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064-190-008
-- ----- - --- 64-19-08-.,-,-..,.�, 3345-90B,P E,M - MCHENRY,"Milton 14605 Carnegie Rd, Magalia (new sf) 064-190-008- PERMIT#9870224` CHUMBLER, Albert *"` ':`• 14605 Carnegie Rd., Magalia• t. Relocate Propane-Tank/SF 'r ' C/I lam} L 3 -A-98 r T � � � 064-190-008. PERMIT#98-0224 CHUMBLER, Albert 14605 Carnegie Rd., Magalia Relocate Propane Tank/SF A.? COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,'California 95965 - Telephone (916) 538-7541P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT / q$- (055 ASSESSOR PARCEL NUMBER... /� `.O� ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ea. CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'SNAME PARCEL MAP - PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ff Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK�s New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other /� ^ Describe Work: /� _E[rJC,<1's7� ��{�A/l,/�� '%ANIL Gas piping 1 5 system 1- 5 outlets .00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioon oA o=ss 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect.POWEPPARATUS License Class Lic. No. I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( YooA To 46.00 CCU000A NEW CONST. DWELLING OCS. SO OR ADDNS. ( a Acc. BLos. 3.5¢FT; NEWCOTLET NON -R StIDT ANCI CIRCU S 97.50 a SINGLR AE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES 20®I.00 640 .SO Ex. Occup. ouTEitDrs RES PPLN�.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the�� worke s' compensation pr visions f section 3700 of the Labor Code, I shall 0 o ply with provis' s. �q dd X __ Date Oz — _ Signature of Applicant - [3 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee 7$77 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE :HAZ. D. FES IMP FLOOD CDF PARCEL PD HD ISPW 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. By Date / Z/ 1J 0— Q PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVI ON 7 County Center Drive - Oroville, Carforriia 95965 - Telephone (916) 538-7 1 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �g- ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 14605 64 R CONTRACTOR'S NAME _ C TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / 474, Energy Plan Checking Fee $ PERMIT FEE _ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filirig Fee 20.00 USEOFSTRUCTURE SF tS( Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other �l�1 Describe Work: %�Ea!LX-,�'J�C n.Q4QA6dz `fjVlyX— Gas piping system 1 - 5 outlets 15.00 �$ Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BUDS. 3.5¢FT; NON -NEW R StIDT S.M.LCT11CIROUTCUT 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL � 20 Q 1.00 .50 PPLNS Ex. Occup. OUTLETS RSOOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Xof one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the work e s' compensationpr visions f section 3700 of the Labor Code, I shall o ply with prov'IS S. �q �Date � =1� _ Signature of Applicant - ® Owner t Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISS 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. Q By Date CJ PERMIT EXPIRES N �'— /),7— Date Receipt No. -Z2WR! d - . WHITE-D.D.S.-B.D. CA AR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -V RESIDENTIAL 64-19-08 3345-90B,P,E,M MCHENRY, Milton ' 14605 Carnegie Rd, Magalia (new sf ) a. � OFFICE COPY X i IAddress I GAS D ate/ e—e-- 1 M�e�terBy--n� ter BY _e— Dat -vFFICE COPY Address t` o 5 (f 4llWl / 40 GAS Meter By Date ELECTRIC Meter By my� Date; I - — _ _... - - -- — J JOB FINALED (Date) Signature . 4� d=OK = Not OK = Not Ready, MOBILE HOMES Date, MOBILE HOME UTILITIES (Plana) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 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; Sdils-SIi0- Depth -Spacing-Con nectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frma: 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 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. 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-#� 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 . MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Sdils-SIi0- Depth -Spacing-Con nectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frma: 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 O=Not OK 0111111P, = NoSApplicable = Not Ready RE SIDENTIAL.(Si.ngle & Duplex) bate FRAMING (Contiftued) 4 Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Ring. #7'�ireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 44'gorm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5(f Garage Fire Protection Framing 51. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits rg-�airs; Width -Headroom -Rise -Run -Landing -Fire Protection W. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -A'Si g -Nailing Veneer -/. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts Date UNAEA'FLOOR (Plans) OK except #'s _ ' - -Slope ain; Soils-Elec. J,Kg.,Garage; Soils- -Elec. Grnd.