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043-270-024
043 0 024. 92-361.5 BPEM GRANT:; Doug &' Bernice /339 W.Sacramepto, Chico 9 contr : Gary Lee a';/ j 0 new sf ±I- \��.���.5> . \\��. Gary Lee 196 Whispering Pines Chico, Ca 95926 Dear Mr. Lee: ......... utie Co 'tk1e1z-1."_ """, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 November 1, 1993 RE: Building Permit #92-3615 Expiration Date 11-10-93 A.P. # 043-270-024 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: DPermit work started, but not completed. Permit may be renewed for 2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year .from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. ❑ No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Chir0 _ office. Thank you for your prompt attention concerning this matter. Yours very'truly, !1 JFG:hla / J.F. Glander cc: Building Inspector Manager, Building Inspection At-tachments: FXJ Renewal Application ❑ Owner=Builder Information ❑ Owner -Builder Verification Chico - 1460 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307 R SI EN IAL -- _024 -- - - -- -- - -- ==- -- -- - - 5 uEEM I,GRANT,Doug & Bernice i133�j W Sacramento, Chico �contr: Gary Lee new sfi a C (Loss -�ro w. Ro vev\ i_ W . (� 4-5 T $7 i __—,--`- OFFICE COPYY ` Y Address GAS Meter Byy Date' ELECTRIC Meter By �-�Date JOB FINALED (Date) Signature J=OK O = Not OK =Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Pl3ns) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/3 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B'1 Date Card B-1 Date Card B-1 ca MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures- Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J,, OKE 0=e{otOK '0 4- - =tReaaleNdy RESIDENTIAL (Single Date UNDERFLOOR (Plans) OK except tf's Date >, 'Zoning -Setbacks -Easements -Flood -Slope ✓� Ftg., Main; Soils-Elec. 6md-,4&" FW. Depth - jr Ftg., Garage; Soils-Steel-Elec. Gr .-/qZ�: Ftg. Depth - 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth ------ -Stemwalls, Main; Steel -Bloc kouts-Wrapped ---- Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test & Duplex) FRAMING (Continued) -- 3THqg& Po a Anchors -Connectors Cing. Joist-Rftr. ties- Purlin-roof Brac-Ti mace Ties or Ty e A� ireplace Throat clearance_ ttic Access; Size & R mex, ofcti raft Stop -Ins. Baffles ---- 4 Windows or Exiting Doors -Sill Hgt. & Dimensions _ Gapiage Fire Protection Framing --- -operty Line Firewall & Openings -------------- - xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits g5,00g airs; Width -Headroom -Rise -Run -Landing -Fire Protection 54-15lywood-pe'Roof Overhang -Attic Vents -Rafter Outriggers 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 Date f f_ �Z � 7 Card B-1 ��� Date Card B-1 Date �-llr �'L Card B-1 Date Card B-1 Dale P UMBING (Permit),OK exce Date Card B-1 nr! Air affle 1 ater Pipe: Test & Anchor -Nal rotection 3SIR D.W.V.: Test -Fittings & Anchor -Nail Protection hower Pan: Test. First Floor -Tub Access - --- --- -- -- Test Tub & Shower, Second Floor -Tub Access -------------------------- 21. Gas Pipe: Size & Anchors ------------------ ------- - - - -------- ------------------- Date 1 Z� Card B-1 Date - Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 2 fixture & Transformer Clearance -Ins. Protection - -------------------- 2�Efec. Receptacles Spacing -Lights &Switches at Doors 24• Ize Boxes & No. of Conductors -Stapled ------------------------------ ---------------- ----------------------------- 21R1Smex Installed Close to Edge of Studs & C.J. ---------- ------------------------------------------------------------- _ 2�uip. Ground made up w/Mech. Fastners-Bond Gas & Water 21!2 -Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------- - -�----------- ga.28. Subfee Wire Size ga Cu or A- Wire S;ze- Cu o& 29 Range Circ / r ga. Cu o I -O Circ. / a. Cu orV Insulated Neutral ❑ Yes- - - o ------ ---- --------- Q0.'Service-Riser Conductors & Ground -Main Disconnect ---------- ---------------------------------- ------------------------------ -5T.-Equip. Clearances Panels-Motors-Mech. Equip. ----- -- -------------------------------------------- ----------- clothes Closet Light -Shower Light -Spa Light OP-5noke Detector --- ----- -- --------- -- ------------------------------------------ -Date-- L 1 Card B-1 _-------Date - -- Date Card -B- 1 -----1---• �;------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34-<.C. Ducts Insulation & Support --------- - ------------------------------------------------------ ---- 3 t Fan: Exhaust above insulation ------------- - - - ------------ ----- --------- ------------------------ 6. o den_ate Drain & Overflow: Size & Grade 3 Hance -Vent: Access -Comb. Air -Return Air Vent -115 outlet -- ----- -- - - --------------------------------------------------- ttic Access & Platform if Furnance in Attic ------------------------------------------------------ ---------------------------------------------------------------------------------------- ----SS l-�------ a--rd--B---1--- vto -------- --- --- - --- ---- - - - DateDate Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 3N Sils. Proper Material & Anchors ------- ----- - - - -- - - - - ----------------- Floor ------ - - -- --- -- ----- ------------ ------- ---- - 4 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ ---------- ------------------------------------------------------- 1 Baring Walls over Girders &Floor Nailing ----- - - --_----------- --- -- --- afltop in Wall roof) .............. --- ��-----�-------------------- ze & Bea Veneer cco Mesh -Drip Screed -Fd. Vents-Underflr. Access zing Area -Glass Protection -Skylights -Plastic Walls: Nailing -Bolts Insulation -Walls -Ceilings 60 Infiltration -Walls -Windows Date % , Card B-1 Csj •_ Date Card B-1 Date � Card B-1 esi Date Card B-1 Date FINAL (Plans) OK except a's Ext. Steps -Door & Sidelight Protection -Landings ------------ ---- - - 6P� oke Detector Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------- ------------------- 64"Bedroom Exiting ----------------- ----- i F.I. & Bath Fixtures & Tub Access -Spa �lec. Trim & S_ub_p_anel; Breaker Sizes & Labels - 6tairs &Rails Fireplace or Stove: Clearances -Hearth � Elec. Outlets at Wood Panel; Int. & Ext. -- f KILFIxt & Appliance: Grnd -Air Gap -Cooking Clearance ►21. lec. Outlets & Receptacles at Kit. Counter - ------------------ . Garage Fire Door: Swing -Landing -Closer -------------------------------------- Y3/!p.C. Duct in Garage -Damper F'4 Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. _ In Garage: Above Floor-Mech. Protection --- - -- 7�5.'Plb. Elec. & Mech._Equip. Listed for Location W.