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HomeMy WebLinkAbout063-160-010TI AP 63-16-10 th Nash Skinner )'--.S./s--Forest--Ra-nch.-w-ay, -5 E.. -of,---- R-dn Forest Ran Hwy. 32, Forest ch,(Lot 11, CONTR: Ballard, Paradise Pe 3169-75 B.PiE,M (new SF) 63-16-10 698-89B,P,E,M MORTON; Robert ,15306 Forest Ranch Way, lot 11,'For.Rch FINALED: n `�� I "' u Cfll C'� r CSI J 63-16-10 , >- 698-89 MORTON, Robert 15306 Forest Ranch Way, lot 11, For.Rc. FINALED: PERMIT N( i PERMIT EXPIRES t OWNER CONTR. ASSESSOR PARCEL t LOCATION � tr OFFICE COPY Address GAS, Meter By" Date F k ELECTRIC J'�) r Meter By Dat i Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E I t� Temp. Gas Service d �l 7 " C� Called PG&E Q JOB FINALED (Date) 7 Signature f t J 63-16-10 , >- 698-89 MORTON, Robert 15306 Forest Ranch Way, lot 11, For.Rc. FINALED: PERMIT N( i PERMIT EXPIRES t OWNER CONTR. ASSESSOR PARCEL t LOCATION � tr OFFICE COPY Address GAS, Meter By" Date F k ELECTRIC J'�) r Meter By Dat i Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E I t� Temp. Gas Service d �l 7 " C� Called PG&E Q JOB FINALED (Date) 7 Signature .=OK 0 = Not OK Readyable MOBILE HOMES y MISCELLANEOUS Date MOBILE HOME UTILITIES (glans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s - ' 1. Zoning Requirements -Setbacks -Easements b� 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3, Sewer; Location -Test -Fall -C/O -Concrete - 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing - 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / /' L" ft. • . /.. /"Nat. or/' - /"L"ft./ /"LPG' . '_ 6. Carports; Windows -Doors 7. Utility'Clearance 7. Elec. »; 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses '.. ' 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date' 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION `(Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1- Date Card -B1 Date 2. footings; Size -Spacing -Marriage Line . Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector' 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector -°1. Setbacks -Easements --6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. •Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 2 b� = VK o=Not Applicable Notr - = RESIDENTIAL (Single and Duplex) =' Applicable Not Ready Date U ERFLOOR (Plans) OK except #'s oning-Setbacks;- Easements- Floc - e F g., Main; Soils-Steel-Ele d'.-/ . Ftg., Garage; Soils -Steel-/ / Ftg. Dept 4. M, Porches & Decks; Soils -Steel-/ /" emwalls, Main; Steel-Blockouts-Wrappe . Stemwalls, Garage; Steel-Blockouts-Wrap 7. Slab: Steel -Wrapped — 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground Clearance-Material-Supprt-Ins. �y 1 . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date 5 $ Card -B1 Date Card -81 Date Card -131 Date Date PLUMBING (Permit) OK except #'s (1'&>Water Ht. V t -Access -Combustion Air- a fie Water Pipe; Test & nchors-Nail Protection 1 V.; T - tt' s & A s- ail Prote ' _ 1 . 5fter Pan; Test, First Floor -Tub ccess T t Tub & Shower, 2nd Floor -Tub Access 21KGas Pipe; Size & Anchors Card -81 SA Date VP Card -B1 Date Card -131 Date / Card -B1 Date Date EL TRICAL (Permit) OK except #'s Ixture & Transformer Clearance -Ins. Protection . lec. Receptacles Spacing -Lights & Switches at Doors ze Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Mach. Fasteners -Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/G.F.I. / / ga. Cu or AI-A.C. Wire Size / /ga. 'jCu or Al /iange Circ. / / ga. Cu or IIlOven Circ/ ga. Cu or AI. nsulated Neutral Yes Service -Riser Conductors & Ground -Main Disconnect 1. quip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 3. Smoke Detector Card -B1 S Date "` and -81 Date Card -131 Date Card -81 Date Date MF4HANICAL (Permit) OK except #'s . A.C. Ducts Insulation & Support 3 ept Fan; Exhaust above insulation ondensate Drain & Overflow; Size & Grade . urnace Ve ; Access -Comb. Air -Return Air Vent -115 outlet JK Attic Access & Platform if Furnace in Attic Card -131 Date S p Card -81 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s i s, Proper Material & Anchors ells Studs -Nailing, Spacing & Bracing—Plates-Sound earing Walls over Girders .& Floor Nailing Draft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Date FRAMING (Contin nectors in -Roof Brac.- 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions ,467 Q arage Fire Protection Framing 54'Property Line Firewall & Openings Slirtxt. Doors -One T -Check Garage -3rd story, 2 exits 5 tairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer Access 1azi Area -Glass Protection -Skylights -Plastic W. ar Walls; Nailing -Bolts Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -81 $ Date Card -Bt Date Card -81 4ZI Dat 5 -1 Card -B1 Date Date IN (Plans) OK except #'s Steps -Door & Sidelight Protection -Landings S e Detector 6 . Furnace; Vents -Clearance -Comb. Air -Connector - In arage; Above Floor -Ducts -Mach. Protection 6 . edroom Exiting & Bath Fixtures & Tub Access -Spa frim,& Subpanel; Breaker Sizes -Labels ZtaO4 Rails i eplace or Stove; Clearances -Hearth I Outlets at Wood Panel; Int. & Ext. 7"q,. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 7 1 . Outlets & Receptacles at Kit. Counter 72etarage Fire Door; Swing -Landing -Closer uct in Garage -Damper. tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I arage; Above Floor-Mech. Protection 1 Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-R ex Protec. 7tAKitialation-Foam-Looked in Attic - Yes 7 . Guard Rails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. owing instid.; Dryve— El Ws ❑ No; WalksEr es ❑ No; Planters ❑ Yes No o; Brown -Finish Unit; Disconnect, Electrical, Plumbing ants Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. _ ell; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle -Underground 8 entilation throughout House 8 lass Protection 8 r ction om Previous Inpections . G T -Meters Tagged; Gas -Electric 9 r & Sewer Connected -C/O to Grade -HD Approval g . nergv Compliance Certificate -Other Certificates Card -131 /I / Date 7-3-WILCard-B1 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: Owner: Permit No. ENERGY CERT IF ICAT ION 15306 I nt 11 FnrPst Ranch Wad, FnrPst Ranch, Ca. 63-1.6-10 LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass batts Thickness(inches) 3 5/8" CEILING Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R13 Batt or Blanket Type FihPrglass hatts Brand Name Owens-Corning Thickness(inches) ln" Thermal Resistance(R Value) R30 Loose Fill Type FihPrglass Brand Name Owens-Cornino Minimum Thicknes5(Inches) 14" Number of Bags 15 Wt. per bag 31.5 lb. Area covered(ft. ) 7g;F Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material Fiberglass batts Thickness(inches) 6 1 FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Owens-Corning Thermal Resistance(R Value) Rig Brand Name Thermal Resistance(R Value) Brand' Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in -the above building in conformance with the State of Californ-ia Energy RequLrements. Loerke Insulation Co. 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. June 28, 1989 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy. Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of'California. Robert R. Morton, Inc. 495430 FIRM /OWNER Please print) STATE CONTRACTORS LICENSE NO. 7-3-89 SIG TU OF (1.. RAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER 64PERMCT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1 r v `1 A, d WOO 1��. Yom) rQ /.P �ri n.P ��� •� �('U.P, rrr-►l(�i . a, - � 'Vn - . - C - - /_L r� AK sw � 11 I ( f, —�n/. 4 &-)13.11 1 .a -1-n 41 k M 4 -k 5?1 i• r - r: F _r Inspector Date �� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ��� -89 OWNER PERMIT N A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector. /�a�"V Date /fid g COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P/IN7 County Center Drive - Oroville, Calif(Irnia 95965 - Telephone: 916/538-7541APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 1 BUILDING PERMIT - ERMITOW 0 W; TELEPHONE SQ. FT. OCC. BUILDING VALUATION ((�J e r�0 r-4 0.v 71-7 7 ev v 5 OWNER'S MAILING ADDRESS n j" Ch['C_0 959a 5-tft'& .t. SQL: e 40 6 0 0 e CON RACTOR'S NAMT. TELEPHONE two r-. :50- A^ It- q O o e .<s CONTRACTOR'S MAILING ADDRESS Q a S0 - -,.e— Fireplace i, it f �. a CONSTRUCTION LENDER UNKNOWN Total Valuation $ �� LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ , Q—p ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $A ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ • f7 -'f7 s� PLUMBING PERMIT Filing Fee 10.00 r CL�V Each Trap 2.00 r� at/G Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP &4,e Water piping 1 5.00 5&,0 Ol'e ,'A Each qas water heater or vent 5.00 1bo=a USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF Duplex❑ Mobilehome❑ Other Building sewer5.00 SPECIFY Mobile Home S G W O.00ea TYPE OF WORK NewO Addition❑ Remodel❑ Utilities❑ installation ❑ Other F] Permit Fee $ Describe work: ���(�_ 2 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR L S 10.00 !t7 Main service EA. ADD'L 10 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.a` ADDNS. � / , �20sgft I declare under penalty of perjury (check one): OR ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON,RESID BRANCH CIRCUITS) POWER APPARATUS a and Professins Code and my license is in ull force and effect. SINGLE OUTLET CIR. 3 License No. Classification Ex. OCCUp(OUTLET3 OR FIXTURES 20050 eAL030 ❑FIXED as the owner, or my employees with wages as their