-/fr Ftg. Depth tg. rches & ecks; Soils-Steel-1tg. Depth temwalls, Main; Steel -B!pckouts-Wrapped 6. Stemwalls, Garage; StErel-Blockouts-Wrapped 6a. H9A Downs and Special Anchors I , Steel -Wrapped D.W.V.; Fall -fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground �enums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation DatCard B-1 1.100 Date /C — ard B-1 Dat .A - Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle Vf Water Pipe; T¢';t & Anchor -Nail Protection 18"D.W.V.; Test-Fil-tings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 11 1 Date 1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELE ICAL (Permit) OK except #'s . Fixture & Transformer Clearan - 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. 28 -Equip. Ground made up w/Mech. Fastners-Bo Cas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Size /L / ga. 4wr AI-A.C. Wire Size / / ga. Cu,or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 30 ervice-Riser Conductors & GrowlldfMain Disconnect 3,'e.' Equip: Clearances Panels-Motors-Mech. Equip. thes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 S Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34'.' A.C. Ducts Insulation & Support 35. ent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 31L Attic Access & Platform if Furnance in Attic Date Card B-1 C Date Card B-1 Date Card B-1 Date Card B-1 Date FR MING (Plans) OK except #'s Sils, Proper Material & Anchors 4 . Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41(_ Bearing Walls over Girders & Floor Nailing 4S Draft Stop in Walls (rat proof) vvmzV4 Wire Stops; Furred Ceilings -Stairs ase Headers & Beam -Size & earin (NOTE: An entry must be made each time you visit job site) 60. Infiltration -Walls -Windows f Date% 15 S/ Card B-1 C ?/ Datg,2-lS = and B - Date Card B -i44 Date Card B 14 Date FINAL Plans OK dxcept #'s Ext. Steps -Door & Sidelight Protection -Landings oke Detector Furnace; Vents -Clearance -Comb. Air -Connector - .)n Garage; Above Floor-Ducts-Mech. Protection edroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels Stairs & Rails Fireplace or Stove; Clearances -Hearth W9 Iec. tlets at Wood Panel; Int. & Ext. 7 ' .Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance E ec. Outlets & Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper 7"tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection L54tib.. Elec. & Mech. Equip. Listed for Location Ele . Receptacles in Garage; (G.F.I.)-Romex Protection rysulation-Foam-Looked in Attic ❑ Yes 7 . Guard Rails & Deck Construction -Post Caps 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive Q,*6s ❑ No; Walks Yes ❑ No; Planters ❑ Yes ❑ No Stuc o,'Brown-Finish C. Unit; Disconnect, Electrical, Plumbing 3 ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Qpenings ,64'Water Well; Disconnect, Electrical, Plumbing @5! terior Elec. Trim; G.F.I. Receptacle -Underground Ventilation Throughout House lass Protection SIC Corre rom Previous Inspections as Test -Meters Tagged; Gas -Electric ater & Sewer Connected -C/O to Grade -HO Approval Energy Compliance Certificate -Other Certificates Date — -q/ Card B-1 Date Card B-1 Date i Card B-1 Date Card B-1 Date Card a44RDate Card B-1 Comments at Final: .01 COUNTY OF BUTTE P> 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 a OWNER CORRECTION -NOTICE HEHMIT 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. Date7— "/ Inspector 6 COUNTY OF BUTTE �., J— 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 NNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector 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 c ��r✓ ,� 3 3 Ys- 9�y OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. f —j -or, p7 11J to olvr c e c -f 4r I -�,Ier I 1 +cam .- jef'- IW - AC- 01<aJf /r N r L di g6Do kA Tie- A'JCA-5 na��tdt .a�a1 LJ- LA" Cen. rid Norc. /Neu . KIR o'fi' - r 30/'Vr, .;"y u,- 10-1 /1r Howe- joti L.PG>- /J< -,o u U Pc C o4, V A fj Date �� 1 Inspector CERilFICATEOF f\1�TE OF TIME,. ? S Z c WAiT-t" QUAC"W z CONF 0 R M A N C E /HE UNDERSIGNED MA NUFA C TURER HEREB Y CER TIFIES that the products identified below and on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (RITC) and were manufactured in conformance with.applicable provisions of American National Standard ANSI/AITC A190.1-1983, Structur& Glued Laminated Timber, and that such manufacture has been at our plant in Drain, , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the. Uniform Building Code. JOB NAME: Keller Lumber Sales for Stock JOB LOCATION: Redding, CA CUSTOMER'S ORDER NO. ' PO#0959 DATE 9-19-90 MFGR'S ORDER NO. 8182-D 24F—V4, WP Glue, Arch AAD, Indv SIGNATURE COMPANY Dmo-Lam TITLE Quality Control ADORES$ LOB 297j Drainj OR DATE 10-9-90 AI TC HEREB Y CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control 'system in effect at said plant it periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of. complying with applicable manufacturing and testing p'rbv.isions of said Standard in respect of products manufactured at said plant. Coriformancl' with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified td produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCA AITC 'Certificate No. .73587 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION RECEIVED OCT U 4 1990 ;ELLER LBR. SALES b 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION ENERGY CI^R'.IIFIC:A,TICAN A'(0,6- PA kA)C-4; LOCATION A. P. NO. ROOF Material..... _ _ Brand Name _ Thickness Thermal Resistance (R_ Value)_._—__ EXTERIOR WALL Material FIBERGLASSBrand NameCERTAIN_T_EED Thickness (Inches)_` Thermal Resistance (R Valu.ejp-13 CEILING a� Balt or Blanket Type FIBERGLASS _ Thickness (Inches) Brand Name CER'rAINTEED __ /D'' Loose Fill T ype.