HomeMy WebLinkAbout047-430-03847=43-38; _XB "P"
LUI &COLE DE OPMENT
4500 Gardenbroo Dr., Chico lot 20`°'
r Contr-: -Gregory C e Const
(newsingle, family),
7-43-38:
Permit#3583-90 ,E (�1 `
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R5SIDENTiAL
47-43-38 2010-90B,p,E,M
QUI & COLE DEVELOPMENT
.4500 Gardenbrook Dr, Chico lot 20
Contr: Gregory Cole Const
,(new single family)
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Oda -u. Cev�•co `� J �-a 6 -9J
MAW-
„ /Lrti1 d y
T-
%) OFFI E OPy j
t Address
r
GAS
Meter By Date
ELECTRIC
L Meter By
Date
JOEL FINALE
Signature
.y
J=QK
O = Not OK
- = Not Applicable
= Not Ready
Date UNDERFkd'OR (PlansU3fexceot #'s
RESIDENTIAL (Single & Duplex)
a Grnd.-/ /" Ftg. Depth
q p ., Gara_ge; i s-Steel-Elec. Grnd.-/ /" Fig. Depth
.If, •7S'A?d V4Ftg. or es Decks; Soils -Steel-/ /Ftg. Depth L r .O�ZSa
5. Stemw`afls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- lockouts -Wrapped
6a. Hol owns a pecial Anchors
0P.96 ab; S46 --Wrapped — / - 9Q ag ,-
8. Piers- ' ce Ftg.-Steel
V.; Fall -Fitting -Test -2 Way C/O -Sewer T
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
DaVQ5 (Cl -Vo Card B-1 Date Date Card B-1
Dat46_J3--4e Card B-1 (/ Date Card B-1
Date PLUMBING (Permit) OK except #'s
. W er Htr.; VJ Access -Combustion Air -Baffle
at r Pipe Anchor -Nail Protection
T
1 -i-Jti e:?I1 � .Vr, _ ..., tines &Anchor -Nail Protection
`Shower Pan; Test, First Floor -Tub Access
Test Tub & Shower, Second Floor -Tub Access
&211TGas Pipe; Size & Anchors
Date Card B71 s{Z Date Card B-1
Date Card B-1 Date Card B-1
Date EL TRICAL Permit OK except #'s
. ,pfxture & Transformer Clearance -Ins. Protection
ec. Receptacles Spacing -Lights & Switches at Doors
iie Boxes & No. of Conductors -Stapled
omex Installed Close to Edge of Studs & C.J.
/quip. Ground made up w/Meth. Fastners-Bond Gas & Water
Appliance Circuts in Kitchen & Conductor Size/GFI
Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size/ / ga.
Cu or At
Z {�yd an Circ. /149 ga. Cu o Ove / / ga. Cu or AI.
ated Neutral es ❑ No
.Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances Panels-Motors-Mech. Equip.
V. CIoS1 1.TCloset Light -Shower Light -Spa Light
F?- 144 /A> ' moke Detector
Date Q Card B-1 Date Z-{ Card B-1 U`
Date Z 0 Card B-1 '1/0, Date Card B-1
Date MECHANICAL (Permit) OK except #'s
A.C. Ducts Insulation & Support
3�6Vent Fan; Exhaust above insulation
Condensate Drain & Overflow; Size & Grade
Fyance-V ` Access -Comb. Air -Return Air Vent -115 outlet
[1 {N WAttic c & Platform if Furnance in Attic
Date / { {f Card B-1 S Date Card B-1
Date Ly Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
Sils, Proper Material & Anchors
46./Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Ai.eire Stops; Furred Ceilings -Stairs -Chases -Tub
4 Headers & Beam -Size & Bearing
Date FRAMING (Continued)
angers -P t Caps-Anchors-Con.Doctors
CI . oist-Rftr. ties-Purli _ oof Brac-Truss-Shthng.-Rfng.
-( fireplace Ties o.r yp A F Fireplace Throat clearance
/Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
V.Adrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
Property Line Firewall & Openings
Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
eadroom-Rise-Run-Landing-Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding-Nailin Veneer
.q 6. Stucco sh-Drip Scree' -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic,
58. Shear Walls; Nailing -Bolts
1`Z-J'a40 59. Insulation -Walls -Ceilings
Z_ /br 90 60. Infiltration -Walls -Windows
Outlets at Wood Panel; Int. & Ext.
7 . i ppliance; Grn r Gap-Cookin rance
ec. Outlets & Receptacles Kit. unt
7r,45ra—rage Fire Door; S - a ' g-CI
-.73-?r.C'�uct in G oe-Damper
74Attr. Htr.; Vents -Clearance -Comb. Air-Connector-P.fi'V!
In Gar ge; Above Floor -Meth. Protecj_'Ow
7 - ., Elec. & Mech. Equip. Lis r Location
7 . Receptacles in Garage; (G. - omex Pr tion
7 ulation-Foam-Looked in Attic es
7 . uar Rails & Deck Constructi - ost Caps
dn.,Vents & Crawl Hole Door -Drainage od-Earth
'Clearance Looked under Flo Yes
80. Following instld.; Drive es 0 No; WalksBo-Yes 11 No;
Planters 0 Yes No
1 ucco Brown -Finish
Unit; Disconn e , Elec Plu ing
8 nts Abo oof; Plbg.-App' ce-F' place: CieaTnce to
Ope s
ater Well; Disconnec&g let is Plumbing
8 terior Elec. Trim; G. ceptacle-Underground
entilation Throughout House
8 s
P.cotectips
8 rrectio rom Previous Inspections
,� 89. Gas TV -Meters Tagged; Gas -Elect ' 4
-ter & Sewer Connected- to Grade -HD Approval
ergy Compliance Certificate -Other Certificates
Date = Card B-1 ;. Date Card B -1 -
Date ?.i q Card B-1 1/,d Date Card B-1
Date aZ Q8 19 1 Card B-1 �. Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
Date {
Card B-1 Date ',- g'Q6 Card B-1 V 13
Date I
0
Card -1 U Date Card B-1
Date
FINA fans OK exce t #'s
Se'E.
eps- or & Sidelight Protection -Lan s
62.0'sTpk-rDetector
urnace; Vents -Clearance -Comb. Air�- dnnector-
I arage; Above Floor-Ducts4he< Protection
BedLgom Exiting
6 .
F. Bath F es & Tub ess-Spa
w-ffi-ec.
& ub anel reaker Sizes abets
6
airs & Rails
6
p ace or Stove; Clea" e
Outlets at Wood Panel; Int. & Ext.
7 . i ppliance; Grn r Gap-Cookin rance
ec. Outlets & Receptacles Kit. unt
7r,45ra—rage Fire Door; S - a ' g-CI
-.73-?r.C'�uct in G oe-Damper
74Attr. Htr.; Vents -Clearance -Comb. Air-Connector-P.fi'V!
In Gar ge; Above Floor -Meth. Protecj_'Ow
7 - ., Elec. & Mech. Equip. Lis r Location
7 . Receptacles in Garage; (G. - omex Pr tion
7 ulation-Foam-Looked in Attic es
7 . uar Rails & Deck Constructi - ost Caps
dn.,Vents & Crawl Hole Door -Drainage od-Earth
'Clearance Looked under Flo Yes
80. Following instld.; Drive es 0 No; WalksBo-Yes 11 No;
Planters 0 Yes No
1 ucco Brown -Finish
Unit; Disconn e , Elec Plu ing
8 nts Abo oof; Plbg.-App' ce-F' place: CieaTnce to
Ope s
ater Well; Disconnec&g let is Plumbing
8 terior Elec. Trim; G. ceptacle-Underground
entilation Throughout House
8 s
P.cotectips
8 rrectio rom Previous Inspections
,� 89. Gas TV -Meters Tagged; Gas -Elect ' 4
-ter & Sewer Connected- to Grade -HD Approval
ergy Compliance Certificate -Other Certificates
Date = Card B-1 ;. Date Card B -1 -
Date ?.i q Card B-1 1/,d Date Card B-1
Date aZ Q8 19 1 Card B-1 �. Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
✓=0K
J =•Not OK
= Not Readyable 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
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-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date 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-Enclosu res -Pane I boards- 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
_ tV
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) 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/O 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
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-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date 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-Enclosu res -Pane I boards- 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
_ tV
. ;y-y+t•.�.:.as.:•.-. .: n ti... � [ .-, - ..-,..-A-r-. ..a��-ti•�'+fir .. ...
COUNTY OF BUTTE
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
CORRECT -ION NOTICE
ci2�� "t om dU [ (_) - -! O
OWNE PERMIT NO.
A routine i spection indicates that the following violations of County Ordinance
exist at a above address and should be corrected. Please notify this office
a},
wheorrection of work is completed. If you have any question pertaining to this
ma Per, or need additional explanation, please contact this office immediately. =f'
lJ�C3/
Cj
t
r
/I
rl�
Date 4 �� �r �� Inspectors! ,
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
a _ 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
4114� ' ao/o - Vo
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the aboveaddress and should be corrected. Please notify this office
when correctio ,of work is completed. If you have any quest' pertaining to this
matter, ed additional explanation, please c ntac is office immediately.
Date 2qI110*
Inspector
_sem COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Pho6e: 872-6307
CORRECTION NOTICE
Cm-& 1) 0 - 1?
A
OWNth PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date l ' I xO `-"iJ Inspector
COUNTY OF BUTTE
Z.1- 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
GOAD -90
(IUTAICD MCORIIT -
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matterl-or need additional explanation, please contact this office immediately.
T
ANSI '11 if
/4,
Date /o T �S-`�� Inspector U. 6— 12 L
Owner �rf-� Permit No.
t 47- q -3 --FS
ENERGY•CERT[F[CATION
?�0
LO(,Ariwi C) A. P. NO..
DESCRIPTION OF INSULAT[ON
ROOF
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
EXTERIOR WALL
MATERIAL FIBERGLASS BRAND NAME CERTAINTEED
THICKNESS i l of THERMAL RES. 13
CEILING
BATT OR BLANKET TYPE;;�>BRAND NAME CERTAINTEED
THICKNESS I b U THERMAL RES.
LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED
THICKNESS IZ.'Ix 'I THERMAL RES.. 3.4>
FLOOR,ELEVATED
MATERIAL FIBERGLASS BRAND NAME CERTAINTEED
THICKNESS THERMAL RES.
FLOOR, SLAB
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
WIDTH
FOUNDATION WALL
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
..BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
SHASTA INSULATION INC. #530235
FIRM NAME STATE CONTR. LICENSE NO.
I ereby certify the above insulation and all required items as shown
on the Building Depart. approved plans and attachments have been installed
as required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or
are specifically approved by the State of Calif.
------� -----
----------------- ----------- -
_FIRM N IE/OWNER k6EASE PRINT) STATE CONTRACTOR'S LICENSE NO.
GENERAL CONTRACTOR/OWNER
DA
-ThiA/certificate must be on file with the BUILDING DEPARTMENT prior to
final inspection approval --and a copy shall be posted within the building. -
1984
- �. ��"�?..v..ti..•7'.e�'�`�idE:.!�';a�.`i'zta,.,n,:.:,."�M, �`^...:`rt '..I.:Ss�.,!;:1„az�''�.��:nLs'v.�.k'.74 ak'a?�i�'��°c1:�5'tir�:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
47-43-38
ZONING
1 BUILDING PERMI
OWNER
LUI & COLE DEVECORP.
TELEPHONE
893-0881
.SQ. FT. O�ii,. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 7119 Chico CA 95927-7119
CONTRACTOR'S NAME TELEPHONE
GREGORY COLE 1893-0881
60 c v'd
600
CONTRACTOR'S MAILING ADDRESS
Chico.
'
Fireplace
CONSTRUCTION LENDERUNKNOWN
None
I
Total Valuation $
S400
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ 56.50
ARCHITECT OR ENGINEER
Gre Or Ole
LICENSE NO.
N/A
Plan Checking Fee
$ 28.25
Energy Plan Checking Fee
g, g
$ 15.00
ARC ITECT OR ENGINEER'S MAILING ADDRESS
N
Penalty
$
BUILDING ADDRESS
Permit fee
$ 109.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Chico, CA
Solar or heat pump water heater
20.00
LOT NO.
20
SUBDIVISION NAME
Carriage Estates
PARCEL MAP
Water piping
1 55,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF[2 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W1-10-00
e
TYPE OF WORK
New❑ Addition Remodel0 Utilities❑ Installation❑ Other
Describe work:
_Add addition to Bedroom #3
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Per annroved Plan 2010-90
Main service 00V OR
100 AMP OR LESSLESS
10.00
Main service EA. ADD'L 100 AMP
2,50 3.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess' ns Code and my license is in full forc d effect.
License N Classification
❑-t-
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)
1, 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 OCCUP.&
OR ADDNS. ACC. SLOGS.
/z¢sgft
NEWCONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS 6)
SINGLE OUTLET CIR.
EX. Occup( OUTLETS OR FIXTURES
20950¢
eAL® 30
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID )REA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring -1_115.00
Permit Fee
$ 13.00-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
Xtthe W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter u n the above-mentioned property for inspection purposes.
I also agree t save, indemnify keep harmless the County of Butte against
all Iiabiliti judgments co nd expenses which may in any way accrue
agains County' o s e of the granting of this per
Signature of plicant — OWnpEl Contracto Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
occ
CONST TYPE
TOTAL FEE $
152.75
,
HAz
CUA
PARK
SCH
FLD
PA PD
HD/ ISSUE
V i;.�l
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DI C R O PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
_ Z
Receipt No. #74065
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
-TA,4 - _. .-..`�y�r �wrn••,. /v:'.(`kl+rwq•:r'•..r.,ti�:•„ •.+Si;.ZW�rtti`. -.i+cry(va$nr-"i',r.:*r.:�y,�;�tiaEc�W'OJi' -r ."t.
COUNTY OF BUTTE DEPARTMENT" -PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95985.- TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET ` Q
// Permit .No.
OWNER f (d b A. P. No. 4-7 - :�3 ' 36
Proposed Building Use Building Inspector Date /0- 12 -90
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. .........
DL 2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid ........................ . .............
id
12. Park WU&V pa%Lt?.t f24G� .......... .. .
13. r/ School District fees paid .............. .
Qk- 14. Sanitation approval from •CQuCo Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.'
4" Telephone e93- 0'�O/ and hold for pickup at 6%Z office. Deliver w./inspector.
Other
Appl i caRtDate
Copy of Haz-Mat Torm sent Health Dept. Fire 6l6pt. air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
It
Contractor, designer, owner, was advised of above required data by_phone---nail-counter by ..date
Contractor, designer, owner, was advised of above required data by -phone -ma ll -counter by date
Plans checked by Date 1 • -4-90 Plans approved by Date 10-91-9-6
Sets of plans on hold in File cabinet AP folder
Copy -DPW
•""L'$,+'F�3tf�"K"i^4+"a^c'Y:i `ri ems. 4+•CtY'St".r�,���.�^40.++{.,�:ru �..y�:,..�:�
•il
. BUTTE COUNTY SCHOOLS DEVELOPMENT'FEE CERTIFICATION FORM
.(One Form per Building) A
A.P. Number �7'�3"3 O Building Department No.
School District �city County .Jurisdiction .
Property Owner of
Project Location/Address AlSQ(Q `9rri-.on 'P)�r� Zr ,
Subdivision Lot Number
Residential Development: +
O a M'Sq. Footage 2_0
# of Living MHI Additiori ; (Group,R)
Units G,
a
Commercial/Industrial:a �- Sq. Footage
-`
New Addition.(Including Exterior
Roof ed Areas)
Building Department Representative Date ,%',.
( Floor Plans reviewed by School- District. Personnel )' ',- •�,�,
District Id No.
School -District,•certifies that
oL
(Applicant Name)' ': (Phone Number),
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.' q 1.9-.94,)
by the pa ment of $ "- representing square feet.
School Distri t Repre-sentative ' Date
PAID BY CHECK NO.
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pi.nk-school district
W
SCHOOL.FEE (8/88)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR ARCEL UMBER ZONING
.. 2
BUILDING PERMIT
fall 5( CaCp OWNER
�/U'� TE�%PHONE
10
SQ. FT. OCC. BUILDING VALUATION
120 Ile
OWNER' SJy1�LIN�pD SS�7 I• /fIF2—?- / /1 c?
of J
-O N R/ SNAME�c'.c•'/ / l— TELEPH NE
u.Lr
CONTRACTOR'S MAILING ADDRESS
P. 6j, gyx 2Z1,9 C Q Z9— %1 L3
Fireplace
CONSTRUCTION LE_ljpER
mzwLENDER'S GADDRESS
UNKNOWN
d
Total Valuation
5 -fa
AILING
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
L%+
LICENS No.
Plan Checking Fee
$
Ener Plan Checking
Energy g Fee
$
CMI C O ENGINEER'S MAILING ADDRESS
�4
Penalty
$
BUILDING DORESS
I� —
Permit fee
$ i
PLUMBING PERMIT
Filing Fee 10.00
O
���� L�
Each Trap
2,00
chyo ,
Solar or heat pump water heater
20.00
L NO.
Lz
SUBDIVISION NAMES
�! �E tQ`
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
S,�_eDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ RemodeX Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
P54Main
"� J 20 � e'+ O
service j00 AMP LESS
P O
10.00
Main service EA. A 100 AMP
2,50 3 -OD
CONTRACTORS LICENSE LAW
I de la der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 Of the Business
and Professio s Code and my license is in full�prce and effect.
License No. Classification %1
❑ 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
OCCUP.al ,
NEW CONST. DWELLING �2¢Sgft
OR ADDNS. ACC. BLDGS. /
NEW CONSTR.TI-OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. OCcU OUTLETS OR FIXTURES 20030!
P SAL03o
Ex. OCCUp. OUTLETS P(RESID )RE A. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $ 3.611
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
e� 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
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to ve, indemnify and ke rmless the County of Butte against
all liabilities judgments, costs, an x ses which may in any way accrue
against s ounty in cons ce granting of this permi .
Signature ofp scant OwneAr Contractgr� Agent ❑
An OSHA pe t is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $30 --
TOTAL PERMIT FEE $J52 -75
OCCUP.
CON ST.TTPE
ISCHOOLI
FLOOD
PARCEL
PD
ND
39UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.4 7406S
WNITE-O.P.W.. YELLOW-ASeE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT
1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville; Celiforriia 95965 - Telephone: 916/538-7541 z oo 4(Q
APPISICAMN AND PERMIT
ASSESSOR PARCEL NUMBERZO
—�3 _
I G
BUILDING PERMIT
OWNERTELE
1 -COIF Q�Ti�C . CD
HONE
/6_fis )
SQ. FT. OCC. BUILDING VALUATION
2I
-
S 2
OWNER'S MAILING ADDRESS
i t q 042C C.A . "?s921? __11 r 5
vcol c,4rZ• 11-424
CONTRACTOR'S NAME I TELEPHONE
S. Inn
5 -
CONTRACTOR'S MAILING ADDRESS
CONTRACTOR'S
.O, BOX %/ ('1 CMC( O CA-
Fireplace
CONSTRIJOC TION LENDER
UN_ NQNVJJ
Total Valuation $11q
q0q
Filing Fee
$ 10.00
LENDSDE``//R//'S/M,rLAAII LING ADDRESS
�J1
Permit Fee
$
ARCHITECT OR ENGINEER
C , Go LE
LICEN o.
1
Plan Checking Fee
$ 241.0
Energy Plan Checking Fee
$ SIA
ARCHITECT OR ENGINEERS MAILING I ADDRESS . d �} q
FO, 6U%( -7/(-f 04tCG C A , `5- /2-r)
Penalty
$
BUILDING ADDRESS
GAP -19040 .B 0 OR,
Permit fee
-7
$4
PLUMBING PERMIT
Filing Fee 10.00
C `GO C�
Each Trap
131 2.00 `2(•Qb
Solar or heat pump water heater
20.00 —
LOT NO.
ZO
SUBDIVISION NAME
M7C�
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 ;lob
Mobile Home Is G W
10.00e
TYPE OF WORK
New, Additions❑ Remodel[:] Utilities❑ Installation❑ Other ❑
Describe work: /���EJ�I�lJCv� _
�C
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
600 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP7,6D
2.50 N6b
CONTRACTORS LICENSE LAW
I declare der penal[ of perjury
y p I y (check one):
I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS
and Professions Code and my license is in full force and effect.
License No.C��CiX� Classification ��
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING oCCUP.tr
OR ADDNS. AGC. SLOGS.
,
2/2Qsgft
NEW CONSTR.MULTI-OUT LET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
Zomsoe
e
AL@30FIXED
APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1
2.00
Temporary service
10.00 /6.�
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ �j1,. jotj
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ T ermit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating 2 - T FF? - C
Cooling
Hood
3.00 1 3Zb
Ventilation
-do
Permit Fee
$ 41,db
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter.upon the above-mentioned property for inspection purposes.
I also agree to e, indemnify a keep harmless the County of Butte against
all liabilitie udgments, cost n expenses which may in any way accrue
it
against s ounty in c se f the granting of this pZ&_A0_
- b
X Date
Signature of plicant - Owne Contractor-9Agent
An OSHA pe mit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
cc
cc,,,s PE
TOTAL FEE $
AL E
r �Q
[HAZ
CUA
PARK
(/
AR
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIR CT OFPA WORKS
By ADate z �"
PERM T EXPIRES Da ��-
Receipt No.'Z8%'� �oQW /%
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
(A-Ite � mss.d,-
owner Location AP#
Plan Approved for: Sewaqe Disposal ✓ Water Supply
Hold final for:
^incl clearance O.K. for:
Clearance for bedroom madafte home. Other
NOTE * * *
Water Supply
Water Supply
Sanitarian Date
TO.: Building Department
FROM: Encroachment Permit �Section
RE: Driveway Clearance
_�P
A,
owner location AP #
Driveway permit
ature
has been issued for the above property.
date
mow. g� ' .' '%11I1�%1,%p,j,1,jj,j
COUNTY OF BUTTE - DEPARTWE-P.TWE-PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORQ.VILLE CALIFORNIA 95965 - TELEPHONE: 916/538-7541
s •1 ,��
PERMIT APPLICATION DATA SHEET
t k Permit No.
OWNER 1,U__1 1 66. .:.. A. P. No. 47-43 - 3d
Proposed Building Use sl'� ��/Id4YYl Building I.ns.pector k4l Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ................... .... ..........
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
Hazardous Material Form ......................................... .
.C&_ nergy Design Compliance and supporting documentation % 1 10-12-96 r940
7. Statement of Intent for Non -Heated and AC Buildings ................
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions .
Q�10. Feesof$"7/D.lon.............................................. /6 -f? -90 &I
11. Chico Urban Area fees paid ....................................... «
12. Park fees paid •....................................................
G h f (6 Sghool District fees paid .............. 16- I Z -196 r�
1 anitation approval from chi e-0 Health Department /0-3-,70
tis
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17: Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Data)
21. Contractor's .license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0). r.. .
24. Recorded copy of Agricultural Acknowledgment Statement j ..
25. Letter of signature authorization .................................. .
26. '
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor'
Teliephoneffl3-0991 and hold for pickup at office Deliver w.
/inspector.
Other t.
Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire DeA it Pollution Date
Copy of plans sent Health Dept. Fire Dept. Ot a Date By.
The following data musfbe submitted prior to r 't issuance: (C c e new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by �hone__rnail_counter by ..date
Contractor, designer, owner, was advised of above required data by_phone_mall c nter by date
D t
Plans checked by - pp o '�;. Plans approved by Date 7_-Aan�
Sets of plc4 h�Idfir� F&e cabinet AP folder
Copy—DPW `
Pvur: n to Ul'W AGR ICULTURALS'TA'1'L
.',f�c•L icnl 26-8.1 or the Bull -Le County Codc ,
requires this acknowledgement be recorded
prier to issuance of .a building permit.
The property described herein is adjacent
In lend or included within an area zoned
for agricultural purposes, and residents
Of this •property may be. subject ..to incon-
veniences or discomfort arising from the
89-030874
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
Ind ferli.li•rers; .and from the pursuit
of agricultural operations including,
I,ut not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
Butte. CounLy has establ ishc•cl
lural zones which have as a priority use" for productive agricul lural purposes, ;incl 1 c :;iclrrrl ::
within 'on
said zones and adjacent .property should be
nr disconform from normal,
prepared Lo accept such i nrcnlve 11 i c nc r•
necessary farm operations.
All that. real property situate in the County of Butte, State of Cal i.fornin, described ;l>:
follows:
LOT 22 THRU 25 INCLUSIVE AS SHOWN ON THAT CERTAIN
INPTHErITLED OFFICk OF THEAGE RECORDER OFkSTATES STHEICOUNTY•,�FFILED
BUTTE
STATE OF CALIFORNIA ON SEPTEMBER 22, 1988 IN BOOK
112 OF MAPS AT PAGES 24, 25, 26 AND 27.
A.P.N. 047-43-0-001-0
D,1 t_ e
-- &LaI_P.._nf--.--- -.. 1—nn.._r]iic—.tJ16 —_-.
PROPERTY OWNERS-
r
19 before nn•.
ed
STATE OF CALIFORNIA Butte.
)ss.
COUNTY OF I
on August 15, 1989 before me, the undersigned, a Notary Public in and for
said State, personally appeared Gregory D. Cole
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is
subscribed to the within instrument as the Attorney in fact of Henry K. Lu i
and acknowledged to me that he/she subscribed the name(s)
of Henry K. Lui
thereto as principal(s), and his/her own name as Attorney in
Fact.
WITNESS mhand and official seal.
Signature--� Zee,
OFFICIAL SEAL
MARY R. CASEBEER
NOTARY PL'91IC - CALfFORKA
c BUTTE CGurm
,F My Ccmm. E=tres Pan. 29,1993
.(This area for official notarial seal)
C b;tsiti
i dente.
god that
9ined. 1N WITNI:tiff
D{/,+7?r+{l�r.''�.���.�'4' ""•'M3.'Ww f'"rRX."r �.':.-... jf..,y...ww...�s7F ^ c-.w�* r^. .a'a.�'.�.t ..-.. - l.-•. ..... .__..r_.--,r---.t'•--.J-... . ...-.., � �.v.r.--k..+.wm—•-•'yt z:r�-v-.� rr
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number L47-43- 38 Building Department No.