sole compen- APPLNS. R Ex. Occup. OUTLETS (RESID.)EA.1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 / D. r -o for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities 15.00 as owner, am exclusively contracting with contract- ors. (Sec. 7044) Misc. Wiring g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ r, - Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 The permit is for $100.00 (valuation) or less. Heating < loo, 0 O 17 p p I have placed on file with the County of Butte Building Department rj (`t 5. -f a Certificate of Workmen's Compensation Insurance or a Certificate e of Consent to Self -Insure. Cooling g �3 T ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ D to building construction, and hereby authorize representatives of the Countyot _25 Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE3 -) I also agree to save, indemnify and keep harmless the County of Butte against oc coN ST.TYPE SCH OO FLOOD ARCEL PD O SSUE all liabilities, judgments, costs, and expenses which may in any way accrueJJ[� ag Inst said Count in consequence of the granting of this permit. X 3�Q�Q This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner❑ Contractor ❑ Agent 09 work indicat above for whic fees have been paid. An OSHA permit is required for excavations over 5'0" ey�pg moliti n o nft ion of 3 in height. EC LIC WORKS structures over stories d, Receipt No. 13 ./- 0C) % � © By Date WHIT[-D.P.W.. YELLOW-ASSLSSa R. PINK -INSPECTOR, VL(.JfV PERMIT EXPIRES Date a COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION , 7 COUNTY CENTER DRIVE - OROVILLEr CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �i �_ T �M h t- A-► A. P. No. Proposed Building Use Ale ut -)tAr Building Inspector j%, 5 —Date 3- /3- -;-c; 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... �14. ) r 0 School District fees paid .................Sanitation approval from C ti : e o Health Department ... City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. �18. Driveway permit (construction approval required prior to occupancy) Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector —____ 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ —&? Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. (Date) When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 9!7'5-!-7'7-7 and hold for pickup at ( office. Deliver w/inspector. Other � t Applicant9`� '`=N Date ;t i Copy of plans sent Health Dept., Fire Dept., Other Date 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----jnail—counter by date Contractor, designer, owner, 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 dabliiek %j P.,foldr' Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner Driveway permit 7 zE- si ature location AP # has been issued for the above property. 3�� date TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP#(�� Plan Approved for: Sewage Disposal ✓ Water Supply Hold final for: Water Supply Final clearance O.K. for:- Water Supply Clearance for _� bedroom nye- home. Other NOTE *** -4.1-_/- - ?-o- 00-51Sanitarian Date OWNER GENERAL A4-�O r k -c+ RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) vz`zoning requirements: (sideyards 22 aluation. 3Y Plans signed by designer. 4:lEuergy Design and Compliance. 5,/Existing violations on property. PLOT PLAN Bldg. Permit Y6 9 g V 1 A.P. # & 3 and number of permitted living units). 1./ Complete parcel size and dimensions. 2t, -'Setbacks, sideyards, easements, etc. 3v Other buildings or structures. 41:*' - Grading, fills, drainage. 5� Flood hazard. 6[%Special conditions on creation map or .compliance document. FLOOR PLAN 7/85 1L --"-Complete to scale plan with dimensions. 2V�-Required windows for light and ventilation (Sec. 1205). 3,,` Required windows for second exit (Sec. 1204). -4--Skylights (Chapter 34 & Sec. 5207) . 3/Human impact glass (Sec. 5406). &.-'-Required room sizes, ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). g/ Light fixtures, switches, receptacles, and exterior receptacles for mechanical equipment. maintenance of 9"Locations of water heater, heating and cooling equipment, other electrical or gas /equipment, and plumbing fixtures. 710. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1Q�'1 - 3'0" exterior exit door (Sec. 3304(e)). 1ireplace and wood stove location, 4Y Smoke detectors (Sec. 1210). STRUCTURAL DETAILS L/ Foundation plan complete enough:to construct building. loor construction details complete enough:to construct building. Elevations and wall construction details complete enough to construct building. 4e*."