-_FIBERGLASS_ Thermal Resistance R Value ( ),_R grand Name CERTAINTEED -3o Minimum Thic)cness (Inches) /A" 110. of Bags_ ' ( Wei ht Ba Area Covered (Sq. Ft.) Thermal Resistance (R Value) R 30 FLOOR,ELEVATED Material-._—FIRERGLASS_ .Thickness Inches) 67- 2' Brand Name CERTAINT_EED FLOOR, SLAB_ Thermal.Resistance Resistance (R '` - J Material_ _ _ _Brand Name__ Thickness (Inches,) Thermal Resistance FOUNDATION WALT, Material _ _ _ Brand Name _ Thickness (Inches)_ ____ Thermal Resistance (R Value) -.-_- I HEREBY CERTIFY THAT THE ABOVI: INSULATION WAS INSTAI LFL IN THE ABOVE BUILDING IN CONFORMANCE WIT.II THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. — HAW1CiN.S.J NRUSTIt�-F,S� �---___--.-__._379407 _ _ _ Firm rlame/Owner State Contractor's License No. Signature — 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. M� % Firm Na e/ ner Date Signature Gen. Contrac wner _ �— pat-- n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO�iJ�B' y �v 7 County Center Drive - Oroville, California95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER IT NO. S- ;1 ' ASS 4SOR PAR:OEL NUMBER --19-08 ZONING • RTI , BUILDING PERMIT OWNER Milton McHenry TELEPHONE 872-2789 SQ. FT. OCC. BUILDING VALUATION 1683 R 67,320 OWNER'S MAILING ADDRESS 6646 White Paradise 95969 571 M 7,994 CONTRACTOR'S NAME- owner TELEPHONE L 12 COV 120 252 open CONTRACTOR'S MAILING ADDRESS Fireplace A 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 367. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 183 90 Energy Plan Checking Fee $ .15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING D E Carni ie Rd. Permit fee $ 575.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap la 2.00 Ma alia Solar or heat pump water heater 20.00 LOT NO. 215 SUBDIVISION NAME PPCC #14 PARCEL MAP 3�•� Water piping 5.00 5-00 Each qas water heater or vent 5.00 QQ USE OF STRUCTURE SF 9 Duplex[-] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 nn Building sewer 5.00 Mobile Home I S I G JW 1 10-00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other F1 Describe work: 3BR _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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. 37157/-7d Classification 13 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNST (ACCLBLDGOCCUP.&) S. 9254 21/zQsgft NEW CON5TR ULTI-OUTL NON.RESID BRANCH CIRC ITS 2.50 ea PowER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES BALO30 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 88.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 100 BTU 6.00 Cooling 4T 11,00 Hood 3.00 3.00 Ventilation 2 3.00 6.00 Permit Fee $ 36.00 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. 1 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 agains aid Count in consequence of the granting of this permit. X Date Signature of Applicant — Contractor ❑ Agent ❑ An OSHA permit is required for excavation ver 5'0" deep and demolition or construct- n of stuctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 1O.On C CONST TYPE TOTAL FEE $ 780 00 HAz UA — PARK �..r SCHL FLO PA P HD ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which fees D) C R OF LIC By PER IT EXPIRES D e d the applicable provi- resolutions to do have been paid. WORKS Date Z 3�3 7 LReceiptrNo. !$ — SO M IT! -D. &.-F-21.011, PINK -I ECTO11. GOLDENROD -APPLICANT 4�F3,7 County Center Drive - Orovllle, California 95965 - Telephone: 536-7541 APPLICATION AND PERMIT . -I ..... . . l V . ASSESSOR PARCEL NUMBEq 'G— /%/, C>O, ZONI G BUILDING PERMIT /,/,R/NE OWNER M_/L / _ TELEPHO� SO. FT. OCC.1 BUILDING VALUATION OWNS MAILING ADDRESS C.6 y.L W ,-/ ,//F L �/aR�,oiS� %S -y 6 % ' .fir 50 - CONT / L.® AM • / C Y TELEPHONE0,72 Z 15 7�j��� &O �^ CONTRACTOR'S MAILING ADDRESS 66yi> U,,4/P L " f�itp�/r� /�( S -l5 /- Fireplace t> CONSTRUCT LENDER UNKNOWN Total Valuation $ LENDER'S MAILING/ ADDRESS Filing Fee $ 10•00 Permit Fee $ _ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ / ssV PLUMBING PERMIT FllingFee 10.00 ate, Each Trap U 2.00 210 Solar or heat pump water heater_ 20.00 • SU BDI VISIONAME ro PP GL PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 ,-�,// USE OF STRUCTURE SF � Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK NewD/Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: 3 Df?-- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10000 AMP ORSLESS 10.00 ffl .i Main service EA. ADD'L 1e0 AMP -42.50 3 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 rce and effect.SINGLE License No. � 1-70 Classiflcalion 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.e o, OR ADONS. C ACC. BLDGS.'Z731,1 2/:¢sglt NEW ZONST_--LTI.OUTLET 2.50 ea NON•RESID BRANCH CIRC ITS POWER ArPAnATUS e OUTLET CIR. EX. OCCup(OUTLETS OR FIXTURES 200 50t BALM 30 FIXFO APP❑ Ex. OCCUp• OUTLETS IREISID )REAJ 2.00 Temporary service — j( 10.00 Mobile Home Facilities 15.00 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. fes► I have placed on file with the County of Butte Building Department Ohl 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 10.00 Heating ,7ID H 6r -6 Cooling Hood 3.00 130 Ventilation Permit Fee $ Contractor I certify that I have read this application and slate 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 Counlyof 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 id Count in consequence of the granting of this permit. X Date Signature of Applicant — nerContractor ❑ Agent ❑ An OSHA permit Is required for excavation ever 5'0" deep and demolition or construct. ion bf structures over 3 stor' s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ®, HAz I CUA PAnK I SCHL I FLD PAR PD HD ISSUE This permit Is hereby Issued under the applicable provl- sions or the Butte County Code and/or resolutions to do work Indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Dale PLf f-1-7039-27 Receipt No. WNITE•D.r.W., TELLOW-A SESSa R, PINK -141 -TO . GOLDEN"00-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOIRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER %/!. �Q^� At &/KI -4 A. P. No. - /9 Proposed Building Use 3,#A- S�� "`rC6'`� Building Inspectores'j Date ,J 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 .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) Mobil home installation data including manufacturer's installation nstructions ....!� . 5.Q ........................................ o Zv o a ees of $ ........................ 40 Chico Urban Area fees paid ....................................... ' ark fees p paid ............................................. �'��`'� School District fees paid. o Sanitation approval from �O�Ai s'`- Health Department Z 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: ...... t�mprovements may be required. Contact Land Development Section DPW iveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... e�Inspec.reLst to so(Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. CQ&24 Owner -Builder Verification (Given to owner o, Mail to owner o) ..... ecorded copy of Agricultural Acknowledgment Statement ......... >n 25. Letter of signature authorization ................................... 26. 27' 7 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 Applicant Date ©tp- 69 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,tner., was advised of above required data by phone_-naiI—counter by�..date 10- 1&196 Contractor, designer, was advised of above required data by—phone—ma ll unter by date Plans checked by Date Plans approved by Date /0 A ___ Sets of plans on hold in(Z File cabinet AP folder Copy—DPW TO •Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance _��GaR ►��1?.�1 �f �a �6 �-14-0 • oo owner Location APO Plan Approved for.: Sewage Disposal __ Water Supply IL Hold final for: Water Supply Final clearance O.R. for:'. Water Supply Clearance for bedroom mete home. Other NOTE * * * Wni Date S ni n ENCROACHMENT PERMIT NOTIFY COUNTY COUNTY OF. BUTTE 44 HOURS DEPARTMENT OF PUBLIC WORKS BEFORE WORK IS .7'County tenter Dri ve - Orovi I I e, California 95965 TO BE DONE Phone: (916) 538-7681 _PH. 916/538-7681 APPLICATION Permit No. 1, WE, the . 'undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work- under . or over the county roads and highways, all in accordance with county ordinances and general laws. NAME kW.:60_a ......... . ztD, _-SIGNATURE . .... ...... . .. . . ........... 4-` ...... . ....... . . MAILING ADDRESS .�nJv_ . . ........ Phone.... •. . ........ ........................... ..... Date ... IT !E/ .7!Z... . ......... Location of work to be done .. . ....-e ..... --------------..w»------------ ------- - ------ --------- -J R- -------- - ---------------- - ------- — --- - — ----- — -- . ........ . . . . . ......... . .......................... . ....... . . . . . . . ... . .............................. ... ..... . ............................ - ------------- - -------- - ------- - - TYPE OF WORK TO BE DONE 1. Curb ------- ------------------- Gutter ....... . ................... . ....... Sidewalk ................................. . ..... "Please check" -e- A- . ....... . ..... 2. Driveway (List type ................................... .. io� �.. T_ ......... .... 3. Underground Conduit . ............... ........... ....................... : ..... . ..... ................................... . ... _.»......».r» --A- 4. .............. .. .4. Othernvz.,_6_1_GI_qa ...... ......... 