-Elec. Receptacles in Garage: (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------- -- 76.�Guard Rails & Deck Construction -Post Caps ---------------------------------------- - C� w-F-dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --�-! ----------------------------- iTU. Followin9instld.; Drive ❑Yes ❑ No; Walks ❑Yes ❑ No; yPlanters ❑ .es ❑ No — - dI. Stucco wn-Finish __ B.C. Unit: Disconnect Electrical, Plumbing Vents Above Roof; Plbg-Applia e -Fireplace.- arance to Openings aA-Water Well; Disconnect, Electrical, Plumbing ----------------------------------- 8,-..-txterior Elec. Trim; G.F.I. Receptacle -Underground ------------- - --------------------- ---- — Ventilation Throughout House .... -- ... --- ----- --------------------- _ a Glass Protection - ad. orrections from Previous Inspections ------ --- - ------- --------------------------- $WIGas T -Meters Tagged; Gas -Electric W------ ------ -- - - 9 Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates ------ ------------------- Date --- Card B-1 ---- -- --- ------ ---- Date B-1 _Date �_.`i3 Card B-1 _Card -G� - Date _ Card B-1 Date Card B-1 Date Card B-1 Comments at Final: _ ./` COUNTY OF BUTTE - DF-PARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill'e,'California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMITNO 92-361 ASSESSOR PARCEL NUMBER 043-270-024 ZONING .SR 1, 116 BUILDING PERMIT OWNER DOUG & BERNICE GRANT TELEPHONE 345-7164 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1341 W. SACRAMENTO AVE CHICO 95926 2353 R , 540 M , CONTRACTOR'S NAME GARY LEE TELEPHONE 343-2518 606 C.7,878 CONTRACTOR'S MAILING ADDRESS 196 WHISPERING PINES CHICO 95926 1,in910 Fireplace "All 1,500 CONSTRUCTION LENDER SACRAMENTO SAVTNGS UNKNOWN Total Valuation $ 147 070 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 765.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 382.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS 1339 W. SACRAMENTO AVE CHICO 95926 Permit fee $ 1183.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 131 5.001 65.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFS Duplex❑ Mobilehome❑ Otner SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15.00 Mobile Home S I G I W 015.00 TYPE OF WORK New �& Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 4 BDRM Permit Fee $ 114.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200AOR00V OR LELESS 18.50 18.50 CONTRACTORS LICENSE LAW I decre under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s_C de and --my license is in full force and eff t. F > ®�� p,/ License No. Classification�Y/V lC/►Lti� ^ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20CATO 1000A) 37.50 NEW CONST. DWELLING OCCUP.&) OR ADONS. ACC. SLOGS. 3.6Qsq.ft. 101.25 NEW CONSTR ULT LOUT LET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & SINGLE OUTLET CIR. ) Ex. OCCU OUTLETS OR FIXTURES p� 20 76d FIXED APPLN5. OR Ex. Occup. OUTLETS IRESID.I EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ 1-34-79 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. y� I have placed on file with the County of Butte Building Department k� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating 9,00 SPLIT Cooling 3 TON 9.00 Hood 6.50 6.50 Ventilation Permit Fee $ 39.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnifyand keepharmless the Count of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue said County in c nsequence of the granting of this permit. XIMAkU` Date 0 12_- 9 Signature of pplicant - Ownersions ❑ iCntractor Agent An OSHA p it is required for excavati over 5' " dee a molition Or construct- on of struct es over 3 stories in height Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 o `� CON%TJYPE V I/ TOTAL FEE $1511.50 HAz DFEES I IMP �- FLo,O� ff CDF PA-PI AR E PD _ IVagainst This permit is hereby issued under the applicable provi- � of the Butte County Code and/or resolutions to do Work Ind' to I for which fees have been paid. OR OF PUBLIC WORKS By `~ Dated/'�-9 PERMIT EXPIRES Date Receipt No. 126019 462.75 a96?�� /��7 WHITED. P. W., YELLOW -ASSESSOR, PINK -I ECTOR, GOLDENROD -APPLICANT � I v.... , . 'T:-lY�.�Fr•?='41'R. {'i p'".'s:�'iv 'r►5,li.j:�''�„� � l`•ti._.:. r. : a, h ti' ;? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER PERMIT APPLICATION DATA SHEET Proposed Building Use Building Inspector T� -� Date At time of permit application, I was advised the following data must be submitted prior to permit processing a d/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans .............. . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehom a nd cturer's installation instructions, 2 sets. ........... eesof$�E .......—� *101rImpact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floods by Cakfornia Engineer . ................. . 34. W en, ou issue the r it roc -as follows: Mail t�Qw er. Mail to contractor. Telephonegp y;? p5T and hold for pickup atC � - Y office. Deliver with inspector' Other t Parcel Creation161/412—/ �RAcreage Applicant Date�3 Copy of Haz-Mat form sent Health Dept. Fire Dept. I I Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other 7 Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: ance: ( 'rc , ew item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by_ Date Plans checked by Date Plans approved by �K Date /O- Z I-42, Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works W rtewin uepartmen[. ........... 5, ity of Chico plumbing permit. ..... pE.t?..T6 . n N..P,l� ............ 6. Plot plan and business license approval -from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. ........ . 19. Driveway permit (construction approval required prior to occupancy). .. ........ 20. Pre -inspection for to Building Insion request p required. ..,o e�;ia;�y ��gPeceor (Dale) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. _ rletter of signature authorization ....................................... 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 . ....................................... . X { 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. rkc ecClist.......���-?Z A" 34. W en, ou issue the r it roc -as follows: Mail t�Qw er. Mail to contractor. Telephonegp y;? p5T and hold for pickup atC � - Y office. Deliver with inspector' Other t Parcel Creation161/412—/ �RAcreage Applicant Date�3 Copy of Haz-Mat form sent Health Dept. Fire Dept. I I Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other 7 Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: ance: ( 'rc , ew item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by_ Date Plans checked by Date Plans approved by �K Date /O- Z I-42, Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance r o _ JAI. Set c. /�ir-0. caner location AP # j Driveway permit has been issued for the above property. 4 ec,4l.ed si ature date COUNTY OF BUTTE r 1 Z' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ?,-' 3(c15 OWNER PERMIT NO. it A routine inspection indicates that the following violations of County Ordinance exist at_the above address and should be corrected. Please notify this office whencorrection of work is completed. If you have any question pertaining to this rpatter, or need additional explanation, please contact this office immediately. >/' �A/G,4 -t1 i� IAA Pt 94 A/C C l_2 r,17fd rs „Q" 'Ft int;_ MCAS` 13�- z 14 IC:. to Fc \-\h r4 No ' AWk\9 AWN ST2A(' 1) c yC;° L!!! I N r"I c W Ll T-,, (yl(, S T th r, l•, r t'(60 1 106 R4' 0 1 A I CII'mI-N r S, Date �- 2 3- I3 Inspector /6� o- f ti i Date �- 2 3- I3 Inspector /6� o- 'c.`t`'y`.�T'1�•�.3Jsx'�'4°._��,-r'=�ya�=�'i�-.�•-�(".�-'^CyS2:,i''v`..'y'vr.�`n.xa...,. , ,� _ _` .v.,` -. `- COUNTY -OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 f CORRECTION NOTICE = d OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at s _-�_thwabove 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. Sit � �/ r-jeez91 Ca�� �-✓s meed to veA, At,; e f� .4 -CA l - see C Oje r Sc C C -4 SeC __ copy 2 N�fCd % e r w )fA 41-41 00e w �1 .2o.Z1 _ Date— Z-� �� Inspector V�u ®� 'REV 11/91 11, ;� �r��-=+^-•-�7n'�' a:�•r,,,,-._ ,.-a-cT-°-�-1i.--��*i-'�-1; ..--",.:�.,i,,,.y._..^.�.,{. .i.-..,...'�.'... .. - ,. r;� COUNTY OF BUTTE BUILDING DIVISION :DEPARTMENT OF DEVELOPMENT SERVICES `< '146:9 "Humboldt Road, Chico, CA - (916) 891-2751 Q 7 'County Center Drive, Oroville, CA - (916) 538-7541 7447. Elliott Road, Paradise, CA - (916) 872-6307 +CORRECTION NOTICE 'OWNER PERMIT NO. iAtroutineiinspection indicates that the following violations of Butte County Ordinances exist at °therab vemddresszandshould be corrected. Please notify this office when correction of work iscco ,pleted.Elfryou;have any questions pertaining to this matter, or need additional explanation, ;plea ecconta4:11-his�o3:ficeimmediately. � �,�c✓ sat'_ . �../ o V y AM "A ,fir- —A e r a r [Date Inspector iREV 70(92 e3 -J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of BViie 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, (isecontact this office immediately. �vd e .reeg1,4 cv!" /.* /*r,-/7 a,A d t 9/1a IA -7 c e,4riAX Ore S —V f f — n v ra'v l aJ,®E ,Q ii'7 /tCC P1S t ^� e J Vie& ACSfD30 drN,%.,/ ,e r /9 t s ^ /.rc�✓�j o �o /r 'J Red lP por-r L/ did/pflaM , p�sv'- f% '9Frsr0bait / 101gAFr-±��? till VeAfew% cAf-rr-s do 4 -un +dam ���o✓�/c Caw�rcl/io.� �vr v�►sV,yi�t /�v�iJ� y�S>•-/c��, Date % Z/ h��' Inspector CSR REV 11/91 I JAL 1/ ✓� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 '� f OWNER PERMIT NO. A 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 i is complete . If you have any questions pertaining to this matter, or need additional explanation, pleas c tact this office immediately. e ` ✓ J�� �tj A 4,9cC e/L CacYQ j -4re e r- c eP,4 o//•.) s,vre- /, ovc-j /rr 'B/r/e 2 J r - Gz o w •J �..�.. C a-+d%i nl s�0 r 1 Jr -/9 �� �Pnl P.S • ..►�., �si.v0'�e.,� c%N c e 13V jog "',eO ofcuw"e.r /V— STA/2 Wq Cf ®sed` 415 4r ?/ -C P/9i 2-r clN sr-A%l ���e� z Pay► �- C � • 14170jldc j/e jr/, o -d �W4re —A i mac odc.- / Vf ale D ir► EYs'y'eA, ..i a/' 1C✓- �Mfp/�6 c w6 rte/ Date Inspector Inspector 2 REV 11/91 ��,. �.�i fa c� .! .. :.� PUZ, 201 T;_ RI' I — rt i T R I rUT I M 'CN T R' A VRA OV 01 C."o-Ara-PUNMI, ox. C ;WA Certificate N? 9419 —91 THE UNDERSIGNED IMANUFACTURER HEREi3Y CErtTIF IES that the structural wood products idbntified below and marked with a collective mark of Arr:erican. Wood Systems (AV15) were man- uiactured in accordance with the specifications indicated below, AN—' -'I Standard A190.11983, for Structural Glued Laminated Timber 0 n Grant ' Job Name 1343 West Sacrmaento Ave. Chico, CA 95926 Job '60 ,cation Cum timer's order No. WB -22172 7-14-927' I4-92 A,1tgr's over No. 09-00447 :.IQ^:li4f:J �'�, .�.c"jri 7ttie QUALITY CClNIR0I. SUPFLU LL C.:�mps„r 50: %ASUD CORP_;v=ass P. 0, BOX 50 NIDE, IGAHO 83723 I T 1S HERESY CERTIFIED that the Structural glued laminated tia t:er production of the above-named t�tani;factt:!cr which carries a collective mark of American Wood Systems (AVVS) is subject to regular audit by American Wood Systems, sur.,h audit consisting of the inspection with reasonable frequency of the manufacturing process, viith adequate sampling to verify the quality of alulam construction and Lha:adequacy of glue bond. woos , e SEAL ' by Michael R. O'Halloran FYecutive Vice President MI Owner: ��f L'� Permit# t ENERGY CERTIFICATION LOCATION A.P.# t DESCRIPTION. OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL Fiberglass BRAND NAME Certineed THICKNESS ��,2 THERMAL RES. /.3 CEILING BATT OR BLANKET TYPE—FIBERGLASS BRAND NAME Certineed THICKNESS / O a/ THERMAL RES. 3y LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED THICKNESS /,� ��� ti THERMAL RES._ 30 FLOOR—ELEVATED MATERIAL Fiberglass BRAND NAME Certineed. THICKNESS THERMAL RES. FLOOR—SLAB' i INTERIOR WALL MATERIAL Fiberglass THICKNESS BRAND NAME Certineed THERMAL RES. I HEREBY'CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED•IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKIN I D.IN dba SHASTA INSULATION LIC.