� Roof construction details complete enough to construct building. -Fireplace construction details and calcs if necessary. q, --'--Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. q! : Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 3,`�Guardrail details (Sec. 1711 & 3306(j)).. -4-:--Brick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706). roper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) 9Garage door or porch header sizes. . / Adequate bracing. diving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1L -,'—Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1 Attic access and ventilation (Sec. 3205). 1a Underfloor access and ventilation (Sec. 2516). 141*' Wood stoves, clearances, alcoves & 1 -hour shafts. JK Combustion air for fuel burning appliances. 16. -Noise requirements on duplexes. —Adobe soils - special foundation design. LB ---Retaining walls requiring design. 1 -9 ---'Unusual shape, size or split level house requiring lateral design. AFTER RECORDING RETURN TO: Robert R�M0 1215 C Ma --ove Avenue Chico, �959`26-__ Escrow No. 104522 -.LP ::UTTE COUNTY SERIAL NO. ?17" -Mb RECORDED AT THE REQUEST Oi MID VALLEY TITLE COMRW DATE RECORDER 1 9 TIME: R,, DoljQ"1 Return Io DPW AGRICULTURAL STATEMENT OF ACKNOWLEDCE'MENT FOR RFSIDENTfAL D13VEL01'Mf?NT Sec•I_ion 26-8.1 of the BULLe County Code requires Lhi.s_ acknowledgement be recorded prior 1.o i ~~coulee of a bui ].ding permit. The properLy described herein is adjacent to land or included within an area zoned I'or i-igr i cu I Lural purposes, and r. esidenLs of Lh.is properLy may be subject Lo incon— venience!:; or discomfort arising from the use of 09r.iculLural chemicals, hiclud.ing, huL nut I irn.i.Led to herbicides, pesticides, :Incl I:crt. i l i rers; and front the pursuit of agricuILuraI operations including, but: nOL li.m.i te(l to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has eslabl.ished ogric ill 11.1r.,_,l zones which have as a priority use for productive agr:iculLural purposes, ;Ind re:;idenl w i L II i n �_,, i d zones and on ad jacenL property should be prepared Lu ,Iccept. such i nc unvru i enc c or d i sc: on form from normal., necessary .farm operations. A1.1 Lhat re.i 1. property situate in the County of Butte, State of Cal..i.forn i,i, desc r i he d n ; f u_I .I ows : Lot 11, as shown on that certain Map entitled, "FOREST RANCH UNIT NO. 2", which Map was recorded in the office of the Recorder of the County of Butte, State of California,on April 21,1966 in Book 34 of Maps, at pages 43 and 44. Assessor's Parcel No. 63-16-0-010 I)aLe: March 10, 1989 PROPERTY OWNERS: ROBERT R. MORTON, INC., H ualizorn a corZ�t Mo ie L. Morton, Secretary 9 before III(,,, d f ' STATE OF CALIFORNIA )ss. COUNTY OF butte I i= On March 10, 1989 before me, the undersigned, a Notary Public in and for C said State, personally appeared Mollie L. Morton and E personally known to me (or proved to me on the E a c basis of satisfactory evidence) to be the persons who executed the within instrument as M a ii E xHr>dCXx Secretary, on behalf of o0 Robert R. Morton, Inc., ................................w n OFFICIAL SEAL o the corporation therein named, and acknowledged to me that I.i;CY A. PFIR �^-NALL o N� such corporation executed the within instrument pursuant to its U c — rrnAi;r Pu,>ut: - ral.lrOlfNln . by-laws or a resolution of its board of directors. �•_ ; ,.•;.:; :' r;Lir; E C%i;ln WITNESS my hand and official seal. F.41, Cu: ira. Exp. )zn. 10, 1992 1........ u,...eI ........I .............-... �.... CY Signatur v-« Y (This area for official notarial seal) HIA.UT e h,Isis .i deuce. ged 1.11,11 _ -- i i nerd. I N W ITN I•;.S ubl is Point System Summary: Climate Zone BUILDING DATA Conditioned Floor Area Number of Stories C. Slab/Raised Floor Check all applicable Unit Type condition(s): [ ] Single Family Detached (SFD) [ J Addition Alone bC Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition SHEET I V P-2R SCORE CARD Glass Area %a Glass North East Measures South 2 '� West_ 1. Ceiling Insulation Skylight Total or -1 -- SCORE CARD Measures Point Scores 1. Ceiling Insulation /JQ or R -value i ?7 U -value �2- 2. Wall Insulation or — R-value U -value 3. Raised Floor Insulation I �_ or _ Q R -value U -value 4. Slab Edge Insulation _ or -- R-value F2 factor 5. Infiltration Standard 0 6. Glass Heat Loss Type U -value % Total Glass Sum 1- 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North x_ _ --I b. East 5, ( x = A c. South x = 2,I— d. West _�� x = 5' -1— e. Skylight _ x = Q 8. Shading (Shade Closed) OXG lass SC Eff. % Glass a. North 14 x_ _ b. East 4;j_ x c. South_ x d. West / x e. Skylightey x 9. Interior Thermal Mass_ Interior Mass/CFA 10. Exterior Wall Mass Exterior Wallu^s p, Sum 7-10 11. Heating System 1154-& x _1_1L� _ 4-- P)_ Zonal Control? ( Y / N) SE or HSPF Duct Efficiency Effective SE or HSPF 12. Cooling System t_ x 1- l� _ Zonal Control? ( Y / N) SEER Duct Efficiency Effective SEER 13. Water Heating Lj i 61 Type Credit Point Total: �2— Form Revised March 1988 I*_ BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number 63 /Ai /0 Building Department No. School District 61(/- Q City Q County [ Jurisdiction e Property Owner en h e—# -,I leOP )/ A tet/ Project Location/Address )) vr«f Aar vch lf%Gu tGv�t.Sf� Subdivision For e 5.