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HomeMy WebLinkAbout043-480-001O TANGLEWOOD 43-48-1 809 Victorian Park Dr -1 ,5 C ,c o Permit#2539-85B,P,E,M(new single family) I. i r I li i 1 r • 1 1 4 II {�I II Count* at our OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Tanglewood . ADDRESS: r.0. Box 4143 _ CITY 8 STATE: Chico, CA 95927-4143 IMPORTANT: September 15, 1986 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #2539-_85B,P,E,M, IReceipt #47617, dated 8/2_9/85, A.P. #43-48-1). Building permit fees paid------- --------------- ---$344.00 $10.00 Retain plan checking fee ----------- $15.00 Retain energy plan checking fee ----$15 00 Amount retained----------------------------------- 40.00 Refund due --------------------------------------------------- $304.00 Plumbing permit fees paid --------------------------- $ 46.00 Retain filing fee----------------------------------- 10.00 Refunddue ------------------- -------------------------------- $ 36.00 Electrical permit fees paid ------------------------- $ 73.75 Retain filing fee--------------------- - = = =- = = =- Refunddue --------------------------------------------------- $ 63.75 Mechanical permit fees paid ------------------------- $ 34.00 —--- Retain filing fee----------------------------------- I . Refund due --------------------------------------------------- $ 24.0 Refund energy inspection fee --------------------------------- $ 30.0 ,TOTAL REFUND DUE --------------------------------------------- $457.7 TOTAL $ 457 75 I, the undersigned, i gned, decl�areyunder penalty of perjury that the services or articles claimed hav�ebe n erform rdaIivete and at this claim is true and correct ep,etated. Dated this '7_JT ............. day of ..> 5. . 1et l /TC Calif., '. .........-..O...... ...,................................... .............................n. ... .. Signature o alm ant t, the undersigned, hereby certify that, to the beet of my knowledge, the servicA6 or articles apeified abode have been perforated or de- livered and that there is a Budget Appropriation❑ or Specific Board Approval O (Checkone) for the same] Dated this ............... �5th day of ...September ,9.. 86a, Oroville c a,l r. Department Head or Authorized Deputy Dept. Esp. Code............................................ Code................................................PAYAQLE FROM FUND .............................................................................. DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i I �-- - ©off �� � y- 3 - `%9 -.3 9 0 • :PERMIT NO. 2539-85B,P,E,M •PERMIT EXPIRES �l OWNER TANGLEWOOD CONTR.. Tanglewood 'r ASSESSOR PARCEL 43-48-1 LOCATION 809 Victorian Park Dr, jgjt 25,Chico • �q Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E r 2 a� JOB FINALED (Date) Signature 11 I OK Not OK Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements 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 7. Utility Clearance 6. Carports; Windows -Doors 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 a's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1• Setbacks -Easements 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. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce tq's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 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. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 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 Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech, Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. 74. Insulation -Foam -Looked in Attic F] Yes Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except p's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic 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 Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thn_g.-Rfn_g_.__ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE r�DEPRRTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 - APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC L NUMBER _ ZONI G ^ /(2 - - BUILDING PERMIT OWNER TELEPHPNE Jig SO. FT. OCC. BUILDING VALUATION \ \ O OW R'S AI NG ADDR S /� /v! t 61 \ 0^ / 60 CON AC TO 'SN ME TELEPHONE O CONTRA OR'S MAILING ADDRESS Fireplace / B ONS RUCTION LENDER CONST UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S AILING ADDRESS Permit Fee $ , C2 A �TECT OR EN E� LICENSE No. Plan Checking Fee $ on Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD Es l �r ` Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q ` Solar or heat pump water heater 20.00 LOT NO. SUBDI&)ONNAMEn qTEach PA CELMAPWater piping MM 5.00 VO pas water heater or vent 5.00 (� USE OF STRUCTURE SF y Duplex❑ Mobilehome❑ SPECIFY Other Gas piping system 1 - 5 outlets 5.00Q Building sewer 5.00 0 Mobile Home Is 10.00 ea TYPE OF WORK New Addition ❑ Re odeel❑ Utilities Installation❑ Other❑ Describe work: c� /el�/G h /m[ /0�_ Permit Fee $ C Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 DR LESS 100 OROR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (Check one): yn IL1—dl/ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force and effect. 3 License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for.sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING Oc P OR ADDNS, l ACC. SLOGS. '/20sgft t NEW CONSTR ULTI-OUTLET2.50 NON- BRANCH CIRC ITS ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2AL@30 ewL030 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID,1 EA. 2.00 Temporary service 10.00 /� d Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Khave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 07 Cooling , 90 Hood 3.00 6 Ventilation Q 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. 1 also agr to sa nd ifyLnkeep harmless the County of Butte against all liabi ti s, j m nt , ostexpenses which may in an wa accrue against ai Co y i c seqthe granting of this permit X Date �J Signature of Applica — ner❑ Contract Or ID Agent -W An OSHA permit is quired Mr excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Q,,Q h TOTAL PERMIT FEEL, $ - i OCCUP, CONST.TTPE FLo PARCEL PD HD IESIIE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. / 4 / WNITC-D.P.W.. •EL LOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPART M NT- 'PUBLIC WORKS - BUILDING DIVISION / 7 -,COUNTY CENTER DRIVE - OROVILLE,��ALIrOANIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET �--� - Permit No. / OWNER 7—al,44,0 f' �J� A. P. No. Proposed Building Use " "&, is 1 1.) / /_ Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector / �1 �/�I �� _ gate —ar� 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. . . . . . . . . . . . X"` Plot, plans itnt7�lic a/triplicate. 3. r. r13. Complete plans'in duplicate./triplicate.' ... . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5/ Plans with Energy Design Compliance IStatement . . . . . . State Energy Forms ,No. r 7 Statement of°Intent for Non -Heated and AC/BuiIdi gs. ��&, Fees of $ .. . . . . . . . . 9. Letter of signature authorization. . v 0,10. .Sanitation approval from �n � 2 Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information'(no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to ownerE])--. 15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. Z/.� `' Other a- fj S e ) When you issue the permit, process as follows: Mail t owner. Mail to contractor. Telephone S�9L,962a �% and hold for pickup at �Qoffice. Deliver w./inspector. Other .. Applicant Date 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 Ve of a ati , ircle item.) 1. Index permit for above Items No. 2. Additional items required: �r (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other ,e By b Date Plans checked by Date { of Plans approved by Date _ Other: Copy—DPW TO: ' Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance L7e�1��e�d G 7��2-7-4 Z2lZ3� Owner Loca 'on AN Plann approved for: sewage' disposaly water supply Hold final for: water supply Final clearance OA. for: water supply Clearance for bedroom home. Other Note*** Sanitarian . Date CVtt iCC,J1UGlYji1HL Ut;Vf;LUYC`1Y:IV1' (,+.�iril.L RECOF'�%= Section 26-8.1 of the Butte County Code re.quires this acknowledgement De recorded prior to issuance of a �auifding:,permit. The property described hereie is 44jacent to land or included lu 56 within an area zored for agricul:°.rel ;,tliFOSea. and residents of this CLIs?,Q.t".- ?roperty may be suhject to inco..•:.:�i�...:es vt discomfort arising from CLf��t ^')!%� the use of agrict Ittt:al chemicals, including, but not limited to herbicides, pest,iciges,EE -t: fertilizers; and from the pursuit of agricultural operations including,.but not limited :o cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, Smoke, noise, and odor. Butte County has established agricultural zones which have as a ?riority use for productive agricultural purposes, and residents within said zones and•on zdjacent property should be prepared to accept such inconvenience or disconform from normal, iecessary farm operations. All that real property. situate in the County of Butte, State of California, described is follows: Ints 1 through 26, .inclusive, as shown on that certain Map entitled, 'WATERFORD SLBDIVISICIN NO. 1", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on March 7, 198 in Book 95 Of Maps, at Pages 5 through 10. JOT CQV,PARfD WITH )iliGINAL DOCUMENT )ate . llAA1l�`�D, A LIMITED PARTNERSHIP BY: SHASTAN CCHPANY , INC . , GENERAL PAKDE R 717 - ay a ert, esi t ,taia v' j On this the day c;` , 19 , before SS. me, the undersigned Notary Public, personally appeared :ounty of _ ) STATE OF CALIFORNIA COUNTY OF g On ' fore i said State, personally appea U �^ known to me to be the President, and c know to met be the cretary of a v the corporation that executed the within nstrument and known to me to be the persons who executed the within Instrument on behalf of said corporation, said corporation being known to C to be the general partner a — C Q the limited partnership that executed the within instrument, , n 1, acknowledged to me that such partner and that such partner Ip executed the same. WITNESS my hand aanndoffyi�ciiya�l Real �f 1 Signature Name (Typed or Printed) the undersigned, a Notary Public In and A-1 to me or. the basis _,:isfactoty evidence. subscribed to that dein contained. it }and and official seal. OFFICIAL BEAL SHARON R. HoWtU tsornar Puttuc — CNJF� COUMY OP sum Canny. Fxp, Apnq I2, 19115 (This area for official notarial seal) ary Public n A) Tan . A setback ofhb\ roperty lines and a setback o ft. from the road center i e shall be clear of o structured r equipment except o n or �2 ft. e e overhang. ee Master Plan on file for buildh Ions. ?-4�JG Z,&W 6 -bo ! E= - 50 o�eirw �-T�✓ � t ` J ,booi --------- NOTE--All Materials & Workmanship Shall Be in FChicAccordance with Recognized Good Practices and: . of a quality prescribed for the S ecificd use in the o TrPrcATt(w OP co1vU Uniform Building, Plumbing & Mechanical Codes anti UTTE COUNTY oRDINANCBSaa63� the National Electrical Code. fied School District eortifies that This set of plans and specifications MUST be iP cant Pham-----� kept on the job at all times and it is unlawful +o K 14/q3 make any changes or alterations on some without iJ`Tet- � written permission from the Department of Public. ChICo 9S 9Z7 Works, Count of Butte. {� ity) State � y has coaPlied withAl requirements of orc' regarding p- '163 on Assessor Parce reside (s) payment of fees of $ . u -! / Go �`ZS the QQ Sefirs+m4 img9aet. t�iti at on n c- a U5 _ g greeme t 253985 C � �] �, to a entative BUTTE COL) N`TY ys_o i - a3 BUILDING DEPA TMNR . -�. APPROVED ?Zr ri` L+iJ;. i ".11xi.. 7,;,J. ,a hir � 9 7 M �.. - FORM RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner SHAS%W Gn, Climate Zone �/ Permit -No. t,.. j.r Area I2so 10 Other �M ;Wpliance path: Package .❑ A ❑ B 13130 C Point System ❑ Budget _ 00D1A) s/N MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSUTATION: Roof/Ceiling le- 5 F, X775 C Wall E43 ❑ Slab Floor Perimeter _ ❑ Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1,. 14 & 16.. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. ❑� (C) All swinging doors and windows leading to unconditioned. areas shall .be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ['Y (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger -(3) GLAZING• Skylights MC= 2 (A) Location . Length of projection Type Tom- Area Glazing %Floor Area Single Do ble Triple [ate Total Bldg Zo%o , Z¢ . North 107, 0 B, ze - Area Ft.14 East 40;0 Zv ❑ _ South 4o,o ❑ [�✓� West Ft.2 HC= R= ❑ MC= Skylights (B) Shading - Area 7/83 Description ft. Description (D) Moveable insulation: Area ftz Description / (E) Thermal mass Type Shading /-5 Ft.2 HC=/,/75'R=,/3 Coefficient Q� East o!� South lc�c ❑ West - Area ❑ Skylights MC= 2 (C) South Overhang Length of projection 7/83 Description ft. Description (D) Moveable insulation: Area ftz Description / (E) Thermal mass Type Area /-5 Ft.2 HC=/,/75'R=,/3 MC= -),3, Location Type A - >G46 - Area I /- 3 Ft. HC= R=. % MC= 2 Location 9 3��1� l ��. '1' 1 AWLS.F4aD#— Type Tom- Area 1;� , ZFt. r ` ,7 HC= �R= ��^ . MC= S,,7 Location 6gig ❑ Type - Area Ft.14 HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location 13Type - Area Ft. HC= R= MC= Location 1 FORM [ (4) MASONRY AND FACTORY -BUILT FIREPIACES shall be equipped with tight Ming closeable metal or glass doors covering the entire opening f t eh oire ox; a com usion.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. iF T�Tt�" 2,1;f �°T 2� - *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central ,Gas Furnace mw %1 % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ' ft2 model number solar fraction collector area collector orientation collector tilt rated.y-intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (seasonal EER) (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other. (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat.on its second stage, shall be required for. heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except. those controlling heat pumps. ` [� (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ( (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting.joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 0 / (6) DOMESTIC WATER.SYSTEM (A) Gas Only (-brand and model.number) Heat Pump w/Electric Backup t OKM 1 �D Gallons (tank size) Li (brand and model number) C3 *2 Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater. type, brand and model number) (collector area) (collector orientation) (collector tilt) . (] Location of Solar Panels 0- Other (Describe) 8__100, (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. [� (C) PIPE INSUTATION, The five IL:et 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). p� (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 1n kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit d to on of sizing heating and cooling equipment by Manual J, sizing chart (form #4) r.other approved methods, section 2-5352(g)',.and fill out the fo l to n �-� *two Heating: Winter design temperature °, elevation -0-S ',.heating load cBTU elevation factor Iro x heating .load n maximum outlet capacity gas furnace 4 DJy) BTU t C'y aof?%S. Cooling: Summer design temperature .°, cooling load BTU *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 requirement's of �- Title 24; Part 2, Chapter 2-53 of the California ,administration Code.. 7/83 SIG�REO F lBffjLDING DESIGNER OR APPLICANT U Y Floor ZONE 11 Table 3-2. Raised Floor Point OWNER '--*4A`-, k) Gp, POINTS 1 1.6- 3.6.1 38 PERMIT N0. ASSIG::ED ACTUAL of 1. SL\B - INSULATION NONE S -5 I tlun I 1 -4 I -3 I I I Insulation I 2. RAISED FLOOR - R-19 -11 L 3. CEILING - R-30 0 1 3-4 5-6 1 4. WALL - R-19 I -13 l 111.6-13.0 I 5. NORTH GLAZING - 2.4-3.61. �Co '7i ^ /✓�:/ /O '/ -25 6. EAST GLAZING - 2.5-3.6% I 3-4 I -8 7. SOUTH GLAZING - 1.6-3.6% -5 1 I 5- 7 S. WEST GLAZING - 2.9-3.6% °70 l•ZY -1 I 9. SKYLIGHT - 0-1.3% i -2 I _4 10 10. SHADING (Exclude Overhang) �� r I 20 + I -5 I I 1 -1 I I I EAST - .67-.82 'b& O 1 •19+ I I 0 I 7/7/43 SOUTH. - 19-.42 WEST - .13-.36 SKYLIGHT - .37-.57 -� ' 11. HORIZONTAL SOUTH OVERHANG 2' 7•_ '-�' 6/ 1 12. 1.10VABLE INSULATION - NONE 13.. INFILTRATION (Standard=0)(T19ht=+12) a/ 14. -THERMAL MASS SF 15. GAS FURNACE (SE) -� i ,l 71-76% `• �'G 16-. HEAT PUtfP (EER) 7.5-7.9% ' 17. DUAL PACK (SE. SEER) 8,0-8.3/71-76% 13. ACTIVE SOLAR 60',tIIN (NONE) 1.9. ZONALLY CONTROLLED ELECTRIC 20. SOLAR WITH GAS BACKUP (H14) 21. OTHER - NO ELECTRIC (IIW) ITEMS SHOWN ZERO -POINTS Table 3-1. Slab Floor Points 22 Table 3-2. Raised Floor Point F-7 I 0 1 1.6- 3.6.1 38 T I 0 1 17na•ila- I R -Value of Insulstlon 1 I R -Value of I. I tlun I 1 -4 I -3 I I I Insulation 1 Points I oerth, I 7.8- 8.9 1 -11 I -8 1 -7 I 9.0-10.0 I_ I !nc>•es L 0-2 1 3-4 5-6 1 7+ 1 -17 I -13 I -11 111.6-13.0 I -21 1 -16 below 3 I -12 -25 ( -19 I -16 I 114.6-16.0 ( I 3-4 I -8 1 0- 11 I -s I -5 1 -5 1 -5 1 I 5- 7 I -6 I 1; - 15 I -5 I -3 I -2 1 -1 I I 8- 12 I -4' I 16 - 19 I -5 i -2 I _4 10 I I 13 - 18 I *2 I 20 + I -5 I I 1 -1 I I I 0. I 1 +1 1 t 1 •19+ I I 0 I 7/7/43 (. Table 3-3a. Ceiling Insulation Points R -Value of Insulation I Points 19 1 -4 1 22 I -2 Orlen- I Z Floor Area 30 I 0 1 1.6- 3.6.1 38 1 +2 I 0 1 49 1 +4 1 3-4a. Hall R -Value of Insulation I Points 11 1 -7 19 I 0 24 1 +2- 30 1 +3 Table 3-5. North-FacingGlazing Pte I I Glazing Type 1 I Total I I I Z of ST, Obl, Trpl, I Floor I U- l U- I U- I Aze4 10.66 1 0.42- 1 0.41'1 I 11.1010.65 1 down I 1 0.1- 1.2 I ++4 I ++4 I+ I 1 - 1.3- 2.3 (. +1 I +2 1 +2 I 1 2.4- 3.6 I -2 I 0 1 +1 I I 3.7- 4.8 1 -4 1 -2 I -1 I I 4.9- 6.1 1 -7 I -4 ( -3 I 6.2- 7.3 (. -9 I -6 I -5 I I 7.4� -12 1 z8 I -7 I I' 9.8-io.8 I -17 I -12 I -10 I 110.9-12.0 I -19 I -14 I -12 I I i2.1-13.2 I -22 I -16 I -13 I 113.3-14.5 1 -24 I -18 I -15 I 14.6-15.3 i -27 i -20 i -1i I Table 3-6. East-FaelnsCl.xlPts. Glazing Type I Total I I I 2 of I SnGl, I bbl, Trpl. I Floor I (U - 1 (11 - 1 (11 - I I Area - 1 1.10) 1 0.65).1 0.41)1 IIlmlats Pts I ointal I o I +� +oin4 s4 -I I up to 1.3 1 +3 1 +4 1 +4 1 1.4- 2.4 I +1 1 +2 I +2 1 I 3:7- 4.6 I -5 I -2 I -1 I 1 4.7- 5.5.1 -8 1 -4 1 .3 1 1 5.7- 6.:7 1 -10 1 -6 1 -5 I ( 6.8- t0 A -13 1 -8 1 -7 1 7.8- 8:7 1 -15 1 -10 I -8 I I 8.8= 9.1 I -1.7 I -12 I -10 I I' 9.8-11.2 I 1 -15 I -13 ; 111.3-12.7 I -18 I -15 I 112.8-14.0 -21 I -18 I 14.1-15.3 f, -24 I -20 I Table 3-7. South -Facing Glazing Pts Table 3-10. Shading Coefficient Points 1- T___T 1 I Clazing Type I I SC by. I -Total I 1 1 Orlen- I Z Floor Area I Z of I Sngl, I Dbl, Trpl, 1 1.6- 3.6.1 I Floor I (U - I (U - I (U - I I 0 1 I Area 1 1.10) 1'0.65) 1 0.41)1 1 TI I '. lvoints Iooints loointsl -6 1 0 1 +3 I +3 1 43 1 up to 1.5 I +2 1 +2 1 +2 I 1 1.6- 3.6.1 -1 1 0 I 0 1 1 3.7••T.T� -4 1 TI -2 I I 5.7- 6.5 1 -6 1 -4 I -3 I I 6.6- 7.7 1 -9 1 -6_ I -5 I I 7.8- 8.9 1 -11 I -8 1 -7 I 9.0-10.0 I_ -13 I -10 .I -9 110.1-11.51 -17 I -13 I -11 111.6-13.0 I -21 1 -16 1 -14 I 113.1-14.5 I -25 ( -19 I -16 I 114.6-16.0 ( -28 I -22 1 -'.9 I Table 3-8. West -Facing Glazing Pts. Total I I Z of I Sngl, Dbl, Trpl, Floor I (U - I (U - I (u - I Area 11.10) 10.65) 1 0.41)1 (points Ivoints loointsl I o I •s 1 • I +6 I +6 I I I +3 I- +a I +5 I 1 2.1- 2.8 I 0 1 +2 I +3 I 1 2.9- 3.6 I -3 I 0 1 +1 I' 1 3.7- 4.2 I -5 I -2 I 0 I I 4.3- 5.0 I -6 I -4 I -2 I 1 5.1- 5.6 I -10 1 -6 I -4 I 5.7- 6.2 I -13 ( -8 I -6 I I 6.3- 6.9 f -15 I -10 I -7 I I 7.0- 7.6 I -18 1 -12 I -9 I' I 7.7- 8.2 I -2J I -14 I -11 I I 8.3- 8.8 I -22 I -16 I -13 1 I 8.9- 9.5 I -'15 I -I8 I -15 I I 9.6-10.1 I -27 -20 ( -16 1 1 10.2-11.0 I -29 I -23 I -17 I 1 11.1-11.8 I -35 I -26 I -21 I' I 11.9-12.7 I -38 I -2'9 I -24' I 112.8-13.5 1 -42 I -32 I -27 I ( 13.6-14.3.1 -46 ( -35 1 -29 1 114.4-15.2 I -50 I -33 I I I I I Table 3-9. Skylloht Polnts I I Glazing Type I Total I Z of Sngl, Dbl, Trpl, I Floor I U -U- I Area 1 0.66- 1 0. - 10.41 I 11.10 I .65 1 down I up to 1.3 1 0 1 0 1 1.4- 2.2 1 Y:31 -2 I -1 .1 2.3- 2.8 1 i • . i 6.3 -4 I -3 1 2.9- 3.6 1 -9 I -6 I -5 1 3.7- 4.2 1 -11 I -8 I -6 1 4.3- 5.0 1/14- I '0 13.2 1 6.4 19.0 I ')•� I -10. 1 -8 1 5.1- 5.61 -16 I -12 1 -10 I 5.7- 6. ( -19 I -14 •I -12 I 6.3- 6 9 1 -21 I -16 I -13 I 1.0- .6 I -24 I -13 I -15 I 7.7- 8.2 I -26 1 -20 I -17 1 8. 8.8 I -28 ( -22 1 -19 I 8.9- 9.5 I -31 I -24 I -21 I 6-10.1 �.__. 1-_-i.- -33 -26 I •---�---_ -22 tatlon I East I I 3.2�- I 1 0-3.1 I to 16.4 up i.. i • . i 6.3 I 0 -.19 1 0 I +1 I +2 I .20-.36 I 0 I 0 I tl I .37-•66 , 1 0 I 0 I 0 1 .67-.82 I 0 I 0 I -1 .83 up i 0 i -1 i -2 I South I '0 13.2 1 6.4 19.0 I ')•� I ( to I to I' to .I to I up I -� __ T 3.1 1 6.3' 17.9 11 9 I 0 -.18 I 0' I +1 1 +2 I +2 I +3 I .19-.42 ( 01 0. I 0 1 0 1 0 I` -1� -2 I -2 I -! I .67 up o West I .1 11.6 13.2 1 6.4 1 9.0 I to ( to ( to I to I up 1.5 j 3.1 i 6.1 .i 7.9 0-.12 1 0 1•+1 1 +3 I +6 1 +7 .13-.36 I 0: 1 0 1 0 1 0 1 0 37-.,7 .37-.,17 I 0 1 -1 I -3 I -6 1 -7 _t 1 -3 I -6 I -12 I -15 ( � .8] 'up I -1 I -8 I -16 I -10 I I I I 1 Skylight I .1 1 .8 11.6 1 .2 14,1) I to 1 to I to to I ti I-7 1_s1i3•tI]�_2 0-.12 10 1 1 +3 ( +6 1 +7 .13-.36 1 10 I 0 I O I 0 .37-.57 0 1 -1 I -3 1 -6 1- .58-. ( -1 1 -3 1 -6 1 -12 I -.- •e up I -2 I -4 1 -8 I -16 1 -20 I I 1 I Table 3 -Il. Horizontal South Overhang Points'• South Glazing I Length Out I Area, Z of Floor I 1 [roWall ftT_ I 6.4 up I 1 2.0 up i 0. i 0 j Table 3-12. Movable Insulation Points 1 Moveable Insulation] I I Area, Z of Floor I Points I I t I 0- 5.5 I 0 1 I 5.6 - 11.5 ' +2 1 ( 11.6 - 17.5 +4 ) I 17.6 - 23.: r +6 I - - >23.6+ - +8 ) GLAZING PLAN TAKEOFF SHEET 3-5 North Glazing QUANTITY SIZE AREA (SQ.FT.) 2 x I x (c) x 40 _ lZi.O (d) x = (e) x Total North Glazing = /0"7.0 (SQ.FT.) (a+b+c4d+e) TOTAL NORTH GLAZING 07.0 SQ.FT. TOTAL BLDG CONVERSION TOTAL % FLOOR AREA FACTOR NORTH GLAZING x 100 % SQ.FT_ 3-7 South Glazing QUANTITY SIZE AREA (SQ.FT.) (a) xD (b) I x 44efo (c) _ x _ - (d) x = (e) x = Total South Glazing = _ O,D (SQ.FT.) (a+b+c+d+e) TrY-AT. TOTAL BLDG GLAZING FLOOR AREA x SQ'.FT. SQ.FT. .3-6 East Glazing QUANTITY SIZE AREA (SQ.FT.) (a) 2 x 3o4v Z�.a (b) �._ x qv ¢0 (c) x = (d) x = (e) x = Total East Glazing = 40.0 (SQ.FT.) (a+b+c+d+e) TOTAL EAST TOTAL BLDG CONVERSION TOTAL % GLAZING' FLOOR AREA FACTOR EAST GLAZING -O,D /"z' -so x loo SQ.FT. SQ.FT•- --- 3-8 West Glazing QUANTITY _ (SQ.FT.) (a) 040 (b) x = , (c) x = (d) x = (e) x = Total West Glazing = ,D (SQ.FT.) (a+b+c+d+e) TOTAL CONVERSION " TOTAL % WEST TOTAL BLDG CONVERSION FACTOR SOUTH GLAZING GLAZING FLOOR AREA FACTOR. 100 = 7.0 % l(0.0 -- IZso x 100 SQ.FT. SQ.FT. 3-9 Skylights QUANTITY- SIZE (a) x (b) x (c) x Total Skyl' (a+b4c ) TOTAL S:KYLIGHT'TOTAL BLDG / GLAZING FLOOR AREA J x S.Q. FT. SQ.FT. GWNER ?ERMIT NO. I 7/83 4 _ AREA (SQ.FT.) is = (SQ.FT.) CONVERSION TOTAL % FACTOR SKYLIGHT GLAZING 100 = % TOTAL % WEST GLAZING °/° AWkTER . E{f;=- ;AjJ C-0, THERMAL MASS TAKEOFF SHEET .FORMq PERMIT NO. ' 'Thermal mass: Materials which have the ability to store heat (typical types are masonry, brick and ceramic tile). Thermal mass cannot be insulated from the interior of the building. g (If covered by car- pet, cabinets, or enclosed in closets the mass is considered insulated).. .. Thermal -pass floors must have an exposed and textured surface or design so that carpeting wlU not occur. (Covering of vinyl or asphalt tile and linoleum is permitted), -TYPE THICKNESS LOCATION DIMENSIONS - AREA n - -r1 L6 Entry Floor ' x ' 2l. U SQ.FT; sL�� ,�_ Bath #1 Floor x 10 FT Bath #2 Floor ' x —SQ. Sq. Bath #3 Floor ' x ' SQ., A. sLw 4" Kitchen Floor x a 47, 3 sQ,FT, u Floor ' x ' a -- 13_3 Floor. ' x ' _SQ.FT, SQ.FT, A- ZIcIC 4. NF/27N Fireplace ' x ' 7.6 SQ,F.T. Fireplace x ' �. . SQ.FT, 'D- T/tz Bath #1 Counters''. ' x ' 17.0 SQ.FT, Bath #2 Counters ' x ' �. :G. SQ.FT. Bath #3 Counters ' x '. _. SQ.FT. �► '� Kitchen Counters ' x ' 30,c, SQ.FT 7. Wall Shield ' x ' e SQ.FT. Walls ° x ' SQ. FT. Walls ' x ' SQ:FT. - - Walls ' x ' SQ.FT, ° x o SQ.FT, . x SQ. FT. x ° o SQ.FT4 If compliance method proposed is other than the point system (where thermal mass point. charts are available), use calculation methods on reverse of this.form to show thermal,.," mass compliance. T1La 7/83 G