HomeMy WebLinkAbout064-580-012'
-58ROBERT DASCH 2�1 F1,P320 Bently cofAr.,40t, tpo IIII! agaliar �ermit#2939-83B.P,t,M(new single f'a'mlly)064-58-0-012 93-2304 BBLIZARD, JOHN6320 BENTLEY CT, MAGALIACONTR: WATERWORKSPELLET STOVE/SF
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-58ROBERT DASCH 2�1 F1,P320 Bently cofAr.,40t, tpo IIII! agaliar �ermit#2939-83B.P,t,M(new single f'a'mlly)064-58-0-012 93-2304 BBLIZARD, JOHN6320 BENTLEY CT, MAGALIACONTR: WATERWORKSPELLET STOVE/SF
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064-580=012 PERMIT#96-0096
BLIZARD, John &'Winona
6320 -BeCt., Magalia
Replace Pellet Stove w/Gas Ht/SF
OFFICE COPY
1
Address
GAS Date 177,
Meter B
ELECTRIC Da e ------
Meter BY
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COUNTY:OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, CalifdtnTa 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT z lop
ASSESSOR PARCEL NUMBER 64-580 012
ZONING
% BUILDIN PERMIT
OWNER JOW &J MONA BLIZA"
TINE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS PO BOX 321 MAGALIA, 95954
CONTRACTOR'S NAME UM
Yi�i�1�V�1�
MN
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace A 1
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
Filing Fee $ ,� 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 35.00
ARCHITECT OR ENGINEER
LICENSE NO.
i
- Plan Checking Fee $
Energy Plan Checking Fee $ r '
ARCHITECT OR ENGINEERS MAILING ADDRESS
i
Penalty $
BUILDINGADDRESS 6q0 By�tr,r, V �, !
L tali '
PERMITFEE $ • UU
PLUMBING PERMIT 40. Filing Fee 20.00
MAGALIA
Each Trap 7.00
LOT NO.SUBDNISION'S
NAME
PARCEL MAP
Solar or heat pump water heater 23.00
WaterI in 15.00
P P g
USEOFSTRUCTURE
SF ❑( Duplex ❑ Mobilehome ❑ Other
SPECIFY I
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00 0 UO
Building sewer 15.00
TYPE OF WORK 1
V
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E3
Describe Work: REPLACE PELLET STOVE WJGAS HE.4T
— -
j
Mobile Home S I G W (—W20.00
PERMITFEE s 35.00
Contractor .
ELECTRICALPERMIT Filin ee - 20:00
Main Service ( 200V OR LESS ) 23 00
200A OR LESS
Main Service ( 200A TO 1000A ) 46.00,'
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:
❑ 1, 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.
ori 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
NEW CONST. DWELLING OCCUR SOS'
OR ADDNS. ( 3 ACC. BUDS. ) 3.5,t FT:' Jk•.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES) BAL 9 .50
Ex. Occup. (oFIXEEDTs PES D.OEA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
I 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
MECHANICAL PERMIT Filing Fee 20:00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed 0 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 mariner so as to become subject to workers'
compensation laws of California; and agree that if I should become subject to the
workers' compensation provisions oflsection 3700 of the Labor Code, I shall
forthwith comply with those provisions..
p
Date ,/
�s�-�• 9-� s'� s_— �-----
�S gnature of Applicant - 13' Owner ❑ Contractor ❑ Agent
An OSHA permit is required fore cavations over 60" deep and demolition or construction
of structures over 3 stories in -height.
— `. +
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 90.00
HAz.
I
D. FEESI
i
IMP
FLOOD
7F PARCEL PD HD
ISSUE
This perrriit is hereby issued under ttie applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
Bye a AJ/ Date
PERMITEXPIRESON
(Date)
Receipt No. IQ rv,3 /)
WHITE -WHITE -14.13 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF.DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oraville,'Calilornia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT O
ASSESSOR PARCEL NUMBER 64-550-012
ZONING
BUILDIN PERMIT
OWNER JOHN & WINONA BLIZARD
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS PO BOX 321 MAGALIA, 95954
CONTRACTOR'S NAME UNKNOWN
UNKNOWN LVN�'11YY
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace A 1.500.00
CONSTRUCTION LENDER
UNXNOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
7
BUILDING ADDRESS 6320 BENILY CT
PERMITFEE $
MAGALIA
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF CX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
—FT
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: REPLACE PELLET STOVE 141GAS HEAT
—
Mobile Home FG Ew7 @20.00
PERMITFEE $ 35.00
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service EOOV OR LESS
( zooA OR LESS ) 23.00
Main Service ( 200A TO I000A ) 46.00
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:
will do the work, and the structure is not intended or offered for sale.
(;AO1, as owner of the property, or my employees with wages as their sole compensation,
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
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
NEW CONST. DWELLING OCCUR SO.
OR ADDNS. ( & ACC. BLDS. ) 3.5¢ FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( & POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00
aAL 0 .SO
Ex. Occup. (OUTLETSIXAPPLN D.) R ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
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
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _ Date/
Ig ure of Applicant Sal Ow r ❑ Contractor ❑ Agent
SHA permit is required fo xcavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 90.00
HAZ.
I D. FEES
I IMP I FLOOD
CDF
PARCEL PD HO
ISSUE
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 ha a been paid.
BY/,Dote
PERMITEXPIRESON / /
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANAR -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE'
L� BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
_ l I> Cyt -2i 3 �1
OWNER PERMIT NO. Z
A routine inspection indicates that the following violations of Butte County Ordinances exist at 'i
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,x
please,,�,ontact this office immediately.
. r.3
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Date (9- 3-, ?2 Inspector
REV 10192
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... . . - = 064-5I8-0-093-2304 BBLIZARD, JO6320 BENTLEMAGALIACONT, WATERPELLET STOVE
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•
COUNTY OF BUTTE - DEPARTMENT OFPEVELOPMENT SERVICES - WILDING DIVISION
~' • 7 County Center Drive - Oroville, California -95965 - Telephone (916) 538-75&4.PERMIT rio:
APPLICATION AND PERMIT 3� z-Jhb V
ASSESSOR -ARCES*'-0 012
zORINING TI
BUILDING PERMIT
OWNER
JOHN BLIZARD
TELEPHONE
8732±116
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
PO BOX 321MAGALIA 95954
CONTRACTOR'S NAME
WATSMRKS
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace A 1500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 35.00
ARCHITECT OR ENGINEER
ucENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
6320 BENTLEY CR MAGALIA
PERMIT FEE $ 55.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF;,0 Duplex ❑ Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel IJUtilities Q Installation ID Other
Describe Work: PFUET STOVE
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( BOOVORLESS ) 23.00
200A OR LESS
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. SO,
OR ADONIS. ( & ACC. OLDS. ) 3.5C FT.