+- 41t A, e- Lot Number l Residential Development: Sq. Footage /1-196 # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) C . .......` Building D,ot`partment Representative 3 -/3 -fig Date District Id No. 99 Dy b CIA', 60 //t.,, L p -A School District certifies that / (Applicant Name reet Aaaress kYnone Number C'�\ - � 9 S2�� (City) (State) (Zip Code) has complied with the requirements of Resolution No. ,3�- by the pay ent of $ yS.00 representing /Y?() square feet. _XJ School District epre/entative D cfto PAID BY CHECK NO. % BANK NO of z) '.3& 9 b PAID BY CASH REMARKS:* white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) C /. r R PERMIT NO. 3169-75 B, P,E,M P E M MH UTIL. s PERMIT NO. PERMIT EXPIRES OWNER Edith Nash Skinner CONTR. Ancel Ballard, Paradise LOCATION (A.P. .63-16-10 ) s/s Forest Ranch Way, 500' E. of Hwy. 32, Forest Ranch - Lot 11, Foist Ranch #1 6� r� l r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Ga_s Serv. ed PG&E JO ED (I ) /p -Z — o2 /-- 76, ( nature) ti COUNTY OF BUTTE — DEPARTMENY O'F PUBLIC WORKS : I BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footinas Footinq ELECTRICAL F Bond Beam I FIRE SPRINKLERS I Motors Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S 7 County Center Drive — Oroville, California 95965 Telephone: 53, ;4541 O APPLICATION AND PERMIT L9?_76_ authorze representatives ut the County of Butte to enter upon the above mentioned property for inspection purposes. X (/ ` Date Signature of Permitee or Agent Receipt No. /336F7 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O UBLIC WORKS By Date=—�'-:Z flding permit expires Date BUILDING Owner_ SQ. FT. OCC. BUILDING VALUATION Mailing Address o�O r OO Telephone No. Fireplace Contractor s l Total Valuation o2 , Qe;, Mailing Address 3r --r? - Permit Fee Plan Checking Fee &/or Penalty Telephone No. ��/ Permit Fee /Q , 00 O O� Building Address S ed PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3.00 Each Trap 1.50 la .00 v Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ( �— `—AQ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F-451 s Sa ' ion ire De Fi eZ n EQA Parking Parcel p rce Ma Plans Declaration P Use Permit R/W Improve p oveme s Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. PIa�Rec'd Parcel Approva Plans A rovol Permit Fee $ —64) NEW Ca ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3, Oa Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 orGress) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Ra , Cook -top or Oven 1.00 %Ofl Water Hekigr or Space Heater 1.00 , O O Light fixtures 'f y 2 , 7 swi s &fix otyfflrets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: H Ex.orF.A.Furn.Motor 1.00 ,o -e Evap.cooler, gar. p. or Dom! 1.00 �®O Air Co i oner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 :5—,,O(7 License No. 6-2 /77Misc. Classification wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 34Z. $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ P p y an y person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3, pp Heating ,®O Cooling , Dd Ventilation Hood 2.00 da Permit Fee $ 17,00 $ � O� TOTAL PERMIT FEE $ authorze representatives ut the County of Butte to enter upon the above mentioned property for inspection purposes. X (/ ` Date Signature of Permitee or Agent Receipt No. /336F7 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O UBLIC WORKS By Date=—�'-:Z flding permit expires Date P,W, �3u, 7 00L) 7 -F-, 0 V21 U� �,q % l J ; pAYL-- PJxey1 S 12 r-,00 )tom 7-z> •J AP PEAR -D.4Y e- (14 L � � S 4EP . � �C v� r� � AP 7'aA inliG r o v C4) �O /L�Al ear `6 oaa .............. _.... rr If lots/, GD QROFEssroyq` ���o�`� w. eq�y F2 5 = �'� pyo 'SAV �.� Exp. V 6-110.89 Z rr-% ua m L:�iJ(; cyra� 168 '" jrl9jF OF 1F��`J\P �. C Al ly� _ 0/ low 7 2 oc>O ., .i AJO -I COD / v 71 - B tLONC- DEPARTMENT APPROVED FX76-Pt �� W � L L �a� � � 3 g 5 �� �10� t�. ` � s� 75 Iry qR xz. PROJECT: DRAWN: DATE: SHEET N0. BACHMAN do ASSOCIATES CHECKED: JOB NO. 3012 3012 Esplanade Chico. Ca. (916) 342-4136 g /x/�,:3 OF w v ^ 2772 lgU Z l-72 CECJ FC-> 0 -7;01/ � Si/�: p z C2acv� =�r / . L. n l A�,, « 4-/f 3 z i" Siad cola, 2�da / t, p -14 /4= �k e ,/Y-l��05 a0z�Ir., , s��✓e �s rob � PROJECT: '2 UST �G� DRAWN: FA�E SHEET NO. 08 BACHMAN & ASSOCIATES CHECKED 3012 Esplanade Chico, Ca. (916) 342-4136< OF r,,;D Af ,'l' 693- N -I3 l,,l oo d F Lo0 ,PQ' Crar2�, j2.L. = 3,Sx�5o s �y. cic> l - �# g lay I 1, „ ..