#650722 Ihereby 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,d'e-vices and materials are of. the quality prescribed or. are specifically approved by the State of Calif. CD FIR OWNER ( ASE PRINT) STATE CONT. LICI SIGNATURE F GE ERAL CON V OWNER DATE This certificate m'ust-be on file with .the Building Dept. and Dncts*ri vith4nl rhe 11-4tA4— prior to -Final COUNTY OF BUTTE - DEPARTMT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 �t time of permit application, I was advised the above fees are required to be paid pr :o issuance of the permit. APPLICANT DATE—z", 7 - f 4 Z. 75 et, l v45•2�S � At %— WNERA.P. NO 5�3 '"65Z �92-Z 'ROPOSED BUILDING USE �� DATE e REC. DATE REC I ool Distric Fees,, . (paid at District Office) . . . . . . . . . ................. / 1" 11-16 -5z, (/ Sheriff Fees 60 (paid at Building Department) lir-f Residential .......... _X 36-0 _$ � I M ung. t amt. Commercial( per sq . f t .) X =$ sq.ft. amt. 3. Urban Area Fees /amu (paid at Building Department Residential (per unit)_ X 13 3 n units amt. Commerical(per sq.ft.). X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... �J 4� 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other �t time of permit application, I was advised the above fees are required to be paid pr :o issuance of the permit. APPLICANT DATE—z", 7 - f 4 Z. 75 et, l v45•2�S 2-1 r CITY OF CHICO APPLICATION PERMIT DATE OF APPLICATION 1 NTY Al. 10. PERMIT NO. PROJECT ADDRESS 441 MAIN STREET/P.O. BOX 3420 PHONE (916) 895-4891 10/20/92 043-27-0-02 ( part) A540 1343 LOT BLOCK SUBDIVISION LILWIM OCCUPANCY RES. UNITS MASTER PLAN PLAN NO. 1191 W. Sacramento Avenue 6 - Howard Block XXXI' R-3 1 - OWNER: Douglas R. Grant PHONE345-7164 VALUATION USE/VAR. NO. STORIES TYPE CONST. BLDG. USE PARKING SPACE AREA SO. FT. OWNER'S ADDRESS: 1341 W. Sacramento Avenue LESSEE: PHONE: BLDG. USE/DESCRIPTION OF WORK' LESSEE'S ADDRESS: New Sewer lateral connection. (Fee ,paid 5/19/92.. See coNTRACTDR:owner/builder BOUSINESS LOC. BF for 1341 W. Sacramento Avenue) CONTRACTOR'S PHONE: MAILING ADDRESS; ARCHITECT ENtRNGINEER ORDLICENSE: ARCDESIHG E SSItOOGRESS R'S OR PHONE: AN DEMOLITION ORrCO CONSTRUCTION OF Is REQUIRED FOR STRUyCTURES OVER 3 S OVER 5'0` TORIES IN AND LICENSED CONTRACTORS DECLARATION PROCESSING I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with PLUMBING PERMIT OTY. FEE 15, 00 SUMMARY OF FEES Acct. Nos. FIXTURE TRAP BUILDING P/C 10-476 Sedan 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. BUILDING SEWERis. oo License Gass Uc. Number WATER HEATER AND/OR VENT GRADING PLAN CHECK 10-476 Date Contractor GAS SYSTEM SS APPLICATION # 31487 OWNER -BUILDER DECLARATION INSTAL. ALTER, REPAIR WATER PIPE �+ OFFSITE IMPR. P/C 10.474 I hereby affirm that I am exempt from the Contractor's License Lew for the followinggNTI-SYPHON/BACKFLOW PREVENTOR reason [Sec. 7031.5, Business and Professions Code: Any dry or county which requires - ENERGY P/C 10.476 a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, SEWER MAIN EXTENSION _ (EST.) also requires the applicant for such permit to file a signed statement that he is licensed -� pursuant to the provisions of the Contractor's License Law (Chapter 9 [commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt TOTAL PLUMBING FEES _ 1� therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by4 .. 30:i 00 TOTAL FEES PAYABLE AT any applicant for a permit subjects the applicant to a civil penalty of rot more than five •• TIME OF APPLICATION hundred dollars (5500).]: PROCESSING ❑ I, as owner of the property, or my employees with wages as their sole compensation, ELECTRICAL PERMIT OTY. FEE_ will do the work, and the structure is riot intended or offered for sale (Sec. 7044, Business SERVICE/SUBPANEL ' r BUILDING PERMIT 10-425 - and Professions Code: The Contractor's License law does not apply to an owner of prop- erty who builds or improves thereon, and who does such work himself or through his own intended for If, how- CIRCUITS employees, provided that such Improvements are not or offered sale. the building improvement is within one of completion, the owner -builder RECEPT, SWITCH, OTHER OUTLET PLUMBING PERMIT 10-425 30.00 ever, or sold year will have the burden of proving that he did not build or improve for the purpose of sale.),,, POWER APPARATUS ELECTRICAL PERMIT 10.425 )] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project [Sec. 7044, Business and Professions Code: The Contractor's APPLIANCE MECHANICAL PERMIT 10-425 License Law does not apply to an owner of property who builds or Improves thereon, and SIGNS GRADING PERMIT 10-425 who contracts for such projects with a contra or(s) licensed pursuant to the Contractor'sNEW RESIDENTIAL .025X License Law.]. TEMP POWER STREET FACILITY IMPROVEMENT FEE 29-485 126-00 ❑ 1 am exempt under Sec. & P. C. fQr this reason SEWER TRUNK LINE 30-486 j 0 20 92 Dat Owner TOTAL ELECTRICAL FEES SEWER WPCP 31-487 WORKERS' dOMPENSATIOM DECLARATION 1 hereby affirm that I have a certificate of consent to sell -insure, or a certificate of PROCESSING. SEWER MAIN 32-486 Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.). MECHANICAL PERMIT OTY. FEE PARK FEES 41.476 710.00 Policy No. Company MECH EXHAUST - HOOD/DUCT PARK FEES • 44-478 1955.00 ❑ Certified copy is hereby furnished. VENT FAN SINGLE DUCT ❑ Certified Is filed with the d building in copy � city 9 spectlon division. COOLING _ STORM DRAIN-, x_ - _ 26-493 _ ` Dgattec q Applicant __ HEATING IN -LIEU (STREET). � 25.497 WNER CERTIFICATE OF EXEMPTION FROM WORKERS' �j[,� (�i�Q COMPENSATION INSURANCE UT1711S9>fctton need not be completed if the permit Is for one hundred dollars ($100) or WOODSTOVE ALLEY IMPR. - 25-498 less.] ENG. INSP. FEES 10-474 his pertnit is issued, I shall not I certify that in the performance o��r -PLAN MAINTENANCE FEE'10.481 