HomeMy WebLinkAbout064-480-026ME
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RESIDENTIAL
64-48-26 2179=90B, P, E, M
.SHS hNGLER, Shawn & Share
114084 Temple Circle, Magalia
(new single family)
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OFFICE COPY
Address
GAS
Meter B� DateJ�
EL IC
Meter By a e __
7ELECTRIC
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OFFICE COPY
Address
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GA
ELECTR.IC p
Meter Sy
JOB FIRIALED (Date)
Signature
J=OK
O=Not OK
= Not Readyable MOBILE HOMES 4
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Utility Clearance i
Date Card B-1 Date Card B-1'
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval i
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, (Plaw,)OK except #'s
1.,ZonIng Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric a
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements _
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip: Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip': Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
i
J=OK
O=Not OK
- = Not Applicable
Not Ready RESIDENTIAL (Single
' =
Date UND OOR (Plans) OK except #'s
Zo - etbacks-Easement - od-Slope
F�Main; Soils-Elec rnd.-(/7.;,Ftg. Depth
Ftg., Garage; Soils-Steel-Elec. Grnd.-// f-tg. De th
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
temwalls, Main; Steel -Bloc kouts-Wrapped
0�emwalls, Garage; Steel -Blockouts-Wrapped
6a. old Downs and Special Anchors
_ ; Steel -Wrapped
Piers -F'
9. D.W.V.; Fall0itting-Test-2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pioe: Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation t+
Date and B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air-Baffie
17 ater Pipe; Test & Anchor -Nail Protection
1e<15-W.V.; Test -Fittings & Anchor -Nail Protection
�19. Shower Pan; Test, First Floor -Tub Access
20Xest Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date;' / % $,, Card 6-1 Date Card B-1
Date Card,B-1 Date Card 8-1'
Date E E ICAL Permit OK except #'s
ixture & Transformer Clearance -Iris. rot tion
2:f Elec. Receptacles Spacing -Lights & Switches at Doors
?.e Size Boxes & No. of Conductors -Stapled
25. Rokiiex Installed Close to Edge of Studs & C
Equip. Ground made up w/Mech. Fastner o Water
232 ppliance Circuts in Kitchen & Conductor Size/GFI
ed Wire Size / / ga. Cu or AI-A.C. Wire Size / V/ ga.
Cu'o Ai
99. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu r Al.
Insulated Neutral ❑ Yes ❑ No645
3 Service -Riser Conductors & Ground -Main Disconnect
34Aquip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date % i Card B-1 (' Date Card B-1
Date Card B-1 Date Card B-1
Date ME A AL Permit OK except #'s
Ducts Insulation & Support
Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date 7 %% Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
3� Sils, Proper Material & Anchors
491 Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
B_o&iqg Walls over Girders & Floor Nailing
ft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases-
4J. Headers & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors /
!QCing. Joist-Rftr. tieUFgrAJ'r.�roof Brac s Shthng.-Rfng.
Fireplace Ties or yp Flue -Fireplace Throat clearance
49! tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50 --Garage Fire Protection Framing
51 Property Line Firewall & Openings
Ex Doors -One 3' -Check Garage -3rd Story, 2 Exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Wplywood on Roof Overhang -Attic Vents -Rafter Outriggers
ing-Nailing Veneer
Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
Glaiing Area -Glass Protection -Skylights -Plastic,
58. Qh<r Walls; Nailing -Bolts
Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date 3/ Card B-1 G 6 Date/ —,;/ --7--7/ Card B-1 !'�ff2
Date f:zZ2— `j Card B-1 4a_zz __ Date Card B-1
Date FI L lans K xcept #'s
E . Steps -Door & Sidelight Protection -Landings
Smoke Detector
g3-F.—rnace; Vents -Clearance -Comb. Air -Connector -
1 Garage; Above Floor-Ducts-Mech. Protection
,64'8,edroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
U,f-Tec Trim & Subpanel; Breaker Sizes & Labels
tairs & Rails
Clearances -Hearth
469' Elec. Outlets at Wood Panel; Int. & Ext.
450!F(it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
7 lec. tlets &Receptacles at Kit. Counter
&2. arage Fire Door; Swing- Land in -t/o
-WMr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
PI f, Elec. & Mech. Equip. Listed for Location
Ele . Receptacles in Garage; (G.F.I.)-Romex Protection
n ulation-Foam-Looked in Attic ❑ Yes
Guard Rails & Deck Construction -Post Caps
dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. FpiTbwing instld.; Drive la Yig ❑ No; Walks 47'Yes ❑ No;
/Planters ❑ Yes ❑ No
A Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83 --Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to
Openings
Water Well; Disconnect, Electrical, Plumbing
,45 -'Exterior Elec. Trim; G.F.I. Receptacle -Underground
se—ventilation Throughout House
Gass Protection
8 . (j. otrections from Previous Inspections
.$9. s Test -Meters Tagged; Gas -Electric
.
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date G% Card B Date Card B -1 -
Date 92 Card B-1 Date Card B-1
Date and B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
ENERGY
C� r . 6
LOCATION
CERTIFICATION
A. P. NO.
ROOF
Material
Brand Name_
_
Thickness_ _
_
Thermal R esistance (R Value)____._
EXTERIOR WALL
Material FIBERGLASS
Brand Name CERTAINTEED
Thickness (Inclies)—
--'-
_
Thermal Resistance (R-vailie_jl �-
CEILING
Batt or Blanket Type—FIBERGLASS
Brand Name_ CERTAINTEED_
_
Thickness (Inches) 10
Thermal Resistance (R Value_)- _
— Loose Fi 1 1• Type_ FII3FRGLASS, _.___
Brand Name CERTAINTEED
Minimum Thickness (Inches)j--2_No.
of Bags_ Weight/Bag_25 _ lbs
Area Covered (Sq. Ft.) 1 q09
Thermal Resistance (R Value)3 p
FLOOR,ELEVATED
Material FIBERGLASS
Branca Name CERTAINTEED
Thickness Iches)
n
-Thermal Resistance (R Vaiue)15__
FLOOR, SLAB
Material
Brand Name
Thickness (Inches) _
FOUAbATION
nandThermalResistance (R Value)
WALL
Material_ _
Brand Name
Thickness (Inches)— _�—
Thermal Resistance (R Value)—__
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN TIIF.
ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA .ENERGY
REQUIREMENTS .
HAWKIN.S�I HpUSTl-,S�1G _—___- 379407
Firm trams/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 ATTACITMFNTS
HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
m Name/66he
Signature Gen'r Ctr ca for/Owner
Date ------
`�— Date
,; •-� .�:i ^- ,. a..=s�ti _ ,t':...'°.^^-a..-iti-a--:�+..:w-n,Wa,--1'�--••!`.�.-f'"
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
o2J
ER
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.
Datel_ �� I Inspector// _
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS ,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
7.47,,Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
%.ice ZI C-)
)WNER 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.
ll .Uie 0 IL,lseC�-ssQ� L/s'1l/S
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7'�7
iIllSd 19-0
Date t f vZ Inspector
t
L COUNTY OF BUTTE• • .
DEPARTMENT OF PUBLIC WORKS
19,0 Memorial Way, Chico — Phone: 891-2751 '
• 7 County Center Drive, Orovi Ile Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
i'
CORRECTION NOTICE
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, oo eed additional explanation, please contact this office immediately.
/ Ik'✓%I%7l'�/�1 moi! , (O 1% iii SC fn �1i1A 9�1 � :.
Date Inspector
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
E
T NO.
v
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
Date Ja— v s 1%
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
2179-90
APPLICAT'ION AND PERMIT
ASSESSOR PARCEL NUMBER, -
64-48-26
I
ZONING
BUILDING' PERMIT
OWNER
Shaun & Sh r
TELEPHONE
-814
SO. FT. DCC. BUILDING ION
1 R 72,560
OWNER'S MAILING ADORESSQ
1769 Dra er Dr Paradise
CONTRACTO 'S NAME
Owner
TELEPHONE
81 cov -
810
4
CONTRACTOR'S MAILING ADDRESS388
Fireplace "Aft 1,000
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $ 82.470
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 382.00
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$ 191.00
Energy Plan Checking Fee
A.
$ 00
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
8 2.00 16 .00
Solar or heat pump water heater
20.00
LOT NO.
27
SUBDIVISION NAME
P.P. unit #8
PARCEL MAP
�34p- 7-
Water piping
5.00 5 00
Each qas water heater or vent
5.005.00
USE OF STRUCTURE
SF ffk Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5-00
Building sewer
5.00 9-00
Mobile Home I S I G JW
10.00e
TYPE OF WORK
New g Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 3 bdrm _
Permit Fee
$ 46.00
Contractor
ELECTRICAL PERMIT.
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00 10. ��
Main service EA. ADD -L 100 AMP
2.50 2
.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt.'9, Div. 3 of the Business
and Professions Code and my license IS in full force and effect.
License No. Classification
1) /
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ACC. BLDGS.
2/2Qsgft
,56.00
NEW CONSTR. MULTI -OUTLET
NON•RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS.a.)
SIN G LE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
20 ® 806
SAL®30
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.1 EA.)
2.00
Temporary service
10.00 10,00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 88-90
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating Less 100
1 6.00
Cooling
g Less 3 ton
6.00
Hood
3.00 3,00.
Ventilation
2 3.00 6.00
Permit Fee
$ 31.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai s id Count o sequenc of the granting of this permit.
Date (
Signature of Applicant - Own Contractor ❑ Agent ❑
An OSHA permit is required fore cavotions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $30.00
c
coNs7 a
TOTAL F $ 79 . 50
HAZ
CU
PAJRC
scr+
F
PAR
D
ISSU
Th;s permit .is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
- DIRECTOR OF PUBLIC
BY
PE IT EXPIRES Date
the applicable p vi -
resolutions to do
have been paid.
WORKS
s
Date
-
7-7-
Receipt No. 66628
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
TO Buildincr_ Department
FROM: Environmental Health.
SUBJECT: Sanitation Clearance
O*ner
Location
AP#.
Plan., ;Approved for:
Sewage Disposal. _`�
Water Supply
Hold final for:
Water Supply
Final clearance O..K. for:'Water
Supply
Clearance for _ bedroom mMe home.
Other
NOTE �
27.4
Sanitarian
-- Date
TO:- Building Department
FROM: Encroachment Permit Section
RE: 'Driveway Clearance
ere- Skulems_ /4' 084/ �.�., �e Ci' ale.
owner locatiorf AP #
Driveway permit has been issued for the above property.
n b
O—
_ 7 � 9.0
sign re date
^..y'�. � �''/�.rit�'"�-t*Y`lr�'�l.S]c ' ��it-y_r7%i'i rYr-`ipv�'re`�(Y^tiw•T�+ViFf�lsl�r..tf-.i��C 1 ..•%-�'•'-'r5i.,,..Y}
I r t
COUNTY OF BUTTE - DEPARTMEN wOl itUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE-,OROVILIcE, QAj" FORNIA 95965 - TELEPHONE: 916/538-7541
ak .r /
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER K Le - A. P. No.�u
/�
Proposed Building Use I.2 -Z Building Inspector _ _ Dates? -2f -?d
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 calbs, with wet signature on plans ..
5. Hazardous Material Form ................... ......................
6. Energy Design Compliance and supporting documentation .........
:::#KStatement of Intent for Non -Heated and AC Buildings ...............
Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12.. Park f s paid Q .. .............................................. _
-0-^& � ° School Distri"ct fees paid .............. `
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .................................... .
16. Plot plan and business license approval from City of
(see City for other requirements)
17 tanning approval for (A) Use: (B) Parking: ......
8. Improvements may be required. Contact Land Development Section DPW
9. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. rcate of Workmans Compensation Insurance ..................
Ownertifi-Builder Verification (Given to owner ❑, Mail to owner ❑) .....