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
11 the work, and the structure is not intended or offered for sale. (Sec 7044)
X14 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code_L
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00
Ex. Occup' ( CRIED APPWS. OR
UTLETS (RESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
ii
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 against said
County in consequence ofthegranting,of this permit.
X1/ C %i".,�.. / Date ��— % 9
Signature of Applicant -,Q owner 1:1 Contractor CI Agent
i
Ari OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 55.00
HAZ•
1 D. FEES
I IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR
DIRECTOR OF PUBLIC WORKS
r�
By / �l �.L'1i� /-f/.+//F✓
Date
! !��
PERMIT EXPIRES ON ! `/
I Vate)
143647
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 25965 - Telephone (916) 538-75� PERMIT N
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
064-58-0-012
ZONING
RT1
BUILDING PERMIT
OWNER
JOHN BLIZARD
TELEPHONE
873-1116
30, FT. OCC. BUILDING VALUATIO
OWNER'S MAILING ADDRESS
PO BOX 321 MAGALIA 95934
CONTRACTOR'S NAME
WATERWORKS
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace A
1500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
6320 BENTLEY CR MAGALIA
PERMIT FEE $
55.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF)p Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel CIUtilities ❑ Installation 1:1Other CX
Describe Work: PET LFT STOVE,
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service I BOO' OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( & ACC. BLDS.)
g0,
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (cheek one)
❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and
P P
Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
IDI am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS )
@7.50
( POWERAPPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occu FIXED APPLNS. OR
P• ( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 against said
County ' onseq iencce of the gran f this permit.
X (�r Date ��� 93
- - ner CJ Contractor ❑ Agent
S �K/ture of Applicant XK
OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
coNsr. rrPE
TOTAL FEE $ 55.00
HAZ.
1 D. FEES
I IMP
I FLOOD
COF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
l� 2
BQ
V JDate
PER IT EXPIRES ON I� , Y
I tel
ReceiptNo. 143647
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.:1?`1f*'"gr-rar�-r,.,,�..r-r.•�^•�.<S.-I�,--4":•h!`,n..r�-+.: `''""' .. ;.. -r�.�A�r�sr.•.-•�•�:'rr-'�'"'�.r`_'' ""`»,
COUNTYOF BUTTE - DEP'ARTdENTOF V LOPMENT SERVICES - BUILDING DIVISION
S
7COUNTYCENTER DRIVE - OROVILLE,.CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use
Building Inspector
0
Date
At time of permi application, I was advised the following data must be submitted prior to permit processing an /or issuance:
DATE RECENED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans. ........................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ...... I ......
5. Hazardous Material Form . .......................................... .
6. Energy Design Compliance and supporting documentation . ....................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. .:.........
10. Fees of $ .........................................
11. Impact fees as shown on attached schedule . ...............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about .(A) Improvements (B) Drainage. ......... .
19. Driveway permit (construction approval required prior to occupancy). .. . .
Preanspedion n:quest
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................: .
28. Mobilehome utility clearance . ..................:...................... .
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . .......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: , ail ,to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant \ �' Date
Copy of Haz-Mat form sent Health Dept. Fire Depth 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 N(""
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
01
a
PERMIT N0. 2939-83B P E M
!
r PERMIT EXPIRES �O v
—OWNER ROBERT DASCH
s
CONTR. R.C. Dasch Const, Shingletown
ASSESSOR PARCEL 64-58-12
I
LOCATION 6320 Bently Court, lot 12, PP#11 , Mag.
.1
x
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A .
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S
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OFFICE COPY
Temp. Power Address
j 1
Called P
1 1 GAS I
Temp. Elec. ; M r y
Date
ELECTRIC Date
Meter By
Called PI _.
Temp. Gas Service
�i
i} Called PG&E
ti
? JOB FINALED (Date)
tSignature —
a
z
44.
V = OK �s
0 = Not OK
- = Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except a's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVE RS,.CARPORTS, ETC. (Plans) OK except k's
1• Zoning Requirements -Setbacks -Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
_
4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.-Braying
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors.
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
'
8. Gas and Electricity Tagged
B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date Y
a
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
} Not Ready
Date
UNDER LOOK Plans OK except #'s
Date
FRAMING Continued
1 oning requirements-Setbacks-Easements
_ 4
r rt y Line Firewall & Openings
tg., Main; Soils-Steel-6�,- / ' Ftg. Depth
49AISM.
Doors -One 3' -Check Garage -3rd story, 2 exits
g., Garage; Soils -Steel- / /" Ftg. Depth
50.
SI irs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5
1jde6d on Roof Overhang -Attic Vents -Rafter Outriggers
_
temwalls, Main; Steel-Blockouts-Wrapped-Slab
walls, Garage; Steel-Blockouts-Wrapped-Slab
5Z4ol
53.
iding-Nailing-Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
J . ater Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Under ro d
12. Plenums & Du s; Clearance -Material -Support -Ins.
// '��irders-Sills-Anchor
Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card BI
Date Card -BI Date
Date
FINAL lans K except q's
Card -BI ate f(_ Card -BI Date
Date
_
PLUMBING (Permit) OK except p's
14. Water Ht.; Vent -Access -Combustion Airnate;
5
x eps-Door & Sidelight Protection -Landings
57
moke tector
Vents -Clearance -Comb. Air-Connector-
In ge,Above Floor-Ducts-Mech. Protection
15ga Water Pipe; Test & Anchors -Nail Protection
Test-Fttngs & Anchors -Nail Protection
5
Be m Exiting
17. Shower Pan; Test, First Floor -Tub Access
6
.I. & Bath Fixtures & Tub Acce
18. Test Tub & Shower, 2nd Floor -Tub Access
1.9_. Gas Pipe; Size & Anchors
JVEIU.
Trim & Subpanel; Breaker Sizes
6
tai Rails
6;k,,f1rSpiace
or Stove; Clearances -Hearth
6
, 1 .Outlets at Wood Panel;
Card -Bl.
