyF�G/aj Chief Building Inspector to w ;5V -- 6 _S M i I l I .tj I M 1074"bb — Z PERMIT NO. 1778-86B, P, E,M PERMIT EXPIRES -7///, lgz OWNER CRAIG MARONGIU . CONTR. Webb Homes ASSESSOR PARCEL 42-34-83 LOCATION 742 Ciulla Lane, Chico Temp. Power-Pole— Called owerPole_Called PG&E _ Temp. Elec. Service Called PG&E— Temp. G&E_Temp. Gas Sei Cal led PC JOB FINALE( Signature � - .. � _ ... k ��• - - .:., i., .. - • + � +' - .. 'lf� et,, i' ,. �,,; .-- r •.. . ..� .., � .. .�K rj P . .. .� _ .. .. _ _sem-. - �.._.:.._. • ••Y: e .�'�� • .i .. .. .. .. ._..___.... _.. .. _. __. ...._. $ __. _ . ___ ..... _. _ . _ .� _ ._ _. • _ . _._. _ .�:' � . _ -• ._ . �Y -e •. �. - J _�__..t..-..__._ • 4� • r.. T' . • .. i ; .. . �}.�, _ - ��`� . • _? � �. . • . 8, 1 r ... • `� . �a .r'� . . �� , .. .. ;;,; : .� - �tir ,�., t' �- _ j .. '�� + e4' � �. f . l`'. ' _ �, �Sa'.. ' •. � t � 1 1. ' � � � - a,��r r �: � ,Y�gf- .rr#. t' . _ .._....___. _ cy5. :. � � tib' � •r ' � �� o- � _ _ _ � -. 1 .� �.r�s. .,f�... x�. .t):. �� _ �'•cti e+ � • � Yom, �w ��t. '. .. _ � . ..�. _ ., u. [ _. d J=OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready 1' = MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except•N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a'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:/ /%"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 #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability T 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain;,MH Test -Fall -Flex Connector 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 Equipment -Heater* 8. Gas and Electricity Tagged B. Elec.: Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test 2 Card B -I Date Card -BI Date y Card -BI Date Card -BI Date Card B -I Date Card -BI Date -d Card -BI Date Card -BI Date 19 °•1 3 19 °•1 V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex). - . Date UND LOOK (Plans) OK except N's Date FRAWNG (Continued) A Zo - g requirements-Setba asements P perty Line Firewall& Openings - —,�g., Main; Soils -Steel -E rnd.- / /`' Ftg. Depth . Doors -Orbe 3' -Check Garage -3rd story, 2 exits _ !8! Fig., Garage; Soils -Steel= / /:' Ftg. Depth Sta' s; Width-Headroom=Rise-Run-Landing-Fire Protec Porches & Decks; Soils -Steel- / /" Ftg. Depth lywood on Roof Overhang -Attic Vents -Rafter Outrigger 'replace or Stove; Clearances -Hearth Alec. Outlets at Wood Panel; Int. & Ext. Card -BI Date _ __ Card -BI_ Date Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date k7jFLm Outlets & Receptacles at Kit. Counter 170- Garage Fire Door; Swing -Landing -Closer Date EL TRICAL Permit OK except Ws • Duct in Garage -Damper fixture & Transformer Clearance -Ins. Protection 60"Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- EltI arage; Above. Floor -Meth. Protection c. Receptacle pacing-Light_s_& Switches at Doors S' a Boxes alle & o uc!ors-Stapled' i}b•, Elec. &Mech. Equip. Listed for Location y FV mex InstC se to Edge of Studs & C.J. • F-4ec. Receptacles in Garage; (G.F.I.)-Romex Protec. _.Ia"lation-Foam-Looked in Attic ❑Yes 2 /Equip. Ground de up w/Mech.-FastenersGas & Water - l'Guard Rails &Deck Construction -Post Caps Appliance Circuits in Kitchen & Conductor Size �pgfi• Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance bleed Wire Size ! / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al I nntred under Floor El Yes BY Range Circ. / / ga. Cu or At Circ. / / ga. Cu or Al, TaS-Polllowing instld.: Drivel 1 s ❑ No: Walks es ❑ No; sulated Neutral Yes _jNo _ ____- _ Plant ❑Ye L7No c -Riser Conductors & Ground -Main_ Disconnect o; Br -Finish iPanels-Motors-Mech Equip. # i---- - - C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet / ��Eeqru.'p.e.Clearances: Clothes Closet Light -Shower Light _ ,0* nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. yJater Well; Disconnect, Electrical, Plumbing —(Po" Exterior Elec. Trim; G.F.I. Receptacle -Underground Gard B -I Date Card -BI Date _,)4entilation throughout House Gard B -I Date Card -BI Date _ ,Glass Protection / orrect' ns from Previous Inspections Date YE ANICAL (Permit) OK except q's t -Meters Tagged; Gas -Electric 1. A.C. Ducts. Instigation & Support _ _ _ — _ 8 jjjJater &Sewer Connected -C/0 to Grade -HD Approval ent Fan: E&.n& ve Insulation _ _ Energy Compliance Certificate -Other Certificates `c,/ondensate Overflow: Size _& Grade _ '/6urnace-Vent: Access -Comb. Air -Return Air Vent -115V outlet-- 36� Attic Access & Platform if Furnace in Attic -- - Card -BI Date J.2'2- Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Card -BI Date DateR ING(Plans) OK except_ N's Com tents at F'nal: �ills; Proper Material & hncho_rsL-344 At alls: Studs -Nailing, Spac6hg�,ci g-Plates-SoundBaing Walls over Girdersflingraft Stop in Walls (rat pro2. ire Stops: Furred CeilingC_ha_ses-Tub_ �eader & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. replace Ties or Type A Flue -Fireplace Throat W. Access: Size & Romex Protection_Draft Stop -Ins, Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 1 Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) Ste walls', Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer e_mwalls, Garage; Steel-Blockouts-Wrapped-Slab ucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - Piers -Fireplace Ftg.-Steel5 _ VW.V. Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors _ �a�F4'zing Area -Glass Protection -Skylights -Plastic 5. Shear Walls; Nailing -Bolts v 10_. 58fer Pipe; Test -Anchors -Regulator -Service Test LV'E Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. _ - _-13.-Girders_Sitls-Anchor _ _ Bolts -Joists -Vents -Cripples Card -BI Card -BI Card -BI A. Datel jjt11jr4j,, Card -BI Date Date Card -BI Date ate . Card -BI Date r Card -BI Date_ 7In Card -BI Date Date FIN$L^ (Plans) OK except q's ' Card -Bl— Date -� - Card -BI Date Date UMBING (Permit) OK except ii's Wit. Steps -Door & Sidelight Protection -Landings Smoke Detector T4i1 fiater Ht.: Vent Access Combustion Air ter Pipe; & A chors-Nail Protection W.V.: Te - & Anchors -Nail Protection Shower Pan: st, First Floor -Tub Access 18: est Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors S . urnace; Vents -Clearance -Comb. Air -Connector- 12-- 7 - yrGarage; Above Floor -Ducts -Meth. Protection 5 Bedroom Exiting F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels ,$Rr-tairs &Rails 'replace or Stove; Clearances -Hearth Alec. Outlets at Wood Panel; Int. & Ext. Card -BI Date _ __ Card -BI_ Date Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date k7jFLm Outlets & Receptacles at Kit. Counter 170- Garage Fire Door; Swing -Landing -Closer Date EL TRICAL Permit OK except Ws • Duct in Garage -Damper fixture & Transformer Clearance -Ins. Protection 60"Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- EltI arage; Above. Floor -Meth. Protection c. Receptacle pacing-Light_s_& Switches at Doors S' a Boxes alle & o uc!ors-Stapled' i}b•, Elec. &Mech. Equip. Listed for Location y FV mex InstC se to Edge of Studs & C.J. • F-4ec. Receptacles in Garage; (G.F.I.)-Romex Protec. _.Ia"lation-Foam-Looked in Attic ❑Yes 2 /Equip. Ground de up w/Mech.-FastenersGas & Water - l'Guard Rails &Deck Construction -Post Caps Appliance Circuits in Kitchen & Conductor Size �pgfi• Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance bleed Wire Size ! / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al I nntred under Floor El Yes BY Range Circ. / / ga. Cu or At Circ. / / ga. Cu or Al, TaS-Polllowing instld.: Drivel 1 s ❑ No: Walks es ❑ No; sulated Neutral Yes _jNo _ ____- _ Plant ❑Ye L7No c -Riser Conductors & Ground -Main_ Disconnect o; Br -Finish iPanels-Motors-Mech Equip. # i---- - - C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet / ��Eeqru.'p.e.Clearances: Clothes Closet Light -Shower Light _ ,0* nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. yJater