(��575 Q�0ESS144q '44. Bgcy F\ Exp. C/3RZ U 6.30.89. 2 w ctl_ No.1684 72, vo76,l a toy -14-1.3 106 -cm --r ji 34&R -3R PROJECT: �O n `,�0p7--v/V DRAWN DATE SHEET N0. BACHMAN & ASS0 l fA ES CHECKED: J�OBBB NNO. 3012 Esplana— Chico Ca (916% 342-4136 `-� 7 !� s, CIVIC- �\P OF � C� �, -- ®— �.....� 2v, S ..._... __.._ o mom.. 3.�BUT TE COUNT Y �3 EIUIL;fgG D PAR ENT _.:..... t� �_.. _..__....._.__ ��...APPROVED 72, vo76,l a toy -14-1.3 106 -cm --r ji 34&R -3R PROJECT: �O n `,�0p7--v/V DRAWN DATE SHEET N0. BACHMAN & ASS0 l fA ES CHECKED: J�OBBB NNO. 3012 Esplana— Chico Ca (916% 342-4136 `-� Q�pk Es SIpN Exp. cv U Z m `LU .16 ctv�� a ` p 3 0 0 ,, srq `J - 7 �F s -i * a �.% 3 Sao ftp r 2 )cJ 3tll YA toe M. I c, 3 - a 9, 7a9 2 y000 - � l\ /50 �6T d' r 3�cyx -r;q L wcz7 o►i r-'oo7-/oJ 576)7-# .2000 +5x5, 5 = 2275 l� T,4 4- — 2-7 2 CvLvtln.)S MAX 157�,-7 � _ 1 57�7 Q\kpF E SS/pN q QI Exp. �J U 6-30-89 Z rn N0.16A3 I �F Of CAI VZ!1/5 PROJECT: DRAWN:6IC T SHEET NO. .�Ob 1'1or��n Gar�ge BACHMAN & ASSOCIATES DEC CHECKED: 3012 Esplanade Chico. Ca. (916) 342-4136 OF Certificate of Compliance: Residential Climate Zone 11 „r -btu Pro jest Tttle GQ 8- ITT 00" Fo-=st Zcat, c�L+. W!!? Budding -t 3 84 Project A dress - 21— Checked By / Date Documentation Author Telephone Fnforcen ent Agency Use Only BUILDING DATA Conditioned Floor Area / s� Slab/Raised Floor (rtJO'Single Family Detached (SFD) [ ] Single Family Attached (SFA) (] Multi -Family (MF) BUILDING SHELL INSULATION Number of Stories 2— Number of Units [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition Component Insulation Location/Comments Type R-VaIue (attic, to garage, typical, etc.) Wall .............. IM.I I BUTTE COUNTY wau............... — r3ulLDWG DEPAIRTMENT Roof ............. _ Floor ............. APPROVED Floor ............. --- Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type North ( ) 12_ b tA1 s North ( ) EastEast ( ) 7 South ( ) ►O _ South ( ) West ( ) West ( ) Skylight....... p_ THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Sm suac4C 2 S 7 Rw pr C. a S Ssl9 L 9.0 II ir. 7_ 30 22! Maximum Fumace Heating Output: Sysy4 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Features) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the comoiance approach used. Items marked with an asterisk (') may be superseded by more stringent complW= requuements listed on the Certificate of compliance. Wben this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance spocifiations for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DFSCRJPf10N Building Envelope Measures '§2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fall insulation manufacturer's labeled R -Value. 42.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 42.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 permlinch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. 42.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infallralion/Esfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows wratherstripped: all joints and perw=uions caulked and sealed. §2.5352(e): Special infiIntion barrier instated to comply with 12-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fareplaces have: a Tight fatting, closeable metal or glass door b. Outside au intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 52-5352(8) and 2.5303: Space conditioning equipment siring: 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 beating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 12.5352(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). 62.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating I. 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 §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fared 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. COMPLIANCE STATEMENT DESIGNER 1 ENFORCEMENT 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 I 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. Designer Name: Tidcffimt: Address: Telephone: Lic. 0: (signatum) Documentation Author Name: Tide/Furn: Address: (dam) Building Owner Name: Titk/Fum- Address: Telephone: (si6natttrc) - , (-date) Enforcement Agency Name: Agency: Tekphone: Glass Area % Glass North IL ..e East 1—,S• o South 440 ;,. 4— West /oto. T 6 Skylight D O Total 229• r /S_ Component Insulation Location/Comments Type R-VaIue (attic, to garage, typical, etc.) Wall .............. IM.I I BUTTE COUNTY wau............... — r3ulLDWG DEPAIRTMENT Roof ............. _ Floor ............. APPROVED Floor ............. --- Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type North ( ) 12_ b tA1 s North ( ) EastEast ( ) 7 South ( ) ►O _ South ( ) West ( ) West ( ) Skylight....... p_ THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Sm suac4C 2 S 7 Rw pr C. a S Ssl9 L 9.0 II ir. 7_ 30 22! Maximum Fumace Heating Output: Sysy4 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Features) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the comoiance approach used. Items marked with an asterisk (') may be superseded by more stringent complW= requuements listed on the Certificate of compliance. Wben this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance spocifiations for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DFSCRJPf10N Building Envelope Measures '§2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fall insulation manufacturer's labeled R -Value. 42.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 42.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 permlinch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. 42.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infallralion/Esfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows wratherstripped: all joints and perw=uions caulked and sealed. §2.5352(e): Special infiIntion barrier instated to comply with 12-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fareplaces have: a Tight fatting, closeable metal or glass door b. Outside au intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 52-5352(8) and 2.5303: Space conditioning equipment siring: 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 beating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 12.5352(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). 62.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating I. 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 §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fared 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. COMPLIANCE STATEMENT DESIGNER 1 ENFORCEMENT 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 I 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. Designer Name: Tidcffimt: Address: Telephone: Lic. 0: (signatum) Documentation Author Name: Tide/Furn: Address: (dam) Building Owner Name: Titk/Fum- Address: Telephone: (si6natttrc) - , (-date) Enforcement Agency Name: Agency: Tekphone: 1. Ceiling Insulation 2. Wall Insulation -4 Number of stories Single- 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 4. Slab Edge Insulation 40 0.80 -153 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -4 Number of stories Single- Single - One 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 4. Slab Edge Insulation 40 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 -4 Insulation in Floor Controlled Ventilation Crawlspace -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 40 -90 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 Crawlspace -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 40 -90 " Number of Stories -14 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Spedfication Points Standard 0 6. Glass Heat loss Total -69 -64 na -42 U -value East Percent West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 .5 1 8 14 23 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 Percent Class (percent glass x SC) Effective -69 -64 na -42 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 7 7 8 3.0 t3. Shading (Shade Closed) Effective Pes cc t Class (percent Stas, x SC) Effective %Gins North 18 -14 16 -12 14 -10 12 -8 11 -7 10 -6 9 -5 8 -5 7 -4 6 -3 5 -2 4 -1 3 0 2 1 1 1 0 2 na . not allowed East South West Skylight -48 -69 -64 na -42 -59 -55 na -35 -50 -46 na -29 -40 -37 na -26 -36 -33 na .23 -31 -29 -74 -20 -27 -25 -65 -17 -23 -21 -56 -14 -19 -18 -47 -11 -15 -14 -38 -9 -11 -10 -30 -6 -8 -7 -23 -4 -5 -4 -16 -1 -2 -1 -9 1 1 1 -4 3 4 3 0 9. Interior Thermal Mass Interior Slab Floor Raised Floor Mass Wall Stories Family Multi Stories Detached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 .1 1 1 2 0.7 -5 -2 .1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 .3 0 2 3 4 5 1.5 -3,_ 1 2 4 5) 5 2.0 -1' 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 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 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst.!m SEER (assumes ducts In attic) &M of 7.10 -25 or -24 to -14 to -410 Sum of 1-6 16 or SEER less .15 -5 -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 20 17 14 Effective SE or HSPF 6 -1 (SE or HSPF x duct efficiency) Effective -25 or -24 to -1410 (SEER .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"N 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst.!m SEER (assumes ducts In attic) &M of 7.10 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached -25 or -24 to -14 to -410 +6 to 16 or SEER less .15 -5 +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 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -1 -1 Effective SEER 0 0911. HWR (SEER x dud efficiency) -9 -7 -6 Sum of 7-10 WSB .25 Effective -25 or -24 to -14 to 410 +610 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 4-3 POU -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 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 2200 Zonal Control Adjustment Credit or 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 Single -Family Detached and Attached Interior MasslCFA "ll I PASS SCORE CARD Unit Size (sQ Water 1199 1200 1700 2200 2700 Heater Credit or 10 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 0911. HWR -18 -12 -9 -7 -6 35% WSB .25 -16 -12 -10 -8 70% POU -18 -12 -9 -7 -6 IG None -5 -3 -2 .2 -2 1.3 Solar 7 5 4 3 2 2.7 POU 3 _ 3.4 1 1 1 IE None -28 _2 -19 -14 -11 -9 0.2 Solar 8 5 4 3 3 1.8 POU -10 -6 -5 -4 -3 3.1 Multi -Family (individual 4 units) 4.4 4.6 4.8 5 Unit Size (sQ 5.4 Water 0.3 699 700 1200 1700 2200 Heater Credit or to to to or Type Type lass 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 3.5 WSB 9 4 3 2 2 4.9 POU 9 5 3 2 2 SE None -45 -23 -15 11 .9 2.4 Solar 2 1 1 0 0 3.8 HWR -23 -12 -8 -6 -5 5.3 WSB -25 -13 -8 -6 -5 1.3 POU _23 ;12 _8 -6 .5 lG None -8 -4 -3 -2 { -2 42 Solar 6 3 2 1 ;_1 5.7 POU 1 0 0 0 0 IE None -30 -15 -10 -8 -6 3 Solar 18 9 6 4 4 4.5 POU -8 -4 -3 -2 -2 Interior MasslCFA "ll I PASS SCORE CARD Measures 1. Ceiling Insulation _30 or K • R -value [38] U -value [0.030] 2. Wall Insulation 13 or n.t•mw R -value [ 11 ] U -value (0.098] 3. Raised Floor Insulation /9 or R-value[19] U -value [0.037] 4. Slab Edge Insulation or R -value [01 F2 factor [0.771 S. Infiltration .nc•..al Ic..sett.bl 6. Glass Heat Loss_ t TYPE 1 MSS (UII4C � 4.2. le: exposed slab) 7o Total Glass [ 16] 7. Shading (Shade Open) % Glass 0911. 5% 10% 15% 20% 25% 30% 35% 40%.45% x 50% 55% 6o% 61t 70% 75% 80% 857E 90% 95% 100% 105% 110% 115% 12011. 125• OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 Z3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.8 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 Z4 Z7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 Z6 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 S e 40y. 0.7 0.9 1.1 1.3 1.5 1.7 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 S 7 59 50% 0.9 1.1 1.3 1.5 1.7 1.9 Z1 Z3 Z5 Z7 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 S.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 Z4 2.6 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 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.6 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 S.9 6.1 6 3 6511. 1.1 1.3 1.5 1.7 1.9 2.2 2.1 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 61 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 56 58 6 62 64 75% 1.3 1.5 1.7 1.9 Z1 2.3 Z5 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 63 6.5 809: 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 64 66 85% 90% 1.4 1.5 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 52 54 56 59 6.1 63 6S 67 95%1.8 1.7 2 2 2.2 2.2 2.4 2.5 Z6 2.7 2.8 2.9 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 62 64 66 68 100% 1.1 1.9 21 2.3 2.5 2.8 3 3.1 3.2 33 3.4 3.5 3.6 3.7 3.8 3.9 4 4.1 4.2 4.3 4.4 4.6 4.6 4.8 4.9 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 S6 5.8 6 6.2 6.4 66 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 S.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 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 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 74 rolnt bystem summary: Climate Gone 11 SCORE CARD Measures 1. Ceiling Insulation _30 or K • R -value [38] U -value [0.030] 2. Wall Insulation 13 or R -value [ 11 ] U -value (0.098] 3. Raised Floor Insulation /9 or R-value[19] U -value [0.037] 4. Slab Edge Insulation or R -value [01 F2 factor [0.771 S. Infiltration Standard 6. Glass Heat Loss_ /S Type [double) U -value [0.65] 7o Total Glass [ 16] 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North • $ x b. East S x c. South ?.b X = knot d. West b • X e. Skylight O x = p 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North x _ • r? if b. East S' X = 3.3 C. South �•(, X = /17/4 d. West 6.4 X ,3t6 e. Skylight p x = 40 9. Interior Thermal Mass TYPE 1 MASS AREA e InteriorM•iss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA % Exterior Wall Mass ND. L OR AREA 11. Heating System�� X 23 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency 10.781 Effective SE or [0.72/6.6] HSPF [0.5615.15] 12. Cooling System 9.0 x T(o = 7.7,/ Zonal Control? ( Y / N) SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating SG Type [SG] Credit [none] Point Scores -1 .y. Z a 0 + +1 Sum 1.6 tZ 4-1- f2 _4 'Sum 7-10 +0/- t3 Point Total: 4 y r , K a �af�f�. � from -TI � m Yrs , y u � r , r4 I � � � �. and O'�bAC�_ x d �. RI b