4. Recorded copy of Agricultural Acknowl edgment,,,tatement .........
215. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
0 Telephone C -7Z /-730 and hold for pickup at office. Deliver w/inspector.
Other
Applicant ate
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 issuan e: (Cir le neite not checked above):
1. Index permit for above items No. -
2. Additional items required:
�I Wdt
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by—date 9- 11-96
Contracfor, designer, owner, was advised of above required data by—phone —ma II—counter by date oaf
/)
Plan)9=Y DateZifffans approved by Date — v
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZO ING
BUILDING PERMIT' '
OWNER i
ti Q r ctr'^d'S e
e r t i �-
TELEPHONE
2- 33
/
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
64 - 0 _el-
L
CONTRACTOR'S NAME ,rte
/1 'Qf
TELEPHONE
"
V
R
V
CONTRACTOR'S MAILING ADDRESS
lig 0 AwL/
Fireplace v Q
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ -RZO
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee -
$ 10.00
Permit Fee
Plan Checking Fee
$ —
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ !,S`
Penalty
$
BUILDING ADDRESS
Z41019% 4—
Permit tee
$ �9
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00 ZO
Solar or heat pump water heater ,?/%,
20.00
LOT NO.SUBDIVISION
NAM
[PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5,00 ��-
USE OF STRUCTURE
SF.47f Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10.002
TYPE OF WORK
NewAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other❑
Describe work: I�•
Permit Fee
$ 00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR�LESS
10.00 O
CONTRACTORS LICENSE LAW
I declare under enalt of perjury
penalty p I y (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license 1S In full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 1, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD•L 100 AMP
2.50
NEw CONST. DWELLING OCCUP.e
OR ADDNS. ACG. BLDGS.yLZ )
2'/20sgft ,s('
NEw CON STR. ULT I.OUT LET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS 2
SINGLE OUTLET CIR. /
Ex. OUTLETS OR FIXTURES
P
AL@20@50t
250@5 30t
EX. OCCU FIXED APPLNS. OR
p• OUTLETS IRESI0.1 EA.)
1 2.00
Temporary service
10.00 0
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I.have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. taws 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 suchenu
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating [, e&r l®C)
6
Cooling,&Cyt,,.,
( --
Hood30
1
00 3 _
Ventilation
`L m
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County Ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X
Signature of Applicant — Owner El Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
j
TOTAL FEE $��� �—
H
CUA
PARK
SCHL
FLO
PAR
PD
HD
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which fees
DIRECTOR OF PUBLIC
By
pint/1T CYDInCC rl.-.-
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WNITr-n.r.W.. YEI_L0W-1159rtV n Plur.lu nPr rrnn ..... ..-..--- .--. ._..._
v-,..-.- .. „�,aa;... .. '! .. ..-.w-n ,u•.rr ,..^q'T riZ r.7 •,.-.... �.,r � �yur��°-r�---rn.:.rs.-•.v .-sr , ., .,- .. r .,
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM•
`4.
(One. Form per, Building) `
A.P. ,`Numb•er �'%�.�� Building'Department No.
"-.,School District QC`_o E.� City D. County Q .Jurisdiction
Property Owner k'l Q"
Project Location/Address �0"kyh-,}�-2 ( `I-^
Subdivision Lot Number
Residential Development:
a El Sq. Footage
.#.of, iving MHI Addition. (Group R).
Units ,
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building'Department Representative Date (/
(Floor. Plans reviewed by School.District.Personnel).
District Id No.�^~'
School District certifies that
(Applicant Name) fn . .(Phone Number )
.(Street,Address)9
oil AAdj,&
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
b the payment of G/ representing J square feet.
Y P Y � �(110� Iv�. P g �S/�
7A), /fid
Schoofl District RepresentativeDate
PAID BY CHECK NO. ..REMARKS:_
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
`'SCHOOL.FEE (8/88)
5/89
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC.,ONLY) Gj
Bldg. Permit #
'OWNER . , l ��'/X/N� A. P. # o
GENERAL '
.& oning requirements: (sideyards and number.of permitted.living units).
aluation.
Plans signed by designer.
Energy Design and Compliance.
Existing violations on property.
Items on data sheet.
PLOT PLAN
Complete parcel size and dimensions.'
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map or compliance document.
FAU & FAS road setback.
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec: 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes; ceiling heights (Sec. 1207).
GFCIs in baths, garage, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance
of mechanical equipment.
Locations of water heater, heating and.coolin_g equipment, other ;electrical .or
as equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (Sec. 3304(e)).
ireplace and wood stove location, alcoves, and clearance.
. Smoke detectors (Sec. 1210). r
STRUCTURAL DETAILS
• Foundation plan complete enough'to construct building.
• Floor construction details complete enough to construct building.
evations and wall construction details complete enough to construct building.
• Roof construction details.complete enough to construct building.
• Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D)
'2r Exterior plaster - weep screeds (Sec. 4706).
i�'roper roof pitch for roof covering (Chapter 32).
Y5. Roof covering type - (fire hazard).
-Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Adequate bracing.
-1-6--Living area over garage - complete 1 -hour separation required on garage side
ncluding supporting walls and posts, etc.
L1,1. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
is access and ventilation (Sec. 3205).
Jnderfloor access and ventilation (Sec. 2516).
combustion air for fuel burning appliances.
xK'Noise requirements on duplexes.
� dobe soils - special foundation design.
�etaining walls requiring design.
4�8: Unusual shape, size, or split level house requiting lateral design.
dashing at all exterior openings.
COUNTY OF BUTTE - Department of Public. Works
7.County Center Drive, Oroville, CA •95965 Phone:_ 916-538-7541
OWNER-BUILDER VERIFICATION ,
Attention Property Owner:
An "owner-builder" building permit has.been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest-opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received..
1. I personally plan,to provide the major labor and materials for construction of
the proposed property improvement'(yes or no) ��
2. I (have/have not) signed an application for a building permit
for the proposed work.
I have contracted with the following person (firm) to provide the proposed
construction: -
Name
Address City
Phone Contractors License No.
I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:.=
Name
Address City
Phone Contractors License No.
I will provide some of the work but I have contracted (hired) the following
persons. to provide the work indicated:
Name Address.. ' I., Phone Type of Work
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and.