Lich employ aqny rson in any manner soto the W ars Compensation Laws °f 1P 9 / TOTAL MECHANICAL FEES SUPP. PLAN CHECK,FEE 1D-476 Date F '" icant NOTICE TO APPLICANT: If, after making this CecateofExemption,you should become DEPT. APPROVALS REO.: OTHER: subject to the Workers' Compensation provision ol me Labor CCoodda, you must forthwith campy with such provisions or this permit shall be deemed revoked. ❑HEALTH ❑PLANNING ❑ARB ❑ENG. ❑SCHOOL El FIRE CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the ❑ OTHER work for which this permit is Issued (Sec. 3097, Ch. C.). APPROVED BY THIS APRUCATION - Lendees Name MESApERWT TOTAL FEES PAYABLE AT ctc#795 $1061.00 erlfor'tBW e Address thm I have read this application and state that the above information Is correct. X 11 WHEN VALIDATED. TIME OF PERMITI ANCE ' ❑ CASHXW CHECK 1 agree to oomdy with all city and county ordinances and state laws relating to building SIG ATURE OFA LICANT OR AGENT construction, and hereby authorize representatives of this dry to enter upon the above- ment ned property for Inspection purposes•OWNS CONTRACTOR ❑ AGENT ❑ BY: VALIDATION DATE IiII 9/89 IM THIS PERMIT EXPIRES WITHIN 180 DAYS FROM THE VAfA7N DATE SHOULD WORK NOT BE COMMENCED PERMITTEE COPY J / ��: of 41Q00 • t . .M' -.i -.... � . ..T.. . _ w1.. .,. ''r4�.., �,F'q"F iNF]G3�F�!l^ .I,�.r.r.y,{`w•._ . JSa t... :�'.1i.i� i+N4�. a -r.. ti. rte: 'FIT�F . - - 'fiH�� �1,, �: �4 ,.- '... ��' .1- �5.' r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District C,� f/� - Building Department No. A.P. Number 6 4" j"d 2_7 -OZZJurisdiction 0 City County Property Owner UD UGI��Y►/116 e- ►/G iJ` Property Location/Address% Subdivison Residential Development Commercial/Industrial No.of Living MHI Units 0\ New" Lot No. V 0 . = Sq. Footage ,z 35 3 Addition (Group R) 0 Sq. Footage Addition (Floor Plans reviewed by School'District Personnel) Date (Including Exterior Roofed Areas) . District Identification No. & School District certifies that cvk4 &0 6-4� (Applicant) (City) (State) has complied with the requirements of Resolution No. representing t5Z� square feet. School District Representative Paid by Check Number Remarks: Bank Number - Paid by Cash N2 2 /(/�7 (Phone Number) ' (Zip Code) by payment of $SCS 0(1 /o a� 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 mitigated its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) r 't . ���t, ._ . � r 't . ���t, ._ e �)�3-z7a'azz BUTTS COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number(s) ?2-0 Z -7 -oz 7— Property Property Owner Project Location/Address 25A VA+0. Subdivision Lot Number(s) Residential Development: (check one) _ New Development _Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: b 1, (i Building Department Representative �� Date' U�c,r������r��w�x�r��r�����r�r��r����r��r��r�r�r�r�������r�r�r�*�r��r��r���r�r��r��t Chico,. AreaiRebreation. and Park District(CARD-) certifies that l,- _:1 (Applicant Name) (Phone Number) w (Street Address) (City) (State): (Zip Code) � %! ( has complied with the requirementsLof ButtPe�Co. Resoluti/on- No%. 90-140 by �-f( k -) payment for dwelling units @ $1,189 for total payment of $ JICa l 00 . z. `CARD Representative Date PAID BY CHECK NO. y rj REMARKS: BANK NO. !A-'�%t /a1c � --- I � T a PAID BY CASH RECEIPT NO.�,�-%`, Distribution: .White --Applicant_ � d J ,Yellow--Butte-Co-.-Building Dept. Pink --CARD r 'Goldenrod --City of Chico Building Dept. park.fee (form revised 11/90) a ���8 y�roio�i 40 # A RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # I S OWNER A. P. # ¢3- Z7- 2 -- Plan Checker GENERAL � - f.<Zoning requirements: (sideyards and number of permitted living units). V luat-ion. 3� P ns signed by designer. Proff�er description of work on application. .fisting violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees., License law, etc).' Recorded notice of violation. PLOT PLAN Mplete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. 34-'O—ther buildings or structures. 4�ri�ding, fills, drainage. 54- Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). .% FAU & FAS road setback. Building or utilities across lot lines (Record form). FLOOR P N.. 1�! e to scale a " fop � e plan with. dimensions. eA.ufred windows for. light and ventilation (Sec. 1205). 3r! equired;..windows for -secditd; exit (Sec: '1204)...: „ lights*(Chapter 34 & Sec. 5207. 5K Hymn impact glass (Sec. 5406) . ) _ t.6. e -re quid' room `sizes, ceiling heights (Sec'•: 1207). ' C'Fefs in baths, garage, kitchen, and exterior outlets (Article 210-8). 8V Light fixtures, switches, receptacles, and exterior receptacles for main- tena a of mechanical equipment. 9 catio of water heater, heating and cooling equipment, other electrical or 5 equipment. 1'firewall, door size, and closer (Sec. 503(d)(3)). 11. 3'0" exterior exit door (sec. 3304 (f). 1 replace and wood stove location, alcoves, and clearance. 1 Smoke detectors (Sec. 1210). 1R.. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS ]' Standard bracing or engineered design (Table 25V) Visual shape, size, or split level house requiring lateral design. 3. erestory requiring balloon framing and/or engineering. ory building requiring engineered calculations and plans. 5. ndation plan complete enough to construct building. �6� F or construction details complete enough to construct building. vations and wall construction details complete enough to construct building Roof construction details complete enough to construct building. -9--- e lace construction details and talcs if necessary. rafter ties or bearing ridge .beam. Mage door or porch header sizes. � heights. It. Adobe soils - special foundation design. 4. Retaining walls requiring design. 1.5. Special Inspection required. 8/91 RESIDENTIAL. PLAN CHECKING GUIDE MISCELLANEOUS ITEMS -TO LOOK OUT FOR airway details: landings, rise and run, head clearance, handrails Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). ick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706). • Pro of pitch for roof convering (Chapter 32). of c vering type - (fire hazard). insulation - protection. 