Date IV_- and -BI Date
i ixt. & Appliance; G d. A Cooking Clearance
Card -BI
Date Card -BI Date
6
EI Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
6
Garage Fire Door; Swing -Landing -Closer
Garage -Damper
_ 2 .� Fyature & Transformer Clearance -Ins. Protection
6
r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In G e; Above Floor-Mech. Protection
__�
c. Receptacles Spacing -Lights & Switches at Doors
7
lec. & Mech. Equip. Listed for Location
_
2 . Size Boxes & No. of Conductors -Stapled
711-Elec.
Receptacles in Garage; (G.F.I.)-Romex Protec.
omex Installed Close to Edge of Studs & C.J.
q . Ground made up w/Mech. Fasteners -Bond Gas & Water
72•
InsJaiian-Foam=tvoked in Attic es
---78e,Guard
25. Appliance Circuits in Kitchen & Conductor Size
Rails & Deck Construction -Post Caps
eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole D -Drainage & Wood -Earth Clearance
Looked under Floor UPres
_
/ ga. Cu or At,
Insulated Neutral ❑Yes ❑
27. Range Circ. / / ga. Cu or AI -Oven C�.n_Disc�
28. Service -Riser Conductors Gr nnect
75.
Following instld.: Drive s No; Walks ❑Yes o;
Planters ❑Yes
- tnish
Un' Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-- 2 quip. Clearances; Panels-Motors-Mech. Equip.
_
30. Clothes Closet Light -Shower Light _-
78,
s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-- ----
Card IT
Card B -I
--------------- ----
-- _-_-_-_--_-.__-
_ ate _% d BI Date
Date and -BI Date
80
onnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
8
enti n throughout House
8
lass Protection
Date
MECH CAL (Permit) OK except N's
83.
84.
Corrections from Previous Inspections
Gas 1, t -Meters Tagged; Gas -Electric
-
A.C. Ducts; Insulation & Support
85.oWat_er_&
g
wer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
_
-
32. Vent Fan;Exhaust above Insulation
33. Condensate Drain _& Overilow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
- 35. Attic Access & Platform if Furnace in Attic
Card -BI ate /- Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Card -B
61����
-ate d -BI Date
Date and BI Date
Card -BI
Date Card -BI Date
Date
FRAM!(Plans) OK except k's
C 64,
ents at Final:
Proper Material &Anchors
_
--
37. _Studs -Nailing, Spacing & Bracing -Plates -Sound
3 ring Walls over Girders & Floo_r_Nailing-_ __
3�Stop in Walls (rat proof)
_
16 Z
-
__4_�Stops; Furred Ceilings -Stairs -Chases -Tub
41 H_eader & Beam -Size & Bearing
42. Ha ers-Post Caps -Anchors -C ectors
43. Ing. Joist-Rftr. Ties -Purl -Roof Brac.-Truss-Shthnq.-Rfng.
44. I= face Ties or Type Iue-Fireplace Throat
4�Access: Size & Romex Protection -Draft Stop -Ins. Baffles
46 Win_do_ws -Or Exiting_Doors-Sill Hgt. & Dimensions_ _
4 Garage Fire Protection'Framing - -_
^ {�
-
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle— Phone: 534-4541 '
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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 .1
matter, or need additional explanation, please contact this office immediately.%
gO - its
COUNTY OF BUTTE
' DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
1.320
4 -
BUILDING OR PROPERTYAADDRESS
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.
. s
is
c�Date..
Inspector
RM IDEN-TIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT
BUILDING PERMIT .#
A.P: #
THE FOLLOWING HAS BEEN INSTALLED AS PER APPROVED
INSULATION:` .
SLAB EDGE
FDN. WALLS
FLOORS
WALLS
CEILING/ROOF�
DUCTS
---------------
CIRCULATING PIPES
APPROVED HEATER
APPROVED WTR. HTR. �r
GLAZING• LOW
SING ZED
PECIAL(INSULATED)
ERT:& LABELED WDS,
& SLIDING
WEATHERSTRIP
BACK DAMPERED FANS a
M- y
INTERMITTENT IGNITION DEVICE J
CERT. APPLIANCE
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTA
LLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED,
INSULATION APPLICATOR NAME: HAWKI
OWNERAPPLICATOR:
GENERAL CONTRACTOR/OWNER NAME '
----
-._�' --r - PLEASE PRINT 7
GENERAL CONTRACTOR/OWNER
SIGNATURE & STATE "CONTRACTORS ,bICENSE #)
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR
REQUESTING FINAL INSPECTION AND SHALL 13E POSTED IN A CONSPICUOUSAT
WITHIN THE DWELLING, LOCATION
1/84 4
sCOUNTY OF BUTTE
DEPARTMENT Of PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATi'0'N AND PERMIT
PERMIT NO.
ASSESSORT PARCEL NUMBER
P S �
NING_
BUILDING PERMIT
WNER
T LEPHONE
SO. FT. DCC. BUILDING VALUATI N
OWNER'S MAFLING ADDRESS
1
CO RA OR AME
sCD
TELEPHONE
73.0
rONT ACTOR'S MAILI ADDRESS
Fireplace
ONSTRU TION LEN ER
NKNOWN
Total Valuation 1 $
Filing Fee
$ 10.0
LENDER'S MAILING ADDRESS
Permit Fee
$ acp,00
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
,$'
�P1lla�ng lChecking
$ n
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
BUILDING ADDRESS
r-
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 ,
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUIV ION NAME
1P /
PARCEL MAP
—��
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building
g sewer
5.00 ^
Mobile Home S I G I W
10-00e
TYPE OF WORK
New Addition❑ Remodel[] Utilities❑ Installation❑ Other ❑
Describe work:
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
1 2.50
NEW CONST. / DWELLING
OR ADDNS. ( ACC. BLDG
,
2h2Sgft S
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (Check one):
���rrr���ggq
am licensed under provisions of Chapt. 9, Div. 3 of the Business
—and Professions_ Code and my license is in full force and effect.
Classification
License No. '3sss'a� 91
❑ 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 CONSTR ULT I-OULET
NON.RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. ( POWER APPARATUS &')
NON-RESID. SINGLE OUTLET CIR.
zD@sOe
Ex. Occup(O OR FIXTURES aAL®so
IXEDTS
EX. Occup. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00 �(�C)
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
110
Cooling
Hood
3.00 3, 0
Ventilation
4,6
Permit Fee
$ _ r
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 liabiHfie ,judgments, costs, and expenses which may in any way accrue
against said unty in c sequence of the granting of thi ermit.
X W/,, � Z ,.�'
Date
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations o r 5 0" deep and demolition or construct-
ion of structures over 3 stories ilh h '
Mobile Home Installation Fee $
-3 O,�
TOTAL PER I FEE
oc CUP GROUP
I TYPE OF CONST.
PARCEL
PD H I'SSu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR VPLIC
BY �i
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �I
Receipt N
WHITE-D.P.W., ASSES OR. PINK -INSPECTOR. GOLDENROD -APPLICANT
Return to DPW AGRICULTURAL STATEMENT OF -ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
V"`be recorded prior to issuance of a building permit.
E1.l'AltCii ��i c: .
The property described herein is adjacent to land or included ��tRK-hE�ijjyuF
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from s�+31•�V�, FcE
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of..agricultural operations including, but not limited
to cultivation, plowing, spraying,.pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. ,Butte County has established agricultural 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: I ,
���Tcey eT
/-l4f E/d7-/7600 Z1,V17//.
wi.A , /� 17d/ov-
Date: _47—A9 --4F73 PROPERTY OWNERS:
State of i1.L�) On this the —lq44%-__ day of Q 19 P3, before
SS. me, the undersigned Notary Publi , personally appeared
County of ) j
n r1P � es►
OFFICIAL SEAL
s BARBARA A. BROOKS
NOTARY PUBLIC -CALIFORNIA
PRINCIPAL OFFICE IN
SHASTA COUNTY
My Commission Expires Feb. 24. 1WA
Personally known to me. / / Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose names) subscribed to
he within instrument and acknowledged that
xecuted the same.for the purposes therein+containe .
N WITNESS WHEREOF, I hereunto set my hand and official seal.
"tel 4- a . AZ ev_ [L
Notary Public
Present A. P. No. (04-- S0/o�
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
/2 Bldg. Permit #
OWNER
A. GENERAL
Zoning requirements
2. Valuation.,
Signature by R.C.E.
(sideyards and parking).
or Architect (if required)..
B: PLOT PLAN
Complete parcel size and dimensions.
Setbackr, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
t"
A. P. #k � - <V /z-
Wfr
K USS
Ci r t.a ?
C. FLOOR PLAN
®1%Complete to scale plan with dimensions..�it���Q ,�eo�/Q��,••�•
Required windows for light and ventilation (Sec. 1405). G /�
_3-'' Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per State law). 44_,1141,
Human impact glass (Sec. 5406).
5.l Required room sizes, ceiling heights (Sec. 1407). i
�7! G.F.C.I.'s in baths and exterior outlets (Sec. 210J
uhf""'
A`8 Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.- Q• 3m
Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures. ev- 00.2
Garage firewall, door size, and closer (Sec. 503(d)(4)).
11- 1 - 3'0" exterior exit door (Sec. 3303d).
12! Fireplace location.
43] Smoke detectors (Sec. 1413).
a0all,
D. STRUCTURAL DETAILS s
Foundation plan complete enough to construct building.
r2! Floor construction details complete enough to construct building.
-3,- Elevations and wall construction details complete enough to construct building.
® Roof construction details complete enough to construct building. _
Fireplace construction details and calcs if over one-story in height.
„f Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK.OUT FOR
CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
(3) Guardrail details (Sec. 1716).' x
>iq Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708),
Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
8 Garage door or porch header sizes.
Adequate bracing.
Living area over garage - complete 1 -hour separation
walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
required including supporting
7/83
Tight - the above standard features plus:
❑ (D) Continuous infiltration barrier
❑ (E) Electrical outlet plate gasket
❑ (F) Air-to-air heat exchanger
(3) GLAZING•
(A) Location
Area Glazing %Floor Area Single Double Triple
to Total Bldg f„�, q
CR North �_ V1,
East ---
South 4o r
West P7
❑ Skylights O
(B) Shading
Shading
Coefficient Description
❑ East
❑ South
❑ West
❑ Skylights
0 (C) South Overhang
Length of projection _,ft. Description
❑ (D) Moveable insulation: Area ftZ Description
(E) Thermal
mass
AORM
❑
Type
RESIDENTIAL ENERGY PLhk CH)WK/INSPECTION SUMMARY
&ner
�-�
�� ��,� Climate Zone %/ Permit No. —
Floor Area
/��
Compliance
path:
Package ❑ A ❑ B ❑ C l51�Point System ❑ Budget ❑ Other (52a4egE, , c
MIN
R -VALUE DESCRIPTION �T
REQ ' D
Ft.Z
INSTALLED
ITEMS
(1) INSULATION:
Location
(a
Roof/Ceiling
�
Wall "
❑
Slab Floor Perimeter
HC= R=
Raised Floor
Location
(2) INFILTRATION•
❑
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
- Area
(B) All manufactured windows and sliding glass doors shall meet the
HC= R=
1972 ANSI Air Infiltration Standards and shall be certified and
Location
labeled.
(�
(C) All swinging doors and windows leading to unconditioned areas
- Area
shall be fully weatherstripped.
7/83
Tight - the above standard features plus:
❑ (D) Continuous infiltration barrier
❑ (E) Electrical outlet plate gasket
❑ (F) Air-to-air heat exchanger
(3) GLAZING•
(A) Location
Area Glazing %Floor Area Single Double Triple
to Total Bldg f„�, q
CR North �_ V1,
East ---
South 4o r
West P7
❑ Skylights O
(B) Shading
Shading
Coefficient Description
❑ East
❑ South
❑ West
❑ Skylights
0 (C) South Overhang
Length of projection _,ft. Description
❑ (D) Moveable insulation: Area ftZ Description
(E) Thermal
mass
❑
Type
- Area
Ft.2
HC= R=
MC=
Location
❑
Type
- Area
Ft.Z
HC= R=
MC=
Location
❑
Type
- Area
Ft.2
HC= R=
MC=
Location
❑
Type
- Area
Ft.Z
HC= R=
MC=
Location
❑
Type
- Area
Ft.2
HC= R=
MC=
Location
❑
Type'
- Area
Ft.Z
HC= R=
MC=
Location
V
7/83
FORM
❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
E
(brand and model number) SE
Btu/hr
(heating capacity)
' Heat Pump.