19832 of the California Health and .'Safety Code.
This, verification must be.completed and.returned.to our office -before we are per-
mitted to issue the permit.
KeLut'n to DPW AGIUCUL1Ulcf►L J1H1L'1IL'1�1 u1' /11.n1iUlrl���l�u'L'�u�ii.l /
Z
FOR RESIDENTIAL DEVELOPMENT / �-
1-3s lewd at Request ot1`
Section ,26,8.1. of the Butte County Code. Commonwealth Titlo4 E n P,15
requi.r�sthis acknowledgement be recorded,
prior'to is'suarilce of a building permit.
The property described herein is adjacent
90-041524 1 Rec Fee
7.00
to ]Nand or included within an area zoned
1 Check
.7.00
for agricultural purposes, and residents
Recorded
of this property may be subject to incon-
Official Records 1
veniences or discomfort arising from the
County of 1
use of agricultural chemicals, including,
Butte 1
but not limited to herbicides, pesticides,
Candace J. Grubbs 1
and fertilizers; and from the pursuit
Recorder 1 -
VS 2
of agricultural operations including,
S:OOam 27 -Sep -90 1
but not limited to cultivation, plowing,
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
within said zones and on adjacent property
should be prepared to accept such
inconvenience
or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as,,_.
follows:
"SEE LEGAL DESCRIPTION ATTACHED MADE A PART HEREOF"
Date: July 13, 1990
State of Calif .
County of Butte
On this the 13tlMay of July 19 90 , before me,
SS. the undersigned Notary Public, personally appeared
Shawn . Shingler
Personally known tome. ® Proved to me on the basis
of satisfactory evidence.
D be the personal whose name(sc)c is slie
ubscribed to the within instrument and acknowledged that
xecuted the same for the purposes therein contained. IN WITNESS
HEREOF, I hereunto set my hand and official seal.
Present A.P. No. 064-48-0--026-0 Notary Public
Kathy DAnce
OFFICIAL SEAL
r7)
K:=�aii HY DA CE
NOTARY PUBLIC — CALWORNIA
I
COUNTY OF BUTTE
W: Commimsien &pirao Feb. 25, 9994
Shawn . Shingler
Personally known tome. ® Proved to me on the basis
of satisfactory evidence.
D be the personal whose name(sc)c is slie
ubscribed to the within instrument and acknowledged that
xecuted the same for the purposes therein contained. IN WITNESS
HEREOF, I hereunto set my hand and official seal.
Present A.P. No. 064-48-0--026-0 Notary Public
Kathy DAnce
Order -No. P-30684 -RD
Pale
S C H E D U L E C
The land referred to herein is described as follows:
All that certain real property situate,in'-the County of Butte,
Unincorporated,' State of Calif,ornid" described as follows;
Lot -27, as shown on -that certain Map entitled, "PARADISE PINES UNIT
NO. 8", recorded in . the Office of the Recorder of the County of
Butte, State of California, on,'October 21, 1970,'in Book 38 of
Map -s., at . Pages .1, 2, 3- and 4.
EXCEPTING THEREFROM all minerals', oil, gas, asphaltum and other
hydrocarbon substances.: with provision that' any. and all mining
operations shall be done from orifices outside the surface area of
the land described 'herein�,'and that .no .damage shall ;be done to the
surface' of- said land.
END OF DOCUMENT
k A
. mV
QJ �.
cj
O "
1. Ceiling Insulation
One
Two
S. Infiltration (Air Leakage)
Ra
-11
Number of s=es
.5
R-5
-4
-4
3 _
R•11
.2
•2
' R-vaiva
One
Two
Three'�00n
•.2 '
4. Slab Edge Insulation
Skyfi*
- 18
Pants
Number of Stories
R-0
-1 C3
-49
32
Three
Standard
0 _
0
0
R-5
R-19
-8
-4
.2
8 '
6
3
F2 `ac:x
-40
37
na
R-10
.2
-1
.1 .
0.80
-1
-1
0
0.70
2
2
R38
0
0
0
2
0.50
9
6
3
0.:0
12
U -value
4-
7
-1
6. Glass Heat Lass
-19
-18
•47
0.50
-176
-84
-54
Toa]
38
5
.2
-9
U -value
-10
0.20
-102
-49
32
Percent
•7
.23
.51 to .41 to
.31 to 0.30 or
0.10
-26
-13
3
Glass
Single
Double
.60
.50
.40
less
O.C3
-18
-4
.9
-5
-6
_4
50
-121
-53
39
-24
•10
4
.
0rA
14
-2
_1
40
-90
37
•26
-14
3•
8
OX.C2
4 4
2
1
35
-75
•29
-19
-9
1
10
O.CO
11
5
3
.30
31
-21
-13
-4
4
12
0.20
22
3 2
1
29
•58
-20
-12
3•
5 •
12
8
8 6
4
26 22
28
-55
•18
•10
-2
5
13
13 10
7
0.3
1.20
27
-52
-17
-9
-2
6
13
2. Wall Insulation
,
1.60
26
-49
-15
.3
-1
7
14
12
Single-
Single-
�
ZS
S6
•14
.7
0
7
14
1
Famtiy
Family
Multi-
24
-43
-12
•5
1
8
1,4
R -value
Detacned
Art=nedFami'ry
4.1
- 23
-40
-11
-4
• 2
8 . ;
15
0.72
6.60
0 0 0 0
0
22
37
-9
3
3
9�is
0.80
R-0
38
-51
-34
21
34
-7
-2
4
10 ///
15
R-11
0
0
0
20
31
3
0
5
10'
16
R-13
2
2
1
19
-29
-4
1
- 6
1'1
16
R-19
8
6
4
18
-26
3
2
7r12
0.40
i6
U -value
-18
-14
0.50
17
-23
-1
3
8
/ 12
17
0
0
0.60
5_50
16
-20
0
4
9
13
17
0.80
-153
-114
-76 •
15
-17
1
6
10
14 .