.School'District Chre-p City County Q Jurisdiction
Property Owner I i t Co Lt-
Project Location/Address 4$00 G d&" snodlc vztg
Subdivision ..Lot Number
Residential Development:
% Sq. Footage
# of Living MHI Addition. (Group R)
Units
Commercial/Industrial: a Sq. Footage
:-M New Addition.(Including Exterior
Roofed Areas)
Building Department Representative
V— (9•g4
Date
(Floor Plans reviewed by School District Personnel).
District Id No.
� lC� W) �lp School District certifies that,
- L� a- 893-588'
(Applicant Name) (Phone Number)
Street Address
LIN
(City) (State) (Zip Code)
has complied with.the requirements of Resolution No. Wq _q D
by the payment of $ representing square feet.
w�� -1-7 (7 1 Db �L
School District Representative Dat
PAID ,BY CHECK NO. 3
BANK NO—.
PAID BY CASH
REMARKS:
white -applicant., yellow -building department, pink -school district
SCHOOL.FEE (8/88)
Certificate of Compliance: Residential Climate Zone 11
Pro ject Tltle
4/5-0 O 644PAOK% tt�tftL -- `•0f /CQ Bu' g ermit# _G
Project Address _ 7_r� `10
Checked By/ Date
Documentation Author _VA477 Telephone Women ent Agency Use Only
210 Glass Area % G
BUILDING DATA t r North /-2 7 %
Conditioned Floor Area e:�54 Number of Stories East /0.
Slab ised Floor 3& _ Number of .Units / Souk L • r.
t 3 r5 y
[1 Single Family Detached (SFD) [ ] Addition -Alone Skylight 2+2 •• -a
[ ] Single Family Attached (SFA) [ ] Existing Building Total
[ ]
Multi-Family(MF) [ ] Existing -Plus -Addition
BUILDIING SHELL INSULATION-
. i
Component Insulation LocaYion/Commenits
Type R -Value (attic, .ta garage, miaal, etc.)
Wall .............. �3
Wall ..............
Roof ............. 30 -
Roof .............
Floor ............. —
Floor .............
Slab Edge ..... -er—
G LAZING Shading Devices
Glazing Area Glass Type Interior Exterior Overhang Framing Type ,
Orientation (SO (single, double) koUer blind, eta.) (shadescreen, etc.) (yes/no) (metaliwood)
North
North
East
East ( )
South ( ) / _
Sou th ( )
West ( )
West ( )
Skylight.......
THERMAL MASS
MASS
Type/Covering Area Thickness
(Slab/exposed, tile, etc.) _(sf). (inches) LOcation/DCSCription (kitchen, bath, etc.)
HVAC SYSTEMS
Minimum
Duct
Type (furnace, air
Efficiency
Location
Duct
Output Manufacturer / Model #
conditioner, heat pump)
(SE, SEER,HSPF)
(attic, etc.)
R -Value
(Btuh) (or approved equal)
W"or
. 7 tl-
AIT/ C_
5.7
ks"V30
CoDo(_
Fl•
••
'•
+SSLJr-
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal)_ Special Feature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
I
i
Mandatory Measures Checklist: Residential MF -IR
J.
NOTE: Lownse residential buildings subject to the Standards must contain these mesausa regardless of the compliance
approach used. Items marked with an asterisk (•) may be superseded by moat stringent compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they arc shown elsewhere in the documents or on this checklist only.
DESCRIPTION
Building Envelope Measures
§2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose full insulation manufacturer's labeled R -Value.
' §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
§2-5352(kr Slab edge insulation - water absorption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 permlmch.
52-5311: Insulation specified or installed moots California Energy Commission (CEC) quality
standards. Indicate type and forth.
§2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to Emit air
leakage -
b. Doors and windows certified.
c. Doors and windows weatherstripped; all joints and penetrations caulked and soak d
§2-5352(e): Special infntration barrier installed to comply with 02.5351 mats CEC quality
standards.
§2-5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable meal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment sizing: 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): Gas-fired space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
§2-5352(i): Water heater insulation blanket (R.12 or greater) or combined interior/exterior
insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exception I): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a Onloff switch on heater.
b. weatherproof instruction plate on heater:
c.'Plumbcd to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Ti me clock. -
5. Directional water inlet.
Lighting and Appliance Measures
§2.53526): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
12.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
DESIGNER I ENFORCEMENT
'This certificate of compliance lists the WUding feats= and performance spedfications needed to comply with
Title 24. Chapter 2-53 and Title 20, Ciaptc 2. Subchapter4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purdiaser of the building.
. -'--D &ZV_,gyro
Designer
Name:
Tttle/Fum:
Address:
i Telephone:
Lic. 0:
(signature)
Documentation Author
i Name:
' TitWFirm:
Address -
(date)
Building Owner
Name !
TitkJFirm:
Address: t )
%a�!l �•j[iI'f�/Fs'
i
Enforcement Agry '
Name: I/
Agency:
Telephone:
0
1. Ceiling Insulation
-4
3 -1
0.80
Number of stories
-144
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
-5
0.08
-11
0.50
-176
-84
-54
0.30
-102
-49
732
j 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
4
3
R-11
Single-
Single -
-2
R-19
Family
Family
Multi -
R -value
Detached
Attached
Famtry
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
gU -value
3
-43
-12
' 0:80
-153
-114
-76
t 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. Raised Floor Insulation
11
16
Insulation In Floor
-26
3
Number
of stories
12
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
-4
3 -1
0.80
---- 0.60 .
-144
-70
-46
0.50
-120
-58
38
0.40
-95
-46
-30
0.30
-69
-34
-22
0.20
-43
-21
.-14
0.10
-17
-8
-5
0.08
-11
3
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
-9
1
Number of stories
30 '
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
4. Slab Edge Insulation
-52
-
-9
Number of Stories
6
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. Infiltration (Air Leakage)
Soedfirason I .. Points
7. Shading (Shade Open)
Efrectlre Percent Glass
(percent glass x SC)
Tective
Standard
-48
-69
0
(.Glass North
6. Glass Heat Loss
South
:.West
Skylight
Total
1
4
1
na
U -value
2
Percent
1
na
.51 to
.41 to
.31 to
0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
30 '
-61
-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
.d0
-11
•i
2
0.
1 s
22
-37
-9
3
3
9
15
21
-34
-7
-2
4
10
15
20
31
-6
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
6
9
12
15
19
11
-6
7
10
13
16
19
10
3
9
ti
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
Efrectlre Percent Glass
(percent glass x SC)
Tective
-14
-48
-69
-64
(.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
3
5
2
2
7 1
3
4
2
2
6 1
3
4
2
3
5 1
2
4
2
3
4 0
2
3
1
3
3 0
1
2
1
3
2 0
0
1
0
3
1 -1
-1
-1
-1
2
0 -1
-2
-4
-2
0
to = not allowed
2
3
4
3
l6. Shading (Shade Closed)
Effective Pes cart Glass
(percent &last x SC)
Effectw
Gins Nott East South West Skyfght
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
nor
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21..
-56
7
4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
4
-1
3
-8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
-2
-1
-9
1
1
1
1
1
-4
0
2
3
4
3
0
na . not atbwed
9. Interior Thermal Mass
Climate Zone 11
SCORE CARD
Interior
Slab Floor Raised Floor
Mass
Stories Stories
One
/CFA One
Two Three One
Two Three
0.0 -8
-5 -4 -2
-1
-1
0.1 --8
=5 -3 -1
-0
10 __
0.3 -7
-4 -2 0
1
1
0.5 -6
-3 -i 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
2 4 5
6
7
25 -C
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
11
5.0 4
7 9 11
12
12
5.5 5
8 9 11
12
12 !.
6.0 5
8 10 12
13
13 j
6.5 6
9 10 12
13
13
7.0 6
9 11 i3
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
Single- Single -
-410
+61n
Wall
Family Family
Multi
-15 -5
Mass
Detached Attached
Fame
0.00
0 0
0
1
0.20
3 2
6.0
-12
0.40
5 4
8
-4 .
0.60
8 6
4
•3
0.80
10 8
5
0
1.00
13 10
7
0
1.20
13 12
8'
5
1.40
12 13
9
16
1.60
10 13
11_.
.
1.80
10 12
12
13
200 -
10 11 --
13
i
11. Heating System
15
12
8
SE or 13SPF
30
26 22
(assumes ducts In attic)
14
9
13.0
Sum of 1-6
29 24
20
15
-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
HP
Effective SE or HSPF
9
(SE or HSPF x duct efficiency)
3
Effective -25 or -24 to -14 to -4 to +6 In 16 or
SE HSPF
less -15 -5 +5
+15 more
9
0.30 2.75
-73 -64 -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 3
3
2
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
_23
System Type
-8
-6
-5
Resistance
10 9 7 6
4
3
Other
6 5 4 3
2
2
12. Cooling System
Climate Zone 11
SCORE CARD
Type [double]
SEER
One
-5
-4
-4
-3
(assume ducts
In attic)
Two +
3
3
Sam of 7-10
2
2
1
Single -Family I)etached and
-25 or :-24 to x-14 to .
-4 b
+6-b
16 or
SEER
less.
•15 I -6
+5
+15
more
8.0
-14
-12 -10
-8
-6
-4 1
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
9
5 .
6
13.0
20
17 .. 14
12
-12
5
Solar
-1
Effeodve SEER
-1
0
0
(SEER xduct efficiency)
HWR
-18
-12
Sim of 7-10
-7
-6
2S •
Effet;6ve•25or -24 to .1410
-410
+61n
16 (Y
SEER
less
-15 -5
+5
+15
more
5.0
-30
-25 -21
-17
43
-9
6.0
-12
-11 -9
-7
3
-4 .
6.6
-5
-4 -4
•3
-2
2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
1700
Zonal Control Adjustment
Heater
Credit
or
10
8 7
6
4
3
No Cooling System Installed
-Stories
Climate Zone 11
SCORE CARD
Type [double]
Measures
One
-5
-4
-4
-3
-2
-2
Two +
3
3
2
2
2
1
Single -Family I)etached and
Attached
347
R -value 1191
U -value [0.037]
Unit Size (sQ
�
Water
X
1199 •
12M
1700
2200
2700
Heater
Credit
or •)
to
to
to
or
Type
Type
loss :1699
yr
2199
2699
more
SG
None
0 1
0
0.
0
0
or
Solar
12 "
8
6
5
4
HP
HWR
8
5
4
3
3
-0.6.