Well; Disconnect, Electrical, Plumbing —(Po" Exterior Elec. Trim; G.F.I. Receptacle -Underground Gard B -I Date Card -BI Date _,)4entilation throughout House Gard B -I Date Card -BI Date _ ,Glass Protection / orrect' ns from Previous Inspections Date YE ANICAL (Permit) OK except q's t -Meters Tagged; Gas -Electric 1. A.C. Ducts. Instigation & Support _ _ _ — _ 8 jjjJater &Sewer Connected -C/0 to Grade -HD Approval ent Fan: E&.n& ve Insulation _ _ Energy Compliance Certificate -Other Certificates `c,/ondensate Overflow: Size _& Grade _ '/6urnace-Vent: Access -Comb. Air -Return Air Vent -115V outlet-- 36� Attic Access & Platform if Furnace in Attic -- - Card -BI Date J.2'2- Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Card -BI Date DateR ING(Plans) OK except_ N's Com tents at F'nal: �ills; Proper Material & hncho_rsL-344 At alls: Studs -Nailing, Spac6hg�,ci g-Plates-SoundBaing Walls over Girdersflingraft Stop in Walls (rat pro2. ire Stops: Furred CeilingC_ha_ses-Tub_ �eader & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. replace Ties or Type A Flue -Fireplace Throat W. Access: Size & Romex Protection_Draft Stop -Ins, Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 1 Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) Owner: Permit No. ENERGY CERT IF ICAT ION 742 Jones Ave., Chico LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Batts Thickness(inches) 3 5/8" CEILING Brand Name ' Thermal Resistance (R Value) Brand Name Manville Thermal Resistance(R Value) R13 Batty or. Blanket Type Fiberglass Batts -Brand Name Manville Thickness(inches) 11" Thermal Resistance(R Value) R30 Loose Fill Type Fiberqlass Brand Name Manville Minimum Thickness(Inches) 104" Number of Bags 14 Wt. per bag 40 lb. Area covered(ft.2) 700 Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insula tion was installed in the above building in conformance with the State of California Energy Requirements. LBBRKE INSULATION CO., INC. #499150 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. November 20, 1986 SIGNAT'JP.E .. INSTALLATi^vI APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) SIGNATURE OF GENERAL CONTRACTOR OWNER STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 •.� j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT N0. 7 County Center Drive - Oroville, Californ.a.35%65,- Telephone 916/534-4541 _ APPLICATION AND PERMIT iI ASSESSOR PARCEL NUMBER -3 ZONING R_r)/-I BUILDING PERMIT OWNER .( C � i TELEPHONE SO. FT. OCC. BUILDING VALUATION StbIs V 6 V� C7� OWNER'S MAIL ADDRESS I L 7 •�� CONTRACTOR'S NAME IM-335i�, TELEPHONE COU 3a,�v.0a CONTRACTOR'S MAILING AODRESS Fireplace I `y u , cs c� CONSTRUCTION LENDER UNKNOWN Total Valuation $ Ic J , co Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 10, W ARCHITECT OR ENGINEER - ^L-" LICENSE NO. Plan Checking Fee $ba n(6• Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap /& 2.00 .a0 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PgF�C Ems. MAP �j/� Z Water piping 5.00 r. CFO Each qas water heater or vent 5.00 USE OF STRUCTURE SF�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 csa Mobile Home S I G I W 10.00 ea TYPE OF WORK Neddition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 � � �,o/ g).4I2- �� t�j �, �(o Permit Fee $ So,(x) Contractor ' ELECTRICAL PERMIT Filing Fee 10.00 �e•� T 001 R Main service 100 AMP LESLESS 10.00 Q; (jzy Main serviceVXYtoo AMP 2.50 2�5� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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. 3c UP.ad I OR ADONS. _ACC. SLOGS. /2¢sgft JW45 NEW CONSTR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS POWER APPARATUS e %SINGLE OUTLET CIR. Ex. FIXTURES 5ALO3t oAL90 FIXED APPLNS. Ex. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Note, ' Mobile Home Facilities 15.00 Misc. �Virin 15.00 g Permit Fee $ JK, p Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I ave placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate oI Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating O (o- Oz> lin Cooling 3`� �� rbe Hood 3.00 3, GZ Ventilation 31 7,pp Permit Fee Contractor $ r p0 1 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 liabiliti judgmen costs, and expenses which may in any way accrue agai s 'd oynty i nsequence of the granting of this permit. X Date l —�7 �� ner Contractor ❑ Agent ❑ Signature of A pl cantJfo',n An OSHA per it is requirexcavations over 5'0" deep and demolition or construct- ion of structures over 3 staheight. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE. $ </ c3. 3 coNsT,T E �N IFLo PARC L PD No Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOROF�P LIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees, have been paid. WORKS Date 06 M 2 Receipt No..`6-wy WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT 'V..' COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING QIJV ION 7 COUNTY CENTER DRIVE - OROVILLE, CALIQ�RAN'1�5965 - TELEPHONE: 916534541 PERMIT APPLICATION DATA SHEET ¢ Permit No. OWNER M rO A. P. No. 'y - 34f - 8--3 Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) j Building Inspector ''" Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items,have been submitted. . . . . . . . . . . Plot plans in uplicat triplicate. S-�.� . . . . . . Complete plans In p Ica /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . -5. Plans with Energy Design Compliance Statement. . . . . . _ 6. CUSD ''Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization.. . _ 0 000, 10. Sanitation approval from G'^�� Health Dept.`� —� Y Y( 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. Mobi lehome Installation Data. . . . . . . . . . . Pre-Inspec. reque t to (Date) Pre -Inspection for Required. Building Inspect r Recorded copy of Agricultural Acknowledgment Statement. 19. Other Driveway permit (const. approval recfuir r ' or to occu anc When you issue the permit, process as follows: 000'Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant'\ cur f/)1 Date_(�t'� ;. Copy of plans sent Health Dept., Fire Dept., Othe Date During the plan checking process, the following dataust be submitted prior to permit issuance. (For required items not checked above at of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: 1 (Contractor, Design , 0 ner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Z Other Copy—DPW TO: Building Department FROM: Environ71ental Health, Chaco SUBJECT: Sanitation Clearance • .ria, s �a vaHsi _C'r�,L� O-31 wner 'Location Plan approved for: sewage disposal grater supply Hold final for: water supply Final clearance O.K. for: A! water supply Clearance for_bedroom mohil. home. Other A Note—i Sanitarian S ^�- Date Return to DEW_ AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENTR.�Qoq 8 6 of AM& OS,��` '�- FOR RESIDENTIAL DEVELOPMENT •OF64MCOUNTY. CALIF.ORNIA ' •," • AT T IE REQUEST by Section 26-8.1 of the Butte County Code requires this acknowledgementC be recorded prior to issuance of a building permit. S6-20716 1986 JUM 30 PH Z 07 The property described herein is adjacent to land or included ,within an area zoned for agricultural purposes, and residents of this ELEANOR M BEM property may be subject to inconveniences or discomfort arising from C k� '.AEWRDER EEE -11 the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not-1imited 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 Pages 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: Date: PROPER OWNER State of On this the day of 19to , before SS. me, the undersignned Notary Pu lic, personally appeared County of ) /o / / i. \ 11 r Personally known to me. / roved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) tea ubscribed to the within instrument and acknowledged that meted the same for the purpose o IN WMTNESS WHEREOF I hereunto s 1WJ. DOLLING � ' ® NOTARY PLM3LIGCALIF0RNIA m *•� . • Butte County ■ ® My Commission Expires Aug. 19, 1988 / Present A. P. No. -90 —39 — '93 Ry I-) e in and contained. and official seal. Notary Public 86-20716 DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Parcel, as shown on that certain Parcel Map entitled, "Being a portion of Lots 2 and 3, 'Second Sub. of .the Bay Tract', Bk. 1 Maps Pg. 18, lying in Section 17, T.22N., R.2E., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California,. on April 25, 1986, in Book 103 of Parcel Maps, at Page 22. RESERVING THEREFROM a 60 foot non-exclusive easement for ingress and egress and public utilities over Ciulla Lane, as shown on.said.Parcel Map. PARCEL II: A 60 foot non-exclusive easement for ingress and egress and public utili- ties over Ciulla Lane, as shown on that certain Parcel Map entitled, "Being a portion of Lots 2 and 3, 'Second Sub. of the Bay Tract', Bk. 1 Maps Pg. 18, lying in Section 17, T.22N., R.2E., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on April 25, 1986, in -Book 103 of Parcel Maps, at Page 22. EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I, above. PARCEL III: A non-exclusive easement for road and public utility purposes over the Westerly 30 feet as reserved on that certain Parcel Map entitled, "A portion of Lots 1 & 2, of the Second Subdivision of the Bay Tract", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California,.on April 16, 1974, in Book 49 of Parcel -Maps, at Page 64. 1.91 . c id 501 END OF DOCUMENT I j �� ,` :i.; 4 ZONE 11 OWNER C: �A� lLi IQ(%/✓Gt�GI POINTS PERMIT NO. - ASSIGNED ACTUAL 1. SLAB - INSULATION 2. RAISED FLOOR - R-19 3. CEILING - R-30-� 4. WALL - R-19 //.00 -7 5.. NORTH GLAZING - 2.4-3.6% 7. 641 -/V) 6. EAST GLAZING - 2.5-3.6% 1.40 f 4- A 7. SOUTH GLAZING - 1.6-3.6% S. 70 0 S. WEST GLAZING - 2.9-3.6% ?q- 9. SKYLIGHT - 0-1.3% a U o 10. SHADING (Exclude Overhang) EAST - .66 SOUTH - WEST - .13-.36 - 3 .SKYLIGHT - .37-.57 11. HORIZONTAL SOUTH OVERHANG 2' � 12. MOVABLE• INSULATION - NONE /TT 13% INFILTRATION (Standard=0)(Tight=+12) STD 14 THERMAL MASS SF 15:. GAS FURNACE (SE) • 71-76% 16. HEAT PUI[P (EER) 7.5-7.9% gg 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% WOOD STOVE IX WATER ,HEATER b ATTIC -14 % 1_3 OTHER TOTAL POINTS =� Table 3-1. Slab Floor Points F T_ --7 17nvila- I R -Value of Insulation I I tlun I I I Oerth. T 7-7 I Inches 1 0-2 1 3-4 ! 5-6 I 7+ ! I I I I I i "-T---T--T I 0- 11 I -5' 1 -5 1 -5 I -5 I 12 - 15 I -5 I -3 I -2 1 -1 1 I 16 - 19 I -5 I -2 I -1 I 0 I 20 + I -5 1 -1 I D I +1 I lel I 1 I I 7/7/83 Table 3-3a. Ceiling Insulation Points I R -Value of Insulation I Pointe I I I I 22 I -230 0 I I 38 I +2 I 49 I +4 I Table 3-4a. Wall Insulation Poin R -Value of Insulation I Points I 1 it I 19 j I 24 1 +2 30 i +3 Table 3-5. Horth -Facing Glazing Pt I I Glazing Type I Total I I Z of I ST, Dbl, Trpl, I Floor I U- I U- l U- Ares ! 0.66 ( 0.42- ! 0.41 11.10 1 0.65 I down T ----o--7 +4 1 +q +a 1 0.1- 1.2 1 +4 ! +4 ! +4 I 1.3- 2.3 I +1 I +2 I +2 ( 2.4- 3.6 I -2 I 0 ( +1 1 3.7- 4.8 1 -4 ( -2 I -1 1 4.9- 6.1 ( -7 ( -4 ( -3 I 6.2- 7.3 I -9 1 -6 I -5 I 7.4- 8.2 1 -12 1 -8 I -7 ! 8.3- 9.1I -14 I �( -8 I0.8T--12 I -10 1 10.9-12.0 ( -19 1 -14 ! -12 112.1-13.2 I -22 I -16 I -13 13.3-14.5 I -24 ( -18 I -15 1 14.6-15.3 I -27 I -20 I -17 1 Table 3-6. East -Facing Glazing Pts. I I Glazing Type l - ---1 Total I I Z -of I Sngl, I Dbl, r Trpl, Table 3-2. Raised Floor Points T R -Value of I I I Insulation I Points I I i I below 3 1 -12 3-4 I -8 5 - 7 I -6 8 - 12 I -4' 13 - 18 I T2 •19+ I 0 l I 0 1 +1 I +2 I Floor 1 (U - I (U - I (U - I Area 1 1.10) 1 0.65).1 0.41)) I O I • 1 I� f4 I I up to 1.3 I +3 I 1 +4 1 I 1.4- 2.4 I +1 I +2 I +2 1 I 2.5- 3.6 I -2 ) 0 I 0 1 1 3.7- 4.6 I -5 1• -2 I -1 1 I 4.7- 5.6 I -8 i -4 1 -3 I 5.7- 6.7 I -10 1 -6 I -5 I r I 6.8- 7.7 I -13 I -8 1 -7 i I 1.8- 8.7 I -15 I -10 1 -8 ! I 8.8- 9.7 ( -1.7 I -12 1 -10 I ( 9.8-11.2 I -21 I -15 1 -13 ; ( 11.3-12.7 ( -25 1 -18 -1 -15 I 112.8-14.0 I -23 1 -21 i -18 I 14.1-15.3 1 -32 I -24 ( -20 II 3-7. South -Facing Glazing Pte Tablr a 3-10. Shading Coefficient Points . I Glazing Type 1 Total I ! Z of I Sngl, i Dbl, Trpl, Floor ! (U - I (U - I (0 - I Area 11.10) 1 0.65) 1 0.41)1 IUP to 1.5 1 +2 1 +2 1 +2 I I 1.6- 3.61_.Z1 I n 1 0 1 I •• 5.2 -4 I -2 I I 5.3- 6.5 I -6 i -4 1 -3 I I 6.6- 7.7 ( -9 1 -6 1 -5 1 ( 1.8- 8.9 1 -11 I -8 1 -7 I 1 9.0-10.0 ! -13 1 -10 •I -9 I 110.1-11.5 I -17 I -13 I -11 1 11.6-13.0 1 -21 I =16 I -14 1 ! 