8v 6" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side in u 'ng supporting walls and posts, etc. wo xits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 . A -tic access and ventilation (Sec. 3205). floor access and ventilation (Sec. 2516). IS'. Combustion air for fuel burning appliances - L.P.G. requirements. fequirements on duplexes. gy design. !�Fre lashing at all exterior openings. --1-7-. CDF re--spDnsible area requirements. /O - 21-4 Z QD �X fp 8 over D►►a,R ' ,Ca.-.. Cs�lgX �t,g Izegb �9� I CO) dv-2� KITGH Z r,n ur I'lul 1'hm Auuahed Moor flim AluiEhad 5on1 to 11,1), �V , 61 TO: ,:, Building Departmont FROM: Environmental Wealth SUBJECT: Sanitation Clearance 1�GG 2f �¢ri2ade/7e �i�znT /v3�-� /,U 5 GIZy,�r�i�o Ae Si3-2 7- 42-V �� _ _ Owner Locations APS Plan - Approved for: Sewage Disposal 1,-"' Water Supply: Public Private Well -Clearance for lvealr(iii cOthcr /c`4sj � Hold final for: Final clearance O.h./for: Cr NOTE: on �LCA Environs ental Health Specialist 8/92 L<J-2-�-ice Date . Ceiling Insulation 9. Raised Floor Insulation Insulation in Floor Number of stories .46 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value -1 0 0 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 13 27 -52 Single- Family Single - Family Mult- R-value Detached Attached Family R-0 58 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 8 14 23 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 -3 2 7 12 9. Raised Floor Insulation Insulation in Floor -70 .46 Number of stories -58 One Two Three -17 -8 -5 -3 .2 -1 0 0 0 3 1 1 -144 -70 .46 -120 -58 38 -95 -46 30 -69 -34 -22 -13 -21 -14 -17 -8 -5 -11 -6 -4 -6 -3 -2 -1 0 0 4 2 - 1 10 5 3 Controlled Ventilation Crawispace -4 -3 -1 Number of stories -1 R -value One Two Three R-0 -11 -7 -5 R-5 4 -4 3 R-11 -2 -2 -2 R-19 --1 -2 -2 . Slab We Insulation 40 -90 37 Number of Stories -14 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 .3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Inriltration (Air Leakage) Specifiellon Points Standard 0 6. Glass Heat Loss Total Single- Slab Floor Effective Percent Glass . U -value %Glass Percent East South .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 leas 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 .9 1 10 30 51 -21 -13 .4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 =17 -9 -2 -6 13 " 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 -34 -7 -2 4 10 15 20 31 5 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 `$r 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Percent Glass (Percent Sim x SC) Effective Single- Slab Floor Effective Percent Glass Mass Family %Glass North East South -West Skylight 18 5 1 4 1 na _ 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 $ 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 -30 3 -1 3 3 0 1 1 2 1 3 2 0 00 2 1 3 1 -1 1 1 -1 2 0 1 -2 -4 -2 /t]` na = not allowed 4.0 3 6 8 9 10 10 a 3 "7 1B. Shading (Shade Closed) Single- Slab Floor Effective Percent Glass Mass Family (Permt tttb. x SC) Mass Effecive %Giese NoM bat St1Wt West SlgrW -'18 -14 48 -69 -64 na 16 -12 -42 -59 -55 ria 14 -10 -35 -50 -46 na 12 5 -29 -40 -37 na 11 -7 -26 -36 -33 ria 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 55 8 -5 -17 .23 -21.. -56 • 7 -4 -14 -19 -18 47 6 3 -11 -15 -14 -38 5 .2 -9 -11 -10 -30 2.0 -1 --4--5 4 5 6 3 0 0 3 -:4---16 7 2 1 3.0 1 -1 -9 4 1 1 0 ---2 1 1 3 4 1 3 -T no . not allowed - 9 9 10 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Mutt Mass Stories AttadW /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 .1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 -30- 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 "7 8 '10 11 it 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Wall Single- Savle, Sum of 15 16 Or Family Farmly Mutt Mass Detached AttadW Family 0.00 0 0 0 0.20 3 2 1 0.40. 5 4 3 0.60 8 6 .4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11. . 1.80 10 12 12 200 10 11 13 11. Heating System SE or KSPF (assumes duets in attic) 0.80 7.33 25 22 19 16 13 ' 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,•m SEER ("=me; ducts In attic) Sm of 7-10 -25 Or -24 to r44 b -4 to Sum of 15 16 Or SEER less -15 ; .6 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 .5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33- 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 __20 18."'-15 13 11 8 120 15 Effective SE or HSPF 9 7 (SE or HSPF x dud efficiency) _13.0 Effective -25. or -24 to 4410 -4 to +6 b or SE HSPF less -45 -6 +5 415 1 tore, 0.30 275 -73 54 -56 -47 -38 -30- na 3.41 -45 . -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22- -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 32 0 0 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 ' 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,•m SEER ("=me; ducts In attic) Sm of 7-10 -Stories -25 Or -24 to r44 b -4 to +6 b 16 Or SEER less -15 ; .6 +5 +15 more 8.0 -14 -12 -10 5 -6 -4 8.5 -9 -7 -6 5 -4 3 8.9 -5 .4 -4 3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 _13.0 20 17 14 12 . 9 6 WSB 5 Etfsove SEER 3 2 2 (SEER xrlucd of idency) POU 8 5 SwA of 7-10 3 _ .3 _ Effective -25 or ',24 to -14 to . -4 to +6 b 16 or SEER les: -15 -6 +S +15 more 5.0 -30 -25 -21 -17 -13 .9 6.0 -12 -11 -9 -7 -6 4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 -9 0 0 8.0 9 8 6 -3 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 j 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 _ 9 13.0 33 29 24 20 15 10 POU Zonal Control Adjustment -6 -5 -4 10 8 7 6 4 3 4.1 No Coolin; System Installed (s.1700 4.8 -Stories SCORE CARD Eff. % Glass SE or HSPF (0.72/6 X 0:3 �X I1,010 One -5 -4 -4 -3 -2 -2 Two + 3 3 .. 2 2 2 1 Single -Family I...:tached and Attached U -value [0.098] 3. Raised Floor Insulation Urut Size (sQ Water TYPE 2 MASS :1991204 - '1700 2200 2700 Heater Credit . or .1 b to to -or- Type Type less 1699 2199 2699 more SG None -0 0 0. 