(brand and model -number) ACOP
� Btu/hr
(heating capacity at 47°F)
Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
❑ Other
' (describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr J446 —,�v.l'Pos. 4;j�
(cooling capacity at 95°F) -72�A, 4
Electric Heat Pump
EER
_�(a 20 n Btu/hr
(cooling"capacity at --°F)
❑ Other
(describe)
(C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan,type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
rv!• (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
T' air to the outside. �..,
® (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, an.-"
% fitting joints shall be sealed with pressure sensitive tape or •
r
mastic to prevent air loss and shall be insulated to conforu
the provisions of Section 1005 of the UMC, 1976 Edition.
2
Cooling: Summer design temperature a4t *,'cooling load BTU
*2 Submit T.I.P'.S.E. chart -or other approved system (form #5) to document sizing of
solar panels. . .
iA
DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration C de.
7/83 SIGNATURE OF BUILDING DES GNER OR APPLICANT
3
(6)
DOMESTIC WATER' SYSTEM`
(L�) Gas Only Gallons
(brand and model number) (tank size)
❑
Heat Pump w/Electri,cBackup
(brand and model number)
Gallons
(tank size)
Q * 2
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑
Location of Solar Panels
❑
Other
(Describe)
(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems.shall be externally wrapped with
R-12 insulation or greater.
(�
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and -steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(�
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7)
LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4)
or other approved methods, section 2-5352(g), and fill out the
following:
�Gbc "7b l/000
Heating: Winter
design temperature .2�°, elevation ',-heating load. BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature a4t *,'cooling load BTU
*2 Submit T.I.P'.S.E. chart -or other approved system (form #5) to document sizing of
solar panels. . .
iA
DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration C de.
7/83 SIGNATURE OF BUILDING DES GNER OR APPLICANT
3
ONE 11
4.2 1
1
1 -8
1 -6 I
r POINTS
Table 3-3a. Ceiling Insulation
-1
R ,
OWNER C L/-
i -8 I
Points
5.6
-16
P - _ASSIGNED
ERMIT N0. 47R
ACTUAL
I 5.7-
6. I
NONE
I -14
-Value of Insulation
i
Pointe
1. SLAB-.INSULATIOIr
2. RAISED FLOOR - R-19 ��
d Y /
( 19-4FE
7.0-
�
3. CEILING - R-30
'-2
I 22
I 30,-.
I
I'
-2
0 I
_Q
-��
I 38
I
+2 I
4. WALL - R-19
19_
49
1 -9-
+4
5. NORTH GLAZING - .4-3.6%
I -24
1 -21 I
I
I
I -26 (-
-- A-
2 1
•
--
6. EAST GLAZING - 2.5-3.6%
f .
7. SOUTH GLAZING - 1.6-3.6%
_�
Table 3-4a. Wall Insulation Pointe
8. WEST GLAZING -2.9-3.6%
I R -Value of Insulation I
I I
Yolnee I
I
9. SKYLIGHT - 0-1,3%
_
10. SHADING (Exclude Overhang)
I 19
f
0 I
EAST - .67-.82 _2r
i 3o
i
+3
SOUTH - .19-.42
�..
WEST - .13-.36
_�
Table 3-5. Torth-FactnS Glazing Pte
SKYLIGHT - .37-.57
T
I I Glazing Type I
11. HORIZONTAL SOUTH OVERHANG 2' o°�f
� Total I Sngl,
1
Dbl,
Trpl,
12. MOVABLE INSULATION - NONEI
Floor I U -
Alen 10.66
I U - I U -
10.62- 10.41 I
13. INFILTRATION (Standard=0)(Tight=+12)
1 ( 1.10
10.65
I dove
O + q
a q
+q 1
-THERMAL
0.1- 1.2 I +4
! -14I
+4 I
14. MASS SFI
I
1.3- 2.3 I +1
I +2,.
I +2 I
15. GAS FURNACE (SE) 71-76%
1
I
2.4- 3.6 1 -2
3.7- 4.8 I -4
1 0
1I
1 +1 i
-1 I
" (EER) 7.5-7.9%
16. HEAT PU fP
I 4.9- 6.1 -7
6.2- 7.3 I -9
I -6
-3 I
I -5 I
I 7.4- 8.2 I -12
1 -8
I 17 I
17. DUAL PACK (SE, SEER) 8.0-8.3/71-76%
I 8.3- 9.7 1 -14
1 -10
1 -8 1
I 9.8-10.8 1 -17
1 -12
I -10 i
13. ACTIVE SOLAR 60% 11IN (NONE)
110.9-12.0 I -19
I -14
I -12 I
1 12.1-13.2 I -22
I -16
I -13
19. , ZONALLY CONTROLLED ELECTRIC
1 13.3-14.5 I -24
I -18
I -15 I
114.6-15.3 I -27
i -20
I -17 I
20.' SOLAR WITH GAS BACKUP (H14)
21. OTHER - NO ELECTP.J (!(W)
Table 3-6. East-Factnq Glazing
Pts.
Ol SHOWN ZERO POINTS
I
.�
d
I I Glazing
Type
I
--I
Total !
i
T of I Sngl, I
Dbl.
I rpl,
Table 3-1. Slab Floor Points T e 3-2. Raised Floor
Points
I Floor I (U - I
(U -
I (U - I
1 T
1 Area 1 1.10) 1
0.65).1
0.41)1
I.7naila- I R -Value of Insulation I I Value of I
1
1 IIpo!nts I
otnts
I tints!
I t!un- 1 I I eulation I
Points I
T o +,
+ t
+q
I Depth. I I I
1 un tem 1-3 1 +3 1
+4
I +4 1
1 inches 1 0-2 1 3-4 ! 5-6 I + I
- T
1 1.4- 2.4 1 +1. I
+2
1 +2 1
I I I I I 1) below 3 I
-12 I
I 2.5- 3.6 1 -2 I
0
1 0 1
! 3- 4 1
-8 I
,I 3.7- 4.6 1 -5 I
-2
I -1 I
I • 0 - 11 1 -5 ! -5 I -5 I -3 1 ( 5 - 7 t
-6
I 4.7- 5.5 1 -8 I
-4
I -3 I
112 - 15 1 -5 I -3 I -2 I -1 I I 8- 12
.. -4'
I 5.7- 6.7 I -10 I
-6
1 -5 I
_I_
•I 16 - 19 I -5 I -2 I -1 I 0 I ) 13 - 18 I
's2
I -6.8- 7.7 I -13 I
-8
I -7 I
I 20 + I -5 1 -1 1 0 1 +1 i I -19+ •1
0 I
I 7.8- 8.7 I -15 1
-10
I -8 1
L• / I I I I I I I
I
I 8.8- 9.7 i -1.7 I
-12
I -10 I
I 9.8-11.2 I -21 I
-15
1 -13 ;
11.3-12.7) -25 i
-18
I -15
7/ 7/ 8113
1 12.8-14.0 t -28 I
-21
I -18 t
�:.
14.1-15.3 I -32 1
-24
I -20
-i--
Table 3-7. South -Facto Glazing Pt Table 3-10. Shading Coefficient Points
T - 7 -`-
I I Glazing Type I I SC by I
I Total I I I Orten- I 1 Floor Area
T of I Sngl, I Dbl. I Trpl.1 tenon I
I Floor I (U - I (U - I (U - I I I
I Area i 1.10) 10.65) 10.41)1 1 T'
I I oints tints I otntsl I East I 1 3.2 I
O
,3
+3 + 3 1 1 0-3.1 I to 1 6.4 up
I up to 1.5 1 +2 I +2 I +2 I I I I 6.3 I
I 1,6- 3.6 I -1 I 0 1 0 1 1 I I I
I 3.7- 5.2 I -4 t -2 I -2. I
I 5.3- 6.5 I -6 i -4 I -3 I I 0 -.19 1 0 I +1 I +2
1 6.6- 7.7 i -9' 1 -F I -5 I i .20-.36 I 0 I 0 I -1
I 7..8- 8.9 I -11 1 -8 I -7 I I .37-.66 ( 0 I 0 I 0
1 9.0-10.0 i -13 I -10 .I -9 I I .67-.82 I 0 I 0 I -1
1 10.1-11.5 I -17 I -13 1 -11 I 83 up 0 I -1 I -2
111.6-13.0 I -21 I =16 I -14 I
113.1-14.5 I -25 I -19 I -16 1
114.6-16.0 I -23 I -22 I -!9 11 South 1 0 1 3.2 6.4 8.0 19.6
I i I I I I I to I to to to I up
13.1 16.3 7.9 9.5 I
Table 3-8. West -Facing Clazina Pts.
'1 0 -.18 1 0 1 +1 I +2 I +2 I +3
Glazing Type i I 19-.42 l 0 1 0 1 0 0 1 0
Total
I T of I sn 1, obi, tr 1 I I 0 I -1 I -2 I -2 .i -z
8 , p 1 .67 up I 0 i -2 I -4 .1 -4 I -6
I Floor' I (U - I (U - I (U - I o-�
I Area 1 1.10) 10.65) 10.41)1
II I oints 1 oints I otntsl
t 1.6 3.2 1 6. 9.
0
o fupto
6+s+ 6 to to
u -p to�I � + I l.s 3.1
7.9
I 1.4- 2.2 I +3 I +4 I +5 I I I I I
I 2.i- 2.8 I 0 1 +2 I +3 I o-.12 I o I +3 I +6 1 +7
1 2.9- 1.6 I -3 I, 0 1 +1 I .13 36 1 1 0 0 1 6 1 0
I 7.7- 4.2 I -5 I -2 I 0 1 ,37-.57 0 -6 I -7
I 4.3- 5.0 ( -8 I -4 I. -2. 1 .58-•5 I -1 I -3 I -6
t 5.1- 5.6 I -10 ( -6 1 -4 up I -2 1 -4 1 -6 I -16 70
i 5.7- 6.2 I -13 I -8 1' -6 I I 1 I I I
1 6.3- 6.9 I -15 I -10 I -7 1
1 7.0- 7.6 I -18 I -12 I -9 1
1 7.7- 8.2 1 -20 I -14 I -11 I light I .1 1 .8 1 1.6 13. 4.1)
I 8:3- 8.8 I -22 t -16 1 -13 I 1 to I to I to
1 8.9- 9.5 1 -25 1 -18 1 -15 I 1 .7 11.5 I J ej 3.9 15.2
i 9.6-10.1 i -27 t -20 1 -16 I -�-
i1111 010.2-11.0 -29 -23 -17 0-12 1 +3 1 +6 II
+7
0 -0611.1-11.8 -Js -z6 21 I 17-J6 0 0
11.9-12.7 1 -38 -29 -24' 1 .37-57
12.8-13.5 -42 -32 -27 .58- 1 -1 -J 1 -6 -12
813.6-14.3 -46 -35 -29 up -2 -4 1 -8
1- -20
114.4-15.2 I -50 I -Js I -32 I I I I
I 1 I I 1 Table 3-11. Horizontal South
Overhane Points y
Table 3-9. Sk lioht Points r '- I South Glazing
I Length Out I Area, I of Floor I
I I Glazing TypeI I from Wall I I
I Total I 1 I ft T
T of I Sngl. I Dbl. rpl, 1 1 0-6.3 1 6.4 up I
Fl
I oor I U- I U- U- 1 I I I I
i ea 10.66- 1 0.42- 10.41 i 0- 0.5 -2 -
1 1.10 1 0.6 1 down I 10.6 - 1.0 1 -2 1 -3 1
11.1 - 1.9 I -1 I -2 I
I
up i I -1 I o f 0 1 I 2.0 up 1 0 .I�
I l.4-4- z. I -3 -z I -t 1 t -I T T-
1 2.3- 2.8 -6 -4 I -3 I Table 3-12. Movable Insulation
I 2.9- 3.6 I - I -6 i -5 I Points
1 3.7-
4.2 1
1
1 -8
1 -6 I
I 4.]-
5.0 I
-1
I -10
i -8 I
5.1-
5.6
-16
-12
I -10 I
I 5.7-
6. I
-19
I -14
I -12 I
I 6.3-
6 I
-21
I 6
1 -13 I
7.0-
.6 I
-24
I -
i -15 I
1 7.7
8.2 i
-26
1 -20
I -17 I
I 8 -
8.8 (
-28I
-22
-19 I
1 -9-
9.5 I
-31
I -24
1 -21 I
I 9.6-10.1 I
-33
---..�..-
I -26 (-
-- A-
2 1
•
--
Mov le Insulation 1 I
Area, Floor I P is I
0- 5.5
5.6 - 11 I
11.6 - .5 1
17. - 23.5 1
>23.6+ I
0
+6
+8
ZONE 11
TABLE 3-14 (QOAPT(0) INTERIOR THERMAL MASS POINTS
• J Vaf(
Table 3-13. Infiltration Control
Feetores Points
I Control Features I Points I
1-- I I
I Standard I 0 I
I I
II 0.9 air changes per hr i I
I Tight +12 I
I I I
I
0.6 at angev per hr I
•i I I
Table 3-15. Cas Furnace Vithout
Refrigeration Cool'nR Points
1 S conal tfficlen�-Y I Poin 1
I �(SE), I I I
- 16 I 0 I
�71
-
I +2 I
- 38 .
+4 I
89 - 94
1 +6 1
95 up
I I
1
Table 3-16. Meat PumD Points
T ,
I Enerey'Efficleney I Points I
1 Patio (EER) I
I X7.5 - 7-4 I +1 I
1 9.0 - 8.3 I +6 I
1 9.4 - 9.7 1 +9 I
I 8.8 - 9.1 I +12 I
I 9.2 - 9.6 I +15 1
I 9.7 - 10.2 1 +18 I
I 10.3 - 10.9 I +21 1
I 10.9 - 11.5 I +24 I
I 11.5 - 12.3 I +27 I
I 12.4 - 13.2 I +30 I
I I 1
Table 3-17. Cas Furnace With
. Refrlveration Cooling Point
!RefN,,eerAcion1 Cas Furnace
1 COO14ng I SE
1 1-7-183- -
I 761 821 1941
I B-0 - 8.3 1 +21 +41 +61 +8 1
1 8.4 - 8.7 1 I +61 +91+10 1
1 8.3 - 9. +41 +al I+101+12 1
I 9.3 - '.7 I +51 +91+10 21+14 I
I 9.8 0.3 I +311101.1121+1» IS I
1 10.4 - 10.9 I+1 GI+l2i1141+
1 I
1 11.0 - 11.6 1+121+i41+1614'1914-0
1
AREA
SQ. FT.
A
1,000
B C
D
A
1,500
B C
0
A
2,000
6 C
D
A
2,500
8 C
D
A
3,000
B C D
I 3,500
A B C 0
A
4,000
8 C
D
I
A
4,500
6 C
G
0 1
S,000 y
B
50
100.
150
200
253
340
350
400
507
600
790
270
503
1,0.0
1 „ Ou
1,200
1,100
1,400
I.i00 j
2,000 I
2,500
J.000
3,500
4'000
2
4
6
B
1010
12
14
14
18
22
24
26
28
30
.12
31
71
31 '7{
36
2
4
6
8
12
11
14
IS
20
24
14
28
f0
32
32
SI
34
2
4
6
6
8
10
12
12
16
18
20
22
?4
25
28
70
72
72
34
2
4
4
6
6
8
B
10
12
14
16
16
IB
N
22
22
20
24
2
44
6
6
8
10
10
12
14
18
?O
22
?2
24
26
28
28
30
ld
2
2
6
6
tl
10
10
12
14
16
16
20
20
24
26
26
28
30
2
2
4
6
6
8
8
10
12
14
16
18
20
22
22
24
26
J2
0
2
2
4
/
6
6
6
8
10
10
12
14
14
16
16
IB
18
22
1 2
2
22
4
6
6
8
10
12
14
14
16
18
20
22
22
2-0
30
34
2
2
4
6
6
8
10
12
14
14
16
18
20
20
24
24
30
34
2 0
'2 2
2 2
4 2
4 2
6 d
4
6 4
B 6
10 G
12 0
12 a
1.1 10
16 10
18 10
1 12
20 12
20 10
22 14
26 18
30 22
0 0 0 0
I 2 2 2 0
2 2 2 2
4 4 2 2
4 4 4 2
6 6 4 2
6 6 6 2
6 4 4
A 6 4
10 10 6
19 l0 10 6
12 10 10 6
14 11 1 8
11 12 8
16 1t 8
18 18 14 10
IB 19 16 10
20 20 18 12
22 20 18 12
26 26 22 16
30 30 26 18
34 32 30 22
r
0
2
2
2
4
4
6
6•
6
8
12
12
I14
14
14
18
18
22
26
30
32
0
2
2
2
4
4
q
6
6
B
12
1T.
14
14
14
16
18
22
26
30
32
0
2
2
2
2
4
4
4
6
8
a
10
12
12
14
14
16
20
24
26
30
0
0
2
2
2
2
2
2
4
4
6
6
6
8
8
8
10
10
14
16
i
18
20
0 0
2 2
2 2
2 2
2 2
4 {
1 4
4
6
8 G
8 8
10 ,1
10 l0
12 10
1 2
IS 12
14 12
14 14
16 16
20 20
24 24
28 26
30 30
32 32
0 0
0 0
2 2
2 2
2 2
? 2
/
4 2
6 2
6 4
6 4
8 4
a 6 I
10 6
10 6
2 8 1.12
12
12 8
14 8
IB 12
22• 14
24 16 I24
26 la
30 20 j30
r 0
2
2
2
2
4
4
6
6
8
I ?
0
IO
10
12
14
18
22
208
0
2
2
2
2
2
q
4
6
6
6.
6
B
10
10
12
12
14
1
18
22
24
28
311
0
0
2
2
2
2
4
4
6
6
6
' 8
8
10
10
iJ
12
12
16
19
22
29
16
0
0
0
2
2
2
2
4
4
4
4
6
6
6 1
6 i12
8
y
0
!2
14
16
1870
0
2
2
2
2
1
I 4
4
I 6
I R
I 8
B
8
13
1J
12
17
ll•
22
26
C
2
?
?
2
2
4
4
4
5
A
6
a
0
10
10
10
I2
12
lE
2G
24
2b
0
2
2
2
2
2
4
4
6
6
6
C
9
8
lO
;G
10
i4
lA
2U
2
24
0.
OI
2I
T
2
2
2'
41
4)
4 II1
4j
(�
6i
LI
t
GI
t,�
!; !
14�
14 i
It
i
0
0
2
2
I 2
4
6
6
6
e
IJ
1n
10
;O
;�
14
li
;:
+t
'S
0
J
2
2
4
6
6
5
8
8
2
)n
;0
10
12
14
!3
:3
;4
2.i
4
U
2
2
7
4
4
!
6
6
6
C
8
t,
19
1'
12
16
20
2:
0 i
G
i
2
j
2 1
4
r. ,
4 i
�
6 i
5
1
e
9
'U
11
if
4
+19
1,000-1,499
+•2
+4
+6
+8
+12
+14
1,500-1,99
0
+1
+3
+4
+6
+7
+8
+10
2 �I u
0 '
+1
132
+4
72
26
2U I
SU
T!
ifi
;C
n
i5.000
AJ 1. 4•y canCrete slab: Nt•8.93; R-.29; Factor -7.3
2. 3 3/4" Thick Common Brick: IIC•-7.125; R-.13; Factor -7.3
8) 1. SSS' Concrete SIaD: HC -14.106; P•.4i8; Fuc tor•7.1
C 1. 8` Solid Filled Block; HC•20.63; R-1.93; Factor -6.1
2. 8` Solid Filled Block With Both Sides Exposed To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
for Thermal Mass Area: IIC-10.164; R-.965; Factor -6.1
01 1` Thick Concrete/Tile: KC -2.55; R-.083; Factor -3.7
Table 3-19. Zonally Controlled
Electric Restmtanca
Space Heating Points
Points for this neasurc will I Table 3-211. Solar Wate.r.Neattri;! With ras llackuo Points
I be completed after the C%C I
I has appruved an Alternative I
Component Package for Resistance 1
1 Heat.
Table 3-19. Active Solar Spnce
Heating with Cas Points
I Ye
Solar Fraction ( PoiD 1
I YSl 2 I I
I_ I I
I 0-
I 7- 14
I 15 - 23
I 24 - 30
I 31 - 3
1 40 - 7
I 48 55
I - 63
I 64 - 71
72 up
I • +20
wood stove #33 points -(no back up)
casablanca fan + 1 point
11.ultlfamil (per unitop lnts)
Table 3-21. Other Water
!!eating Pts.
VI0o tea
1 Points I
Net Solar Fraction
(NSF), X
I Cas Only
�
I 0
per unit,
I
i 0
Solar vlth Electric
I I
I Re-iistance Unckup I
I
I Neoting the Requtra- 1
I
ft2.
0 1
I
I Eleecrtc Resistance I
I
I
I o:;1,
- o
0.9
20-29
30-39
40-
50-59
60-69
70•-79 ,
600-799
0
+3
+
+14
+17
+21
+24
800 999
0
+5
+8
+14
+16
+19
1,000-1,499
+•2
+4
+6
+8
+12
+14
1,500-1,99
0
+1
+3
+4
+6
+7
+8
+10
2 �I u
0 '
+1
+2
+4
+5
+6
+
+9
A1_1 others (pe
butldinr
points)
800-899
0
+•5
+10 +14+1'
99
+24
+34-
90()-999
0
+4
+9 +13
+17
+21
+26
+30
1,000 1,199
0
+4
+7 +11
+15
+19+22
+26
1,206-1,499
n
+3
+6 +9
+12
+15
418+21
1,500-1.999
0
+2
F5 +7
+9
+12
+14
+1e
2.u40-:,799
0
+2
+3 +5
+7
+g
+10
+11
3,n1:•0 .v� uo.
.. O. ...
41
... •13... +4_.0
-+5
47
Table 3-21. Other Water
!!eating Pts.
I System Type
1
1 Points I
I I
I Cas Only
�
I 0
Seat Pomp
I
i 0
Solar vlth Electric
I I
I Re-iistance Unckup I
I
I Neoting the Requtra- 1
I
I ment-i In Part 2 I
1
0 1
I
I Eleecrtc Resistance I
I
I
I o:;1,
- o
GLAZING PLAN TAKEOFF SHEET FORM 8
3-5 North Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) ..x f
(b)�— x
(c) _C_ x '°V_ 40
(d) x =
(e) x =
Total North Glazing (SQ.FT.)
(a+b+c+d+e)
TOTAL
NORTH
TOTAL BLDG
GLAZING
FLOORAREA
C(
X
SQ.FT.
SQ.FT.
CONVERSION TOTAL %
FACTOR NORTH GLAZING
100 =
3-7 South Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) � _ x V, _ 'd. -t6,
(b)_ x ,� to\c5
(d) / x ! 1,4 v, _
(e)T_ x'4 = 2d
':Total South Glazing = (SQ.FT.)
(a+b+c+d+e)
TOTAL
SOUTH
GLAZING
SQ!. FT .
TOTAL BLDG CONVERSION TOTAL
FLOOR AREA FACTOR SOUTH GLAZING
X 100 = �z �n
SQ.FT.
3-9 Skylights
QUANTITY SIZE AREA (SQ.FT.)
(a) x =
(b) x =
(c) x =
Total Skylights = (SQ.FT.)
(a+b+c)
TOTAL
SKYLIGHT TOTAL BLDG
GLAZING FLOOR AREA
SQ.FT. SQ.FT.
OWNER
PERMIT NO.
7/83
CONVERSION TOTAL %
FACTOR SKYLIGHT GLAZING
x 100 = %
3-6 East Glazing
QUANTITY SIZE,0 AREA (SQ.FT.)
(a) �_ x A5 low2 = 10
(b) x =
(c) X =
(d) x =
(e) x =
Total East Glazing = (SQ.FT.)
(a+b+c+d+e)
TOTAL
EAST TOTAL BLDG
GLAZING FLOOR AREA
s X
SQ.FT. SQ.FT.
CONVERSION TOTAL %
FACTOR EAST GLAZING
100 = , ;2 %
3-8 West Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) x =
(b) x =
(c) x =
(d) x =
(e) x =
Total West Glazing = (SQ.FT.)
(a+b+c+d+e)
TOTAL
WEST TOTAL BLDG CONVERSION TOTAL
GLAZING FLOOR AREA FACTOR WEST GLAZING
x 100 = %
SQ.FT. SQ.FT.
GLAZING DIRECTION LOCATER
Draw locater line perpendicular to plane of glazing. Overlay
intersection point with center point of circle.' Turn circle so
North arrows are parellel with plan North arrow. Locater line
then indicates facing direction.
e
I I1�'I' �l�--'I