13.1-14.5 1 -25 I -19 I -16 I 14.6-16.0 i -23 i -22 i i9 Table 3-8. West -Facing Glazing Pts. ( Glazing Type 1 I Total I I Z of I Sngl, I Dbl, Trpl,l I Floor I (U - I (U - 1 (U - I I Area 11.10) ( 0.65) 10.41)1 I I ofnts i oints I ointsl o +6 +6 1 +6 I up to 1.3 jl___�+3 1 1 +6 I I 1.4- 2.2 1 +4 ( +5 3-2.8 1 +3 ! I 2.9- 3.6 I -3 I 0 1 +1 I I 3.7- 4.2 ! -5 I -2 ( 0 1 I 4.3- 5.0 I -8 I -4 1 -2 ! I 5.1- 5.6 I -10 I -6 1 -4 1 5.7- 6.2 I -13 I -8 i -6 I I 6.3- 6.9 I -15 I -10 I -7 ! 7.0-'7.6 I -18 I -12 1 -9 I 7.1- 8.2 I •-20 ( -14 ( -11 I 8.3- 8.8 ! -22 1 -16 I -13 I 8.9- 9.5 1 -25 I -18 I -15 I 9.6-10-; ( -27 -20 I -16 I 10.2-11.0 1 -29 ! -23 I -17 I 11.1-11.8 1 -35 I -26 I -21 I 11.9-12.7 I -33 I -29 1 -24' I 12.8-13.5 I -42 I -32 I -27 1 13.6-14.3 I -46 I -35 I,-29 I 14.4-15.2 i -50 I -33 I -32 I Table 3-9. Skylight Points I I Glazing Type I Total 1. I I Z of T Sngl. I Dbl, Trpl, I Floor I U- I U - I U- I I Area , 10.66- 10.42- 10.41 I I ( 1.10 10.65 ! down I I up to 1.3 I -1 I 00 1 I - - t -r I -1 I ( 2.3- 2.8 I -6 ( -4 I -3 I I 2.9- 3.6 I -9 I -6 I -5 I I 3.7- 4.2 I -11 I -8 I -6 I I 4.3- 5.0 I -14 ( -10 I -8 I i 5.1- 5.6 I -16 I -12 I -10 I I 5.7- 6.2 1 -19 I -14 ! -12 I I 6.3- 6.9 I -21 I -16 I -13 i 1 7.0- 7.6 I -24 ( -13 i -15 I I 7.7- 8.2 I -26 I -20 1 -17 I I 8.3- 8.8 I -28 I -22 I -19 I I 8.9- 9.5 1 -31 i -24 I- -21 I i 9.6-10.1 I -33 I -26 i -22 ( SC by ! I Orien- I Z Floor Area tation I East I I 3.2 I 10-3.1 I to 16.4 up 6.3 1 0 -.19 I 0 1 +1 I +2 I .I0-.36 I 0 ( 0 I *1 I .37-.66 I 0 I 0 ! 0 ( .67-.82 I. 0 I 0 I -1 .83 up i 0 i -1 i -2 I South 1 01 .2 6.4 1 9.0 19.6 I I to I to. to I to I up 13.1 16. 17.9 9-51 I 0 -.18 1 0 1 +1 1 +2 I +2 1 +3 1 .19-.42 1 0 1 0 1 0 1 0 ( .43-.66 1 0 1( 1 y -2 I TI -3 I .67 up i .I 1 0 1 `T I -4 I -4 1 -6 West 6 I .1 I13.2 16.4 1 9.0 I to I to to I to I up 11.5 3.1 6.3 17.9 I 1 I I I 0-.12 i 0 1 +1 I +3 I +6 1 +7 .13-.36 i 0 1 0 1 0 1 0 1 0 .37-.57 I 0 1 --3 1 -6 I -7 .58-.82 I -1 1 - -6 1 .83 up -2 -4 1 -8 1 -16 I I I I Skylight i .1 .8 11.6 1 3.2 14.9 I to to I to I to I to I .7 1. 3.1 13.9 15.2 0-.12 1 0 1 +1 1 +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.51 1 0( -1 I -3 1 -6 I .58-.82I -1 ( I -6 1 -12 I -. .83 u I -2 I =8 1 -16 1 -20 Table 3-11. Horizontal South Overhane Points South Glazing I Length Out ( Area, i of Floor I I from Wall I I I ft T' 0-6.3 i 6.4 up 1 0 - 0.5 1 -2 1 - 10.6 - 1.0 1 -2 1 -3 I 11.1 - 1.9 I -1 I -2 I ( 2.0 up ( 0 I 0 Table 3-12. Movable Insulation Points Moveable Insulation] I I Area, % of Floor I Points 1 I I I I 0 - 5.5 I 0 ! i 5.6 - 11.5 I +2 I I 11.6 - 17.5 i +4 1 I 17.6 - 23.5 ! +6 1 I `23.6+ ! +8 I Table 3 :3. +Ln[1ltratioa Control Featdres Points j 1 Control Fea[uces I Points I• T- I i Standard ^ 1 0 j 11.9 air changes per hr T- I Tight I +12 I 10,6 air changes per hr I' 1 p•s. Tab1e,3-15 .,!Cas'Furnnce Githouc .i R.fri' eration Cool!aq Points I Seasonal Efficiency `1 Points 1 I I 71 - 76 I 0 I I' 77 82 1 +2 I I 83 - 88 I +4 I 1 89 - 94 I +6 1 95 up I +8 i Table 3-16. Fiat Pumo Points T- I Energy Efficiency I Points I I Patio (EER) Net Solar Fraction (NSF), Z I ' T: 5 - 7.9 1 +3 i I S.0 - 8.3 I +6 I 8.4 - S.7 1 +9 I I 8.8 - ,9.1 I +12 I 9.2 - 9.4 I +13 1 I 9.7 - 10.2, I +18 1 1 .10.3 - 10.8 1 +21 i I 10.9 - 11.5• I +24 I I 11.6 - 12.3 I +27 1 I 12.4 - I 13.2 I I +30 I I +17 +21 +24 Table 3-17. Gas Furnace With i I_ Re[rlration Coolin Points I � ' !Refrigerationl