0 0 or Solar 12 " 8 6 5 4- _HP HP'-HWR -HWR 8 5 4 3 3 WSB 5 3 3 2 2 2S% POU 8 5 4 3 _ .3 _ SE None 37 -24 -18 -15 -12 100% 105% 110% 115% 120% 125,. Solar -1 -1 -1 0 0 1.1 -HWR -18 -12 -9 -7 -6 - 2.5 WSB._: -25 -16 -12 -10* -8 4 P0V_ _ -18 _=12 -9 -7- -6 IG None . :-S -3 -2 .2 -2 IA Solar Z 5- - -4 3 2 2.9 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 - Solar 8 5 : 4 3 3 1.8 POU -10 -6 -5 -4 -3 3.3 Muld-Fatally (Indllddual units) 3.7 3.9 4.1 4.3 (s.1700 4.8 5 Water 5.4 W 700 12 0.7 0.9 Haw Credit or b 10 to .2200 or Type Type less 1199 IM 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR ._ 9 5 2.2 3 2 2 3 WSB 9 4 3 2' 2 4.5 POU 9 5 3 2 2 SE None 45 -23 -15 ' -11 -9 1.9 Soler 2 1 1 0 0 3.4 HWR :43' -12 -8 -6 '-5 4.8 WSB -25 -13 -8 -6 --5 55% POU -233. 1Z_-8. 5 5 10 None.. 4 .4.. -3 2 -2 3.2 Solar.t�:6. 3.7 3. 2- 1-� 4.5 _ POU .1 _-.56 0 _.. 0 0 6 IE None 1 -15 -10 -8 -6 Z1 Solar = 18 9 6 4 4 3.5 POU 5 -4 .3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD Eff. % Glass SE or HSPF (0.72/6 X 0:3 �X I1,010 Measures Duct Efficiency (0.74] 1. Ceiling Insulation s- or �'" Z•l X. Interior Mass/CFA R -value [38] U -value [0.030] 2. Wall Insulation 13 or �'•3 X -5 2 -7 . Tf►I I PASS U -value [0.098] 3. Raised Floor Insulation or TYPE 2 MASS R -value [ 19] - 4. Slab Edge Insulation or AREA 7 ]0 R -value [0] F2 factor [0.77] S. Infiltration Standard 6. Glass Heat Loss (!i 1-3j it.7•YIIIC•..21 Type [double] U -value [0.65] % Total Glass (16] I TYPE 1 KASS (OIMC 6 4.2, le: es so�_ 0% 5% 10% 15% 20% 2S% 30% 35%,40% 45% 50% 55% 60% 656 701E 75% 80% 85% 00% 9S% 100% 105% 110% 115% 120% 125,. 0% 0 0.2 0.4 0.8 0.8 1.1 1.3 1.5 1.7 1.9 21 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 IA 1.6 1.9 ZI 13 2.5 Z7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 Z7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 Z4 16 18 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 Z6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 50% 0.9 1.1 1.3 1.5 1.7 1.9 Z1 23 25 17 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 S.3 5.S 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.8 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 12 1.4 1.7 1.9 Z1 23 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.6 2.8 3 9.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 S.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 Z2 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 Zi Z3 23 27 3 3.2 3.4 8.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 8W1/. 1.4 1.6 1.8 2 , 22 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 63% 1.6 1.7 1.9 �Z,z�/ 2.3 2.5 2.7 2.9 3.2 3.3 3.S 3.8 4 4.2 4.4 4.6 4.6 5 3.2 54 S.0 5.9 Z.. 6.1 G. 0 7 90%' 1.5 1.7 2 2.4 Z6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 6B 951/. 1.6 1.8 2 - 22 Z5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.6 5 6.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 1001/. 1.7 1.9 21 2.3 2.5 18 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9. 5.1 5.3 53 5.7 5.9 6.1 8.3 6.5 6.7 7 105% 1.8 2 2.2 ". 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% to 2.1 2.3 23 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 2.4 2.6Z8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.S 5.7 5.9 6.2 6.4 All 6.8 7 72 120% 2 2.3 2.5 2.7 Z9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 63 6.7 6.9 7.1 73 125% 21 2.3 25 2.8 3 32 3A 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Eff. % Glass SE or HSPF (0.72/6 X 0:3 �X I1,010 Measures Duct Efficiency (0.74] 1. Ceiling Insulation s- or �'" Z•l X. R -value [38] U -value [0.030] 2. Wall Insulation 13 or �'•3 X -5 2 -7 R -value [ 11 ] U -value [0.098] 3. Raised Floor Insulation or TYPE 2 MASS R -value [ 19] 1.1 -value [0.037] 4. Slab Edge Insulation or AREA 7 ]0 R -value [0] F2 factor [0.77] S. Infiltration Standard 6. Glass Heat Loss (!i 1-3j Type [double] U -value [0.65] % Total Glass (16] 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a.' North: b. East c. South d. West e. Skylight 9. --Interior Thermal Mass _ r 1.0. Exter(i}or Wall Mass 11. Heating System Zonal Control? ( Y / N ) ^'12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating % Glass SC Eff. % Glass © 13 X 1:2-7 _ / Zi St, X • X t X = 3 ► ?� O's X Point Scores 4Z.- 0 p0 Sum 1.6 O '% Glass - . SC Eff. % Glass SE or HSPF (0.72/6 X 0:3 �X I1,010 SEER [9.S] Duct Efficiency (0.74] st S X C type (SGT = ► - �'" Z•l X. _ �r X �'•3 X -5 2 -7 = O t- /_ Interior Mlss/CFA TYPE 1 MASS AREA = COND. FLOOR AREA TYPE 2 MASS AREA D. FLOOR AREA 7 ]0 Exterior Wall Mass X - 4 SE or HSPF (0.72/6 X Duct Efficiency [0.781 [ � � = • Effective SE or HSP f.S415.15] S SEER [9.S] Duct Efficiency (0.74] Effective SEER [7.03] C type (SGT Credit [none) Um O Point Total: Certificate of Compliance: Residential Climate Zone 11 Project Title %seC/ Bw7dinsPermit# Project Address TZIK Checked By/ Dau Documentation Author Telephone Enforoe meat Agency Use Only Mandatory Measures Checklist: Residential - MF -1R NOTE: Lowrise residential buildings subject an Oto Standards mun contain these awalsttea reprdlea of the compliance approach used. Items marked with an asterisk (*) may be superseded by more nringau eomplranoe requtremenas listed on the Certificate of Compliance. When Otis checklist is incorporated into the Permit document. the noted ted shall mponent m be considered by all parties as binding minimum copea an a tpetafirmiaru for the mandatorymeasures whether they we shown elsewhere in the documents or on this checklist only. USCRIVRON _ _ I DESIGNER I F11RCEME Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(by Loose fill insulation manufamuru's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply o exterior mass walls). 12.5352(k): Stab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no grew that 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CECT quality standards_ Indicate type and form. §2.5352(0: vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: InfatratiorvFxfiltradon controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows wethcr=ipped: all joints and penetrations caulked and staled. 12.5352(e): Special infdtration barna installed to comply with 12.5351 meets CEC quality standards. §2.5352(d): Installation of Fueplaces 1. Masonry and factory -built fireplaces have: a Tight fatting, closeable mel or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures 62-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. 