1116.A1_;1�1JYA - -- - ---- - -------- 0/� PERMIT GRANTED In compliance with your above request, and subject to all terms, conditions, or special conditi.8ns.'writ"ten below or printed on the back of this form, permission is hereby granted. SPECIAL CONDITIONS. ....................................................................................................... .................................. ........................................................................................... AU WORK SHALL OONFORK TO AM. SIMTCH., -DETAR, - PRrVATE CONTRACTOR SHALI, 09TAN Pei*ily; ................... OR PIANS, AND KrTAOFM Olm.................................................................................................... ......................... .................................................. ................................... ........................ Date Issued ...... 0). Cl) Surety.... ............................................ PERMIT EXPIRES Ef? ....... By DIRECTOR OF PUBLIC WORKS ^.z r BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ( One Form',,per Building) A.P. Number �7 *'%� Building Department No. School District 4P*t City = County 041 Jurisdiction Property Owner Aja. ro/s Project Location/Address Subdivision �//� (� L- /� / Lot Number 2.1r Residential Development: elm 3/ a a Sq. Footage # of Living MHI Addition (Group R) Units t lw Commercial/Industrial: District a. Sq. Footage New Addition'(Including Exterior Roofed Areas) artment Representative / Date (Floor Plans reviewed by School District'Personnel) d No, q6— 1�4 / I — I r n School District certifies that Applicant Name reet Address ty State Phone Number) (Zip Code) has complied with the requirements of Resolution No. by the payment of �$ a�s9, representing ��02) .7 square feet. School District Representative PAID BY CHECK NO. /()�( REMARKS: BANK NO PAID BY CASH ) _ 1 white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Mi keLtV.1k Ll qW 1VUhJ.LULiukit III l�.du.iI1 �J .0-45273 FOR RES1DErW'IAL Dr OPMLNT� 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 ].and or included within an area zoned -90-05273 Rec Fee 7:00 for agricultural purposes, and residents ; Cash of this property may be- subject to ancon-;.- Recorded veniences or discomfort arising from the official, Records' use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte �. and fertilizers; and from the pursuit Candace J.Grubbs•'.•. of agricultural operations including, Recorder but not limited to cultivation, plowing, 9:19am 22 -Oct -90 X ,2*1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents inconvenience wiLhin said zones and on adjacent property should be prepared to accept such or disconform from normal, necessary farm operations. All that *real property situate in the County of Butte, State of California, described as follows: Date: OCLZ Qd State of CALIF. ) County of BUTTE ) PROPERTY OWNERS: . On this the 22ND day of OCTOBER , 19 90 , before me, SS. the undersigned Notary Public, personally appeared FREED L HASKETi■ ■ NOTARY PUBUC,CAUF OR NIA a Butte County ■ My Com'nisslo xpires s e May 20,1994. ■ a ' prr■rr■r■■GIs 0a0®e■■or+® MTT.TnN n- MrTW-NR4 ]Personally known to me. ® Proved to me on of satisfactory to be the person( whose name( IS subscribed to the within instrument and acknowledged that HE executed the same for the purposes therein contained. IN W]"rNI;SS WHEREOF, I thereunto set my hand and official seal. the basis evidence. Present A.P. No. j01/ -/ q-? Notary Public . _._................._ -- _........ 9fl 45273 DE i�T'ro ALL THAT CERTAIN REAL PRPPI;Fo.lY SITUATE ]CN Tl -M& STATE OF CALIFORNIA, COUN'CY OF BUTTE, I)ESCRIBED AS FQLIAI'r1S z ARqua-11 IAT 215, A5 SHOWN ON TH'jkx' CFa 'IL7.bi MAP ENTITLEDr '"PARADISE PINKS UNxT NO.. 14", IrHla[ MhP WAS JWCORDED IN THE OFFICE OF THE RECORDER OF TILE COUNTY OF BU`1'TE, STATE OF CALIFORNIA, ON JULY 15, 19?1, IN BOOK 3I3 OF MAPS,, la PAGES 37, 38, 39 41) AND 41. EXCEPTING THERZOM ALL MINL'RAI OIL HYDROCARBON SUBSTANCES, WWITHOV2 70N C AS EF]THAT All X� 1tND�ALLD MIt1ING &SURF CE AREA CES OUTSIDE. TILE OPERATIONS SHALL I3E DONE:;lE'RON[��►DYx THATNO pA%U''►G.l: SHAM,DEA DONE TO OF THE LhND DESCFtIBLD 11L1Ft;ET:N, SURpACE (Dr SAID LAND. _ A NON-EXCLUSIVE I&AS U[EN'I' (YVER ]aYJ S A AND B (Tii,L ' cOMNION AREA) OF SAID .PAFADISE PINES UNIT NO. ]14., AND VIII: LW'S DESIGNATED FOR COMMON AND RECRMTION AFtriLS, AS DESCRIBED IN THE DE(;LARATI011 OF ANNEXATION FOR UNITS lV, V:[, VIx.1'r X, XI, XII, 1XII:C AND XIV. END OF DOCUMENT Un W oYL' 0 o CY) r-� rn mo L.L r..{ o a CFD z L.L :)0 0 w a 1. Ceiling lasulauon SCORE CARD Standard Interior Number of stories ` R -value One Two Three . R-0 -103 49 -02 R-19 -8 -4 .2 R-30- -2 -1 .1 R-38 . 0 0 0 U -value -90 37 -26 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 _ -6.. O.C6 -11 -5 -4 O.C4 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -17 .9 -2 Single- Single - 26 -49 Family Family Mul1i- 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 _ 15 22 0.80 -153 -114 -76 0.50 -91 ......,68 21 -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 .4 3. Raised Floor Insulation 8 12 Insulation in Floor -20 '0 Number of stories 13 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 18 12 -9 =-•.- 0.60 . 