Gas Furnace 1 I Cooling I SE + 1 117 1 -17 7 - i 8 3 -1 S -9---r9-5-7 I 1 761'821 881 941 uo I I 8.4 - _8.7 (+21"+•1.,+61,+91+10.1 ..,, I 8.S - 9.2 1 +41 +61 +6I+101+12 1` ' (- 1 .9.8 - 10.3 1 {31+101+121+141,+16 1 110.4 - 10.9 1+161+L21+141+16;+1S'I 1 11.0 - 11:6 1+121+1411+1614.1814'26 1 1- I.,-. I ' e 7/7/83 i - •ZONE 11 TABLE 3-14;(ADAPTED) INTERIOR THERMAL MASS POINTS 'Z ,_•c _°_ - /.,�jy •r . SASS_ DWELLING AREA SgUARE f00T :lri 1.",'•i• AREA 1,000 1,500 2,060 2,500 I 3,1100 >` 3,5004,000 I.SGO 45 000 1 SO. FT. i A B C D A -B C D A 6 C D •A B. C D A B C D A 8 C 0 A B C D A 6 C GI ,A B C 50 2 2 2 2 2 .. 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 D 0 0 0. 0 0 0 0 0 0 0 0 0' '.00. 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 0I 0 0 0 0 1 ISO 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 •Z ? 2 0 I 2 2 2 e, X- 200 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 2I 2 = 2 i 253 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 2 2 Z 2 -!- 307 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 7' 2. 2 2 2 350 14 14 12 8 10 1G 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 7` 2 2 ? 2 400 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 / 2 2 I 4 4 2 2 500 18 IS 16 10 12 12 10 6 10 10 8 6 R -8 6 4 6 6 6 4 6 6 6 2 6 5. 1 4 < 4 2 4 4 4 j 603 22 20 18 12 14 14 12 8 12 12 10 6 10 10 - 8 6 8 8 6 4 8 C 6 4 6 6 6 4 I 6 5 4 2 16 6 4 2 1 793 24 24 20 14 18 16 14 10 14 14 12 3 10 10 10 6 10 10 8 6 8 8 6 4 I 8, 6 . 6 4 ! h A 5 4 I 6 • 6 6 . i,.7 ` 270 26 23 22 16 70 16 - l6 10 14 '14 12 8 12 • 10 10 6 10 10 a 6 16 R 8 4 ? a 6 4 I 8 6 6 '4.I a 6 6', _ 1 •900 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 13 8 '8 4 B 8 a 4� B 8 6 r I,eoo 30 90 75 18 I22 20 20 14 10 '18 16• 10 14 14 '12' 8 12 17. 70 6 12 10 10 6 ! 10 10 8 6 � 8 B 0 4i 1.;00 .32 37. 28 20 .I24� 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 1 13 10 8 a I !0... 8 f , ! 1,200 34 32 30 22 26 26 22 16 22 20 18 12 1B 18 14 10 114 14 12 8 14 12 12 8 •12 12 10 6 1J 10 8 E ± 10 10 8 6 1,3,0 37 34 32 22 28 26 24 l6 22 22 20 12. 18 18 1C 10 1J. 14 "14 8 l4 12. 1'2 8 12 12 10 6 12 10 10 Li 10 '0 F. 6 I 1,00 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 .14 10 14 14 12 8 X14 14 12 8 12 12 :G L. .0 13 1� 1,500 136 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 18 18 16 10 16 la +14 8 14 14 12 a 17 1: 10 GI ;2 12 1'. u i 2,000 34 74 72 22 30 30 26: 18 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 ,7L• IE is '3� 14 la 1' B j .2,509 I 34 34 70 22 I30 30 26 18 26 26 24 16 24 24 22• la 22 22 18 :2 70. 20 In !: ! In 3,,00 34 32 30 22 30 30 26 18 28 :^624 16 (24 24 22 14 22 27 20 14 ;: :1 12 3,500 I 32 32 30 20 30 30 26 le f 2e 28 24 ' 16 26 24 27 ,1, i +a ,4 20 '1•i 1,000 32 72 10 20 130 30 26 18 ' 2 25 0 28 24 if 2.i 2: -.,It ' 4,500 ( 132 32 28 2U 3U 30 26 11' j itl 1 ' 5,000 � 32 T7 2r 23 I- ;J .:6 I- A) dA) 1. 311• Concrete Slab: HC -B.93; R-.29; Factor -7.3 2. 3 3/4' Thick Comnon Brick: IIC-7.125; -R-.13; Factor -7.3 • 8) 1. Sk• Concrrte Slab: NC•14.106; '•.458; Factor•7.1 wood stove C 1. 8" So11e Filled mock: Nc•20.a3; R-1.93; Fac[or•6.1 4133 poinfs(no back up) ' 2. 8` Sot id F111ed Block With Botn Sides Exposed To Conditioned AT,. Casablanca fan + 1. point NOTE: Use all square•footage directly exposed to conditioned air forThermal'Mass Area: 11C=10.164; R -.96i; Factor -6.1 D) 1^ Thick Con crete/ltlei MC -2.55; R-.083; Factor• 3.7 Table 3-19. Zonally Controlled Electric Resl.tanee Space Heating Points I Pointe or this censure v!11 1 Table 3-20. Solar Water Heatinz With Cas BackuD Paints , I be completed after the C.EC 1 ( has ` approved an Alternative 1 I Component Package for Resistance I Beat. TaUe 3-15. Active Solar Spnce Heating with Cas Points ( Net Solar Fraction I Points 1 I (NSF), Z I I 0- 6 I 0 I I 7 - 14 I +2 1 I 15 - 23 1 +4 i (•24 ^- 30 iL• I ryr 46 131 - 39, ' * 40 - 47' I .. +10 I '48 - 55 I ' .+12 I I - 56 - 63 • ;" I +14 I I" 64'- 71 t I +18 I • 72 up I +20 1 M,ultifamil (per unitpoints) Floor area Net Solar Fraction (NSF), Z per untc, ft2. 0.9 10-19 20-29 30-39 40-49 50-59 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 4.2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2,1100 and up 1 0 1 +l 1 +2 1 +4 1 +5 1 +6 +7 1 -+9 All others (Pe 'build ng pnints)t':-.L u- � •{ 800-9.99 0 +5 +10� +14 +1� +24 " +29 '.. r -+34 900-999 s 0 +4 +9 +13 +17 +il +26 +3G 1,000-.1,199 10 +4 .1-7 itl +15 +19+22 +26 1,20f,1,499 0 +3 +6 " +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 +9 +12 +14 +le 2,090-:,919 0 42 +3 +5 +7 +8 +10 +11 3,000 ar.d up -0 +1 +3 +4 +5 4.7- +S +IO 1 • I Table 3-21. Other Water Heatinq Pts. T- System Type i Points ---T I Cas Only I 0 I I I ( Beat.Pvap I 0 So 1,31i vi-h-•Electric,IQ 1 Revlstanee Da kup° .) MentlnL the Require- ment7'itt"Part 201. I Eleecrtc Resistance I I I Only 1 -40 ! RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM .owner C�/� ; MRQZOAI �/U Climate Zone // Permit No. , % 7�0`app Floor' Area 2013 ,.,,� Compliance path: Package ❑ A ❑ B [3�i C 2nt System [3I Budget other MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS(1) INSULATION: Roof/Ceiling 0.00 Wall/.a ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION: [] (A) A vapor barrier is required in climate zones, 1, 14 & 16. 0� (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and — / labeled. try' (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight -the above standard features plus: Q (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket " ❑ (F) Air-to-air heat exchanger. (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple (� Total Bldg 2 . ca , �✓ +� (� North (dam East • 00 D. GO L9� South ZIP • co 3 f (� West 7f Skylights 61g •� �- (B) Shading Shading Coefficient Description East South West r ❑� Skylights , g� ❑ (C) South Overhang Length of projection �i/ 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.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= - Location 7/83 CORM ❑ (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 j� Central Gas Furnace 13 (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) model number solar fraction Collector brand and ft2 collector area collector orientation collector tilt rated y -intercept rated slope 0/ Other k%oma BU�zicl/N�( SToc�E (describe) *1 (B) Cooling (� Electric Air Conditioner $�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. 0� (E).AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and 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 12 — /(7) LIGHTING (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, J, sizing charts (form IN) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design tempe ature °, elevation /moo ', heating load G fMO BTU elevationfactor .00 x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature OZ °, cooling load BTU (USE ONLY ASA 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 SIGNAT BU ING SIGNER OR APPLICANT 3 FORM (6) DOMESTIC WATER SYSTEM .O Gas Only Gallons ' (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup l (brand and model number) Gallons (tank size) 2 13 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft ;(backup heater type, brand and model number) (collector area (collector orientation) (collector tilt) Q. Location of Solar Panels ❑ Other —/(Describe) 1� :(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. �... t� (C) PIPE INSUTATION. 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 (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, J, sizing charts (form IN) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design tempe ature °, elevation /moo ', heating load G fMO BTU elevationfactor .00 x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature OZ °, cooling load BTU (USE ONLY ASA 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 SIGNAT BU ING SIGNER OR APPLICANT 3