12.5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gat -feed space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment, waw heaters, showerheads and faucets certified by the CEC. §2-5352(1): Waw how ittsulation blanket (R-12 or greater) or combined interiorkxtuior insulation (R-16or greater): fust 5 feet of pipes closest to tank insulated (R-3 or grew). 12.5312(Excepuon 0: Pipe insulation on steam and ueam condensate retum & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. ONoff switch on heater. b. Weatherproof instruction plate on hew. c. Plumbed to allow for solar. 2. 75 percent therrraal efficiency. 3. Pool cover. 4• Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 12-5314(c): Gas fired appliances equipped with intemittent ignition devices. 12.5314(a): Refrigernors, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEM NT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Tittle 20. ChaWr2. Subc hapter4. Article 1 of the California Administrative code. INS certificate has been signed by the individual with overall design responsibility and the building owner. who shall tetain a copy of it and transmit the eerWic m to any subsequent pumhaser of the building. Designer • Name: • TitkJ6trm: Addna:s: Telephone Lie. N: (si�rtantre) (date) Documentation Author Name: TitwF,rr,t: Address: Building Owner Nam=. Ad&=: Tekphonc (signature) (date) Enforcement Agency Names: Agency: Telephone: Area % Glass BUILDING DATAGlass North I_ 0,3 - ►3Conditioned Conditioned Floor Area 2353 Number of Stories Z East /29e S Slab/Raised Floor S.L.13 . Number of Units-, - South Single Family Detached (SFD) [ ] Addition Alone West 99:9;. -41-) '] Single Family Attached (SFA) [ ] Existing Building 4;, ep ► SkyliTotal *7--%g, _T2 e3 [ ] Multi -Family (MF) [ ] Existing -Plus -Addition BUII,DING SHELL INSULATION Component Insulation Locatforuromments Type R -Value (tlUIC..to Garage, tv al, eta.) Wall .............. XL -4 Po I N"f 'rQT�L wall .............. Roof ............. x-30 Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type interior Exterior Overhang Framing Type Orientation (sf) (single double) (roller blind. eta.) (dUKU screen. etc) (yeshto) (nt" Wood) North ( ) D8L North ( ) East ( ) East ( ) South ( ) SC), South ( ) West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, Nle etc.)' (Sf) (inches) Location/Description (kitchem bath. etc.) F t_ M. e6%9,, -X -A 21kilkne. 2nA . 1<1rcj4r_tJ EfyTTRX $R)CIt- WOOD S FbVE HVAC SYSTEMS Minimum. Duct Type (furliace, air -Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pwnp) (SE. SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) 0P_VZ • I? ZZ i r, 15.7 oa ll�nfC I�Y`1C�A1� -. r. .... .9 nrnADTMCN1 A . Maximum Furnace Heating Output: HOT Btuh HOT WATER SYSTEMS `/ APPR O` , � D Tank Manufacturer/Model # System Tvce (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential - MF -1R NOTE: Lowrise residential buildings subject an Oto Standards mun contain these awalsttea reprdlea of the compliance approach used. Items marked with an asterisk (*) may be superseded by more nringau eomplranoe requtremenas listed on the Certificate of Compliance. When Otis checklist is incorporated into the Permit document. the noted ted shall mponent m be considered by all parties as binding minimum copea an a tpetafirmiaru for the mandatorymeasures whether they we shown elsewhere in the documents or on this checklist only. USCRIVRON _ _ I DESIGNER I F11RCEME Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(by Loose fill insulation manufamuru's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply o exterior mass walls). 12.5352(k): Stab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no grew that 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CECT quality standards_ Indicate type and form. §2.5352(0: vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: InfatratiorvFxfiltradon controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows wethcr=ipped: all joints and penetrations caulked and staled. 12.5352(e): Special infdtration barna installed to comply with 12.5351 meets CEC quality standards. §2.5352(d): Installation of Fueplaces 1. Masonry and factory -built fireplaces have: a Tight fatting, closeable mel or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures 62-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. 12.5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gat -feed space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment, waw heaters, showerheads and faucets certified by the CEC. §2-5352(1): Waw how ittsulation blanket (R-12 or greater) or combined interiorkxtuior insulation (R-16or greater): fust 5 feet of pipes closest to tank insulated (R-3 or grew). 12.5312(Excepuon 0: Pipe insulation on steam and ueam condensate retum & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. ONoff switch on heater. b. Weatherproof instruction plate on hew. c. Plumbed to allow for solar. 2. 75 percent therrraal efficiency. 3. Pool cover. 4• Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 12-5314(c): Gas fired appliances equipped with intemittent ignition devices. 12.5314(a): Refrigernors, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEM NT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Tittle 20. ChaWr2. Subc hapter4. Article 1 of the California Administrative code. INS certificate has been signed by the individual with overall design responsibility and the building owner. who shall tetain a copy of it and transmit the eerWic m to any subsequent pumhaser of the building. Designer • Name: • TitkJ6trm: Addna:s: Telephone Lie. N: (si�rtantre) (date) Documentation Author Name: TitwF,rr,t: Address: Building Owner Nam=. Ad&=: Tekphonc (signature) (date) Enforcement Agency Names: Agency: Telephone: - � - �- I �, �, �, � '. I '� � � �, -. i A '. I �i', �� �I I, I �� { � _ _ _ .. I, �. ... a -i I,, '',, ', ��i '�. I I �i � i ',I � I I i� � �, �II '� �� III, �� �, I '�, VIII i i ,� I i ', '�. '. f. �I, i � �i' � ', IOJP14Z