WSB
5
3
3
2
2
21
POU
8_
5
4
3
3
SE
None
37
-24
-18
-15
-12
5
Solar
-1
-1
-1
0
0
1
HWR
-18
-12
-9
-7
-6
2S •
WSB
-25
-16
-12
-10'
-8
4
POU
-18
_-12
-9
_7-
-6
n
None
-5
-3
-2
-2
-2
1.4
Solar
7
5
4
3
2
28
POU
3_
21
3.1
1
1
IE
None
-28
-19
_ 14
-11
-9
30%
Solar
8
5
4
3
3
1.8
POU
-10
-6
-5
-4
-3
32
Multi -Family (Individual
3.7
units)
4.1
4.3
4.5
4.7
Unit Size (SQ
5.1
Water
5.6
699
700
1200
1700
2200
Heater
Credit
or
b
to
to
or
Type
Type
less
1199
1699
2199
more
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
32
WSB
9
4
3
2
2
4.6
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
-9
2
Solar
2
1
1
0
0
3.5
HWR
-23
-12
-8
3
-5
4.9
WSB
-25
-13
-8
-6
-5
60%
_ 2QU
_23
=12
-8
-6
-5
IG
None
-8
-4
-3
-2
1 -2
3.8
Solar
6
3
2
1
1
5.2
POU
1.
0
• 0
0
0_
IE
None
30
-15
-10
-8
-6
2.6
Solar
18
9
6
4
4
4
POU
-8
-4
-3
-2
-2
Interior Mass/CFA
TYPE 2 PASS
41.7-UIMC-4.21
Climate Zone 11
SCORE CARD
Type [double]
Measures
% Total Glass (16]
1. Ceiling Insulation
v.
4 TYPE 1KSS' (UIMC & 4.2. Le: exposed Slab)
or
Eff. % Glass
R -value [381
U -value [0.030]
2. Wall Insulation
/ S
or
X
.
(c•cDet.d 1•b)
U -value [0.098]
3. Raised Floor Insulation
-
or
347
R -value 1191
U -value [0.037]
y
�
or
X
R -value 101
F2 factor [0.77]
5. Infiltration
.�-
SC
Eff. % Glass
y•9
X
G =
3-_3
X
yr
0%
5%
10%
/5%
20%
25% 30%
35%
40%
45%
SM
56%
60%
65t
70%
75%
80%
95Y.
90%
95%
100% 105% 110-1. 115% 120% 125`
-0Y. -0
0.2-
0.4
-0.6.
0.8-
--1.1 _
1.3
-1.5 _
1.7
1.9
21
23
25
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.3
10Y.
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21 -
13
2S •
2.7
-2.9-
3:f
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
22
24
27
28
3.1
3.3
3.5
3.1
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
24
26
28
3
32
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
40-1.
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
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
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
25
21
3
32
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
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
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
2.3
2.5
2.7
29
&1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
6.3
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
28
3
3.2
34
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.1
5.9
6.1
6.4
70%
1.2
1.4
1.6
1.9
2
2.2
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
21
2.3
25
2.7
3
3.2
3.4
3.6
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
MY.
1.4
1.6
1.8
2
2.2
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
85%
1.4
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.S
3.8
4
4.2
4.4
4.6
4.8
5
52
54
5.6
5.9
6.1
6.3
65
67
90Y. -
1.5
1.7
2
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
6 8
95%
1.81.8
2
2.2
2.5
27
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
S
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
21
2.3
2.5
28
3
3.2
3A
3.6
3.8
4
4.2
4.4
4.5
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.1
7
105%
1.8
2
22
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%
1.9
2.1
2.3
2.5
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
2.2
2.4
2.6
2.9
3
32
34
3.6
3.8
4,1
1]
4.S
4.7
4.9
5.1
S.3
5.5
5.7
5.9
6.2
6A
'6.6
6.8
7
7.2
120%
2
2.3
2.S
2.7
2.9
3.1
3.3
3.5
3.1
3.9
4.1
4.6
4.8
5
S.2
6.4
5.6
9 8
6
0.4
0.5
6.7
60
7.1
7.7
125%
21
2.3
25
2.8
3
3.2
3.4
3.6
3.6
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
Type [double]
Measures
% Total Glass (16]
1. Ceiling Insulation
3,0
or
Eff. % Glass
R -value [381
U -value [0.030]
2. Wall Insulation
/ S
or
X
R -value [11)
U -value [0.098]
3. Raised Floor Insulation
-
or
347
R -value 1191
U -value [0.037]
4. Slab Edge Insulation
-er
or
X
R -value 101
F2 factor [0.77]
5. Infiltration
Standard
6. Glass Heat Loss
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
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
Point Scores
0
-�-_7 +7
Sum 1.6
SSum 77-10
L '
Point Total: 't
a_t�
Type [double]
U -value [0.65]
% Total Glass (16]
% Glass
Sc
Eff. % Glass
X
77 =
3.77
X
72 =
3/
e -11-S
X
7i =
347
X
r-27 _
72
�-
X
.7J
% Glass
SC
Eff. % Glass
y•9
X
G =
3-_3
X
yr
X
G� _
�•�7
1et`�
X
TYPE 1 MASS AREA =
Interior W,Ss/CFA
COND . FLOOR
AREA .
TYPE 2 MASS
AREA _ %
Exterior Wall Mass
ND. L OR
AREA
,7J-
X
Ff3 =
SE or HSPF
Duct Efficiency 10.781
Effective SE or
(0.72/6.6]
HSPF [0.56/5.15]
X
7.3
SEER 19.51
Duct Efficiency (0.74]
Effective SEER [7.03]
SG -
Type [SG]
Credit [none]
Point Scores
0
-�-_7 +7
Sum 1.6
SSum 77-10
L '
Point Total: 't
a_t