444 ' -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 0.0; 4 . 2 1 0.0) 10 5 3 Controlled Ventilation Crawispace 11 -7 -23 3 0 Number of stories .5 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 •1. Slab Edge Insulation 0.80 7.33 25 22 19 16 13 Number of Stories 0.90 8.25 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 3 Other 6 5' 4 3 '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) Speafieation Points Standard 0 --6. Glass Heat Loss Total SCORE CARD Standard Interior --Etrective Percent Class t.1 -value ` Percent R -value [381 U -value (0.0301 (percent .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 31 -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' -18 16 • 18 20 7..Shading (Shade Open) SCORE CARD Standard Interior --Etrective Percent Class Mass Stories Stories R -value [381 U -value (0.0301 (percent glass x SC) Three Effective -5 -4 .2 -1 .1 0.1 -8 -5 3 -1 % 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 0.20 3 2 1 -17 a3. Shading (Shade Closed) 5 4 3 Effecflve Peremt Class 0.60. 8 6 4 (Percent Sian X SC) 10 8 Elective 3 1.00 13 10 7 0 %GWu Nath EW South West Sky*I 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 .2 -9 -11 -10 . -30 4 .1 -6 -6 -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 allowed 0.80 7.33 25 22 19 16 13 10 9. Interior Thermal Mass SCORE CARD Standard Interior Slab Floor Raised Floor Mass Stories Stories R -value [381 U -value (0.0301 /CFA One Two Three Orta 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 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 i 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 i 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 3.2 3.3 3.4 35 3.6 Exterior Single- Single - 3.9 4 4 4.1 4.2' 4.1 4.2 4.3 4.3 4.4 Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 .0 more 0.20 3 2 1 -17 0.40 5 4 3 -12. 0.60. 8 6 4 4 j 0.80 10 8 5 3 1.00 13 10 7 0 1.20 13 12 8 0 1.40 12 13 9 5 1.60 10 13 11.. . 1.80 10 12 12 5 200 10 11 -- 13 13 11. Heating System 7 11.0 26 SE or HSPF 15 12 - _ (assumes ducts In atdc) 12.0 30' _ Sum of 1.6 18 14 9 -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 -3 Effective SE or HSPF -2 (SE or HSPF x duct efficiency) 3 3 ,.. 2 Effective -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 3 +5 +15 .more Attached' 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 13 119 0.. 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 WSB System Type 3 2 2 Resistance 10 9 7. 6 4 3 Other 6 5' 4 3 2 2 12. Cooling System SCORE CARD Standard Eff. % Glass Measures 1. Ceiling Insulation f U -value [0.65] R -value [381 U -value (0.0301 2. Wall Insulation_ or SEER Interior MasslCFA / % or t! R -value (191. U -value [0.037] 4. `Slab Edge Insulation (assumet.duety In attic) X xrx 1 ttAfS tt. t.vtMC�..21 le.ryat.d .1_bl St m of 7-10 % Glass -25 or -24.to +14 to -410 +610 16 or SEER less -15 1 -6 +5 +15 more 8.0 -14 -12. ; .10 -8 -6 -4 I .8.5 -9 .7 -6 -5. -4 3 8.9 -5 -4 -4 3 -2 -2 . 9.0 -4 3 -3 -2 -2 -1 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 14 9 12 7 9 5 6 `13.0 20 17 4 0.9 1 1.1 1.2 1.3 _ 1.4 1.4 1.5 1.6 1.7 1.6 1.7 1.7 1.8 1.9 1.8 1.9 1.9 2 21 Erredlve SEER 2.2 23 24 25 25 24 25 2.6 27 27 2.6 2.7 2.8 2.9 3 (SEER xauct eMclency) 3 3.1 3.2 33 3.4 3.2 3.3 3.4 35 3.6 3.5 3.5 3.6 3.7 3.8 , Sim of 7-10 3.9 4 4 4.1 4.2' 4.1 4.2 4.3 4.3 4.4 Effective -25 or -2410 -1410 410 +6 b 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 j 6.6 -5 -4 -4 3 .. -2 2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 l 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 Single-Famllo Detached and Attached' 1 Unit Size (sl) Water i 139 •12M 1700 2200 2700 Heater Credit or to to to :or. . Type. Type less ,1699 2199 2699 more SG None 0 ' I' 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 -19 114 -11 .9 Solar 8 5 4 3 3 POU -10 -6 -5 -4 .3 Multi -Family (individual units) Unit Size (sq Water 699 700 1200 1700 2200 Heater Credit or U to to a Type TYPO less 1199 1699 2199 mare SG None 0. 0 0 0 0 or • Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WS8 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 .15 -it .9 Solar 2 1 1 0 0 HWR . -23' -12 -8 3 '.5 WSB -25 -13 .8 -6 -5 _PQU.. _23 _12_8_ _._.-0 -5 IG None -8 -t -3 .2 i 2 - Solar 6 3 2 11 POU 1_0 0 0 0 IE None 30 -15 -10 ___8 - 3 " Solar 18 9 6 4 4 POU -8 -4 -3 -2 .2 Point system Summary: Climate Gone n SCORE CARD Standard Eff. % Glass Measures 1. Ceiling Insulation or U -value [0.65] R -value [381 U -value (0.0301 2. Wall Insulation_ or R -value (11) U -value (0.098] Interior MasslCFA / % or t! R -value (191. U -value [0.037] 4. `Slab Edge Insulation or X xrx 1 ttAfS tt. t.vtMC�..21 le.ryat.d .1_bl % Glass SC Eff. % Glass t TYPE 1 MASS (UIMC 4.2, le: exposed slab) X 0% 5% 10% 15% 20% 2S% 30% 35% 40% 4S% '50% 55% 60% 659. 70% 7S% W% 8s% 90% 95% 100% 105% 110y. 115% 120% 12S- 0% 10% 20% • 30% 40% .50% 0 02 0.3 0.5 0.7 0.9 0.2 0.4 0.6 0.7 0.9 1.1 0.4 0.6 0.8 0.9 1.1 1.3 0.6 0.8 1 1.1 1.3 15 0.8 1 1.2 1.4 1.5 1.7 1.1 1.2 1.4 1.6 1.7 1.9. 1.3 1.4 1.6 1.8 1.9 21 1.5 1.6 1.8 2 22 23 1.7 1.9 2 22 24 25 1.9' 21 22 24 26 27 21 23 24 26 2.8 3 23 25 27 28 3 32 25 27 29 3 3.2' 3.4 2.7 2.9 3.1 3.2 3.4 3.5 29 3.1 3.3 3.5 3.6 3.8 32 3.3 3.5 3.7 3.8 4 3.4 3.5 3.7 3.9 4 42 3.6 3.7 3.9 4.1 4.3 4.4 3.8 4 4.1 4.3 4.5 4.6 4 4.2 4.3 4.5 4.7 4.8 4.2 4.4 4.5 4.7 4.9 S.1 4.4 4.6 4.8 4.9 5.1 S.3 4.6 '4.8 S 5.1 5.3 $.5 _48 S 5.2 S.3 SS 5.7 5 5.2 5.4 5.6 5.7 S.9 5.3 5.4 S6 58 5.9 6.1 55% 60% 65% 70% 75% 0.9 1 1.1 1.2 1.3 1.1 12 1.3 1.4 15 1.4 1.4 1.5 1.6 1.7 1.6 1.7 1.7 1.8 1.9 1.8 1.9 1.9 2 21 2 21 22 22 23 2.2 23 24 25 25 24 25 2.6 27 27 2.6 2.7 2.8 2.9 3 28 2.9 3 3.1 3.2 3 3.1 3.2 33 3.4 3.2 3.3 3.4 35 3.6 3.5 3.5 3.6 3.7 3.8 3.7 3.8 3.8 3.9 4 3.9 4 4 4.1 4.2' 4.1 4.2 4.3 4.3 4.4 4.3 4.4 4.5 4.6 4.6 4.5 4.6 4.7 4.8 4.8 4.7 4.8 ' 4.9 5 5.1 4.9 5 5.1 5.2 5.3 5.1 5.2 S.3 5.4 5.5 5.3 5.4 55 5.6 S.7 5.6 S.6 5.7 58 5.9 5.8 . 5.9 5.9 6 6.1 6 6.1 6.1 6.2 6.3 62 63 6.4 64 65 80% 85% ' 90%" 9S% 100% 1.4 1.4 1.S 1.6 1.7 1.6 1.7 1.7 1.8 1.9 1.8 1.9 2 2 21 2 2.1 2.2 22 2.3 22 2.3 24 25 25 2.4 25 26 27 28 26 2.7 2.83 2.9 3 2.8 2.9 3.13 3.2 3 3.1 3.2 3 3.4 3.3 3.3 3.4 3.5 3.6 3.S 3.5 3.5 3.7 3.8 3.7 3.8 3.8 3.9 4 3.9 4 4.1 4.1 4.2 4.1 4.2 4.3 4.3 4.4 4.3 4.4 4.5 4.6 4.6 4.5 4.6 4.7 4.8 4.9 4.7 4.8 4.9 S 5.1 4.9 5 5.1 5.2 5.3 5.1 52 53 5.4 55 5.4 54 5.5 5.6 5.7 5.6 5.6 5.7 S.8 5.9 5.8 5.9 S.9 6 6.1 6 6.1 6.2 6.2 6.3 62 63 6.4 6.4 6.5 64 65 66 6.7 6.7 66 67 68 69 7 COSY. 110% 115% 120% 125% 1.8 1.9 2 2 21 2 21 2.2 2.3 23 22 23 2.4 2.5 25 2.4 2.5 2.6 2.7 2.8 2.6 27 2.8 29 3 28 29 3 3.1 3.2 3 3.1 3.2 3.3 3.4 3.3 3.3 3.4 3.5 3.6 3.5 3.6 3.6 3.7 3.8 3.7 3.84 3.a 3.9 4 3.9 ' 4.1 4.1 4.2 4.1 4.2 4.3 4.4 4.4 4.3 4.4 4.S 4.6 4.6 4.5 4.6 4.7 4.8 4.9 4.7 4.8 4.9 5 5.1 4.9 S 5.1 5.2 5.3 5.1 S.2 5.3 5.4 5.5 5.4 5.4 5.5 5.6 5.7 5.6 5.7 5.7 58 5.9 5.8 5.9 S.9 6 6.1 6 6.1 6.2 6.2 6.3 6.2 6.3 6.4 6.5 65 • 6.4 6.5 6.6 6.7 6.7 6.6 6.7 6.8 6.9 7 6 8 69 7 7.1 7.2 7 7.1 7.2 7.3 7.4 Point system Summary: Climate Gone n SCORE CARD Standard Eff. % Glass Measures 1. Ceiling Insulation or U -value [0.65] R -value [381 U -value (0.0301 2. Wall Insulation_ or R -value (11) U -value (0.098] 3. Raised Floor Insulation / % or t! R -value (191. U -value [0.037] 4. `Slab Edge Insulation or 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 9. Interior Thermal Mass 10. Exterior Wall Mass R -value (01 F2 factor (0.77] Standard Eff. % Glass Type (double] U -value [0.65] 11. Heating System Zonal Control? ( Y / N ) .12 Cooling System Zonal Control? ( Y / N ) 13. Water Heating Point Scores Z 0 %TotalGlass[16] Sum 1-6 % Glass . SC Eff. % Glass X , -77 _ -4d-,q f X t! X X 9 % Glass SC Eff. % Glass ��. X X X TYPE 1 MASS AREA .$ COND. Interior N.iss/CFA FLOOR AREA TYPE 2 MASS AREA = 8 Exterior Wall Mass ND. FLOOR AREA X X� SE or HSPF . Duct Efficiency [0.78] Effective SE or (0.7716.6] HSPF 10.5615. 151 SEER [9S] Duct Efficiency 10.741 Effective SEER (7.031 T) pe [SGI :: <.. Credit [none] is J �7 7� Sum 7.10 Point Total. a a Certificate of Compliance: Residential Wall .............. . Climate Zone 11 M I L%A/ M c- /4 Roof ............. ProjectTltie Floor ............. 33 y &t.05, CAkP41 &1&_ PAI '�rr. Budd' tt N � �- �/4 i � Project Address GLAZING .:. Shading Devices /6 `" Interior Exterior Overhang Framing Type Orientation (sf) (singK double) (roller blind; etc.) (shsdescreen, etc.) (yesmo) (metal/wood) Ch deed By Date Documentation Author Telephone I �� Fdorcernew Agency Use Only ',� East Maximum Furnace Heating Output: South BUILDING DATA South North Glass Area % Glass equal) Conditioned Floor Area 6�� Number of Stories East !' 1 THERMAL MASS Slab/Raised Floor Number of _Units le South - (slab/exposed, tile, etc.) (sf) (inches) Locadon/Description (kitchen, bath, etc.) [-J'''$ingle Family Detached (SFD) [ ] Addition Alone West (] Family Attached (SFA) [ ] Existing Building Skylight .Single [ ] Multi-Family(MF) :. [ ] Existing -Plus -Addition Total BUILDING SHELL INSULATION Component Insulation LocaidorXomments Type R -Value (attic, .to garage, rMiccl, etc.) ' t Wall .............. Wall .............. . Roof ............. c _ Roof ............. Duct Floor ............. Type (furnace, air Efficiency Floor ............. Duct Slab Edge..... conditioner, heat pump) (SE, SEER.HSPF) GLAZING .:. Shading Devices Gla: ing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (singK double) (roller blind; etc.) (shsdescreen, etc.) (yesmo) (metal/wood) Nor -Lit ( ) •�- toe -t �'�f�- I North ( ) I �� Eas East- ( ) /� ',� East Maximum Furnace Heating Output: South South i West West equal) Soecial Feature(s) Skylight....... !' 1 THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Locadon/Description (kitchen, bath, etc.) T44*4& &A4.s SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Low= rtsidentW buildings subject to the Standards must contain these measure's rega?dJess of the compliance approach used Items marked with an asterisk (•) may be superseded by mc -re stringent;-ompliance requutmutu listed on the Cenificate o/ Compliarnce. When this chocklist is incorporated intcthe permit documents, the feutrrs toted shalt be considered by all panics as binding minimum component porfomunce specifications for the mandatory measures whether they are shown elsewhere in the documents or on this chocUist only. DESCRIPTION Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352 ft Loose rail insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-1 l weighted average (does not apply to exterior mass walls). • §2.5352 ft Slab edge insulation - water absorption rue no greater than 0.3%, water vapor transmission rate no greater than 2 0 permiinch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed tui limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penwuioru caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with §2-5351 moots CFC 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 contrail c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2.5303: Space conditioning equipment sizing: attach eakulations. §2-5352(h) and2-5315: Setback thermostat on all applicable heating systems. • §2.5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(D): Exhaust systems have damper controls. §2-5314(c): Gas -feed space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(i): Water heater insulation blanket (R.12 or great,) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return & recirculating piping' §2-5318(d): Swimming Pool Heating I. System has: a. ONoff switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4• Time clock. 5. Directional water inlcL Lighting and Appliance Measures r §2.53520): Lighting - 25 lumcns/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. COMPLIANCE STATEMENT This certificate of compliance lists tb. building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. ChapWr2. Subchapter 4, Article 1 of the California Administrative code- This certificate has been signed by the individual with ovaall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purcim, mr of the building. Designer Building Owner f // i Name: Nam= TttklFttm Tttk/Frm: Mc Sip r -z v v c e e e%r "g cv Address: Address: (p q b _ v�p Telephone:Err5,-79'T 6 q I Lic. 00:: Tckphon : gn7.2 —.z- 7S `C (signature) _ (date) (signature) (date) Documentation Author. -.-",.-:Enforcement Agency Name: Name Telephone 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) ,7.1., '.4 rt Ac- ,7 zr 5��C/ ,'•9" '' r4 3G 5.38 Maximum Furnace Heating Output: Bt HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Soecial Feature(s) T44*4& &A4.s SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Low= rtsidentW buildings subject to the Standards must contain these measure's rega?dJess of the compliance approach used Items marked with an asterisk (•) may be superseded by mc -re stringent;-ompliance requutmutu listed on the Cenificate o/ Compliarnce. When this chocklist is incorporated intcthe permit documents, the feutrrs toted shalt be considered by all panics as binding minimum component porfomunce specifications for the mandatory measures whether they are shown elsewhere in the documents or on this chocUist only. DESCRIPTION Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352 ft Loose rail insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-1 l weighted average (does not apply to exterior mass walls). • §2.5352 ft Slab edge insulation - water absorption rue no greater than 0.3%, water vapor transmission rate no greater than 2 0 permiinch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed tui limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penwuioru caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with §2-5351 moots CFC 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 contrail c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2.5303: Space conditioning equipment sizing: attach eakulations. §2-5352(h) and2-5315: Setback thermostat on all applicable heating systems. • §2.5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(D): Exhaust systems have damper controls. §2-5314(c): Gas -feed space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(i): Water heater insulation blanket (R.12 or great,) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return & recirculating piping' §2-5318(d): Swimming Pool Heating I. System has: a. ONoff switch on heater. b. Weatherproof instruction plate on heater: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4• Time clock. 5. Directional water inlcL Lighting and Appliance Measures r §2.53520): Lighting - 25 lumcns/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. COMPLIANCE STATEMENT This certificate of compliance lists tb. building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. ChapWr2. Subchapter 4, Article 1 of the California Administrative code- This certificate has been signed by the individual with ovaall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purcim, mr of the building. Designer Building Owner f // i Name: Nam= TttklFttm Tttk/Frm: Mc Sip r -z v v c e e e%r "g cv Address: Address: (p q b _ v�p Telephone:Err5,-79'T 6 q I Lic. 00:: Tckphon : gn7.2 —.z- 7S `C (signature) _ (date) (signature) (date) Documentation Author. -.-",.-:Enforcement Agency Name: Name Telephone