17
0.50
-91
-68
-46
14
-14
3
7
10
14
18
0.30
-47 a"
36
.24
13
-12
4
8
11
15
18
0.10
0
0
0
12
-9
6
9
12
15
19
O.C8
4
3
2
11
-6
7
10
13
i6
19
0.06
9
7
5
10
3
9
11
14
17
19
O.C4
14
11
7
9
-1
10
13
15 '
" 17
20
0.02
19
14
10
8
2
12
14
16:
18
20
0.00
24
18
12
Solar
2 1
1
0
0
18
HWR
--Z3- • -12
-8 '
3
•.5
5.1
WS3
-25 -13
3. Raised
Floor Insulation
-5
7• Shading (Shade
Open)
-6
-5
_ ... -
Insulation in Floor
-8
•-3
--
Efrecd rt Fes csrtt Clxn
:...
Soiar
6. j 3
Number
of stories
l 1`
4.1
POU
(Pe t glsss x SC)
- 0
R -value
One
Two
Three
: -30 AS
:10
- -8
b
-
--
---
" R-0
R-11
•17
3
8
-2
5
.1
Effecvm
°: Glass
North
East
South � West Skyright
R-19
0
0
0
18
5
1.
4.8
4
1
na
R-30
3
1
1
16
4
2
1.5
5
1
na
U-vaiue
16
1S
3
14
4
2
14
5
1
na _
-'
4.7
4.9
5.1
S3
12
3
3
6.2
5
2
na
- ---.0.60
-144
-70
S6
11
3
3
29
5
2
na
0. So
•120 _
-58
38
10
2
3
5.2
5
2
1
0.40
-95
6.4
30
9
2
3
1S
5
2
2
0.30
-69
34
42
8
2
3
42
5
2
2
0.20
-3
-21
-14.
7
.1
3
65
4
2
2.
0.10
-17
-8
•5
6
1
3
13
4
2
3
0.08
-11
-6
-4
5
1
2
S5
4
2
3
- 0.06
-0
-3
-2
4
0
2
13
3
1
3
0.04
•1
0
0
3
0
1
4.8
2
1
3'
.0.02
4
2
1
2
0
0'
69
1
0
3
O.CO
10
5
3
1
•1
-1
3.5
-1
•1
2
4.5
4.7
4.9
5.1
0
•1
.2
5.9
-4
.2
0
Controlled
Ventilation Crawlspace
na=not
allowed
2
2.3
2.5
2.7
2.9
3.1
Number of staries
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
R-vaiue
One
Two
Three
Ra
-11
-7
.5
R-5
-4
-4
3 _
R•11
.2
•2
.2
R-19
•1
•2
•.2 '
4. Slab Edge Insulation
Skyfi*
- 18
- -"
Number of Stories
---
R-value
One
Two
Three
• R-0
0 _
0
0
R-5
8
5
2
R-7
8 '
6
3
F2 `ac:x
-40
37
na
•0.40
-t
-3
-1
0.80
-1
-1
0
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.:0
12
8 -
4-
t3. Shading (Shade Closed)
:::
Interior
Eredve Pescmt Class
Slab Floor Raised
Floor.
Mass
(Percent etas x SLS
Stones . Stories
R
(assumes ducts
_
One
Two Three One .
Two Three
%Glass
Norbw
East
South
West
Skyfi*
- 18
.14
-48
-69
-64
na
16
-12
.42
-59
-55
rta
14
-10
35
-50
-46
no
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
-1
.14
-19
-18
•47
6
3
-11
-15
-14
38
5
.2
-9
-11
-10
-30
4
-1
-6
-8
•7
.23
3
0
.4
-5
-1
-16
2
i
-1
-2
-1
-9
1
1
1
1..
1
-4
0-
2
3
4 '
3
0
9. Interior Thermal Mass : •
:::
Interior
Slab Floor Raised
Floor.
Mass
Stones . Stories
(assumes ducts
HCFA
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
05
-6
3 -1 1
1
2---
•-0.7
0.7
-5
-2 •1 1
2
2
09
-5
-1 0 2
3
3
1.1
-t
•1 1 3
4
4
1.3
.3
0 2 3
4
5
U
-3
1 2 .4
5
5
20
-1
2 .4 5
6
7
25
0
3 5 7
.7
8
�is
2
11.0
10
9 7
6
2
5 7 9
9
0
4.0
3
6 8 9
10
10
4.5
3
7 8 10
11
11
S.0
4
7 9 11
12
12
5.5
5
8 9 it.
12
12
6.0
5
8 10 12
13
13
65
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 it 13
14
14
8S
7
10 12 13 -
14
15
10. Exterior Wall Thermal Mass
23
Evenor
Single- s4vle-
0 0
0
wall
0
Family Family
VM11
8 6
Mass
4
Dota&,ed kncc d
Family
0.00
14 12
0 0
0
'
0.20
22
3 2
1
10
0.40
11.0
5 4
3
15
0.60
8
8 6
4
26 22
0.80
14
10 8
5 •
,
1.00
20
13 10
7
0.3
1.20
0.81
13 12
8
:
1.40
4
12 13
9
,
1.60
. �
10 13
3.3
15
1.80
19
10 12
12
-5
2C0
�
10 11
_ -
13
Two +
11. Heating System '
3 2
2
2
1
SE or RSFF
1.6
1.8
2
22
(Assumes ducts In attic) •.
