Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
062-280-021
62-20�= - V 2421-91B,F,E M W.IT�heima Oro Qu cy Hwy,•.Lake Madrone ont: Tracy Taylor (new sf) -- _ 62-28-21 ___ _ 91-3980. TThe ��S _�iooy , La Mad (addition/sf) CONTR: -acy Taylor +062-28-0-021" 92-1220 T ' WHITE, TH A CONTR AYLOR, T.RACy 67 �g-9 Ffd£�t`"'tTb+tY , LAKE MADRON .,'-I / SF y2 Laid idt...lrjao� B07-1146 062-280-021 MISCELLANEOUS Room Addn-First Stry ; ADDITION TO SF- BEDRM (576) 424 LAKESIDE WAY BOOMER, JOAN E TRUST 0 a h f tai I I JRnn) 0 0 r i It BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 424 LAKESIDE WAY Owner: Permit N0: B07-1146 APN: 062-280-021 BOOMER, JOAN E TRUST Issued Date: 07/24/2007 By TMP Permit type: MISCELLANEOUS 565 MONTCLAIR AVE Subtype: Room Addn-First Stry OAKLAND, CA 94606 Expiration Date: 07/23/2008 Description: ADDITION TO SF- BEDRM (576) (510) 916-6403 Occupancy: Zoning: TM1 Contractor Applicant: Square Footage: COLLAR CONSTRUCTION COLLAR CONSTRUCTION Building Garage RemdUAddn 975 EAST AVENUE #127 975 EAST AVENUE #127 576 CHICO, CA 95926 CHICO, CA 95926 Other Porch/Patio Total (530)521-7877 (530)521-7877 576 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $428.92 DBFIRE Fire Inspection (SRA) R $102.70 DBFIRE Fire Inspection (SRA) R $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Room Addition -First Stor $643.39 DBOMSCF Fire Safe Standards Re $109.98 Total Charged: $1,569.83 Fees Paid: $1,569.83 DBSMIP Residential $3.74 Balance Due: $0.00 Receipt No: B3990 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License COLLAR CONSTRUCTION 403170 / 104/30/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 07/24/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by [7� I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED Q�I CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the 1664998 02/05/2007 Carrier: State Fund Policy Number: Exp. Date: Contractors License Law.). ' (This section need not be completed if the permit is for one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X 07/24/2007 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Ow s Signature Date provisions. X 07/24/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY 07/24/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) owner ❑ Contractor OR. 11Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name, v/_h First �meN Mailing Address56s i,jf City Q� State Zipc7 ie/ Phone U �f I�v ytj3 Fax �► Email aavk boo",A-" CONTRACTOR Name 05� coakle- Address g75-C-,,Ajt City div` lG o State "'q512-6 Phone cjo S'2l -/7� 7 Fax � 7 J � 7ql E-mail ct5 ,� Go 6 -t�� sit, C.tSyy► [7r-# t(o 31.7 0 Class Y� PLICAN SI TURE W PERMIT NO. BIN H n PROJECT LOCATION Properly city WORKER'S COMPENSATION Policy Number 99 -o7 Carrier Yrti_ If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Livi i�Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Tbkvt Jho✓ (� "Address SRA City at -C,4 State CIA Zis9 �� Phone $q7- '[ U 7 Fax S �6 E-mail State License Number PLICAN SI TURE W PERMIT NO. BIN H n PROJECT LOCATION Properly city WORKER'S COMPENSATION Policy Number 99 -o7 Carrier Yrti_ If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Livi i�Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name , GEA- C.oh �V-. G1 o V 2/ Address SRA City No State Zip Phone Fax -mail F PLICAN SI TURE W PERMIT NO. BIN H n PROJECT LOCATION Properly city WORKER'S COMPENSATION Policy Number 99 -o7 Carrier Yrti_ If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Livi i�Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning _ Flood Zone SRA res No Occ. Type Consi. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1146 Location: 1 �24 utkeslde 1�1a� Parcel Number: 062-280-021 Owner Name: BOOMER, JOAN E TRUST Description: ADDITION TO SF- BEDRM (576) Date: 05124/2007 By: KCG Sub Type: Room Addn-First Str Phone: (510) 916-6403 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 8954675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 jZeAod 7,24.07 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property 0 ner: Date: 05/24/2007 ._...._. — FILE BUTTE COUNTY FEE SUMMARY Permit Number: B07-1146 7 County'Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 10668 ORO QUINCY HWY Contractor: COLLAR CONSTRUCTION 975 EAST AVENUE #127 CHICO, CA 95926 Printed: 05/24/2007 1:56 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 05/24/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100-450001-4617240-1010 $102.70 05/24/2007 $102.70 0100-450001-4617240-1010 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $109.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 05/24/2007 $102.70 DBMSC Room Addition -First Stor 0010-440001-4210500-1010 $643.39 DBF Room Addition - First Stor 0010-440001-4210500-1010 $428.92 05/24/2007 $428.92 DBSMIP Residential 1001-0-280-1011298 $3.74 1,569.83 $710.02 Printed By: Kourtni Graham Balance Due: $859.81 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 05/24/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-1146 Location: 10668 ORO OUINCY HWY Parcel Number: 062-280-021 Owner Name: BOOMER, JOAN E TRUST Description: ADDITION TO SF- BEDRM (576) Date: 05/24/2007 By: KCG Sub Type: Room Addn-First Str Phone: (510) 916-6403 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, the Butte County Development Services -Building Department requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For there -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 05/24/2007 Date Rev'd 5/7/07 Sig, ature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at htti)://buttefire.org/Firel)revention/nrotl)lan/protl)lan.html FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville; CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 0 0 0 Ctc National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1146 Location: 10668 ORO OUINCY HWY Parcel Number: 062-280-021 Owner Name: BOOMER, JOAN E TRUST Description: ADDITION TO SF- BEDRM (576) Date: 05/24/2007 By: KCG Sub Type: Room Addn-First Str Phone: (510) 916-6403 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: C FILE Date: 05/24/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-1146 Location: 10668 ORO QUINCY HWY Parcel Number: 062-280-021 Owner Name: BOOMER, JOAN E TRUST Description: ADDITION TO SF- BEDRM (576) Date: 05/24/2007 Phone: (510) 916-6403 i Signature of Property Owner: <, �1���--`� Date: 05/24/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds www.buttegeneralplan.net Acknowledgement of Building Permit Issuance Prior to Merger Approval . I, the undersigned, am the record owner of parcels identified as APN(s) 062-300-056, 062-280-020, 021, 022 & 023, acknowledge: that I have filed an application with the Butte County Department of Development Services requesting merger of said parcels (MER07-0004); I have requested issuance of Building Permit B07-1146 prior to approval of Merger MER07-0004; and that issuance of this permit does not imply or assure that Merger application MER07-0004 is complete, is accurate, or will be approved. I vol roceed at my own risk by undertaking construction described by Building Permi -0004N I acknowledge and accept that the Butte County Department of Development Services is in no way responsible for tat construction process, and will not provide a final inspection, nor issue a Certificate of Occupancy for any structure built under said Building Permit prior to recordation of the requested Parcel Merger to the satisfaction of the Director of the Department of Development Services. I further agree to defend, indemnify, and hold harmless the County and its agents, officers, and employees from any claim, action, or proceeding, against the County or its agents, officers, and employees; including all costs, attorneys' fees, expenses, and liabilities incurred in the defense of such claim, action, or proceeding to attack, set aside, void or annul approval by the County of said building permit. Owner: Sheryl L. Kuhn Signed: Date: 7 a3 O 7 Owner: Joan E. Boomer / Signed` y. i� Date: 7 �C J Approved: � a Butte County Planning Manager: ( Date: 1/1 t Z� J� Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds www.buttegeneralplan.net Acknowledgement of Building Permit Issuance Prior to Merger Approval I, the undersigned, am the record owner of parcels identified as APN(s)_ 062-300-056, 062-280-020, 021, 022 & 023, acknowledge: that I have filed an application with the Butte County Department of Development Services requesting merger of said parcels (MER07-0004); I have requested issuance of Building Permit B07-1146 prior to approval of Merger MER07-0004; and that issuance of this permit does not imply or assure that Merger application MER07-0004 is complete, is accurate, or will be approved. I volroceed at my own risk by undertaking construction described by Building Permi �-0004I acknowledge and accept that the Butte County Department of Development Services is in no way responsible for tat construction process, and will not provide a final inspection, nor issue a Certificate of Occupancy for any structure built under said Building Permit prior to recordation of the requested Parcel Merger to the satisfaction of the Director of the Department of Development Services. I further agree to defend, indemnify, and hold harmless the County and its agents, officers, and employees from any claim, action, or proceeding, against the County or its agents, officers, and employees; including all costs, attorneys' fees, expenses, and liabilities incurred in the defense of such claim, action, or proceeding to attack, set aside, void or annul approval by the County of said building permit. Owner: Sheryl L. Kuhn Signed-, Date: 7 073 O 7 Owner: Joan E. Boomer Signed 2J Date: d Approved: { a Butte County Planning Manager: C Date: 4/! i Z5 007 r�r t!�•. . BUTTE COUNTY,SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. Tax Rate Area No. A.P. Number o w, ;0110 — iia Jurisdiction: = City County Property Owner Property Location, Subdivision v- 14L o l - oa3 Residential Development = No of Living Mobile Home Units Installation r• t d Commercial/Industrial Q ' r New Addition 11 A District Identification No. 080011 - School 80®11 ................................................................................................... Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit # Cr. Demo - *(No foundation inspection) existing sq. ft. see attached ............................................................................. _ ................... Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) v Date School District certifies that (Payor) Sq 1 b 5M- Z1 VI (Zip Code) (Phone Number) has complied with the requirements of Resolution No. C*3 by payment of $ .t , representing S square feet. AB 2926 $ FULL MITIGATION $ Paid by Check # [,.,,, Remarks: M Date I IL Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm I 12S.7q ` ib (I-) ^L CA rr- � pRi E M (E) SEPT G _� ExISTING- � I?1�1 5.p. • •' MM �: SYSTC•AA GNB PSDRM. Rcs0FNce 3o8,71 (OW H - TED-) N C' -v "270 4-F. 3n'�•9� � TW -1.7F .•w...._.=..:.:�`�r�:..:r�".O: Got =-2�-• 2.1,_ �- ttJ 061-450-038 061-450-037 062-280-020 TM -1 062-280-021 062-280-022 TM -1 � TM -1 062-280-023 � / .41 � .a 062-120-06� TM -1 TM -1 / HIM C iWawa tea/O / 1 1 1 1 tea/O . Iz 3. Ao ji`. WIWAolCM 0 OL. ones Arr 14- . C-91STI MO w A7- t, I WGRGY Fevism) MME COM" mum wwme APPROVED CALCQ. Exie7T I IQ & Q rL WGRGY Fevism) MME COM" mum wwme APPROVED CALCQ. Exie7T I IQ & Q FROM : +X I PHONE NO. 011 52 638 35772 Nov. 07 1996 03:55PM P01 Lam"! /�, / 1-0- �� - C;�? 8, - / )up I 0 RESIDENTIAL 062-28-0-021 91-3980 WHITE, THELMA f CONTR: TAYLOR, TRACY 10668 ORO QUINCY HWY, LAKE MADROP, ADDITION/SF I; -,7v f��S/'Tj V47 4-90 r d-e-ek c> < 6�� JOB FINALE Signature J=OK. O=Not OK Not = Not Ready MOBILE 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/0 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 (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/0 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 -Enclosures -Panel 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 J=OK 0 = Not OK = Not Applicable RESIDENTIAL (: = Not Ready Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls;' Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------------ ----------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ------------------ -------------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------- ---- - -------------------- -- Shower Pan; Test. First Floor -Tub Access ---------------------- ------- 20. Test -Tub & Shower, -Second Floor -Tub Access --------------------- ----------------- 21. Gas Pipe: Size & Anchors ---------- ------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture -& & Transformer Clearance -Ins. -Protect ion - - - - - -- ------------------ 23. - - ------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------- ----------- ------------------------------- ------------ 24. Size Boxes & No. of Conductors -Stapled --------------------------------- ----- ----------------------------------- -- _---------- 25. Romex Installed Close to Edge of Studs _& C.J. _____ 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water -------------------------------------------------------------- --------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------- ----- -%----- - ----- -- ---- --- - -- - 28. Subfeed Wire Sizer 1 ga. Cu orA. C. Wire Size r / ga. Cu or -A I 29. Range Circ. !' ga. u r AI-Oy n Circ. / / ga. Cu or Al. Insulated Neutral es ❑" No -------------------------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------- --- ----------------- --------------------------------- -------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ---------- -------------------------------------------- - 33. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date '� MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ----------------------------------- -- -- - - - --- - --- 36. Condensate Drain & Overflow: Size & Grade ----------------- ------- ---.------ 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet -- ----------------------------------- ------------------------------------ 38. Attic -Access-&- Platform if Furnance in Attic ------------------------------ - ---------- ---------------------------- --- ---- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except Vs 39. Sils. Proper Material & Anchors ------- ----- --------------------------------------------------------------- - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ -------------------------------------------------------------------- - --- 41. Bearing Walls over Girders & Floor Nailing ---------- ----------------- 42. Draft Stop in Walls (rat proof) ------------ -------------------------------------------------------------- 43. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ------------- -------- ----------- - ----------------------------- --- 44. Headers & Beam -Size & Bearing ►ingle & Duplex) Date FRAMING (Continued) 45_ Hangers -Post Caps -Anchors -Connectors ---- 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles - 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing -------------- 51. Property Line Firewall & Openings ------------------------ -- - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits - 53. Width -Headroom -Rise -Run -Landing -Fire Protection _ _Stairs; 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------ Date ------- ------ -- Card B-1__ Date Card B-1 -------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------ 62. Smoke Detector ------- ------ -- ------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1---------------------------------- 64. Bedroom Exiting ----------- 65.-.G.-F.I. & Bath Fixtures & Tub Access -Spa - --------------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------------- 67. Stairs & Rails -------- - --------------------------- 68. Fireplace or Stove: Clearances -Hearth - -69. - - - Elec. Outlets at Wood Panel: Int. & Ext. - - - -------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ----------------------- 71. Elec. Outlets & Receptacles at Kit. Counter ---------------- ------------------------------------- ------ 72. Gara ge Fire Door: Swing -Landing -Closer ---------------------------- .