Single-Famll7
Detached
and
Sum of t-6
3.5
17,
i Unit Size (so
4.1
.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
Type
3 3 3 2
2
1
0.80
7.33
8 - 7 6 5
4
3
US
7.79
13 11 -10 8
.7
5
0.Q4
8.25
17 15 13 11
9
7
095
8.71
20 18 15 13
11
8
WS3
5 3
Elreetive SE or HSPF
2
2
(SE or HSPF x duct ett'laleneT)
PCU
_ •8 5
Effec:ve •25 or -24 to -1410 :410
+6 b 16 or
SE HSPF
less -15 -6 +5
+15 more
0.30
275
-73 -64 -56 -47
38
-M
na
3.41
-45 -39 -34 •29
-24
-18
0.40
3.57
-34 -30 •26 -22
-18
-14
0.50
4.58
-10 -9 -8 -7
-5
-4
0.56
S.13
0 0 0 0
0
0
0.60
5_50
5 5 4 3
3
2
0.70
6.42
17 15 13 11
9
7
0.80
7.33
25 22 19 16
• 13
10
0.90
825
32 28 24 20
17
13
1.00
9.17
37 32 28 24
19
15
A
Zonal Control Adjustment
Soiar
-8 5
System
Type
3
5
Ressattce
10 9 7 6
4
3
Offer
63
6 S 4 3
2
2
12. Cooling Syst,tm
SEER
(assumes ducts
In attic)
Interior MassICFA
Stm of 7-10
•25 or •24 to U10
l b
+6 to
16 or
SFR
less
•15
+5
+15
more
8.0
-14
-12 -10
-8
3
.4
. 8.5
-9
-7 3
-5
-4
3
_
8.9
-5
•4 -4
3
-2
-2
9.0
-4
3 •3
-2
•2
-i
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
120
15
13 11
9
7
5
13.0
-20
17 - 14
12_
9
6 :
ERedive SEER
(SEER xdud efnciencT)
0%
Sun of 7-10
-10%
15%
Effec-re-25 or
-24 to -14 to
-410
+6 b
16 or
SEER
less
-15 .5
+S
+15
more
5.0
30
-25 •21
-17
-13
-9 .
6.0
-12
-11 -9
-7
3
-4 :
6.6
-5
.4 .4
3
-2-2
23
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16 .
14 12
• 9
7
5 '
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
120
30
26 22
18
14
9
13.0
33
29 24
20
15
10
0.3
Zonal Control Adjustment
0.81
10
8 7
6
4
3
i
No Cooling System Installed
21
. �
==Stories
3.3
15
17
19
4.1
One
-5
-t -1
3
-2
5.4
Two +
3
3 2
2
2
1
1.4
1.6
1.8
2
22
2.4
Single-Famll7
Detached
and
Attached
3.5
17,
i Unit Size (so
4.1
Water
4.5
1,39 12Cc;
1700
2200
2700
Heater
C. odd
or •I b
to
to
or
Type
Type
fess 1689
2199
2699
more
..SG
None
0
0
0_
0
or
Sciar
12':' 8
6
5
4
- HP
HWR
8 5
4
3
3
1.3
WS3
5 3
3
2
2
25
PCU
_ •8 5
4
3
3
SE
None
37 -24
-18
-15
-12
'•
Solar
-1 •1
.1
0
0
55%
HWR
•18 A2
-9
-7
3
2
WS3..
-25 •16
-12
-10'
-8
' - POU
•18 _-12.
-9
-7
-6
IG
None
'-5 •3
-2
-2
-2
56
Sciar
7 :5
4
3
2
12
POU
3 2.
1
1
1
E .
None
-28 -19
•14
-11
A
3.8
Soiar
-8 5
4
3
3
5
PCU
-10 t 6
.5
-4 _-.3
6.1
63
Multl•FamR 0.dlvid1tal units)
1.1
U
"
- I Unit Size
(s
Water
2.S
699 700
1200
1700
2270
Healer
Credit
or b
to
to
or
Type
Type
fess__ ;1189
1699
2199
more
SG
None
0 0
0
0
0
or
Soiar
14 7
5
4
3 '
HP
HWR
9., 5
3
2
2
4.3
WS3
9 4
3
2
2
5.6
PCU
9 5
3
2
2
SE
None
-45 -23
-15
-11
.9
25
Solar
2 1
1
0
0
18
HWR
--Z3- • -12
-8 '
3
•.5
5.1
WS3
-25 -13
-8
-6
-5
-12
8
-6
-5
__KU_23
iG
-None
-8
•-3
-2
-2 '
:...
Soiar
6. j 3
2
1
l 1`
4.1
POU
1 _0
- 0
0
0 .
- E
None
: -30 AS
:10
- -8
b
c' -:.Solar
85%
`18.: 9
. 6
4
4
c-
:orlI
:--A .4
.1
.9
.1
Point System Summary: Climate Zone 11 .
SCORE CARD _.._....
Measures Point Scores -
1. Ceiling Insulation 3U or - �
' R -value [381 U-vaiue [0.0301
2. Wall Insulation or
R-value[11J U•vaiue(0.098)
3. Raised Floor Insulation loll or
R-va1ue[191 U -value [0.0371
-4 Slab Edge Insulation - or
R -value (01 F2 fact" [0.771],
5. Infiltration Standard 0
6. Glass Heat Loss fiL
Type [doublel U-vaiue [0.651 90 Total Glass C 16 Sum 1-6
7. Shading (Shade Open)
% Glass SC ..Eff. oro Glass
a. North 41 x
b. East X = T
c. South - X =--
• d. West x = "!2. 00 •�_
e. Skylight x� a
8. Shadinc, (Shade Closed) ::...
90 lass SC Eff. 90 Glass
_.� -
..... a. .North X ... _. - ...----
_. b. East -._.. _... x = a 1
c. South X
d. West , X - -- �
e. Skylight (�A x
9. Interior Thermal Mass TYP 1 r ASS AREA
COND. FLOOR AREA
Interior 7i sICFA S
10. Exterior Wall Mass T"P- 2 r1ASS ARRA = e
atcrior Wall 4tass ND. r LuoR A,:LZA .slum 7�-10
11. Heating System . %a X _
Zonal Control? ( Y / N) SE -,:SPF Duct Miciatcy [0.781 Effective St or
10.722/6.6 HSPF 10-5615 151
12. Cooling System_ wAlp- _ . a
Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency (0.741 Effective SEER [7.031
13. Water Heating�---
_ TYPe [SG] Caths (nate]%"'�
D......Tn..-1. F
Interior MassICFA
ll.,•otwc••'il
a vrrt: 1 p -%Z
(Ut1C a 4.2.
tsl exposed
s1=b1
0%
S%
-10%
15%
20%
25%
30%
35%
40% 457.