---------------------------74. 73. A.C. Duct in Garage -Damper 74.Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. , ---------------------------------------- In Garage: Above Floor-Mech. Protection - 75. Plb.. Elec. & Mech._Equip. Listed for Location -- - - ----- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection --------------------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes - 78. Guard Rails & Deck Construction -Post Caps -------------------------------------- ___ - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive Cl Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------------- --- --------- 81. Stucco: Brown -Finish - --- -- --- 82. A.C. Unit: Disconnect. Electrical, Plumbing ----------------------- ---- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to ...... ..... Openings ------------------------------------ - --------------------------------------- 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I.Receptacle-Underground .... 86. Ventilation Throughout House ----- ----------------------------- ...... ..... 87. Glass Protection -- -- • -------------------------------------- ----- ------- 88. Corrections from Previous Inspections ------------------------ ---------------- 89. Gas Test -Meters Tagged; Gas -Electric -------------------------- 90 . Water & Sewer Connected -C/O to Grade -HD Approval_ - 91 Energy Compliance Certificate -Other Certificates ------ ---------------------------------- D a te ...------------------------------Date Card B-1 Date Card B-1 Date Card, -B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: h / 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 62-98-23TM ZONING 1 BUILDING PERMIT OWNER THELMA WHITE TELEPHONE SQ. FT. OCC. BUILDING VALUATIO 464 R 23,664 OWNER'S MAILING ADDRESS 154 CENTENNIAL AVE CHICO 888 0 6,216 CONTRACTOR'S NAME TRACY TAYLOR TELEPHONE 755-0916 41— CONTRACTOR'S MAILING ADDRESS 2848 CYPRESS STREET SUTTER 95982 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 29,880 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 242.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 121.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS 4111 OJERnKEE, ROAD OROVILLE. Penalty $ BUILDING ADDRESS Permit fee $ 398.75 PLUMBING PERMIT Filing Fee 15.Cp Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP 105-12 Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: DECK AND A ROOM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A, _37.50 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 Professions Code and my license is in full force and effect. License No. `/52,299 Classification l� ❑ 1, as the owner, or my employees with wages as their sole compen-Ex. 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.& DWELLING OR AODNS. 1 ACC. BLDGS. // 36 .25 NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRC ITS 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURESA3.00 Occup. OUTLETS (RESID,)FIXED APPLNS. REA.1sation, Temporary service Mobile Home Facilities . Misc. bVirin g .; Permit Fee $ 31.25 — 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 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 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab' I iu g ents, costs, and expenses which may in any way accrue agai s nt in consequence of the granting of this permit. X Date /////A/ Si nature of A licent - owner ❑ g pp ❑ Contractor Agent An OSHA a ion of struc u estover 3 storiesinheigvhttions ova S'A" d ep_on mo 'tion or constr ct=�\ Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P 40.00 OCC F1 CONST TYPE TOTAL FEES 47 .00 IHAz DFEES IMP FLOOD — CDF PA L PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees R CTOR F PUBLIC )By PER EXPIRES Date applicable provi- resolutions to do have been paid. WORKS / Date Receipt No. 103213 470.00 .®D do= WHITED. P. W., YELLOW -ASSESSOR, PINK -IN ECTOR, GO E -AP C YiT .:r _:.rte ;" ';� �yi'"�7'.:''"�,.�•_ t .i.� �.- i (. COUNTY OF BUTTE - DEPART _ «. MENT OF PUBLIC WORKS BUILDING DIVISION TCOUNTY, CENTER DRIVE - OiiAL E t;ALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPNE'CATION DATA SHEET Permit No. N OWNER T �/%%f� [�t/�T/7�� A. P. No. �-?�� Proposed Building Use Building Inspector Date / At time of permit application, I was advised the following data must be submitted prior -to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................... 2. Plot plans in <p: iplicate, signed by preparer of plans........ 3. Complete plans in Ica riplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form . Energy Design Compliance and supporting documentation . �I.G,[,.i'.,jFa►2-rM-7 (I-ZL-,'/ 7. Statement of Intent for Non -Heated and AC Buildings .............. s 8. Engineered truss/details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation `y instructions r, o ........ .............. .:�. . 10. Fees of $ Le 11: Chico Urban Area fees paid .................................... 12. Park fees paid ............................................ • .... ' .13. School District fees paid .............. anitatio,n approval from 60 Health Department i- 1 . 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 ❑) .... . 4. Recorded copy of Agricultural Acknowledgment Statement 2 %......... 5.' tter of C , I .................... ao �)Oapv5 MP —/ When you issue the permit, process as follows: .Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent J-lealth Dept. Fire Dept. Other Date The following data must be submitted 1. Index permit for above items No. 2. Additional items required: By issuance: (Circle new item not checked above). Contractor, designer owner, was advised of above required data by ✓hone_mail—counter by P-0 Contractor, gner, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Du1 Date i I-9'1""`Pla s approved by VAt1 Date tt �I X91 r Sets of plans on ho / in Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov,ille, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONI G 7;1,1 BUILDING PERMIT OWNER 6�/,4J I TELEPHONE SQ. FT. OCC. BUILDING VALUATION t OWNER'S MAILING ADDRESS l5 CCNTEMV14 G Gd pep / CONTRACTOR'S NAME � TELEPHONE 7SJL' S CONTRACTOR'S`�Mf ]LING ACF.RESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ a s� Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT(�''�QR ENGINEER �CCL2f LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ d pO ARCHITECT OR ENGINEER'S MAILING ADDRESS 33 d(JUJ17 Penalty $ BUILDING ADDRESS 106 U C -, 11 A Permit fee $ PLUMBING PERMIT Filing Fee 15.00 J g Each Trap 5.001 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 120'5 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New ❑ Additio4 Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: :,, 43z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee, 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 17 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) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW 1 CONST. ( DWELLING OCCUP.&) OR AOONS. ACC. BLDGS. 3.66 sq.ft. NEW CONSTR. ' ULTI.OUTLET NON-RESID. BRANCH CIRC 'ITS I@ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES R 20 76d t 0 494 Ex. OCCup. OUTLETS PRESI DIFIXED APLNSRE3.00 Temporary service- 15.00 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. ❑ 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 Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation penult 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 Ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ 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 $ O Occ CONST TYPE TOTAL FEE $%� J HAz 1 DFEES I IMP I FLOOD CDF I PARCEL ! I PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. / �� A-6�i6 =83.21 S6x,6 = 220.23 sl -O& 7 21 12 ROBERTSON and DOMINICK Civil Engineers & Surveyors Chico (918)694-3600 Red Bluff (916)529-3560 0 1 o) O IT, 4A.0r) 41 41 N 4ACA4C" _ S- Xo=Aars - S 5 Cox=b,-4 - Z 0411 -:ex" - I 0 0— Jos NT FOR M -7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET. PACKAGE "A" (Additions) Owner aeP Q_ Ohifi Climate Zone Permit # c) 39A0 Floor Area 4-64 The following data showing mandatory and required features of Package "A' shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add .footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 R-38 [WALL R-11 R-19 FLOOR R-11 R-19 SLAB R-7 R-7 GLAZING , U—._6.5_(_D-ual_) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip_:doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING_KI_T_CHEN-&-BATH__N.OT_LES_S THAN 25 LUMENS/WATT kXIMUM GLAZII U-S_.R NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 >..'HEATING. VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas•Furnace i (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) *1' (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Stu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump ' EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe). ■ ❑ *2 ❑ ❑ DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup . (brand and model number) Gallons Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *l Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU 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 requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. X SIGNATpa OF BXnMING DESIGNER OR APPLICANT a , 45 3iP lqz. ; 2, ✓2 � %roL9 . a 77- � COUNTY OF BUTTE - dEPAR#TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.`536-7541 APPLICATION AND PERMIT - PERMIT NO. r t ASSESSOR PARCEL NUMBER 62-28-21 ZONING TM 1 BUILDING PERMIT OWNER THELMA WHITE TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 154 CENTENNIAL AVE CHICO CONTRACTOR'S NAME TRACY TAYLOR TELEPHONE 755-0916 CONTRACTOR'S MAILING ADDRESS 2848 CYPRESS STREET SUTTER 95982 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10668ORO UINCY HWY LAKE MADRONE Permit tee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New I I Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: ADD SINK TO R P 91-39817 _ Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 9, 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions_ Code a my license Is in fLi fore and effect. License .Jo. Classification" 17I, 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 contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM OR ADDNS. ( ACC. BLDGS. 3.64sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESIU BRANCH CIRC ITS /� ` 5.00 POWER APPARATUS &\ (SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES\\ 20 764 Ex. Occup. OUTLETS P(RESID,)REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00t- Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 15CL 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgm nts, costs, and expenses which may in any way accrue aga said County n consequence of the granting of this permit. X Date /7--92 Signature o pelican owner ❑ l annactar Agent ❑ An OSHA is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 20.00 HA2 DFEES IMP FL000 COF PARCEL PD HD Issu This permit is hereby issued under the sions o Butte Cou ty odeWand/rolutions wcr Inde ted a f whice DIR Cj P PE IT EXPIRES Date applicable prove - to do been paidpermit S ate G Receipt No. 111-5,24 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - GEPA87MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Tolophortu JIU.'5:35.7541 APPLICATION AND PERMIT r b A9SE33OR PARCEL NUMB q ZON1114 BUILDING PERMIT OWNER /]ell; 4pr TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORE 5 CONTRA TOR'S NAME (, 02 TELEPHONE CON RAC [r SNAIL NG ADDRESS Q Z y� C S S%� so-ffel2 /J�$c Z Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee - $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 16t P60 01DaL)W- yJIW / JI„ a Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 ,.� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF b41 Duplex❑ Mobilehome: Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile HomeS G W I @ 15.00 TYPE OF WORK New Addition L✓ Remodel (_ Uti lities ❑ Instal lation: gher Describe work: 4i .40 S/AOr _/_0 /5 _ 9/- 3 Permit Fee $ Z® .0c Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS j 200A OR LESS 18.50 Main service 20GATO 7000AI 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 11 1 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 Ao. Classification `f 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) [1 I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, ( DWELLING OCCUP.&) 1 OR A NS. ACG. SLOGS. 3.6¢sa.ft. NE W CONSTRULTI.OUT LC 'ET NON.RESID. BRANCH CIRITS 1 @ 5.00 POWER APPARATUS &` ; (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES I RAO n76d L. FIXED APo LHS. OR Ex. Occup. OUTLETS IREslc.) EA.) ; I 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I deciare under penalty of perjury (check one): L, The permit is for $100.00 (va)uation) or less. F-1 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. 71 1 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 Coolin g ffood 6.50 I 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, :udgments, costs, and expenses which may in any way accrueI against said County in consequence of the granting of this permit. X Date Si nature of Applicant - owner 9 PP � Contractor C Agent An OSHA ion of structures toverr3 storiesoineheight�ions over S'0" deep and demolition or construct- ion Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ nAZ,OFEES I IMP FLOOD I I I CDF PARCEL PD M0 SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By _ PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date I i Receipt No. i /55 �1% 'WHITE-D.P.W., YEL_OW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT'•OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 11fI f7C.:,-, A. P. No. Proposed Building Use �w°'��'V� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, 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 .............. B. 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 ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from 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 11, 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. Telephone and hold for pickup at office. Deliver w/inspector. Other ED Fo•C P��_L fdtiQ In Applicant .Date_ Copy of Haz-Mat form sent Health Dept. Fire Dept. _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: Contractor, designer, owner, was advised of above required data by_phone---oall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT - ASSESSOR PARCEL NUMB R 62-28-21 ZONING 7M 1 BUILDING PERMIT OWNER I{1��E t�I� TH itTfiii.d"iIS �1,�,i TELEPHONE S0. FT. OCG. BUILDING VALUATION OWNER'S MAILING ADDRESS TSG COMINUI, AVE CHIOD CONTRACTOR'S NAME 'RACY TAY'iAE TELEPHONE 755-0916 CONTRACTOR'S MAILING ADDRESS 2846 CYPRESS MET ' SUial3it 95982 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 106M ORO t ItCY WY LIM HAMM Permit fee � PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF [n Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New Lj Addition ❑ Remodel ❑ Utilities ❑ Installation F-1 Other ❑ Describe work: ADD SM TO B.P. 0 91-3960 Permit Fee $ 204,00 Contractor ELECTRICAL PERMIT Filing Fee 16.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO I000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q 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. ' 7� �� License ;Jo.� . 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 OCCUPM 3.64 sq.ft. OR ACDNS. l ACC. BLDGS. II NEW CONSTRULTI-OUTLET NON-RESID• BRANCH CIRC ITS @ 5.00 POWER APPARATUS (SINGLE OUTLET CIR.g Ex. Occup(OUTLETS OR FIXTURES 20 750 FIXED APPLNS. Ex. OCCUp. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — 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 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 permi:ttshall..be,deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read tl4is application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstrsaid County 'n consequence of the granting of this permit. ". f , I X f� r: �. '. ~ f{,r�. :.