50%
5S% 607E
65x
70%
75%
80%
85%
9C%
95%
100% 10S% 1107:
115% i2a125•
0
0
02
0.4
0.6
0.8
1.1
1.3
1.5
1.1
1.9
2.1
23
2.5
Z.7
2.9
32
14
3.8
3.8
< <
4.2
'!.l
4.6
!
S
53.8
107.
02
U
' 0.6
0.8
1
1.2
1.4
1.6
1.9
21 ,
23
25
2.1
2.9
11
3.3
15
17
4
4.2
4.4
4.6
4.8
5
52
S4
20%
0.3
0.6
0.81
1.2
1.4
1.8
1.8
2
22
14
21
29
3.1
3.3
15
17
19
4.1
4.3'
4.5
4.8
S
52
5.4
56
30%
0.5
al0.9
1.1
1.4
1.6
1.8
2
22
2.4
26
28
3'_
.32.
3.5
17,
33 `
4.1
43
4.5
4.7
4.9 5.1
5.3
5.6
58
4oy.
0.7
09
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2S
2.8
3
3.2
3.4 '
3.5
" 18
4
4.3 '-4.5
4.7
4.9
5.1
5.3
S.5
5:7
5.9
50%
0.9
1.1
1.3
15
1.7
1.9
2.1
2.3
25
27
3
32
14
3.8
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.8
1.8
2
22
24
2.5
28
3
32
3.5
3.7
19
4.1
4,3
4.5
4.7
4.9
5.1
53
56
5.8
6
0--
60%
60%
1
12
1.4
1.7
1.9
2.1
2.3
25
2.7
2:9
3.1
13
3.5
3.8
4
4.2
4.4
4.6
4.8 '
5
5.2
S.4
5.6
5.9
6.1
63
65%
1.1
U
1.5
1.7
1.9.2.2
2.4
2.S
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
6.1
64
70%
1.2
1.4
1.6
1.8
2
22
15
2.1
2.9
it
13
35
3.7
3.9
4.1
4.3
4.6
4.8
5
52
5.4
5.6
58
6
62
64
75%
1.3
'15
1.7
1.9
11
,23
25
27
3
12
14
16
18
4
4.2
4.4
4A
4.8
5.1
5.3
U.
5.7
5.9
6.1
6.3
65
V%
1.4
1.6
1.8
2
22
24
16
2.8
3
3.3
15
17
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
21
23
25
2.7
29
3.1
3.3
3.5
28
4
4.2
4.4
4.6
4.8
S
52
54.
56
59
6.1
63
65
67
907."
1.5
1.7
2
21
2.4
16
1S
3
3.2
3.4
16
14
4.1
4.3
4.5
4.7
4.9
5.1
S3
SS
5.7
5.9
6.2
64
66
66
95%
1.6
11
2
22
2.5
17
29
3.1
33
3.5
17
3.11
4.1
4.3
4.5
4.8
S
5.2
5.4
5.5
5.8
6
Q2
6.4
6 7
6.9
1007.
1.7
1S
21'
2.3
2.5
18
3
12
3.4
16
18
4
42
4.4
4.6
4.9
11
5.3
55
5.7
5.9
6.1
6.]
65
6.7
7
los%
1.8
2
22
2.4
2.6
28
3
13
3.5
3.7
19
4.1
4.3
45
.4.7
4.9
5.1
5.4
S5
5.8
6
6.2
6.4
6 6
6 e
7
110%
1.9
V
13
25
27
2.9
11
3.3
36
3.8
4
42
4.4
4.8
4.8
5
5.I
5.4
5.7
5.9
U
6.3
ES
6.7
69
7.1
115%
2
22
14
2.6
28
3
32
3.4
3.5
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
- 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
73
125%
11
23
2.5
2.8
3
32
3.4
3.8
3.8
4
42
4.4
4.6
43
5.1
5.3
55
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11 .
SCORE CARD _.._....
Measures Point Scores -
1. Ceiling Insulation 3U or - �
' R -value [381 U-vaiue [0.0301
2. Wall Insulation or
R-value[11J U•vaiue(0.098)
3. Raised Floor Insulation loll or
R-va1ue[191 U -value [0.0371
-4 Slab Edge Insulation - or
R -value (01 F2 fact" [0.771],
5. Infiltration Standard 0
6. Glass Heat Loss fiL
Type [doublel U-vaiue [0.651 90 Total Glass C 16 Sum 1-6
7. Shading (Shade Open)
% Glass SC ..Eff. oro Glass
a. North 41 x
b. East X = T
c. South - X =--
• d. West x = "!2. 00 •�_
e. Skylight x� a
8. Shadinc, (Shade Closed) ::...
90 lass SC Eff. 90 Glass
_.� -
..... a. .North X ... _. - ...----
_. b. East -._.. _... x = a 1
c. South X
d. West , X - -- �
e. Skylight (�A x
9. Interior Thermal Mass TYP 1 r ASS AREA
COND. FLOOR AREA
Interior 7i sICFA S
10. Exterior Wall Mass T"P- 2 r1ASS ARRA = e
atcrior Wall 4tass ND. r LuoR A,:LZA .slum 7�-10
11. Heating System . %a X _
Zonal Control? ( Y / N) SE -,:SPF Duct Miciatcy [0.781 Effective St or
10.722/6.6 HSPF 10-5615 151
12. Cooling System_ wAlp- _ . a
Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency (0.741 Effective SEER [7.031
13. Water Heating�---
_ TYPe [SG] Caths (nate]%"'�
D......Tn..-1. F
;ertifcate of Compliance: Resident Climate Zone 11
ro;ectTlcla 1 /' 7.9-�
05
%t s//I/%�YLGr Building ?eacmit ii
71ectAddreu
1 VA��1 �.�/%'%r1%/.� l f/G Cheesed By/ Dau '
7x7,men La Lionon Author Telephone Enfor=ncnE Agency Use Only
-LZLDING DATA
�onditio
31ab sed
ingle Family Detached (SFD)
] Single Family Attached (SFA)
] Mulci-Family (MF)
Number of Stories
Number of _Units
[ ] Addition Alone
[ ] Existing Building
[ ] Existing -Plus -Addition
3L-ILDU G SHELL INSULATION
Glass Area % Glass
North
7_
East
5-• s
South
! /
West
47zkl a
Skylight
14C e -
Total
a,s•S A<,
3L-ILDU G SHELL INSULATION
Zotnponent
Insulation Locanor/Comments
i vr+e
R -Value (atic, to gauge, er�ictl etc.)