�% Date � //� Signature 9fKo pplican Owner❑ Contractor., Agent E] 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 20`00 HAZ DFEES I IMP I FLOOD I CDF PARCEL PD PHD Issu This permit is hereby issued under the applicable provi- � I sions ofrthe. Butte County =ode and/or resolutions to do r f �' worl�flndlCted BOCLPf which felI��have been paid. DIR CR P LI WORKS BYI ivt Date PERIVII EXPIRES Date + y / " Receipt No. 1155€ 4 I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 'I�? OWNER A. P. # � 3 -7 • 25 GENERAL Plan Checker < s oning requirements: (sideyards and number of permitted living units). �! Valuation. •�!" Plans signed by designer. %4—' -Proper description of work on application. --�-- Existing violations on property. 1S> Items on data sheet. (W.C., fees, Health, "Recorded n^*; ^- ^4r ••, -1 -r; PLOT PLAN -,- kt mplete parcel size and dimensions..tbacks, sideyards, easements, etc. her buildings or structures. ading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. Developer Fees, License law, etc). (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN omplete to scale plan with dimensions. J Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). !Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec..1207). �FCIs in baths, garage, kitchen, and exterior outlets (Article Light fixtures, switches, receptacles, and exterior receptacles ,,,,tenance of mechanical equipment. ` 210-8). for main - Locations of water heater, heating and cooling equipment, other electrical or gas equipment. r Garage firewall, door size, and closer (Sec. 503(d)(3)). . 1 - 3'0" exterior exit door (sec. 3304 (f). fireplace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). . Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1. Standard bracing or"engineered design (Table 25V) ,,r Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. -,4-r- Three story building requiring engineered calculations and plans. 5. Foundation plan complete enough to construct building. 6. Floor construction details complete enough to construct building. !�! Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. 44r --Rafter ties or bearing ridge beam. AT'Garage door or porch header sizes. :—Stud heights. �3-_-4dobe soils - special foundation design. Retaining walls requiring design. Z�S4pecial Inspection required. building 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). /Brick or stone veneer (Chapter 30). /Exterior plaster - weep screeds (Sec. 4706). aper roof pitch for roof convering (Chapter 32). oof covering type - (fire hazard). Foam insulation - protection. X36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. . Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). ttic access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. . E rgy design. " ng at all exterior openings. . CDF responsible area requirements. 0�0.�10-W4 I r t OFFICE COPY t is Address Itif ELECTRIC Meter By z,t1�— Date r JOB FINALE Signature 11 RESIDENTIAL t `' I 2421- '9 I WHITE, Thelma __ Oro Quincy cont: Tracy Taylor ' f Huv, Lake Madrone l (new sf) I r t OFFICE COPY t is Address Itif ELECTRIC Meter By z,t1�— Date r JOB FINALE Signature 11 J=OK 0 = Not OK NoaeaYable=dMOBILE HOMES Date MOBILE HOME UTILITIES (Plfns) OK except•#'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 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 (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/0 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 MISCELLANEOUS if Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK esc ee t 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.-Conrectors 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 -GF] 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 -Panel 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 , ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDE LOOR (Plans) OK except #'s Date FRAMING (Continu'ed) n Zoning -Setbacks -Easements -Flood -Slope tg., Main; Soils-Elec. Grnd.- " Ftg. Depth ------ tg., Garage; Soils-Steel-Elec rn %8/" Ftg. Depth 4. %., Porches & Decks; Soils -Steel-/ /Ftg. Depth --- Ste walls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel- Blockouts-Wrapped -- 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. U Gas Pipe; Size -Anchors - yard gas piping: size -test pi"water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. P< Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date / Card B -t , Date Card B-1 DateFI24ZJIW Card B -t adj= Date Card B -t Date PLU GING (Permit),OK except q's Wat-0 Htr.: Vent -Access -Combustion Air -Baffle ---------- --------------------------- ter Pipe; Test & Anchor -Nail Protection ---------- - -- ------------------------------ 18. W.V.; Test -Fittings & Anchor -Nail Protection ------ ------ -- - ------------------ 'wer Pan; Test. First Floor -Tub Access es Tub & Shower. Second Floor -Tub Access - ----- ---------------------------------- ------------21. Gas PiSize &Anchors -------_----------------------- Date Card_B-1 _Date _ Card B-1 ------ ----- ----- ----- -- - --- ----------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's - - - 22. Fixture & Transformer Clearance -Ins. Protection --- ------------------------------------------------------ 3. ec. Receptacles Spacing -Lights & Switches at Doors -------- ---- - - - - ----------- 4. S' Boxes & No. of Conductors -Stapled ------------- ------------------------------------------------------------- Romex Installed Close to Edge of_Studs & C.J. -------------- 6. ------------ 6. ip Ground made up w/Mech Fastners-Bond Gas & Water -- -- -- ------------------------------ . - - - - - -- ---- ------------------------------- ------ -- - ---- - -- - . 2 Appliance Circuts in Kitchen & Cond ctor SizerGFI ---------------------------------------------- - -- ----- 28. Subfeed Wire Size !/r ga. Cu o AI ire Sizer ! ga. Cu or At ------------------------------------- --- - - --- ----------------------------- 29. Range Circ. 1 �jga Cu r �AI��Circ. / / ga. Cu or Al. In aced Neutral ta'Yes ❑ No ----------------- -- - -------- ------------------------------------------ ------ S_ervice-Riser Conductors & Ground -Main Disconnect __ ------ ----, 31 ip Clearances Panels-Motors-Mech. Equip ' 2. Cl thes Closet Light -Shower Light -Spa Light ---- ------------- . -Smoke Detector -------------- -------------------------------------------------------------- ------- - ---------------y- �--� - -- - - - - -- - - Date 1dy� Card B-1_" Date Card B -t ------- --- ---- - - �C- -- ---------------------------------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. A .rDuq Insulation & Support --------------- ---------------------------------------------------------------- -------- --- Vent Fan_Exhausl above insulation -- . - ----------------------- ------------- 36 Condensate Drain & Overflow Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------------------------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ----------------------------------------- ---------------------------- --------- Date Card B-1 Date Card B-1 --------------------------•-- ---------- - ---- ---- Date Card B-1 Date Card B-1 Date FR ING (Plans) OK except h's 9. ils. Proper Material & Anchors 0. Walts Studs -Nailing. Spacing & Bracing -Plates -Sound -------- -- - - - - ----------- ---------------------------- ---- -- --- -- ----- - Bearing Walls over Girders & Floor Nailing ------------ - ------------------------------ - --------------------------------- Draft Stop in Walls (rat proof) ------------ ---- -------------------------------------- - ----------------------- Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------ - -- ------------------------------------------ -------------- Headers & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors _ fZlno. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. -eplace Ties or Type A Flue -Fireplace Throat clearance tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Irm. Windows or Exiting Doors -Sill Hgt. & Dimensions 1 ar ge Fire Protection Framing _ o rty Line Firewall & Openings t. Doors -One 3' -Check Garage -3rd Story, 2 Exits a�Trs; Width -Headroom -Rise -Run -Landing -Fire Protection mood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer 56-Sa•ecc6fvlesh-Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights- Plastic 58 ear Walls; Nailing -Bolts f �Gf�59. Insulation -Walls -Ceilings (� 60. Infiltration -Walls -Windows Date __Card B-1 �� Date _ Card B-1 Date � Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's xt. Steps Door & Sidelight Protection -Landings Smoke Detector Lag- �-rnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------ edroom Exiting -----.. � ------------------- G.F.I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes & Labels - - ---4,&7 ,cStairs & Rails --------------- '8. replace or Stove: Clearances Hearth J. Elec. Outlets at Wood Panel: Int. & Ext. ------ - �.Elec. .Fixe & Appliance; Grnd.-Air Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter arage Fire Door_Swing-Landing-Closer 7&-A,EBact-in Garage -Damper 7 tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection Plb.. Elec. & Mech._Equip. Listed for Location - --- ----. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7i--1flsa+at ion -Foam- Looked in Attic ❑ Yes -- 7 uard Rads & Deck Construction -Post Caps ------------ ---- - --------------------- 7 , dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following mstld.; Drive ❑ s G --Igo: Walks ❑ Yes o; Planters--D-Yes a - <o ------------------------------------------ ---- &L- co: Brown -Finish - Unit; Disconnect. Electrical, Plumbing Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to enings -Water Well; Disconnect, Electrical, Plumbing ---- I 5�. Exterior Elec. Trim: G.F.I. Receptacle -Underground 186. Ventilation Throughout House 87. Glass Protection - 88. Corrections from Previous Inspections ------- 8 . as Test -Meters Tagged; Gk-15ectric ----- 9 . Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates --- - -- ---- - - ---- -----------9-�,-�-------- yB-1_._"- ---- ---- --- Date Card B-1 _ �"• _Date Card B-1 DateZCard-B_1 Ir- DateCardB-1---- Daterto Card B-1 Date Card B-1 Comments at Final: '!a..r..wxL �y�s:r.�..�•„�t„v:;,�,a�J1�,•i.�.R"�`Yl�`'s••�-... COUNTY OF BUTTE v. 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 lel+c.._ SII-Z�/ZI OW TER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is com leted. If you have any questions pertaining to this matter, or need additional explanation. pleap7contact this office immediately. !1 -e - DateInspector _/`�� REV 11/• V .* ��%'in•ly:;�,.++.. �Y',f{+. - .. s � �`sR�'i`;!6iiilc7ts:iiPv'- ":a i `]� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-75411 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNED 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 Date_z!?6 Lf Inspectors/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 • 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CCS-RR-ECTIbN NOTICE CL 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 `� % Inspector .TrTf -'} COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT 0. ASSESSOR PARCEL NUMBER ,-.4 . A? - 98-91 _ ZONING BUILDING PERMIT OWNER THELMA WHITE 'W, TELEPHONE SQ. FT. OCC. BUILDING VALUATION 9 2 R 47,532 OWNER'S MAILING ADDRESS 194 QFNIENNIAT, AVE, CHICO 453 M 8 154 CONTRACTOR'S NAME TELEPHONE _ 0916 537 M 9,666 CONTRACT IL RESS STREFT STITTF.R CA Fireplace CONSTRUC I N ENDER PA MG UNKNOWN Total Valuation Is 65,352 Filing Fee $ 10.00 LENDER'S ADDRESS Permit Fee $ 331.00 ARCHITECT OR ENGINEER LICENSE NO. ARCH] TEC MPF911009 IN ADDRESS RD nRnVTT.T.F Plan Checking Fee $ 165.50 Energy Plan Checking Fee $ 15.00 Penalty $ BUILDING A Ss Permit fee $ 521.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 7 2.00 14.00 Solar or heat pump water heater 20.00 LOT SUBDIVISION NAME PARCEL MAP S Z Water piping 5•00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF W Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 9,00 Building sewer 5.00 9-00 Mobile Home S I G I W 0.00ea TYPE OF WORK NewK1 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ 34.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR LESS 1 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 4 - CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code d my license is in full force andi effect. License No.t.52/'-) Classification. _%�_C' b� El 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. /22sq ft NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS &) SINGLE OUTLET CIR. I Ex. OCCup(OUTLETS OR FIXTURES eAL@30 eALO 30 Ex. OCCUp. OUTLETS IRESID.)FIXED APPLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 9 15.00 Permit Fee $ - l WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. -r-n I have placed on file with the County of Butte Building Department y'l 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 Filing Fee 1 10.00 Heating WALL FURNACE 2 6.00 12.00 Cooling g Hood 3.00 1 3.00 Ventilation 3.00 3.0.0__ Permit Fee $ 28.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liaWlities, judgments, costs, and expenses which may in any way accrue against said County ' con quence of the granting of this permit. X 1 -Date % �>-91 Signature of licant Owner ❑ Contractor �J 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 o c co PE . TOTAL fEE $ 691.55 HAL. CUA PA13K sc coF c-' PAR PD Ho IssuE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT F PUBLIC WORKS By Date 4 PE04EXPIRES Date .i Receipt No. 94577 691.55 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF UTTE =DEP' RTMENT OF PUBLIC WORKS -BUILDING DIVISION .. 7iG0' TY CENTER 13.91V ROj/„I�L-E.,,{✓ALIFORNIA 95965 -TELEPHONE: 916/538-7541 e PERMIT PLICATION DATA SHEET Permit No. OWNER /_ l /' VV �l M� ,' A. P. No. Proposed Building Use 54 b/ Building Inspector Date /% A 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 .. 5. Hazardous Material Form ............ .............................. . / 6. Energy Design Compliance and supporting documentation ......... 17. Statement of Intent for Non -Heated and AC Buildings .............. zbe,_8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data in manufacturer's installation instructions ................... r.............................'�..... �.. 10. Fees of `$ 11. Chico Urbari Area fees paid ....................................... 12. Park fees paid 3. School District fees paid .............. / 7/47 =b=== 14. Sanitation approval from CaQ 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 -�9. Driveway permit (construction approval required prior to occupancy) 171 71q/ 6 20. -Pre-Inspection for required...Pre-Inspec. request to Building Inspector (Date) 21. Contractors license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 2 Owner Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement 1. ........ Letter of signature authorization .......... ............. le, ... . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor.* Telephone '7 5-5 and hold for pickup at _of&fice. Deliver w/inspec'tor. Other J , Applicand Date %7-91 Copy of. Haz-Mat form _ sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must _be.submitted prio t ermit issuance: (Circle new item_not.chec.ked,above). 1. Index permit for above items No. 2. Additional items required: ! Contractor, designer, owner, was advised of above required data by_phone---JnaiI—counter by' .date ` Contractor, designer, owner, was advised of above required data by—phone mall—count Ib date Plans checked by Date Plans approved byDate Sets of plans on hold in File cabinet AP folder 1 I t Copy—DPW TO: Building Department FROM: Encroachment Permit Section o gg; Driveway Clearance � � 14da' -- /to�io tip /t�kAP # ' In owner r 1, G� Driveway permit D S — L� has been issued for the above property. 4 date si Aature TO Buildinv Department N FROM: Environmental -Health SUBJECT: Sanitation Clearance MIA On 4( Lkt L G746 c2l Owner Location AP/#� J Plan Approved for: Sewaqe Disposal Water Supply Ca Bold final for: Water Supply Final clearance O.R. for: Water Supply 'Clearance for � bedroom mobile ome. Other NOTE * * * •-•- ---�� Sanitarian Date leturn to DPW AGRICULTURAL STATE11 NT OF ACUI OWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26=8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a.building permit. The property described herein is adjacent to land 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 use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation., plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have .as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. AUG ^ 2 1991 91-031723 Butte County has established agricul-. agricultural purposes, and residents prepared to accept such inconvenience All that real :property. situate in the County of Butte, State of California, described as follows: Parcels 3 and 4, as shown on that.certain Parcel map of a portion of Section 27, Township 21 North, Range 5 East, M.D.B. & M., which map was filed in the Office of the Recorder of the County of Butte, State of California, July 22, 1976 in Book 57 of Parcel Maps, at page 100. Date: 8/2/91 m NOMAY PfA)C N.FrORW is ® �m Butte an my (MInas a awe OCL is, 1991 PROPERTY OWNERS: x r --,7i ��f - A , a , e - Thelma/pite State of California) On this the 2nd day of August 19 91 , before me, the SS. undersigned Notary Public, personally appeared County of Butte ) Zhelma/White b. Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 62-28-21 Notary Public 5 Certificate of Compliance: Residential (Page 1 of 2) CF -1R Project Title Date LFrZ_l✓ ►'��� Or�cul t,t,E - D,Uitic Y I�wY Project Address 2�4Z r L 1 C)A M. Documentation Author Telephone Build' Permit # Po I Q r �,WtyTzz" I I Che ed By / Date Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: �j 2 ft2 Building Type: ✓ Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: North ast South / West / All Orientations (circle one or more) Number of Dwelling Units: O -Q Floor Construction Type: Slab Qwised Floo (circle one or both) Infiltration Control: tandar fight (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .............. I i,KTj , Tic Wall .............. Roof ............. 71�0 'fY PI C -Aft, Roof ............. Floor ........:.... � 0 7Yl7-IGA'L. Floor.......:.... Slab Edge..... GLAZING, Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single, double) (roller blind, etc.) (shadescreen, etc.) (yes/no) (metal/wood) Front.... JO2 ISO U Pates NODI - W �+ I TE w0cp Front.... ( ) GV¢A-r_1F_:75. Left...... W) -e-- -h('f:�11 Clga-t_ Left...... ( ); Rear..... -W-005 Rear..... ( ) Right.... (a) I—,,OU Pte- WOOD Right.... ( ) Skylight....... Skylight....... THERMAL MASS butt rt Type/Covering Area Thickness BUt�eSE COON/ / (slab/exposed, tile, etc.) (sf) (inches) Location/DescriptiontA'A &;.) ) 1 NW Certificate of Compliance: Residential (Page 2 of 2) CF -1R W I -h GA 111 11, I O , 1 Project Title Date HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer /Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value tuh _ (or approved equal) WAI-A, Fv�e�vAfg-, . 74- N IA- LQ Gam. PEI Q 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) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, 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 purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Name: wOffT E G 1 M W1 �(�I Title/Firm: Address: 4- 1 GI-�.20 yl Telephone: (q I to � 5 -+ =3 -I Lic. #: G - (C 61(o (signature) (date) Documentation Author Name: L 14-A %1, +It1'FfzC6GJ-=7 Title/Firm: F( --T S -Q to 1 N e-e5FZ I Nfa Address: 5 -) cv�n OU A -1.2-y— 92p . P r— -1 Telephone: 01 1 e - O Z S 0 (signature) (date) Form Revised March 1988 Building Owner Name: -n r-1 ti `>' 1/y 1 ti TT--- Title/Firm: ksignarure) (date) Enforcement Agency Name: Agency: Telephone: BUTTE COUN I t WILDING DEPARTm M (signature or stamp) (date) APPROVED Point System Summary: Climate Zone 11 P -2R T( rr -7 • i o • 11 f Project Title Date BUILDING DATA Glass Area Conditioned Floor Areae. Number of Stories Slab/Raised Floor I2A'ISt� -e— Check all applicable Unit Type condi6on(s): (vii/ Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ J Existing Building [ J Multi -Family (MF) [ ] Existing -Plus -Addition SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. Notch b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass % Glass SC Eff. % Glass _G_ x = O (0 ,9 x .(P-7 4.,7— X X = — % Glass SC Eff. % Glass X q,— x , 57 q,1 X 5' = L,-7 X Interior Mass/CFA 11. Heating System Glass Area % Glass North -&- -e— East East 1 n 2 10 611 South U -value (0.030] 1 . O West -54-- 44.,45- 4 % Skylight V,5� -6- Total z �;11_0 1 1215 24.1 % Glass SC Eff. % Glass _G_ x = O (0 ,9 x .(P-7 4.,7— X X = — % Glass SC Eff. % Glass X q,— x , 57 q,1 X 5' = L,-7 X Interior Mass/CFA 11. Heating System a;wac, ice. .. aaa ••.aa� , q 4- X I, o Measures Zonal Control? ID N) Point Scores _�_ or Effective SE or R -value [38] or U -value (0.030] HSPF [0.56/5.15] — ;�— f_� R -value (11] U -value (0.098] Duct Efficiency [0.74] or�— 13. Water Heating R-value [19] U -value [0.037] �— or Credit (none] R -value [0] F2 factor [0.77] Standard 0 24 —14- —2Type [double] U -value (0.65] % Total Glass (161 Sum 1-6 % Glass SC Eff. % Glass _G_ x = O (0 ,9 x .(P-7 4.,7— X X = — % Glass SC Eff. % Glass X q,— x , 57 q,1 X 5' = L,-7 X Interior Mass/CFA 11. Heating System a;wac, ice. .. aaa ••.aa� , q 4- X I, o q Zonal Control? ID N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0.7216.61 HSPF [0.56/5.15] 12. Cooling System nlol`! f_� Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency [0.74] Effective SEER (7.03] 13. Water Heating Type (SG] Credit (none] Form Revised March 1988 _1 0� Sum 7-10 4- I Point Total: D Proposed Construction Assembly: Residential Form 3R W H-1 TIE G,A-P�q ►tel 7, I Z I I Project Title Date Llkt,5-1 r��O Project Address r���., �p /� I ri, r rte -(/61 71 F► L� -7 2 0 �4-' Building Permu � Document2don Author Telephone w -co -f= — l Checked Sy /Date Assembly .Name Enforce nent Agency Use Only Sketch of Construction Assembly List of Construction Components Outside Surface Air Film Y- g C--) +1h F" c., -P 2. ?-)4 10 4. 6. 7. Inside Surface Air Film Assembly Type: (check one) Framing Material: Framing Size: Framing Spacing: Framing Percentage: (check one) Wall Weight ! sf: (Packages only) Floor Wall ✓Ceifin g/F,00f --w00D Z x 10 IL " o.c. Wall: 15% (16" o.c.) 12% (24" o.c.) Floor/Ceiling: v7' 10% (16" o.c.) 7% (24" o.c.) Total Unadjusted R -Values Framing Adjustment Calculation (if applicable): ( 0.00 x 0-C�'[0 ) + c n. ©'7p, x 1,'Rc l-(Fr%/100) 1/Rr California Eneray Commission R -Value Cavity(Rc) Frame(Rr) I , I7 0.10 > Fri%/ 100 Oyo35 1/Tocal U -Value — 2 2 Re 12.q Rt 0,0,54 -- Total U -Value 25,/7+ Total R -Value Proposed Construction Assembly: Residential Form 3R Project Title Date GU I Kic L( Project Address J , C2 (S7E dr- -72 . D ?-S-4— Budding Permu W Documentation Author Telephone _YJ AIL -1— Oiecked By / Date Assembly Name Enfo.e , ent Agency Use Oniv Sketch of Construction Assemblv List of Construction Components Outside Surface Air Film I"8-DHlPLA`P 2. _2 < (o �" C 4. 8 u C,>a1C s. GUGit-4 I tJ��lr 6. 7. Inside Surface Air Film Assembly Type (check one) Framing Material: Framing Size: Framing Spacing: Framing Percentage: (check one) Wall Weight / sf: (Packages only) Floor T7-' Wall Ceiling/Roof 2 x !a Ila " o.c. Wall: ✓ lccc (16" o.c.) 12% (24" o.c.) Floor/Ceiling: 1005c (16" o.c.) 7% (24" o.c.) Total Unadjusted R -Values: Framing Adjustment Calculation (if applicable): ( 22, x o, g&-� > + 1 /Rc 1-(FrF'c/ 100) 1 /Rf California Energy Commission R -Value Cavity(Rc) Frame(:Rf) l l-7 '17 5.5 1q. — g7 ,'?8 ,5-7 , (a 22.41 ,11 Rc . Rf X 0115 ) _ !10 s5 Fr5c/100 Total U -Value I/Tom] U -Value Total R -Value Proposed Corrstruction Assembly: Residential Form 3R N'lT - Project Title Date Project t� COD QUl%1C�;� y�tlLJ`� Building Penult R Documentation Author Telephone Checked By / Date Assembly .Name Fniorce rent Agency Use Only California Energy Commission Assembly Type: t/ Floor (check one) Wall Ceiling/Roof Framing Material: Framing Size: _ x / Framing Spacing: Ih " O.C. 1 Framing Percentage: Wall: 15�,c (16" o.c.) (check one). ? Floor/Ceiling: ✓ 109c (16" o.c.) %% (24" o.c.) � Wall Weight �` sf: Sketch or Construction Assemblv. (Packages only' List of Construction Components R -Value Outside Surface Air Film Cavitv(Rc) Frame(Rf)(-7 (7 2. 4. 2 LE) TSG 5. 6. 7. Inside Surface Air Film Total Unadjusted R -Values: Re Rf Framing Adjustment Calculation (if applicable): In 1/R� I-(Frac/100) /Rr Fr5c/100 Total U -Value 0 = 26.0Z 1%I tal U -Value Total R -Value California Energy Commission Climate Zone 11 .t 1. Ceiling Insulation 4, Slab Edge Insulation Number of stories Number of Stories R -value One Two Three R -value One Two Three R-0 -103 -49 -32 R-0 0 0 0 R-19 -8 -4 -2 R-5 8 5 2 R-30 -2 -1 -1 R-7 8 6 3 R-38 0 0 0 U -value F2 factor 0.50 176 $4 0.90 -4 0.80 -i -3 -1 -1 0 0.30 -102 -49 -32 0.70 2 2 1 0.10 -26 -13 -8 0.60 6 4 2 0.08 -18 -9 -6 0,50 9 6 3 0.06 -11 -5 -4 0.40 12 8 4 0.04 -4 -2-1 0.00 11 5 1 3 5. Infiltration (Air Leakage) Specification Points 2. Wall Insulation Standard 0 Single- Single - Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 6. Glass Heat Loss R-11 0 0 0 Total U -value R-13 R-19 2 8 2 6 1 4 Percent .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less U -value 50 -121 -53 -39 -24 -10 4 0.80 -153 -114 -76 40 -90 -37 -26 -14 -3 8 0.50 -91 -68 -46 35 -75 -29 -19 -9 1 10 0.30 -47 -36 -24 30 -61 -21 -13 -4 4 12 0.10 0 0 0 29 -58 -20 -12 -3 5 12 0.08 4 3 2 28 -55 -18 -10 -2 5 13 0 0.06 9 7 5 27 -52 -17 -9 -2 6 13 0.04 1411511 t 7 26 -49 -15 -8 -1 7 14 0.02 19 14 10 25 -46 -14 -7 0 7 14 0.00 24 18 12 24 -43 -12 -5 1 8 14 23 -4 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 3. Raised Floor Insulation 20 -31 -6 19 -29 -4 0 1 5 6 10 11 .16 16 18 -26 -3 2 7 12 16 Insulation in Floor 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 Number of stories 15 -17 1 6 10 14 17 R -value One Two Three 14 -14 3 7 10 14 18 R-0 -17 -8 -5 13 -12 4 8 11 15 18 R-11 -3 -2 -1 12 -9 6 9 12 15 19 R-19 0 0 0 11 -6 7 10 13 16 19 R-30 3 1 1 10 -0 9 11 14 17 19 9 -1 10 13 15 17 20 U -value 8 2 12 14 16 18 20 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 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace Number of stories 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 Point Tahles 7. Shading (Shade Open) Effective Percent Glass (percent glass x SC) Effective %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 3 1 4 2 2 3 F 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 i 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allow 8. Shading (Shade Closed) Effective Percent Glass (percent glass x SC) Effective %Glass North East South West Skylight 18 -14 -48 -69 bt na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 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 -15 -14 -38 5 -2 -9 -111 -10 -30 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 allowe 4-68 Energy Conservation Manual Revised March 1988 Point Tables Climate Zone Il 9. Interior Thermal Mass Single- Single - Interior Wall Mass Slab Floor Raised Floor Mass 0.00 Stories 0 0 Stories HSPF /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1-83 13 10 -3 -1 U 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 2 4 5 6 7 2.5 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 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 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 Single- Single - Sum of 1-6 Wall Mass Family Detach Family Attached Multi Family 0.00 0 0 0 SE HSPF 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 HSPF (assumes.ducts in attic) continued . . Point System IL Heating System (continued) Effective SE or HSPF (SE or HSPF x duct effidency) less -15 Sum of 1-6 +5 +15 Effective -25 or -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 continued . . Point System IL Heating System (continued) Effective SE or HSPF (SE or HSPF x duct effidency) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER . (assumes ducts In attic) Sum of 7-10 -25 or -2410 -14 to d to +6 to 16 or SEER less -15 Sum of 1-6 +5 +15 Effective -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 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 -18 -12 Effective SEER -7 -6 3 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 System SEER . (assumes ducts In attic) Sum of 7-10 -25 or -2410 -14 to d to +6 to 16 or SEER less -15 -5 +5 +15 more 8.0 -14 -12 -10 3 3 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 d -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 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -18 -12 Effective SEER -7 -6 (SEER x dud efficiency) -16 -12 -10 -8 Sum of 7-10 POU -18., Effective -25 or -24 to -14 to -410 +6 to 16 or SEER less -15 -5 +5 +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 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 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 Two + 3 3 -4 3 -2 -2 2 2 2 1 13. Water Heating Single -Family Detached and Attached Multi -Family (individual units) Unit Size (sQ Water 1199 1200 1700 2200 2700 Heater Credit or to 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 HWR 8 S 4 3 3 WSB 5 3 3 2 2 POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10 -8 POU -18., -12 -9 -7 -6 n None -5 3 -2 -2 -2 Solar 7 5 4 3 2 POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 . Solar 8 5 4 3 3 POU -10 -6 -5 -d -3 Multi -Family (individual units) M Unit Size (sl) Water 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 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6 -5 WSB -25 -13 -8 3 -5 POU -23 -12 -8 -6 -5 IG None -8 -4 -3 -2 -2 Solar 6 3 2 1 1 POU 1 0 0 0 0 IE None 30 -15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 -4 -3 -2 -2 M Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with ars asterisk (*) may be superseded by more 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 are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER I ENFORCEMENT Building Envelope Measures * §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill 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). N * §2-5316(a): Ducts constricted, installed and insulated per Chapter 10, 4996UMC. §2-5316(b): Exhaust systems have damper controls. 116b §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5352(1): 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). §2-5317: Infiltration/Exfiltration Controls §2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. §2-5318(d): Swimming Pool Heating c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. ✓/ §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. N I /�- §2-5352(d): Installation of Fireplaces b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. I 1. Masonry and factory -built fireplaces have: Ar l a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control (A, 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. * §2-5316(a): Ducts constricted, installed and insulated per Chapter 10, 4996UMC. §2-5316(b): Exhaust systems have damper controls. 116b §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. N §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): 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 1): Pipe insulation on steam and steam condensate return & recirculating piping. til I� §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. I 2. 75 percent thermal efficiency. 3. Pool cover. Ar l 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53520): Lighting - 251umens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Forth Revised Decmber 1987 RESIDENTIAL PLAN CHECKING GUIDE 12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER Ej-)A.P. # (PZ- Z g- Z Plan Checker g IL VG� GENERAL Y. Zoning requirements: (sideyards and number of permitted living units). 4ns ation. 3 signed by .designer. Proper description of work on application. ^Fs'�—Estng violations on property. Items on data sheet. (W.C., fees, Health, Devel.oper Fees, License law, etc). notice of violation. PLOT PLAN lrmplete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. 3tiier buildings or structures. 4. Gding, fills, drainage. 544lood hazard. -6 , _per'ai 1 conditions on creation map, ,Justible, and foundations). 7. FAU & FAS road setback. (noise, CDF, fire sprinklers, non-comb- ui o utilities across lot lines (Record form). w FLOOR LAN 1. omplete to scale plan with dimensions. 2. -uired windows for light and ventilation (Sec. 1205). 3. Re ed windows for second exit (Sec. 1204). 4. ylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 61---'Ie-quired room sizes, ceiling heights (Sec. 1207). 7 CIs 'baths, garage, kitchen, and exterior outlets (Article 210-8). 8 ght fixtures, switches, receptacles, and exterior receptacles for main- te ce of mechanical equipment. 9 cations of water heater, heating and cooling equipment, other electrical oras equipment. l0. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1Y --T--- 3'0" exterior exit door (sec. 3304 M. dace and wood stove location, alcoves, and clearance. 1 Sr e detectors (Sec. 1210). 14—"Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS M Standard bracing or engineered design (Table 2.5V) Unusual s ape, size, or split level house requiring lateral design. dation plan complete enough to construct building. loor construction details complete enough to construct building. evations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. ep e construction details and talcs if necessary. 8 fter ties or bearing ridge beam. � arage door or porch header sizes. 1 . Stud heights. 1. Adobe soils - special foundation design. 1 Retaining walls requiring design. 13 Special Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOKOUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306j. 2. uardrail details (Sec. 1711 & 3306(j). -3-.--Br'1ck or stone veneer (Chapter 30). 4.Crior plaster - weep screeds (Sec. 4706). 51�Pooper roof pitch for roof convering (Chapter 32). 6. Roof covering type - (fire hazard). �. �a im nsulation - protection. 8!./36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side inclu ing upporting walls and posts, etc. 1 exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). a cess and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). ` 13. Combustion air for fuel burning appliances = L.P.G. requirements. se-r-aquirements on duplexes. 1 nergy design. 1 Flashing at all exterior openings. 17/CDF responsible area requirements. rj KI Certificate of Compliance: Residential (Page 1 of 2) CF -1R r - CAF�oi Fog- '-n h mY wi-h T -e• '7, (0 I Project Title Date i�An�_r_ '`!/�r,1 O J t:-:, OrouIu_E -oL)IK/CY kWr, Project pAddress I ( F-441-'4?,( 4Z/ 1, I , %A I ' - (•1 U Fr�w%oe b72 - o 2 c5G— Build* n Permit # Documentation Author Telephone ��� Checked By / Date Compllance Method (Package. Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned -Floor Area: 1 1� 2 ft, Building Type: ✓ Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: North ast South !West /All Orientations (circle one or more) Number of Dwelling Units: ,.l Floor Construction Type: Slab aised Floo (circle one or both) Infiltration Control: tandar ight (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall ............. : l*M 9 G�TG� TO C�ae�C�;s✓ � �Ul` �-t-I Wall .............. ' Roof ............. T(►�IG Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING fa0 TY2tGA Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type _ Orientation (sf) (single, double) (roller blind, etc.) (shadescreen, etc.) (yes/no) (metal/wood) Front.... (�) Front.... ( ) Left...... (N) Left...... ( ) Rear..... (y� Rear..... ( ) Right.... (i�, ) Right.... ( ) Skylight....... Skylight....... 10q_ FA THERMAL MASS Type/Covering (slab/exposed, tile, etc.) NI/A Noy.► - W 4ITE tY Area Thickness 40pVOW ia �crivtion (kitch .tS , etc.) Certificate of Compliance: Residential (Page 2 of 2) CF -1R W Hl Tra Project Title Date 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) WAu, wZ,vAer-, .-74-- N , o C-ee' Arp =-' G �Qr 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) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, 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 purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer I Building ONvner •� t Documentation Author Name: 1. ISR n, 4DP' Fi C6Ge Title/Firm: _r—L_ Address: CA. Telephone: of f -) - 02-c374- lv (signature)I // date) Form Revised March 1988 Enforcement Agency Name: Agency: v Telephone: cr 4 -DING - y (signature or stamp) t+/ �� (date) Point System Summary: Climate Zone 11 MR TI r—, �--] >✓ v�1 �--h T>✓ C44 -F51, til e7 • i o . 9 I Project TiUe Date BUILDING DATA Conditioned Floor Area. Number of Stories Slab/Raised Floor 12A'IS� Check all applicable Unit Type condition(s): [v}' Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ J Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition 4. Slab Edge Insulation Glass Area % Glass North $' -$' East )0'2- 10 South 54- 1,0 West 4 4,'LS or , G Skylight -6- Total _61_ Z*2�0.125 Z4.-1 4. Slab Edge Insulation — or AT -1k i~D SCORE CARD Measures F2 factor [0.77] Point Scores 1. Ceiling Insulation �i or , G Standard R -value [381 U -value [0.0301 2. Wall Insulation 6. Glass Heat Loss or — — R -value (I I I U -value [0.0981 3. Raised Floor Insulation vo or U -value (0.651 % Total Glass (161 R-value[19] U-value [0.037) 7. Shading (Shade Open) 4. Slab Edge Insulation — or R -value [01 F2 factor [0.77] 5. Infiltration Standard 6. Glass Heat Loss Dcd �I✓ — 24 1 —14- —2 - Type [double] Type U -value (0.651 % Total Glass (161 Sum 1-6 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North -9- X _ = O — I b. East 10,q X . (P1 = '1. :5 _+_ c. South _ x (,P'7 _ &,0 t d. West 41 X (,o7 = 1z_ e. Skylight x = -- O + 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North -e- x2 - b. East )011 x c. South 41, — x , 57 = 5. 1 -11 d. West q ,1 X 51 = /2,7 e. Skylight x 9. Interior Thermal Mass — Interior Mass/CFA 01-7 10. Exterior Wall Mass — Exterior Wall Mass Sum 7-10 11. Heating System i q- x 1,0 _ , 7 +- I Zonal Control? ( N) SE or HSPF Duct Efficiency [0.781 Effective SE or L} - [0.72l6.61 HSPF [0.56/5.15] 12. Cooling System Nolte t� /Al STA (.t-EiD _ + Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency [0.741 Effective SEER [7.031 13. Water Heating �(4 "— $ -"� Type [SG] Credit [none] Point Total: 0 Form Revised March 1988 Proposed Construction Assembly: Residential Form 3R Project Tide Date t--- 0 —aLi I Project Address {-. I.1�LA- rT��G�'iC�• O 12 V GBuilding Permik 0 Documentation Author Telephone Wfz= ` Checked By / Dau: Assembly .Name Enforcement Agency Use Only Sketch of Construction Assembly List of Construction Components Outside Surface Air Film Y- f5 5 f+I F L kF 2. 10 L I (o" 0.G, 17v n ;. 1- 18 11 1�L�r vy s. 4- 6. - 7. Inside Surface ,Air Film Assembly Type: (check one) Framing Material: Framing Size: Framing Spacing: Framing Percentage: (check one) Wall Weight / sf: (Packages oniv) Floor Wall E--Ceiling/Roof JnoD Z x 10 IU " o.c. Wall: 155c (16 o.c.) 12% (24" o.c.) Floor/Ceiling: �� 10% (16" o.c.) 7% (24" o.c.) Total Unadjusted R -Values Framing Adjustment Calculation (if applicable): 0 0 1-(Fr�'c/100 j California Energy Commission R -Value Cavitv(Rc) Frame(Rf) I- • 'z- 2 .(O Z Rc Rr ( 0. 1) 1 Pp x 0.10 > = 0.0 1/Rf Frac/100 Total U -Value 2E,'.'74— lifocal U -Value Total R -Value Proposed Construction Assembly: Residential Form 3R Project Title Date Project Address F:--=-r-o G cation Author -7 2. 0 2s-4— eiephone W A'( --,— Assembly Name Sketch of Construction Assembly Assemblv Tvpe: (check one) Framing Material: Framing Size: Framing Spacing: Budding Permu 0 Checked By / Dam Enloe , enc A¢encv Use Oniv Floor 7 Wall Ceiling/Roof _lnl O�-D x iO Iln " o.c. Framing Percentage: Wall: ✓ 15% (16" o.c.) (check one) 12% (24" o.c.) Floor/Ceiling: 1G% (16•' o.c.) 7% (24" o.c.) Wall Weight / sf: (Packages only) List of Construction Components R -Value Outside Surface Air Film Cavity(Rc) 1 1 � Frame(Rf) 11.71 2. _2 < (o I �0" o , _ Jc, 5- 4. 6. 7. Inside Surface .Air Film (e 5 Total Unadjusted R -Values: q,41 4-� Rc Rf Framing Adjustment Calculation (if applicable): x _ 0,8 ) 7 i x o,oss" 1/Rc I {Frac/100) Nf Fr5c/100 Total U -Value 1/Total U -Value Total R -Value California Energy Commission Proposed Constructioln Assembly: Residential Form 3R Project I We {� ` ' l ,, Date Project t�Addr�ess ���' �i QUt (V� P)2 02 r�- -' Building Permit 0 Documentation Author Telephone Checked By / Date Assembly -Name Enforcement Agency Use Oniy aKctcn of t-onstruction Assembiv. ' List of Construction Components Outside Surface Air Film I. 2. 4. 5. 7 Assemblv Tvpe: v/ Floor (check one) Wall Ceiling/Roof Framing Material: WOOD Framing Size: lam x /0_ Framing Spacing: I(P " O.C. Framing Percentage: Wall: 155c (16" o.c.) (check one) 129c (24" o.c.) Floor/Ceiling: ✓ 100,c (16' o.c.) 7O1c (24" o.c.) Wall Weight / sf: (Packages only) R -Value Cavitv(Rc) Frame(Rr) l—] ,17 Inside Surface Air Film (O Z Total Unadjusted R -Values: 'j Rc Framing Adjustment Calculation (if applicable): 1/Rc 1-(Trac/100) /Rf Fr5%/100 California Energy Commission _ 0.Cp,�(C:5 Total U -Value 0r5 1/r tal U -Value Total R -Value Climate Zone 11 1. Ceiling Insulation 4. Slab Edge Insulation R value One Number of stories Two Three Number of Stories R -value One Two Three R-0 -103 -49 -02 R-0 0 0 0 R-19 -8 -4 -2 R-5 8 5 2 R-30 R-38 .2 0 .1 0 -1 0 R-7 8 6 3 U -value F2 factor 0.50 -176 -84 -54 0.90 0 -1 30.80 -1 1 0 0.30 102 �9 -02 0.70 2 2 1 0.10 -26 -13 .8 0.50 6 4 2 0.08 -18 -9 -6 0.50 9 6 3 0.06 0.04 -11 -4 -5 -2 1 -4 .1 0.40 12 8 4 0.00 11 5 1 3 5. Infiltration (Air Leakage) Specification Points 2. Wall Insulation Standard 0 Single- Single - Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 6. Glass Heat Loss R-11 R-13 0 2 0 2 0 1 Total U -value R-19 8 6 4 Percent .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less U -value 50 -121 -53 -39 -24 -10 4 0.80 -153 -114 -76 40 -90 -37 -26 -14 -3 8 0.50 -91 -68 -46 35 -75 -29 -19 -9 1 10 0.30 -47 -36 -24 30 -61 -21 -13 -4 4 12 0.10 0 0 0 29 -58 -20 -12 -3 5 12 0.08 4 3 2 28 -55 -18 -10 -2 5 13 0 0.06 9�� 57 5 27 -52 -17 -9 -2 6 13 0.04 14 11 7 26 -49 -15 -8 -1 7 14 0.02 19 14 10 25 -46 -14 -7 0 7 14 0.0c 24 18 12 24 -43 -12 -5 1 8 14 23 T-7 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -1 -2 4 10 15 3. Raised Floor Insulation 20 -31 -6 19 -29 0 1 5 6 10 16 -4 18 -26 -3 2 7 11 12 16 16 Insulation in Floor 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 Number of stories 15 -17 1 6 10 14 17 R -value One Two Three 14 -14 3 7 10 14 18 R-0 -17 -8 -5 13 -12 4 8 11 15 18 R-11 -3 -2 -1 12 -9 6 9 12 15 19 R-19 0 0 0 11 -6 7 10 13 16 19 R-30 3 1 1 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 U -value 8 2 12 14 16 18 20 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 -6 -4 0.06 -6 -3 -2 0.04 -1 0 1 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace Number of stories R -value One Two Three R-0 -11 -7 -5 19-5 -4 -4 3 R-11 .2 -2 -2 R-19 -1 -2 .2 Point Tables 7. Shading (Shade Open) Effective Percent Glass (percent glass x SC) Effective %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 3 4 2 2 3 4 2 3 5 1 2 4 1 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 Of 3 1 1 1 1 1 2 0 1 -2 -4 -2 0 na = not allow 8. Shading (Shade Closed) Effective Percent Glass (percent glass x SC) Effective %Glass North East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na. 14 -10 .35 -50 -46 na 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 15 -14 -38 5 -2 -9 11 -10 -30 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 allowe 4-68 Energy Conservation Manual Revised March 1988 l Point Tables 9. Interior Thermal Mass ` Interior less Slab Floor Sum of 13 Raised Floor Mass Family Attached Stories 0.00 0 Stories 0 VA One Two Three One Two Three 0.0 -8 -5 -4 2 1 -1 0. 8 5 -3 13 10 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 20 -1 2 4 5 6 7 2.5 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 ti 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 ExteriorSingle- less Single - Sum of 13 Wall Mass Family Detached Family Attached Multi Family 0.00 0 0 0 0. HSPF 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 2.00. 10 11 13 11. Heating System SE or HSPF (assumes ducts in attic) continued . . 11. Heating System (continued) Effective SE or HSPF (SE or HSPF x duct efficiency) less -15 -5 Sum of 13 +15 more Effective -25 or -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 continued . . 11. Heating System (continued) Effective SE or HSPF (SE or HSPF x duct efficiency) Zonal Control Adjustment System Type Resistance 10 9 7 64 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assumes ducts In attic) Sum of 7-10 -25 or -24 to -14 to -4 to +6 to 16 or SEER less -15 -5 Sum of 1-6 +15 more Effective -25 or -24 to -14 to -4 t +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 34 -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 3 7 10 -18 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 64 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assumes ducts In attic) Sum of 7-10 -25 or -24 to -14 to -4 to +6 to 16 or SEER less -15 -5 +5 +15 more 8.0 -14 -12 -10 -6 -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- 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -15 -12 Effective SEER Solar -1 -1 (SEER x dud efficiency) 0 0 Sum of 7-10 -18 -12 Effective -25 or -24 to -14 to -4to +6 to 16 or SEER less -15 -5 +5 +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 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 Zonal Control Adjustment 10 8 7 6 4 3 Yo Cooling System Installed Stories One -5 4 4 -3 -2 -2 Two + 3 3 2 2 2 1 Climate Zone 11 13. Water Heating Single -Family Detached and Attached Point System 4-69 Unit Size (sf) Water 1199 1200 1700 2200 2700 Heater Credit or to 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 HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 3 WSB -25 -16 -12 -10 -8 POU -18 -12 -9 -7 -6 IG None -5 3 -2 -2 -2 Solar 7 5 4 3 2 POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 Multi -Family (individual units) Unit Size (sf) Water 699 700 1200 1700 2200 Heater Credit or to 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 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 Solar 2 1 1 0 . 0 HWR -23 -12 -8 -6 -5 WSB -25 -13 -8 -6 -5 POU -23 -12 -8 -6 -5 IG None -8 4 -3 -2 -2 Solar 6 3 2 1 1 POU 1 0 0 0 0 IE None -30 -15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 4 -3 -2 -2 Point System 4-69 Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more 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 are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER I ENFORCEMENT Building Envelope Measures * §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill 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). N �. / §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. N I� §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. / ✓ §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls I� a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. N §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door. b. Outside air intake with damper and control c. Flue damper and control JA - 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. * §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 49016 LIMC. §2-5316(b): Exhaust systems have damper controls. M 8b �- §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(1): 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. I� §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. I 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352Q): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Fmm Revised December 1997 BUTTE COUNTY SCHOOLS DEVELOPMENT,.FEE CERTIFICATION FORM (one Form per Building) A.P. Number Building-- Department No. School District City 0 County Jurisdiction 'Property.Owner Project Location/Address U1'/VC% Subdivision Lot Number Residential Development:. Sq. footage W> of Living MHI Addition (Group R) Units commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) -Building Deparffhent Representative I Date (Floor Plans reviewed by School District Personnel) District Id No. '920 26 9 School District certifies that' / 7 A tu 4) 7n.4 rr"zL:Z (Appl-i aVt WaTme) (Phone Number)., Oito 0 C'tMW U.", (Str66t Addv9s) t 72 7 (0 (City) (State (Zip Code) 1 .1 has complied with the requirements of Resolution No. by t e pa yment of $ representing square feet. Pi 1OZA4 —�?d e VAJV� -7.-17-71 V 1;TqooV District Rdpr ,e§entative Date' PAID BY C HECK NO. BANK NO PAID BY CASH - REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 0 -300 "02 � / 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 NUMBERZONING ��_ZA �iVl ( BUILDING PERMIT OWNER ' t�Mt4 �Glife TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AOOR SS 1 / / Q Sel C Al7 ��.� / 4Ile li V c4q*26, �j� ._G-,3 3 CONTRAC T�, NAME �/'!�r`• m TELEPHONE -?5 -5 - �' CONTRACTOR'S MAILING ADORE S Ie S5 Fireplace CONSTRUCTIOJJ LENOE UNKNOWN Total Valuation S .35Z - LENDER'S LENDER'S MAILING ADDRESS ARCHITECT OR NGINEER e1 LICENSE NO. Filing Fee 5 10.00 Permit Fee Plan Checking Fee S�( t s -65-To ARCHITECT OR ENGINEER'S MAILING ADDRESS �,� �^! cam/ '133i ee_ ® eO i`'r� r) / D Ener Plan Checking Energy g Fee Penalty $ BUILDING ADDRESS �� tt� sC• �`' r !v �l Permit fee $ L�Ke S�o%Q W PLUMBING PERMIT FilingFee 10.00 Each Trap 2,00 ( . (0 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME [PARCEL MAP Water piping 5,00 5'0-� Each qas water heater or vent 5.00 5 Gv USE OF STRUCTURE S Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5,000- Building sewer 5.00 a ISd Mobile Home S G w 10.00 ea TYPE OF WORK NewK Addition ❑ ++ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work' 1 b� Permit Fee S 2C r4>0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service VOR S I00AMP OR LESS Main service EA. AOO'L 100 AMP 10.01/0,00 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (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. 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) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR AOONS. ACC. BLOGS. NEw CONSTR "UL'I.OUTL.T V ON.R ESIO 9RANCH CIRC ITS I2,SOeaI / POWER APPARATUS a (SINGLE OUTLET CIP.. ) EX. OCCUp OUTLETS OR FIXTURES 20!Ot eAL_ -o: FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO., EA.) 2.00 Temporary service 10.00 (�.( Mobile Home Facilities 15.00 Misc. SYirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F I 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. ❑ 1 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 Filing Fee 10.00 Heating (.slit urfJgC'e CoQ I le,ao Cool in9 dNt- Hood 3,00 y3,cyC> Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction. and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ,on of structures over 3 stories .n height. Mobile Home Installation Fee 5 Energy inspection Fee occ I CONST rrPE TOTAL FEES / H,Z •_u ANN , ScrL Lo coF =aa :� .,o. •,; This permit is hereby issued unser sions oT the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provl- resolutions to do have been paid. WORKS Date Receipt No.��S 0 1�� •�MIfC-a. r. W., TCLLOW•.]e[»OR• PIN-43PCCTOR• .0L0CNR00-APPL1CANr N 0 `eturn to DPW AGRICULTURAL STATEtMn OF ACKNOWLEDGE!KENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 91-031723 The property described herein is adjacent to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from -the pursuit 2:29pm 2 -Aug -91 of agricultural operations including, but not limited to cultivation., plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 91 -31 723- I Rec Fee 5.00 1 Cash 5.00 1 I i I I I i XX 1. Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real :property:- situate in the County of Butte, State of California, described as follows: Parcels 3 and 4, as shown on that certain Parcel map of a portion of Section 27, Township 21 North, Range 5 East, M.D.B. & M., which map was filed in the Office of.the Recorder of the County of Butte, State of California, July 22, 1976 in Book 57 of Parcel Maps, at page 100. Date: 8/2/91 as IMA NOMMN b Milctmi8 1n p1ras low o►aya9alsoaNom a01anaa FAM aaim PROPERTY OWNERS: Thelma/pite State of California) On this the 2nd day of August , 19 92 , before me, the ) SS. undersigned Notary Public, personally appeared County of Butte ) Thelma/White S. Present A.P. No. 62 -28 - Personally known to me. W Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN 6JITNESS WHEREOF, I hereunto set my hand and official seal. c 21 Notary Public EN® OF DOCUMENT L7POstAX (91(l) 872-9331 DISF- CALIFORNIARNIA 95969 PARA no CLARY, ROAD (916)872-0254 werr 676607f -WI 6,4 k Z-oa,--ee . "I"o-C4 lVt TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance _.. f Owner ILocation AP# Plan Approved for: Sewage Disposal ��. Water Supply Lje_L Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobil home. Other NOTE * * * Sanitarian Date rB SE CASE . . - Submittal CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... The Timmy White Res. Date........ 04/30/92 Project Address........ Quincy Hwy Butte County Documentation Author... Marty Runnells Building Permit # Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 Plan Check / Date Compliance Method...... MICROPAS3 by Enercomp, Inc Climate Zone........... 11 Field Check/ Date MICROPAS3 v3.11 File -92094B Wth-CTZ11 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1201 S.F. Res. -Submittal GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Infiltration Control....... 1201 sf Single Family Detached Front Facing 135 deg (SE) 1 2 Raised Floor (Package E) Standard BUILDING SHELL INSULATION Component Insul Type R -value Location/Comments Wall R-19 Front, Left, Back, Right, To Garage Door R-0 Front, Left, To Garage Roof R-30 Vault F1oorExt R-30 Above Garage Floor R-30 Raised Floor GLAZING Glazing Area # of Interior Exterior Framing Orientation (sf) Panes Shading Shading Overhang Type Window Back (NW) 12.0 2 drapes None None Wood Window Back (NW) 27.3 2 drapes 50% BUG SCREEN None Wood Window Right (NE) 24.0 2 drapes 50% BUG SCREEN Yes Wood WindowFront (SE) 21.0 2 drapes BLDG SHADE Yes Wood Door Front (SE) 22.0 2 drapes BLDG SHADE Yes Wood Window Front (SE) 36.0 2 drapes 50% BUG SCREEN None Wood Door Left (SW) 22.0 2 drapes BLDG SHADE Yes Wood Window Left (SW) 34.0 2 drapes 50% BUG SCREEN Yes Wood Skylight Left (SW) 22.0 2 None None None Metal Skylight Right (NE) 34.5 2 None None None Metal BUTTE ,COUNTY BUILDING DEPAR" "T APPROVE , i CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF' -1R Project Title.......... The Timmy White Res. Date........ 04/30/92 MICR0PAS3 v3.11 File -92094B Wth-CTZ11 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1201 S.F. Res. -Submittal THERMAL MASS Area Thickness Hard Surfaced/ Type (sf) (in) Exposed Location/Comments InteriorHorz 1201 1.0 Yes Plank Flooring Typical ASSUMED HVAC SYSTEMS Assumed Duct Assumed System Efficiency Location Gas 0.720 SE None Ai_rCond 8.90 SEER Attic ACTUAL HVAC SYSTEMS Actual System Duct R -value R-2 . 1(`(�Q°� C R-2.1— SAV -L Actual Output Manufacturer and Model # �� '� � 9PVo '17, Efficiency (Btuh) (or approved equal) ,JJTnv- Heating Cooling Cooling Coil CEC Maximum output for Gas Central Furnaces: 52000 Btuh WATER HEATING SYSTEMS System Type Meets CEC Minimum Tank R-12 or # of Vol Greater Manufacturer and Model # Heat (gal) Blanket (or approved equal) n/a n/a Yes SPECIAL FEATURES/REMARKS Energy Credits None CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... The Timmy White Res. Date........ 04/30/92 MICROPAS3 v3.11 File -920948 Wth-CTZ11 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1201 S.F. Res. -Submittal COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, 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 purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Signed Signed (date) DESIGNER OWNER Name.... Gene Henning Name.... Timmy White Company. Architect Company. Address. 4331 Cherokee Road Address. Oroville, CA 95965 Phone... 926-8274 Phone... License. Signed Signed (date) (date) DOCUMENTATION AUTHOR ENFORCEMENT AGENCY Name.... Marty Runnells Name.... Company. Energy Calculation Svcs. Title... Address. 1907 Mangrove Ave. Ste D Agency.. Chico, CA 95926 Phone... (916) 894-8466 Phone... Signed Signed (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... The Timmy White Res. Date........ 04/30/92 Project Address........ Quincy Hwy Butte County Documentation Author... Marty Runnells Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 Compliance Method...... MICR0PAS3 by Enercomp, Inc Climate Zone........... 11 Field Check/ Date MICR0PAS3 v3.11 File -920948 Wth-CTZ11 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1201 S.F. Res. -Submittal Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more 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 are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment * 2-5352(a): Minimum ceiling insulation R-19 weighted average. 2-5352(b): Loose fill insulation manufacturers labeled R -Value. V/ * 2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. Nf 2-5311: Insulation specified or installed meets CEC quality / standards. Indicate type and form. ✓ 2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16. 2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. V/ 2-5352(e): Special infiltration barrier installed to comply with Sec. 2-5351 meets CEC quality standards. 2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. V MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... The Timmy White Res. Date........ 04/30/92 MICROPAS3 v3.11 File -92094B Wth-CTZ11 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1201 S.F. Res. -Submittal HVAC AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. 2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. * 2-5316(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. V 2-5314: HVAC equipment, water heaters, showerheads and ✓ faucets certified by the CEC. 2-5352(i): Water heater insulation blanket (R-12 or greater) for storage and backup tanks for solar water heating systems (first 5 feet of pipes closest to tank insulated to R-3 or greater). 2-5312(Exception I): Pipe insulation on steam and steam condensate return and recirculating piping. Q 2-5318(d): Swimming Pool Heating 1. System'has: a. On/off switch on heater. b. Weatherproof instruction plate on.heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. -,/ 5. Directional water inlet. LIGHTING AND APPLIANCE MEASURES Design- Enforce- er ment 2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... The Timmy White Res. Date....... 04/30/92 Project Address........ Quincy Hwy Butte County Documentation Author... Marty Runnells Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 Compliance Method...... MICROPAS3 by Enercomp, Inc. rl;ms+o 7nno 11 MICROPAS3 v3.11 File -92094B Wth-CTZ11 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -1201 S.F. Res. -Submittal Zone Type HOUSE Residence Energy Use (kBtu/sf-yr) MICROPAS3 ENERGY USE SUMMARY Standard Proposed Compliance Desian Dasian Marain Space Heating.......... 27.79 17.23 10.56 Space Cooling.......... 20.45 30.58 -10.13 Water Heating.......... 16.99 16.99 0.00 Total 65.23 64.80 0.43 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... 1201 sf Building Type .............. Single Family Detached Building Front Orientation. Front Facing 135 deg (SE) Number of Dwelling Units... 1 Number of Building Stories. 2 Weather Data Type.......... ReducedYear Floor Construction Type.... Raised Floor (Package E) Number of Building Zones... 1 Conditioned Volume......... 11199 cf Footprint Area ............. 724 sf Slab -On -Grade Area......... 0 sf Glazing Percentage......... 21.2 % of FA Average Ceiling Height..... 9.3 ft BUILDING ZONE INFORMATION Floor # of Vent Special Cond- Area Volume Dwell Thermostat Height Vent'Area itioned (sf) (cf) Units Type (ft) (sf) Yes 1201 11199 1.00 Setback 8.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... The Timmy White Res. Date........ 04/30/92 MICROPAS3 v3.11 File -92094B Wth-CTZ11 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -1201 S.F. Res. -Submittal OPAQUE SURFACES Area U- Insul Act -Sol ar Location/ Form 3 Surface (sf) value R-val Azmth Tilt Gains Comments Reference HOUSE 1 Wall 416 0.065 R-19 135 90 Yes Front None 2 Door 18 0.330 R-0 135 90 Yes Front None 3 Wall 270 0.065 R-19 225 90 Yes Left None 4 Door 18 0.330 R-0 225 90 Yes 'Left None 5 Wall 474 0.065 R-19 315 90 Yes Back None 6 Wall 148 0.065 R-19 45 90 Yes Right None 7 Wall 154 0.065 R-19 45 90 No To Garage None 8 Door 18 0.330 R-0 45 90 No To Garage None 9 Roof 247 0.033 R-30 45 14 Yes Vault None 10 Roof 240 0.033 R-30 45 29 Yes Vault None 11 Roof 230 0.033 R-30 225 29 Yes Vault None 12 F1oorExt 258 0.034 R-30 0 0 No Above Garage None 13 Floor 466 0.028 R-30 0 0 No Raised Floor None GLAZING SURFACES SC Interior SC Area # of Frame Open U- Act Glass Shade Gls+ Surface (sf) Panes Type Type value Azmth Tilt Only Type Shade HOUSE 1 Window 12.0 2 Wood Fixed 0.65 315 90 0.67 drapes 0.57 2 Window 9.0 2 Wood Slider 0.33 315 90 0.67 drapes 0.57 3 Window 3.3 2 Wood Slider 0.33 315 90 0.67 drapes 0.57 4 Window 7.5 2 Wood Slider 0.33 315 90 0.67 drapes 0.57 5 Window 7.5 2 Wood Slider 0.33 315 90 0.67 drapes 0.57 6 Window 24.0 2 Wood Slider 0.33 45 90 0.67 drapes 0.57 7 Window 21.0 2 Wood Slider 0.33 135 90 0.67 drapes 0.57 8 Door 22.0 .2 Wood Hinged 0.65 135 90 0.67 drapes 0.57 9 Window 36.0 2 Wood Slider 0.33 135 90 0.67 drapes 0.57 10 Door 22.0 2 Wood Hinged 0.65 225 90 0.67 drapes 0.57 11 Window 34.0 2 Wood Slider 0.33 225 90 0.67 drapes 0.57 12 Skylight 22.0 2 Metal Fixed 0.64 225 29 0.77 None 0.77 13 Skylight 6.3 2 Metal Fixed 0.64 45 29 0.77 None 0.77 14 Skylight 6.3 2 Metal Fixed 0.64 45 29 0.77 None 0.77 15 Skylight 22.0 2 Metal Fixed 0.64 45 14 0.77 None 0.77 OVERHANGS AND SIDE FINS Window- Overhang Left Fin Right Fin - Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE 6 Window 24.0 4 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 7 Window 21.0 3.5 6 10 0 22 3 n/a n/a n/a 3 10 0 8 Door 22.0 6 4.5 10 .5 14 10.5 14 10 .5 10.5 10 .5 10 Door 22.0 6 4.5 10 .5 9 15 9 10 .5 15 10 .5 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... The Timmy White Res. Date........ 04/30/92 MICROPAS3 v3.11 File -92094B Wth-CTZ11 Program -FORM C -2R .User#-MP1333 User -Energy Calculation Svcs. Run -1201 S.F. Res. -Submittal Surface 11 Window Mass Type OVERHANGS AND SIDE FINS Window— Overhang Left Fin Right Fin— Area Left Rght (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght 34.0 3.67 n/a 2 0 n/a n/a n/a n/a -n/a n/a n/a n/a EXTERIOR SHADING Surface HOUSE Area Shading SC of (sf) Type Ext Shade 2 Window 9.0 50% BUG SCREEN 3 Window 3.3 50% BUG SCREEN 4 Window 7.5 50% BUG SCREEN 5 Window 7.5 50% BUG SCREEN 6 Window 24.0 50% BUG SCREEN 7 Window 21.0 BLDG SHADE 8 Door 22.0 BLDG SHADE 9 Window 36.0 50% BUG SCREEN 10 Door 22.0 BLDG SHADE 11 Window 34.0 50% BUG SCREEN THERMAL MASS Area Thick Heat Conduct- Surface (sf) (in) Cap ivity R -value HOUSE 1 InteriorHorz 1201 System Type HOUSE Gas AirCond 0.84 0.84 0.84 0.84 0.84 0.20 0.20 0.84 0.20 0.84 Location/Comments 1.0 14.0 0.09. R-0.0 Plank Flooring Typical HVAC SYSTEMS Minimum Duct Efficiency Location 0.720 SE None 8.90 SEER Attic WATER HEATING SYSTEMS Duct Duct R -value Efficiency R-2.1 1.000 R-2.1 0.830 Capa- R-12 or Pilot System # of city Greater Effic- Standby Input Size Type Heat (gal) Blanket iency Loss Rating (Btuh) Credits Water Heater to meet minimum CEC Standards COMPUTER METHOD SUMMARY Page 4 C -2R Project Title.......... The Timmy White Res. Date........ 04/30/92 MICROPAS3 v3.11 File -92094B Wth-CTZ11 Program -FORM C -2R Userff-MP1333 User -Energy Calculation Svcs. Run -1201 S.F. Res. -Submittal SPECIAL FEATURES/REMARKS HVAC SIZING Page 1 HVAC Project Title.......... The Timmy White Res. Date........ 04/30/92 Project Address........ Ouincy Hwy Butte County Documentation Author... Marty Runnells Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 Compliance Method...... MICROPAS3 by Enercomp, Inc Climate Zone........... 11 Field Check/ Date MICROPAS3 v3.11 File -920948 Wth-CTZ11 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Svcs. Run -1201 S.F. Res. -Submittal GENERAL INFORMATION Floor Area ................. 1201 sf Volume ..................... 11199 cf Front Orientation.......... Front Facing Sizing Location............ OROVILLE RS Latitude ................... 39.5 degrees Winter Outside Design:..... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F Summer Inside Design....... 78 F Summer Range ............... 37 F Shading Used ............... Yes Latent Load Fraction....... 0.20 Description HEATING AND COOLING LOAD SUMMARY 135 deg (SE) Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 6332 3843 Glazing Conduction ............... 4781 3107 Glazing Solar .................... n/a 10791 Infiltration ..................... 6370 2615 Internal Gain .................... n/a 1875 Ducts. ........................... 0 2223 Sensible Load .................... '17483 24454 Latent Load ...................... n/a 4891 Total Load 17483 29345 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. CEC Maximum output for gas central furnaces only (area weighted SE): 45000 + (100.0 x (0.720 - 0.71) x 7000) = 52000 Btuh F00 FAX (916, 872.9331 ,T.790 CLARK }�pD, PgRA01SE (916)872425+1 L.ote a o� I x 3� ; O J LL- m �r m N Q1 r� N � ' Q Q . t . ss - ? Date BUILDING DATA UGL Conditioned Floor Area �2 �. Number of Stories Slab/RaisedFloor a North East Glass Arra % Glass 4oT1�J� q�15�p � Southam Check all applicable Unit Type condition(s): [y� Single Family Detached ( SFD b� U� g y ) [ ] Addition Alone (] Single Family West Skylight 4 4 �>r 3_ 7 Attached (SFA) [) Existing Building [) Multi -Family (MF)[ Existing -Plus -Addition Total 2$ . C, SCORE CARDS Measures Point Scores 1. Ceiling Insulation_ or C , C R -value [381 U -value [0.0301 2. Wall Insulation 2 � R -value 111 ] U -value [0.698J 3. Raised Floor Insulation %0 or R -value [ 191 U -value [0.037) 4. Slab Edge Insulation — or R -value 101 F2 factor [0.77] 5. Infiltration Standard 0 6. Glass Heat Loss Dc U Le _ '2-4 .'7 —14- I¢ �_ 21 Type (double) U -value [0.651 4o Total Glass [16] 7. Shading (Shade Open) a. North % Glass SC -G- — Eff. % Glass x b. East C. South _ I o . al x , (0 7 -I- d. Westi , — x (p = to . O -f- 4- e. Skylight �,�,� X --�_.t- L:2g I _ - 2,9_ . +3 + 10 8. Shading (Shade Closed) a. North % Glass SC Eff. % Glass' --9- x c. South-�— d. West --9--, - x - = L, ---1-1-- — 3 e. Skylight 3.8 x 9. Interior Thermal Mass 10. Exterior Wall Mass InterillM-.WCFA — C Exterior Wall Mass - 11. Heating System ,'7 Ar x 1,0 _ Sum 7-10 Zonal Control? (DN) SE or HSPF Duct Effic;ency (0.7gJ [0.72/6.6] _ Effective SE or HSPF 12. Cooling System Noll Zonal E IlV 5Lt-E-7:>-E-7:>_ (0.56/5. 151 Control? ( Y / N) SEER 19.51 Duct Efficiency [0.741 Effective SEER [7.031 13. Water Heating. Type Credit [none] Point Total.- otal.Form FormRevised March 1988 , G ss - J Certificate of Compliance: Residential (Page 1 of 2) CF -1R Project Title Date L-A-'L�5- nAT,-40r20V' U -f, - &V 1K'c Y HWY Project Address b l e,A ti. bTZ - oz c5 — Documentation Author Telephone ) P0 I Method (Package, Point System or Computer) GENERAL INFORMATION Total Conditioned Floor Area:I 1 j 2 ft' Building Permit # Checked By / Date Enforcement Agency Use Only art V- NOT tcCO3 /QC Building Type: ✓ Single Family Hotel/Motel (check one or more) Multi -Family gess than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: North art South / West / All Orientations (circle one or more) Number of Dwelling Units: 4f`1 Floor Construction Type: Slab sed Floo (circle one or both) Infiltration Control: land fight (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .............. 5�KT�� . TD 6741;�:4G� Wall .............. Roof ............. -1170 Roof ............. Floor ............. ' TYPIC-A1— Floor ............. Slab Edge ..... GLAZING. Glazing Area Orientation (sfx Front.... ( O Front.... ( ) Left...... (N) .6 Left...... ( ) Rear..... (Vb 4 - Rear ..... Rear..... ( ) Right.... (�a) Right....( ) Skylight....... Skylight....... THERMAL MASS Shading Devices -rte M- - FILC- -S N eoe(Z pyPeam Glass Type Interior . Exterior Overhang Framing Type (sinele, double) (roller blind, etc.) (shadescreen, etc.) (yes/no) (metal/wood) V i1. tolmlm . -y IG! BOU FKr—1 Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath, etc.) N (A PCZ — D D WOOD nET-)Pq APR 23 '92 10:41 FLTo P.2 • ' „ Certificate of Compliance: Residential . (Page 1 of 2) CF -1R Pro jeet Tide Data Project Address r. r �� F� I✓b f572 - o2 5 �-- Building PestaitN Documentation Author Telephone POt Q -r jy t Checked By 1 Date Compliance Method (Package, Point System or Computer) cll (ta Zone fida =nt Agency Cie Only GENERAL INFORMATION�D Total Conditioned Floor Area. fc2 Building Type: ✓ Single Family _ Hotel/Motel (check one or more) Multi -Family (less titan 4 stories) Addition Multi -Family (4 or more stories) Existing -Flus -Addition Front Entry Orientation: North ast South / West / All Orientations (circle one or more) Number of Dwelling Units: 4i•.i Floor Construction Type: Slab 41sed o (circle one or boat) Infiltration Control: 4tandar fight (cirde one) BUILDING SHELL INSULATION Component Insulation Location/Comments TYpe R -Value (attic, to garage, typical, OW.) - wall., ............ lg&L7g-g . , n CA�AC� I Fi11.f-j Wall .............. T Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge ..... GLAZING. Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (s0 (single, double) (roller blind, etc.) (shadesc=n, eta.) (yes/no) (metal/wood) Front.... (W) 43 *• JS W _ WQJ - V1 �+tTEi WocD Front.... ( ) fir= Left...... (VC) -9- 9 -Leh...... Left ...... ( ) Rear..... (5} 7 0..S3 17A?.l 1 tt 0 Rear..... ( ) Right.... (W/) (�3 ) M -E IAiOQf� Right.... ( ) Skylight....... 5 0t Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed the eta.) (sf) (inches) Location/Description (kitchen, bath, etc.) lA Certificate of Compliance: Residential (Page 2 of 2) CF -1R W 1+1 Tr-- 4 � Q 1. 10;111 Project Title Date HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) Manufacturer / Model # (or approved eQual) WA1-t, FUZ 4<A -�+:� , N (A- - 0 cE� A -P I D 11-10r4rr_� 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) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, 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 purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Name: we rte' E �G� 1 I-{�►`1 NI r�l(T Title/Firm: Address: Telephone:I io Lic. #: G (signature) (date) Documentation Author Name: i, 1Sf! M• +- oPF-F-> Cr -p6 l= Title/Firm: r—y'j' c ICT Address: 5-1 4�n Ck_A-IPZY_ P . `15igrofl Telephone: q 1 rel Ej -1 2— 0 Z C�7¢ (signature) (date) Form Revised March 1988 Building Owner Name: `7-1 Ft i TT--- Title/Firm: Address: Telephone: (signature) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) (date) e . Point System Summary: Climate Zone 11 i o. 91 Project Title Date _ b,,t��61�-ams �8 P -2R BUILDING DATA Conditioned Floor Area Number of Stories `% 0 Slab/Raised Floor Check all applicable Unit Type condition(s): [v]� Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 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 Measures Point Scores i0 or R -value [38] U -value (0.030] or R -value [III U -value [0.098] J5 0 or 0 . 0'� R -value 1191 U -value [0.037] or R -value [0] F2 factor [0.77] Ctnn4nr4 POU�'Le- — Type [double] U -value [0.65] %Glass SC �X �� _ 1, (v x &, x % Glass 4.& x �- x -7. Co x x °) x 2--�.0 % Total Glass [ 16] Eff. % Glass 5,1 �.7 9. Interior Thermal Mass lass Area % Glass North 3' 5 4 ('9 East�- � ' South i . S 7 West Exterior Wall Mass Skylight 3(� 3 Total i 4 , 2 , 0 Measures Point Scores i0 or R -value [38] U -value (0.030] or R -value [III U -value [0.098] J5 0 or 0 . 0'� R -value 1191 U -value [0.037] or R -value [0] F2 factor [0.77] Ctnn4nr4 POU�'Le- — Type [double] U -value [0.65] %Glass SC �X �� _ 1, (v x &, x % Glass 4.& x �- x -7. Co x x °) x 2--�.0 % Total Glass [ 16] Eff. % Glass 5,1 �.7 9. Interior Thermal Mass ` Interior Mass/CFA 10. Exterior Wall Mass — Exterior Wall Mass 11. Heating System "74- x Zonal Control? Y N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF [0.56/5.15] 12. Cooling System NG.NE ►N4e,-�Aox-L-eD = Zonal Control? ( Y / N) SEER 19-51 Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating ��91 Type [SG] Credit [none] Form Revised March 1988 rij — 11 -f- I— Sum 1-6 Point Total. M Proposed Construction Assembly: Residential Form 3R w H+ l TS e-- - N .7, 10 421 Project Title Dace Ll� r7 Project Address ref l� 1i . f4Z P 06iG�1 E -7 2 0 Z64- Building Permit N Documentation Author Telephone �� I Necked By / Date Assembly Name Enfo,.. ent Agency Use Only Sketch of Construction Assembly Assembly Type (check one) Framing Material: Framing Size: Framing Spacing: Framing Percentage: (check one) Wall Weight / sf: (Packages ortly) Floor Wall t� C eiling/Roof W oo D Z x 1_ I Lo— " o.c. Wall: 15% (16" o.c.) 12% (24" o.c.) Floor/Ceiling: —;7�.10% (16" o.c.) 7% (24" o.c.) List of Construction Components R -Value Cavity(Rc) Frame(R f) Outside Surface Air Film 1-] I. I x g 5 +41 Pw L -A -l'---' ,11 t 11- 2. _ 2. Z y- 10 (F,- I c.o" D .G. — q , 55_ 3. 4. �1 f3 u i�L ,✓ tn1 D� , � s: -2)0 2 6. 7. Inside Surface Air Film t Z Total Unadjusted R -Values: Rc Rf Framing Adjustment Calculation (if applicable): �,o x 0.q0 ) ( n . D X115 x 0.10 1/Rc 1 (Fr"c/100j 1/Rr Frc/100 Total U -Value 1/Toml U -Value Total R -Value California Energy Commission 4. Sketch of Construction Assembly Assembly Type (check one) Framing Material: Framing Size: Framing Spacing: Framing Percentage: (check one) Wall Weight / sf: (Packages ortly) Floor Wall t� C eiling/Roof W oo D Z x 1_ I Lo— " o.c. Wall: 15% (16" o.c.) 12% (24" o.c.) Floor/Ceiling: —;7�.10% (16" o.c.) 7% (24" o.c.) List of Construction Components R -Value Cavity(Rc) Frame(R f) Outside Surface Air Film 1-] I. I x g 5 +41 Pw L -A -l'---' ,11 t 11- 2. _ 2. Z y- 10 (F,- I c.o" D .G. — q , 55_ 3. 4. �1 f3 u i�L ,✓ tn1 D� , � s: -2)0 2 6. 7. Inside Surface Air Film t Z Total Unadjusted R -Values: Rc Rf Framing Adjustment Calculation (if applicable): �,o x 0.q0 ) ( n . D X115 x 0.10 1/Rc 1 (Fr"c/100j 1/Rr Frc/100 Total U -Value 1/Toml U -Value Total R -Value California Energy Commission Proposed Construction Assembly: Residential Form 3R vu Hi Tr-, c,.1 1. 10 Project Tide Date L./k',� MA -W--) N - alp - &U Project Address 2. 0254, Documentation Author Telephone Assembly Name Sketch of Construction Assembly List of Construction Components Outside Surface Air Film 2. Ilett 0, C, 3. 4.8� ' 1� 5. G��D1►�1t!�l.0—S rk Inside Surface Air Film Assembly Type: (check one) Framing Material: Framing Size: Framing Spacing: Building Permit it Checked By / Date Enforcement Aaencv Use Oniv Floor Wall Ceiling/Roof kl om-D 'z x % " o.c. Framing Percentage: Wall: ✓ 15% (16' o.c.) (check one) 12% (24" o.c.) Floor/Ceiling: 10% (16" o.c.) t% (24" o.c.) Wall Weight / sf: (Packages only) Total Unadjusted R -Values Framing Adjustment Calculation (if applicable): x o, 8t > + I /Rc l /Rf California Energy Commission R -Value Frame(R f) tl? 5.5 ,Co Re R x 0115 > = 0, 0,55 _ Frac/IOO Total U -Value I/Tow U -Value Total R -Value . 'Proposed Construction Assemblv: Residential Form 3R Project Title D'w t`►�o�l� , P,►�D c�u� rvt�,y Nva `� Project Address J,�.� �i Ll �/ � r. 11(J��j �j �i ��2' Building Permit it Documentation Author Telephone, . .L CMP— — I Checked By / Date Assembly Name Enforcement Agency Use Only Nketch or Construction Assembly List of Construction Components Assembly Type:. t/ Floor (check one) /all 2... 2 x 10 �k ICp " 0-C Ceiling/Roof Framing Material: W o p b Framing Size: x /0_ Framing Spacing: HP " O.C. Framing Percentage: Wall: 15% (16" o.c.) (check one) 12% (24" o.c.) Inside Surface Air Film Floor/Ceiling: ✓ 10% (16" o.c.) 7% (24" o.c.) Wall Weight / sf: Re (Packages only) R -Value Outside Surface Air Film Cavity(Rc) ( -7 2... 2 x 10 �k ICp " 0-C 4. 2K� 5. 6. 7. Inside Surface Air Film 2 Total Unadjusted R -Values: Re Framing Adjustment Calculation (if applicable): 1 /Rc I -(Frac/ I OO j /Rr Fr4%/100 I Obi lir tai U -Value California Energy Commission Rr o�r- Total U -Value Total R -Value Climate.Zone 11 1. Ceiling Insulation Detached Attached Family 4. Slab Edge Insulation -120 Number of stories R -value One Two Three Number of Stories -46 0.30 R-0 -68 -51 R -value One Two Three R-0 -103 49 -8 32 R-0 0 0 0 R-19 -8 -4 -3 -2 R-5 8 5 2 R-30 -2 R-38 0 -1. 0 R-13 R-19 -1 0 R-7 8 6 3 U -value 2? na .51 to F2 factor .31 to 0.30 or 0.50 176 S4 na 54 0.90 -4 -3 0.80 .1 -1 -1 0 0.30 -102 -49 .50 -32 0.70 2 2 1 0.10 -26 -13 2 -8 0.60 6 4 2 0.08 -18 -9 -10 .6 0,50 9 6 3 0.06 -11 -5 40 -4 0,40 12 8 4 0.04 -4 -2 8 -1 -91 -68 0.02 4 35 -75 1 -19 -9 0.00 11 5 0.30 3 -36 -24 30 -61 -21 5. Infiltration (Air Leakage) -4 4 12 0.10 0 0 0 Specification Points -58 2. Fall Insulation -12 -3 Standard 0 12 Single- Single - 3 2 28 Family Family Multi - -2 5 R -value Detached Attached Family 0.50 -120 -58 0.40 -95 -46 0.30 R-0 -68 -51 -34 6. Glass Heat Loss 0.10 -17 -8 R-11 0 0 0 Total -3 14 4 2 U -value 1 i R-13 R-19 2 8 2 6 1 4 Percent 2? na .51 to .41 to .31 to 0.30 or 5 i 2 na 10 Glass Single Double .60 .50 .40 less U -value 5 2; 2 50 -121 -53 -39 -24 -10 4 0.80 -153 -114 -76 40 -90 -37 -26 -14 -3 8 0.50 -91 -68 -46 35 -75 -29 -19 -9 1 10 0.30 -47 -36 -24 30 -61 -21 -13 -4 4 12 0.10 0 0 0 29 -58 -20 -12 -3 5 12 0.08 4 3 2 28 -55 -18• -10 -2 5 13 0 T- 0.06 97 a.5711 5 27 -52 -17 -9 -2 6 13 0.04 14 North 7 ---126.-.--49 West '-15 -8 -1 7 14 0.02 19 14 10 25 -46 -14-' -7 0 7 14 0.00 24 18 12 24 -43 -12 -5 1 8 14 -7 -26i -36 -33 na 10 -0 2 8 15 -74 9 -5 -20 -27 -9 -3 3 9 15 -23 -21 -56 21 -34 -7 -2 4 10 15 3. Raised Floor Insulation -15 19 1s -31 -29 -6 -a 0 1 5 s 10 11 16 16 -30. -4- ........ _f---� 18 -26 -3 2 7 12 16 -5 Insulation In Floor -16 17 -23 -1 3 8 12 17 1 1 1 16 -20 0 4 9 13 17 0 Number of stories 15 -17 1 6 10 14 17 R -value One Two Three 14 -14 3 7 10 14 18 R-0 -17 -8 _5 13 -12 4 8 11 15 18 R-11 -3 -2 _1 12 -9 6 9 12 15 19 R-19 0 0 0 11 3 7 10 13 16 19 R-30 3 1 1 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 U -value 8 2 12 14 16 18 20 0.60 -144 -70 0.50 -120 -58 0.40 -95 -46 0.30 -69 -34 0.20 -43 -21 0.10 -17 -8 0.08 -11 -6 0.06 3 -3 -46 -38 -30 -22 -14 -5 -4 -2 0 1 0.00 10 5 ' 3 Controlled Ventilation Crawispace 6/. Point Tables 7. Shading (Shade Open) Effective Percent Glass (percent glass x SC) Effective Number of stories 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 6/. Point Tables 7. Shading (Shade Open) Effective Percent Glass (percent glass x SC) Effective %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 i na 14 4 2 5 1 i na 12 3 3 5 i 2? na 11 3 3 5 i 2 na 10 2 3' S' 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 21 3 4 0 2 3 1, 3 3 0 1 2 1 i 3 2 0; 0 1 0; 3 2 _0 1 -2 -4 -2 0 na = not allowed 8. Shading (Shade Closed) Effective Percent Glass (percent glass x SC) Effective %Glass North East South West Skylight 18 -14 -48I a- -64i na 16 -12 -42 -59 -55 na 14 -10 -35 -50 ' -46' na 12 -8 -29 , -40 ' -37 na 11 -7 -26i -36 -33 na 10 -6 -23' -31 N. -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- ........ _f---� -----3 -7 -23 3L- _.... 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 allowed 4-68 Energy Conservation Manual Revised March 1988 Point Fables 10. Exterior Wall Thermal Mass Exterior Single- Single- - Sum of 1.6 Wall Mass Family Detach Family Attached ,. 9. Interior Thermal Mass 0.00 0 Interior 0 Slab Floor Raised Floor Mass 1 Stories 5 . 4 Stories 0.60 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -11 -1 8 1.40 12 13 9 1.60 10 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 2 4 5 6 7 2.5 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 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 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 Single- Single- - Sum of 1.6 Wall Mass Family Detach Family Attached Multi Family 0.00 0 0 0 +6 to 16 or 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 t2 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) continued . . 11. Heating System (continued) Effective SE or HSPF (SE or HSPF x duct of Idency) -14 -12 -10 Sum of 1.6 -6 -4 Effective -25 or -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 continued . . 11. Heating System (continued) Effective SE or HSPF (SE or HSPF x duct of Idency) 12. Cooling System SEER (assumes ducts in attic) Sum of 7-10 -25 or -24 to -1410 -410 +6 to 16 or SEER less -15 -5 +5 +15 more 8.0 -14 -12 -10 Sum of 1-6 -6 -4 Effective -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 ' +15 more 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 +6 to 16 or SEER less -15 -5 +5 3 10 0.90 825 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 -2 Zonal Control Adjustment 0 0 0 System Type 0 0 8.0 9 8 6 5 Resistance 10 9 7 6 4 3 Other 10.0 6 5 4 3 2 2 12. Cooling System SEER (assumes ducts in attic) Sum of 7-10 -25 or -24 to -1410 -410 +6 to 16 or SEER less -15 -5 +5 +15 more 8.0 -14 -12 -10 3 -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 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 3 SE. Effective SEER 37 -24 -18 (SEER x dud efficiency) Solar -1 Sum of 7-10 -1 0 Effective -25 or ' -24 to -14 to -4 to +6 to 16 or SEER less -15 -5 +5 +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 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 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Climate Zone 11 13. Water Heating Single -Family Detached and Attached Multi -Family (Individual units) Unit Size (sQ Water 1199 1200 1700 2200 2700 Heater Credit or to 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 HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 5 4 3 3 SE. None 37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10 -8 POU -18 -12 -9 -7 -6 IG None -5 3 -2 -2 -2 Solar 7 5 4 3 2 POU 3 2 1 1 1 IE None -28 19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 -3 Multi -Family (Individual units) Point System 4-69 Unit Size (sQ Water 699 700 1200 1700 2200 Heater Credit or to 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 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 ,_ -9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6 -5 WSB -25 -13 -8 -6 -5 POU -23 -12. -8 -6 -5 IG None -8 -4 -3 -2 -2 Solar 6 3 2 1 1. POU 1 0 0 0 .0 IE None 30 -15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 -4 -3 2 -2 Point System 4-69 Mandatory Measures Checklist: Residential .. MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more 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 are 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 fill 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(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor. transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): 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 limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal 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 §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. * §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 4976LTMC. §2-5316(b): Exhaust systems have damper controls. 11 ft) §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(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 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. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2.75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5.Directional water inlet. Lighting and Appliance Measures §2-53520: Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Form Revised December 1987 DESIGNER I ENFORCEMENT N Bw VX NI/A- V", W 1,4 NO 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories Number of stories 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 8 6 4 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 3. Raised Floor Insulation Insulation in Floor Single- Single - Number of stories R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -144 -70 -46 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. Raised Floor Insulation Insulation in Floor Controlled Ventilation Crawispace -4 Number of stories Number of stories 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. Slab Edge Insulation 4 40 0.60 . -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43� 0 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 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 4. Slab Edge Insulation 4 40 -90 Number of Stories -26 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 S. Infiltration (Air Leakage) Specification Points Smrward 6' 6. Glass Heat Loss Total Exterior Slab Floor Savle- Raised Floor U value %Glass 'Percent East South .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 3 52-9 2 2 -2 6 13 26 9 15 8 1 7 14 2 1 �6 3 -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 -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 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Pei t Glass (percent Slags x SC) Effective Exterior Slab Floor Savle- Raised Floor Mass %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 4 14 0 9 -3 2 1 3 3 5 1 2 1 2 2 �0 0 1 2.5 3 1 -1 -1 -1 -1 2 0 1 -2 -4 -2 0 na = not allowed 2 5 7 9 IL Shading (Shade Closed) Effective Percent Glass (percent sun x SC) Effective %GIa66 North East South West 9wfight 18 -14 -48 -69 -64 - na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 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 -210 4 -1 � � 7 .6 3 2 1 1 -2 1 1 - 1 1 -4 0 2, 3 4 3 0 no - not allowed 9. Interior Thermal Mass Inte6or Exterior Slab Floor Savle- Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -21 q 3 0.1 -8 -5 -3 -1 10 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 2 4 5 6 7 2.5 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 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 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 WaU Thermal Mass Exterior suvie- Savle- "I Wall Family Family Multi Mass Detached Attached 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 HSPF (assumes ducts In attic) Zonal Control Adjustment System Type I _ Resistance 10 9 7 IN 4 3 Other 6 5 4 2 2 12. Cooling Svst•,m North SEER Sum of 1.6 "I South Water Heater U'edit -25 br -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 3 3 2 Effective SE or HSPF 1 10.5 (SE or HSPF x duct efficiency) _ Effective -25 or -24 to -1410 -4 to +6 to 16 or SE HSPF less -15 -5 +S- +15 more 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 -221 -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 1 9 7 0.80 7.33 25 22 19 ' 13 10 0.90 8.25 32 28 24 0 17 13 1.00 9.17 37 32 .28 24 19 15 Zonal Control Adjustment System Type I _ Resistance 10 9 7 IN 4 3 Other 6 5 4 2 2 12. Cooling Svst•,m Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -4 -4 -3 -2 -2 Two + �l .o 3 2 2 2 1 Single-Frimily "shed and Attached North SEER `` "I South Water Heater U'edit (assume; ducts In attic) 1700 to 2200 2700 Stm of 7-10 Type less 1699 2199 -250( ,2410 11410 -41D +610 16 or SEER less -15 I .6 +5 +15 more 8.0 -14 -12 -10 -8 -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 -7 -6 EfTedive SEER None 0% -3 (SEER xauct efficiency) -2 -2 25% St::n of 7-10 I.5 7 5 4 Effective -25 or -24 to -141* -410 461D 16 or SEER less -15 -5 +5 +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 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 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -4 -4 -3 -2 -2 Two + �l .o 3 2 2 2 1 Single-Frimily "shed and Attached North b. `` Unit Size (sQ -1204 South Water Heater U'edit 1 t 199 ! or to 1700 to 2200 2700 Type Type less 1699 2199 to 2699 or more SG None0 0 0.. 0 0 or Solar 8 6 5 4 HP 'HWR 8 5 4 3 3 WSB i 5 3 3 2 2 POU 8 1-37 5 4 3 3 SE None IUIMC + 1.2, ie; exposed ■tell)Nl.bl` -24 -18 -15 -12 Solar { -1 -1 -1 0 0 HWR i-18 -12 -9 -7 -6 WSB. 25 16 -12 -10 -8 P.0 l ! -18 _-12 -9 -7 -6 IG None 0% -3 -2 -2 -2 25% Solar I.5 7 5 4 3 2 60% POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 0.8 Solar ti b 5 4 3 3 2.3 POU -10 -6 -5 .4 -3 _ Multi -Family (individual units) 4.2 4.4 4.6 4.8 Unit Size (sp 10% 0.2 Water 0.6 699 700 1200 1700 2200 Heater Oredit or to to 10 or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR t 9 5 3 2 2 3.9 WSB . 9 4 3 2 2 5.4 POU t 9 5 3 2 2 SE None -45 -23 -15 -11 -9 3 Solar 2. 1 1 0 0 4.5 HWR ' -23 -12 -8 3 -5 0.7 WSB . -25 -13 -8 -6 -5 2.2 ]IQU-23 . -12 _8. -6 3.2 IG None -8 -4 -3 -2 _-5 -2 4.9 Solar. 6 3 2 1 .1 1.1 POU _ 1 0 0 0 0_ ENone 27 '-30 -15 _ -10 -8 -6 4 Solar 18 9 6 4 4 5.5 POU -8 -4 .3 -2 .2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight r• 8. Shading (Shade Closed) '03 R -value [ 19] Interior MassICFA \ T7►C 2 RATS ri•Y.ulwc`\.ti ♦ TYPE 1 IU1S5 IUIMC + 1.2, ie; exposed ■tell)Nl.bl` 0% 5% 10% 15% 20% 25% 30% 35% 40% 45Y. 50% 55% 60% 6 f 70% 75% 80% 85% 00% 95% 100% 105% 110% 115% 120% 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 ZS 2.7 2.0 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 20% 0.3 0.6 0.6 1 1.2 1.4 1.6 1.8 2 2.2 24 Z7 Z9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 26 2.8 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 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 Z4 2.6 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 .50% 0.9 1.1 1.3 1.5 1.7 1.9 21 2.3 2.5 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 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 6 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.S 2.7 2.9 9.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 6.1 65% 1.1 1.3 1.5 1.1 1.9 2.2 2.4 2.6 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 6.1 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 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 S 8 6 6.2 75% 1.3 1.5 1.7 1.9 2.1 2.3 2.5 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 80% 1.4 1.6 1.8 2 2.2 2.4. 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 5.4 5.6 S.8 6 6.2 6 4 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 6 5 90%' 1.5 1.7 2 2.2 Z4 Z6 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 6.7 5.9 6.2 6.4 66 95% 1.6 1.8 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 5 5.2 S.4 5.6 5.8 6 6.2 6.4 6.7 100Y. 1.7 1.9 21 2.3 Z5 28 3 3.2 3.4 3.6 9.8 4 4.2 4.4 4.6 4.9 5.1 6.3 53 5.7 6.9 6.1 6.3 6.5 6.7 105%- . 1.8 2 2.2 2.4 2.6 28 3 3.3 3.S 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 110% 1.9 2.1 2.3 2,5 27 29 3.1 3.3 3.6 3.8 4 42 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1' 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 SA 5.6 58 6 6.2 6.S 6.7 6.9 7.1 125% 2.1 2.3 2.5 2.8 3 3.2 3A 3.8 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 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight r• 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 Measures 30 or , O R -value [38] U -value [0.030] {'9 � oar X05 R -value 111] U -value [0.098] 30 or '03 R -value [ 19] U -value [0.037] or R -value [0] F2 factor [0.77] Standard ,C-r� FLT rs A-MgAt �- we AUC - Point Scores 1r -t- i 0 uf31.E V &S 26 3 -)- Type [double] U -value [0.65] % Total Glass [ 161 Sum 1 wood % Glass Sc Eff. % Glass y X -7, 3 x ,,6,-7 = .+ Z &,, 5 X &-7 = 4.4, J-135.3 x •67 5-5 X 7 -7 Erna •f2�O - _ . % Glass SC Eff. % Glass -7,3 X IW57 = 4,Z �'• X X TYPE 1 MASS AREA 8 Interior Mass/CFA COND. FLOOR AREA - TYPE 2 MASSE $ f+^L➢ Exterior Wall Masa N D . FLOOR AREA sum, .74 X J, p r0A I I Awa62 SE or HSPF Duct Efficiency [0.78] Effective SE or Z GVIGi� -r [0.72/6.6] HSPF (0.54/5.15] W)0 W x = 3 SEER [9.5) Duct Efficiency [0.74] Effective SEER [7.03] SG- Q Type [SGI Credit [none] Point Total. 'I,�� Certificate of Compliance: Residential 94- 30 Climate Zone 11 Project Title CLO pae- Ti mmV UJHrT� 011 &R ()/%n �lliA1CS� H/U4� — l.A/rK^ Builills Permit Project Address 41291YZ 8 T I-eJOk.)LJ�-- 8,&J1Z AJ6' Chedcedl3y/Date Documentation Author Telephone Enforoanent Agency Use Only &toY) vnc�uM - 9 s4hjOr Glass Area % Glass BUILDING DATA North S6, -6,6 Conditioned Floor Area Number of Stories 2, East5; 9 _71,3 Slab/Raised floor Number of .Units South— ,19 [v]' Single Family Detached (SFD) [ ] Addition Alone WestSkylight -g (] Single Family Attached (SFA) [ ] Existing Building y S ;'S [ ] Multi -Family (NM[ ]Existing -Plus -Addition Total � ? / V 5 zr-�— BUla,DING SHELL INSULATION Component Insulation Locatiinn/Commenits Type P. -Value (Sufic. its writ e. _ 'oral, etc.) Wall .............. cl Wall .............. Roof............. Roof ............. _ Floor ............. �n Floor ............. _ Slab Edge ..... GLAZING Shading Devices Glaring Area Glass Type Interior Exterior Overhang Framing Type Orientation (St) (single, double) (rolls blind. etc.) (shedescreen. etc.) ("/") (mtxallwood) North North East East ( ) South South ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed cite. etc.) (SO (inches) Location/Description (kitcheju bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hent pomp) (SE, SEER.HSPF) (attic. etc.) R -Value (Btuh) (or approved equal) w, , a, L),L.rv%ace - Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved eoual) Special Feature(s) aG - i AX ,�0 ,r- of - SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Ma,ldatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these meastrcteegardim of Ute c ompli3tom approach used Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the Qvmit doeumertts, utter !nitres etoted shall be considered by all parties as binding minimum component performance speafieations for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRIVr10N DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. 62.5352(b): Loose fill insulation manufacturer's labeled R -Value. 62.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not'apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greyer than 03%. water vapor transmission rate no greater than 2.0 pernJutch. §2-5311: Insulation specified or installed meats California Energy Commission (CEC) quality standards. Indicate type and form. 62.5352(f): Vapor barriers mandatory in Climate ZAtnes 14 and 16 only. §2.5317: Inftltmtiort/Exftltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all pints and penetrations caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplace 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and contra 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315:. Setback Urerrnoux on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. 62-5316(b): Exhaust systems have damper controls - §2 -5314(c): Gas -rued space heating equipment has intermittent ignition devices. 42.5314: HVAC equipment, water heaters. showerheeads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R- I2 or greater) or combined interim/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater)- §2-5312(Exception 1): Pipe insulation on steam and steam condensate return dt recirculating piping. §2-5318(d): Swimming Pool Hwting 1. System har. a. Orloff switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 62-5352(§): Lighting - 25 lumens/watt or grayer for general Lighting in kitchens and bathrooms. 62-5314(c): Gas fired appliances equipped with intermittent ignition devices. 92-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC- Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the binding feattau and performance spe dfications needed to comply with Title 24. Chapter 2-53 and Title 20. C ha*.r2. Subchapter4. Article 1 of the Calif imia Administrative code. This certificate has been signed by the individual with overall design r+esponsibiIity and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. - Designer Name: rtuWFrr w Address: Telephone: Urc. R: (sitnawre) (date) Documentation Author Name: Titk/Furn: Address: Building Owner Name Address: Telephone: (signature) (date) Enforcement Agency Name: Ateney: Tekplwr+c wmP,tirtt.ctw°i]?p:?^y".�� , j. ' ,G! ,,..'. '..-'! .u ao- e4,��-'.*'-,,:y.'y•»r,. --w•+<'r,'ain'ar+,mr rMani;xrr,*•+w! ,nunw W°, ,fNi' wkJrpk.�a'.°qn s.r.'+x n I:•uki,A :ra' ws .w A'�i:i�'�adi ,d� s��4 �' ,�"4 R "!tl ,s. "� I +fid{ �i��N ,"�+r�'", -'•�t[,���(7,�m��M� �';(4 ��4 'U4 � •jy ,.,ijF ' (, � 1� a �'M' i t � 6g H,��' I I 'N ' 1W y; -.: „� � ra � M , ri.'� F � '��{1 �',i - M 't � i i. �v �i T r !,y f°k �� . f, ' .. .�.„`� "'*m+:ri;i;M ti°u,fyq ry+w.'� k >�S'�.;,:,� ���t. ,° � �, ..: �Aa���'�, WlN W° V'.,-^R'� ° �wy8y��I� ° "u.::, i ,. ';�`yM y.:” * r k �r �i .� �w �;�.P q ,t� r°' yp�y .N•y ° . w .s `"`„p'G".vA., '•4 M"h A,*4 �, ; 1 � n � M Nis , � i 7� I w, .Nlr "N °A� � ''k�: n s M x .�0 4 V tii n! � an � r t s1.J � ��? v ' w,'NIE t"q,��� +n wM' �_'M,� t r °'.5n e., } Y •,.p,*-w`�.,n.�,., {` �vwt 4 �+a a,a ,;�(YP M�.� A4�'�" �. :a" s �_ it .,� YII ��'���*A�n i�r �, ak�,4�4r ��Mh � n'h �4 ti,: "h �. d° ' ska'�i •! �k� �: tF lh �� i u�,�j�w � mnp��'. �i rtyr.No��'"U1 ♦ r;w',Y„� A"f" 11.41+ 1 i'"T"��'rP'Yi'�-�M+».rw+w,.+wi..uanti' �'� � r r�' ,p, ,i +."+• � � ?'6 ,, ;r*�".; .s ."•Y �', ,1�yi' �r"��i 'raw ,1 �i ITS ai �'� t��y,,•� f � ai,, N ��';°�'Fl "'�'""'1"'"'��« s+«..�+ � ' i+„e k�,.,,�w.y,r�+,u,++�i+ws9Nr�.h�w+vl�kw+.�� -+•°. �*,p...,''k�',��A 3M �,�'tl :kri ,. �'u:� kv��,X�w•"{u ,ix.vs .a�{,,-:j..a 4,�' �M `�!n 4 t���Y wig ��, "'��� �! � P :.. W. . `Ilf,. �,�.. �:C" n � k �'�1, p..?f. kM " Y!49;R f .� ',i:�y tk.� �. �', M.E'�. q.+a` 'it �,.. ,+"��,°..,: ''�@+,.,_' ws,�' � �„,y�: ��.wi p 'a�'1F'� " .}k i� rk .*,w� a ?lora d.„ ..• � .,, '.!,.. i >','� ��'�li F ea �� �, � �,r .� A:!f ;' '�1' 4l�Y. ' ♦ ,.a m4, � °�� Sip y ,�i' N rn '� � � r , IN M w•:. h Y^ it �d't �,'1�r. � 1'�s.+1 M6 . �$ °,�+;ts ,".�yr'!r` k'~ �'...� � :� , ,� ua: ,v,+ � µ �. �'� n, of p °jkr,�" pt , fir". d{', a ,: "Y x �;:, r» ?�'.•°!4 s��, "��w " k-i f 4,1 1;3 Ij