(attic, etc,)
.. .. ... ... ..
Wall ........«.«-
Roof .............
—�
Roof .............
30L., L`1 ( )
Floor .............
q
Floor .............
--p
Slab Edge.....
.
GLAZING
Shading Deyices
3I2zing Arca Glass Type
Orientation (sf) (sin -k, doubt
Interior . Exterior Overhang Framing Type
(nolle blind, etc.) (shadesetee:n, etc.) (yes/no) (metal/wood)
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency
Location
NO r"rl ( )
Output Manufacturer / Modes #
:onditioner, hest vumo) (SE, SEER,HSPF)
(attic, etc,)
East ( )
(Btuh) (or acoroved equal)
So I—, L`1 ( )
/it Ifd
30L., L`1 ( )
01 d
West ( )
Maximum Furnace Heating Output:
( )
WestCA
Skylight.......
THERMAL MASS
Type,fCovenr-g
Area Thickness
(slag/exposed tile- etc.) (sf) (inches) Location/Deseriction (kitchen• bath. etc.)
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency
Location
Duct -
Output Manufacturer / Modes #
:onditioner, hest vumo) (SE, SEER,HSPF)
(attic, etc,)
R -Value
(Btuh) (or acoroved equal)
duo t • Q
,
01 d
Maximum Furnace Heating Output:
Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model#
System Type (stora¢e gas. etc.) Capacity (or acoroved ecual) Special Feanlre(s)
V
SPECIAL FEATL`RES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -IR
NOTE: (p••= residential buildings subject lathe Sandards mus contain these me== re^,ardlcii of the compliance
appnooch used lu W marked with an astertsk (*)may be wp==d d by more snngetu compliance tsgturements Gsttd
on the Ccrtlfic%u o(ComNianc, caber thu checklist u incorporated into the permht documenss, the features noted shall
be corucdcrod by all prates as binding minimum component perfomu= xpoafhcations for hhc mandatory measures
whetMr they arc shown cyscwherc in use documents, or on this rhocklia only.
MCRIPt1oN I
Building Envelope Measures
• 12.5352(4): Minimum ceiling insulation R•19 weighted avenge.
12.5352(bt Loose fill insuluion manufacturer's labeled R -value
• 12.5352(c): Minimum .all insulation in framed walls R- I I weighted avenge (docs not apply to
camnor muss walls).
12.5352(k} Slab edge insulation - water absorption rate no greyer tort 0.3%. water vapor
uanunission rate no g inter than LO perrrvuXht
12.5311: insulation specified or in alkd mesa Wfomia Energy Commission (CEC) quality
standards. Indicate type and form.
12.5352(!): vapor barriers mandatory in Climate Zones 14 and 16 only.
12.5317: In(itration/Eafto-Jtion Controls
L Doors and windows between and d uncw4doncd spaces detigned to limit air
lige
b. Doors and windows eertirw4
a Doors and windows wather=pped: all join and pe nco"A sorts caulked and sealed
12.5352(e): Special infdtration barrio installed to comply with 12.5351 meeu CF -C quality
standards
12.5352(d): Installation of Fucplaccs
1. Masonry and factory -built fueeplaces have
a. i nghrfiaing, closable mesal or glass door
b. Outside air intake with damper and control
C. Flue damper and control
2.14o continuous burning gas pilots allowed.
HVAC and Plumbing System Measures '
12-5352(g) and 2.5303: Space conditioning equ:ipmcnt siring: attach —k—l-ions.
12.5352(h) and 2-5315: Setback thcr o= on all appliable heating systems.
• 12.5316(a)- Dutra constructed. irutalkd and insulated per Chapter 10. 1976 UMC
12.5316(b): Exhaust rys=ns have damper controLt
12.5314(c): Gu-fucd space heating equipment has intermiarnt ignition devices_
12-5314: HVAC equipment, water hcatrrs. shhowchcads and fair^v ratified by the CC
12.53520: water h"•^• insulation blanks (R-12 or greater) or combined interiorkaterior
insulation (R-'16 or greats): fust 5 feet of pipes closest to tank insttlated (R-3 or greaucr).
12.3312t'Faccption 1-g Pipe insulation on steam and steam condensate return & recirculating
pip.n6-
12.531R(dr Swimming Pool Heating
1. System hu
L ONoff switch on heater.
b. wathcrproof instruction plate on heater.
e Plumbed to allow for solar.
2.15 percent thermal cfrieiene),,
3. Pool cover.
4. Timc clock.
5. Dhrxvonal water inlet
Lightint and Appliance Measures
h
12.5352(1): Lighting - 25 lume Wwatt or greater for general lighting in kitchens and bathrooms.
12-5314(c): Gu fired appliances equipped with inmrmitretht ignition devices.
12.5314(a): Refrigerators. refrigerotor•frw-crs, fir== and lluorescau lamp ballasts certified
by the C=C. Indicate mak--and model number, .
COMPLIANCE STATEN=
DESIGNER I ENMRCDAFM
This certificate of eompliarlec lists ter building features and performance specifications needed to comply with
Tide 24, Chapter 2-53 and Title 20, Ci3 vz. Z. •Y»t 4. Article 1 of the California Administradye code. This
r..ficste has b2 signed by the individual witi2 ovaaIl design respc:tsibility and the building owner. who shall
retain i copy of it and trarumit the =rrificat.e to :ay sabsccue= purchaser of the building.
Designer
Name:
Tttle4FUrtL
Add=:
Tekp)one
t.;c• 1:
(si 6na mm )
Documentation Author
Nunc
Tltk/FISn.
(dace)
Building Owner -
Building
rSih(' E e S1 -11N6 C_6_e_
Tckp�'wnc
(si6nanae (date)
Enforcement Agency
Name:
A=ary: