HomeMy WebLinkAbout064-580-014;64=58 14 x ' 1359 ,91B,R,E,M�- cn
" HOLTZHAUER - LaVern Brigitte
IL
4 6310 Bentley'Ct, Maga ;
('new sf) ..,
r—
64-58-1'4 2-524 B Z,a� FIRE DAMAGE REPORT.
DATE: S -1 Z -"a S
HOLTZHAVER, & B. �t
631.0 Ben y Ct,.Magalia f
(o eck/sf) 4
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• 71
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FIRE DAMAGE DEPORT
OWNER:
/� �Q J2/U-r�GC DATE:
A�
LOCATION: l/7 31O A.P. # 0 6 9 - S �?U - 0I V
CONTRACTOR:
DATE TO INSPECTOR: PERMrr HISTORY:( )NONE
Building Description:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
Electric:
Gas:
ZONING: 7
(XAS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Yes No Electric currently On Off
Condition of Electric
Natural Propane None Currently On Off "
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProble ns
Description of Damaged Area:
Estimate Valuation of Damaged Area:
Condition of Foundation:
Mobile Home: Condition of Utilities:
Inspector: Date
Sketch building on reverse and indicate area of damage.
DATE 5/9/2005
..................................
REPORT TIME _ 18:32
06 y- S-Fo-o,y
INCIDENT NUMBER
EVENT NUMBE
LOCAL FIRE NUMBE
STATE FIRE NUMBER
CASE NUMBER
LOCATION J631 0 BENTLEY CT'
RP JOHN
PHONE NUMBER 8771807
WILDLAND FIRES ❑ ESTIMATED ACRES
STRUCTURE FIRE RESIDENTIAL
OTHER FIRE
MEDICAL AIDS
PSA/OTHER
HAZ MAT
Billable Incident ❑
COMMENTS
EMD ❑ OES ❑
966 LOGGED B
aFt i eal Fra ; RO
-
148 ASI CIA}P. FIlq' I•iKl`GM BI
a�rrAca_8. MEDICS
PRA V2
I REPORTMETHO M911
ECC ❑
FIRE INFORMATION
........................
.............
FIRE INFO SENT HO EMAIL 1 BY JK i TO
7 -DAY LOGGED INITIALS TP
INCIDENT NAM !IREDMOND
START DATE 5/9/20051 START TIME - 18:00j
DIAMOND# 1.1-1.8
CAUSE MISC
LAND USE DOMESTIC
ACRES 0� TYPE OF ACRE
DIAMOND 5 ONLY $ DAMAGE TYPE:
DOLLAR DAMAGE 1000.00SAVE r 0.00
INJURIES/FATALITIES ❑
# CIVILIAN INJURI;=01
#CIVILIAN FATALITIES# FF INJURIE # FF FATALITIES 0#
FC -40 INFORMATION
New Incident
FC40 ❑ DATE OF FC
O INC
i w
AGENCY INC # INC P#
FC40 COMP DATE FC40 COMP BY I --
County Notifications rv-] EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑
COUNTY OF BUTTE����^��
4 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
-- CORREVCTION NOTICE
OWNrzR PERMIT N0.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
1
Date InspectorT�j
' AAL
COUNTY OF BUTTE _.
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
f 7 County Center Drive, Oroville — Phone: 538-7541
.747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNERS 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
whenorrection of work is completed. If you.hhave any question pertaining to this
matte , or need additional explanation, please contact this office immediately.
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Date � Inspector
f
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6 -58 - --- _'
r. 1359-91B,P,E,pq
HOLTZHAUER, La Vern & Brigitte
6310 Bentley
(new soCt, Magalia
r
. 4 *
A
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eel 2°l 6/
JOB FINALED (Date) _
Signature
J=OK .ti •n
O=Not OK
Not Applicable MOBILE HOMES
' = Not�Ready '
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
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
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS,,
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)Olc B&ept #'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
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-Pane Iboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
'J OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=..
Date LI&DEBIFLOOR (Plans) OK except #'s
ping -Setbacks -Easement ood-Slope
42-'FtkMain; Soils-Elec. d.-/ " Ftg. Depth
<g., Garage; Soils-Steel-Elec. Grnd.-40" Ftg. Depth
4. FX., Porches & Decks; Soils -Steel-/ /Ftg. Depth
St mwalls, Main; Steel -Bloc kouts-Wrapped
temwalls, Garage; Steel -Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. SI , Steel -Wrapped
Piers -Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
_1a—Goo-Pipe; Size -Anchors
(1
iiyorater Pipe; Test -Anchor -Regulator -Service Test
" 12. Ef€E nt c; Underground
ienums & Ducts; Clearance -Material -Support -Ins.
LW15—rders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Dat Card B- Date Card B-1
Date? --q - I Card B-1 Date Card B-1
Date PLUMBING (Peimit) OK except #'s
Water Htr.; Vent -Access -Combustion Air -Baffle
1 Water Pipe; Test & Anchor -Nail Protection
1 D.W.V.; Test -Fittings & Anchor -Nail Protection
ower Pan; Test, First Floor -Tub Access
est Tub & Shower, Second Floor -Tub Access
3LGas Pipe; Size & Anchors
DateCard B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23/Elec. Receptacles Spacing -Lights & Switches at Doors
24./Size Boxes & No. of Conductors -Stapled
mex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuits in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size,66/ ga.
ft -or Al
2,47 Range Circ. / �/rga. QYu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
3p"'Service-Riser Conductors & Ground -Main Disconnect
31 Equip. Clearances Panels-Motors-Mech. Equip.
3.?. -Clothes Closet Light -Shower Light-SpeLight
33/Smoke Detector
Date J,! Card B-1 4:->,J Date Card B-1
Date Card B-1 Date Card B-1Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date 2_S/Card B-1 0J� Date Card B-1
Dat Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
4VBearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
4 . ire Stops; Furred Ceilings -Stairs -Chases u
Headers & Beam -Size & Bearing
dingle. & Duplex)
Date "FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
ng. Joist-Rftr. ties -Pu rlin —roof Brat ';;?--Shthng.-Rfng.
eplace Ties or Type A Flue -Fireplace Throat clearance
447 A is Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4tAqrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
. Garage Fire Protection Framing
5 perty Line Firewall & Openings
5 . Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
—53 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
W. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
W -Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
5-r'Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
/ 50. Insulation -Walls -Ceilings S
60. Infiltration -Walls -Windows
Date JC-15Aard B-1 G$ Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL Plans OK except #'s
xt. Steps -Door & Sidelight Protection -Landings
'6 moke Detector
&/ -rnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
6 edroom Exiting
F.I. & Bath Fixtures & Tub Access -Spa
66 c ri Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
ireptace or stovesiearances�xeartn—
Elec.-Gutlets at Wood Panel; Int. & Ext.
U,-Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
e/ty_qec. Outlets & Receptacles at Kit. Counter
age Fire Door; Swing -Landing -Closer
_A.C. Duct in Garaae-Damper
Q!74. ..tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
Ib., Elec. & Mech. Equip. Listed for Location
rec. Receptacles in Garage; (G.F.I.)-Romex Protection
nsulation- Foam -Looked in Attic ❑ Yes
7d Rails & Deck Construction -Post Caps
9 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
co; Brown -Finish
-Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
V,Wg_ter Well; Disconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
96-,V—entilation Throughout House
lass Protection
corrections from Previous Inspections
as Test -Meters Tagged; Gas -Electric
89 --water & Sewer Connected -C/O to Grade -HD Approval
1 nergy Compliance Certificate -Other Certificates
Dat J/oJy Card B-0✓ :! Date Card B-1-
Date Card B-1 _. Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
Owner: UPermit No.
ENERGY CERTIFICAT-1ON
310 e
IOCATION
DESCRIPTION OF INSULATION
ROOF
Material
Th ickness(inches)
EXTERIOR WALL
Material FIBERGLASS BATTS
Thickness(inches)
Brand Name
Thermal Resistance (R Value)________
Brand Name OWENS-CORNING
Thermal Resistance(R Value)_
CEILING
Batt or Blanket Type !: Brand Name _
Thickness inches) Thermal Resietance(R Value)
Loose Fill Type FIBEBGL Brand Name
Minimum 'l liicknesi(Inches) Z- Nwnber of Bags___1__ Wt. per bag lb.
Area covered(ft. ) Thermal Resietance(R Velue)
FLOOR, ELEVATED
Material
Th ickneas (i.nches)
FLOOR, SLAB
Material
Thickness (incites)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal
Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)_,
I It certify that the above insulation Was installed in the above building
in conformance with the State of California 8t{ergy Requirements,
LUERKE IN�,IJLATIIIr1__�_, iNf
FIRM NAME/OWNER STATE CONTRACTOR 3 LICENSE NO.
"" w• DATE
SIGNATURE OF INSTALT.ATION APPLICATOR
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
STATE CONTRACTORS LICENSE NO.
FIRM 1 NER ase print)
IGNA URE RAi. CONTRACTOR OWNrER D TE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR. TO FINAL
INSPECTION APPROVAL. AND, A COPY SHALL BE"POSTED WITHIN THE BUILDING .
January 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -
7 County Center Drive - O'foville, California 95965 - Telephone: 916/538-7541
APPI IrATI.nM ONn PFRUIT
PERMIT NO.
1359-91
• - - l.. . r. V....V.\ ...\V .
ASSESSOR PARCEL NUMBER
64-58-14
ZONING
Rtl
BUILDING PERMIT
OWNER
La Vern & Bri itte Holtzhauer 805
TELEPHONE
581-1659
SO. FT. OCC. BUILDING VALUATI N
1400 R 71 400
OWNER'S MAILING A. DRESS
4458 Industrial St Simi Valley 93063
480 M 8 640
CONTRACTOR'S NAME
unknown
TELEPHONE
L
240 COV 3,120
CONTRACTOR'S MAILING ADDRESS
Fireplace I "A" 1,500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 84,660
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ 388.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee - $ - 194.00
Energy Plan Checking Fee $ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS .�
4,510 BentleyCt, Ma alia
Permit fee $ 607.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap 81 2.00 16.00
Solar or heat pump water heater 20.00
LOT NO.
14
SUBDIVISION NAME
PP Unit 11
PAR EL MAP
3 �-1 cT
Water piping 5.00 5.00
Each pas water heater or vent 5.00
USE OF STRUCTURE
SF)p Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00 5.00
Mobile Home S I G I W 10.00ea
TYPE OF WORK
NewC Addition[] Remodel[ Utilities❑ Installation❑ Other
Describe work: 3 hrlrm
Permit Fee $ 36.00
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100v OR LESS 10.00 le.. 00
100 AMP OR LESS
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.
❑ 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)
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
NEW CONST. DWELLING OCCUP.8d) yzQsgft /+7.00
OR ACDNS. ACC. BLDGS.
NEW CONST R. U -OUT ET
NON•RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 20050C
9AL@30
FIXED PR
EX. Occup. OUTLETS (RESID 1EA.1 2.00
Temporary service 10.00 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
9
Permit Fee $ 79.50
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.
Contractor
MECHANICAL PERMIT FiIirig Fee 10.00
Heating 6.00
heat pump
Cooling 11.50
Hood 3.00 3.00
Ventilation
permit Fee $ 30.5
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.7
1 also agree to save, indemnify and keep harmless the County of Butte againstOAZ.-J__CUA]
all liabilities, judgments, sts, and expenses which may in any way accrue�
against s 'd o ty ' 2:,quence of the granting of this permit.
X Dato W
Signature of Appli t - OWner$_ Contractor ❑ Agent
An OSHA permit is required for excavat ons 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
CONST PE
TO ALF E $ x83.00
PARK S L
F D
CDF
PAR
PD .H
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated a ve for which fees have been .paid.
R. TOLIC WORKS.`
B Date l
PERMIT EXPIRE Date
-_.
Receipt No. 5-
WHIT!-D.P.W., rELLOW-A98C350R, PINK -INSPECTOR, GOLDlNROa-APPLICANT
%I�
TO Butkd-in6 Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal vl-� Water Supply V
Hold final for:
Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom p6Vitr home. Other
NOTE ***
Sanit 'an
ate
TO: Building -Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
Z _ ✓ e, t7 174Z� & Uer 013110
owner ` location - AP #
Driveway permit l �OG2l
si ature
has been issued for the above property.
date
...y.-K+r- : • ������"�'E°`.'�Y�j''".`r��t'�'�4•�•,�V+"''`-.,�ll::�,�:.•"-:j,•�rr:w.,:..t i..,t-.i`-��'-r•,;;;,�
COUNTY OF BUTTE - DEPA�YIII NT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVEEwO V.LI !`, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PRMWA�PPLICATION DATA SHEET /
Permit No.
OWNER L 4 VkAn' 4�Or� f'/bC�i A. P. No. 6
Proposed Building Use 3 Q,4� -I�G 'Nc 4-1 Building Inspector Cs^l Date �" 6
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, s,igned,by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
oeStatement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)S --,?0,��
9. Mobilehome installation data including manufacturer's installation
instructions...................................................... .
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees I� 1
�1 I�IdA% hi
Sch of District fes paid. ............. S ��q' C�a�
14. Sanitation approval from �'6R/��47'I Health Department 0,1a/
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A), Use: (B) Parking: ......
1 Improvements may be required. Contact Land Development Section DPW
X19. Driveway permit (construction approval required prior to occupancy) S-130
30 94
20. Pre -Inspection for required ... Pre-Inspec. request to
Building Inspector (Date)
21. Contractors license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
2 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement ......... 5L ZJ
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: ail to owner. Mail to contractor. 1
Telephone and hold for pickup at office. Deliver w./inspector.
Other
Applicant .Date 0 �" 9
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 is�q ce: Circle ite- n -checked above),
1. Index permit for above items No. i l
2. Additional -items -required -:----
=77=—__j
Contractor, designer, owner, was advised of above required data by—phone---mal I —counter by_. date
Contractor, desig�ne, owner, was advised of above required data by—phone _mal,licounJerby date
Plans c ec eK d by Date �J o� Plans approvedTb� .off- r Date �v2o�i
r
S� Sets of plans on hold in File cabinet AP folder
Copy—DPW
�2 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
J 7 County Center Drive - broville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
11,'3,51
ASSESSOR PARCF.�}._Nj1MB i� 1 y
/v i'�71f S T
0,r-
BUILDING PERMIT
OWNERO5'
L V,(AV 8R IG /rTf �OLrZ N f>�i2
TELEPHONE
s-8/ - /bs9
SO. FT. OCC. BUILDING VALUATION
oO - r 0 O
0Wf9ER'S MAILIN ADDRESS 1�
`7 q7-% 6nf,0JS PAf 9L 5r, S ! M Veal L£ C4 93 x 63
y�i0 /" - $ ` 0
CONTRACTOR'S NAME
ELEPHONE
7-10 `-✓ 31 ZO
CONTRACTOR'S MAILING ADDRESS
Fireplace � 0'`�
CONSTRUCTION LENDER
-,;w
UNKNOWN
Total Valuation $ g6U
Filing Fee $
10.00
LENDER'S MAILING ADDRESS
Permit Fee $ 3 y g .
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
7 y
Energy Plan Checking Fee $
1
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee
10.00
Each Trap 2.00
`
^41 Cid L/
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISIOva/r N NAME PARCEL MAP
� . C ��1
-
Water piping L 5.00
P
7 Q�
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF P( Duplex❑ Mobilehom ther
SPECIFY
Gas piping system 1 - 5 outlets-^ 5.00
Building sewer ( 5.00
Mobile Home S I G I W 10.00 ea
TYPE OF WORK
New Addition//I❑]� RemodeUtllities ElInstallation❑ Other ❑
Describe work: Aj±' i'i�-S—^ 38,1,
Permit Fee $
3
Contractor
ELECTRICAL PERMIT Filing Fee
10.OD
V OR
Main service ;Doo AMP ORSLESS 10.00
p
Main service EA. ADO'L too AMP 2.50
2.50
s,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCcuP.e ,
� J2
New AMULTI-OUTLET
CONSTR.
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS a
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES eLO 30 2ALO30
Ex. OCCUp. FIXED PR
OUTLETS (RESID )EA.� 2.00
01
Temporary service 10.00
%a o!
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury {check one):
❑ The permit is for $100.00 -(valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
j�j 1 shall not employ any person in any manner so as to become subject
I 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 X S /o o4 /3P✓
6
Vyt�
,�, r ��
Cooling X _ 3 1
Hood 3.00
3 ="
Ventilation ~—
permit Fee $
O. S�
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains aid ou r consequence of the granting of this permit.
X �ry Date
Sign arur of A cant — OwnerCanrracror ❑ Agent
An OSHA permit is required for excove ons over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 3
occ
CONST TYPE
TOTAL FEE $ 7� -
HA Z.
I CUA
PARK
SCHL
I FLD
I CD=
i HD.
ISSUE
This permit is hereby issued unoer the applicable
sions of the Butte County. Code and/or resolutions
work Indicated above for which fees have been
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date_
provi-
to do
paid.
Receipt No. e 3 1 5_�(_
-41TK-n.P.W.. YELLOW-ASRES?OR. PINK-INRPECTOR. GOLDENPOO-APPLICANT
C^'f-^T.Txy;K�""'S1'i''.1r-a'fs: i.v+'+�" ._ - .rn�^ . _ ,... .. .-.- .. �-,,,.,Y,,..� r..rr ---. .. .. .- „•.- �,t. ..,`. , i y-..-.. . .. *n
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
. (,One Form per Building)
A.P. Number �• SN f Building Department No. ' /061
--.._School District J0.4a/%,o City F-1 County Jurisdiction
Property Owner `-.1 V -f&1 0/110 / rr",OF, k'm ar Z i//P u A..
Project Location/Address. d""L¢' �f 6 /', �� ISL
i
Subdivision. L" • Lot Number
a
Residential Development:
Sq. Footage /yAv
# of Living MHT Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
x
Building Department Representative Date
(Floor Plans reviewed by School District Personnel)
District Id No. —1'j�
,i� . �� 1A
Iy- (Applicant Name
n
School District,certifies that
&!6 S'6111 /6 �'J
(Phone Number)
N
(Street Address)
<Sc,� U
T (City) 0(State) (Zip Code)
i
has complied with the requirements of Resolution No.
by the payment of $02.� � representing 0-M square feet.
So'hool District Representative tDate
PAID BY CHECK NO.
i BANK NO 6
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
12/90
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS. ITEMS TO LOOK OUT FOR
`Y'�Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
i2-___6uardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
EExterior
plaster - weep screeds (Sec. 4706).
�oper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
,7'�Foam insulation = protection.
�36" halls and stairways.
--9-.- Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
-1-0—IT -wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
LW. -_tic access and ventilation (Sec. 3205).
nderfloor access and ventilation (Sec. 2516).
Combustion air for fuel burning appliances - L.P.G. requirements.
se requirements on duplexes.
. Energy design.
lashing at all exterior openings.
CDF responsible area requirements.
a--
pG �(,U Cf cvo
�Jd
RESIDENTIAL PLAN CHEGKING GUIDE 12/90
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER �li.'i, A.P. #
Plan Checker 5
GENERAL
GY. oning requirements: (sideyards and number of permitted living units).
Vution.
.P61'an"s signed by designer.
roper description of work on application.
Existing violations on property.
Items on data sheet: (W.C., fees, Health, Developer Fees; License law, etc).
Recorded notice of violation.
PLOT PLAN
omplete parcel size and dimensions.
etbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
ood - haza rd .
Special conditions on creation map,
stible, and foundations).
F U & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
LOOR PLAN
Complete to scale plan.with dimensions.
for light
equired windows and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).-
,1::7 Skylights (Chapter 34 & Sec. 5207).
uman impact glass (Sec. 5406).
quired room sizes, ceiling heights (Sec. 1207).
9. GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles
for main-
enance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other
electrical
_,or gas equipment.
9. Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3`0" exterior exit door (sec. 3304 (f).
fireplace and wood stove location, alcoves, and clearance.
. Smoke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
tandard bracing or engineered design (Table 25V)
Unusuai shape, size, or split level house requiring lateral design.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
� Fireplace construction details and calcs if necessary.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Stud heights.
r__ -Adobe soils - special foundation design.
aining walls requiring design.
. Special Inspection required.
Re•turnto DPW
Section
requires
prior to
0f-20864
CULTURAL STATEMENT OF ACKNUdUDISDIM
FOR RESIDENTIAL DEVELOPMENT
26-8.1 of the Butte County Code
this acknowledgement be recorded
issuance of a building permit.
The
`
property described herein is adjacent
91-020664l
to
land or included within an area zoned
for
agricultural purposes, and residents
Recorded
Official.
of
this property may be subject to incon-
Records
veniences
or discomfort arising from the s
County of
use
of agricultural chemicals, including,
Butte
but
not limited to herbicides, pesticides,
Candace J. Grubbs
and
fertilizers; and from the pursuit
Recorder
of
agricultural operations including,
8:02am 29 -May -91
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which have as a priority use for productive
within said zoites and on adjacent property should be
or discomfort from normal, necessary farm operations.
Rec Fee 5.00
Check 5.00
CD 1
Butte County has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
All that .real :property: situate in the County of Butte, State of California, described as
follows:
LOT 14, as shown on,that certain map entitled "PARADISE PINES
U14IT NO. 11" which map was filed in office of Recorder of the County of Butte,
State of California, December 17, 1970 in Book 38 of Maps, at Page 17, 18,19.
Date: PROPERTY OWNERS:
t Of
TAVERN HOLT9.HATTER BRI ,ITT . HO .T .HA TER
State of California) On this the 9th day of MAY ; 1991 , before me., the
) SS. undersigned Notary Public, personally appeared
County of VENTURA ) `
Present A.P. No. �!
Lavern Holtzhauer and Brigitte Holtzhauer--------------------
Personally known to me. 'Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) are _
subscribed to the within instrument and acknowledged that they
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand an
EIS® OF ®®.CUAIEN7
OFFICIAL SEAL
SHIRLEY ALLAN
NOTARY PUBLIC CALIFORNIA
PRINCIPAL OFFICE IN
VENTURA COUNTY
;' i 4" •ifs
.frf���.�,
COUNTY OF BUTTE - P— ERAP„TMENT OF PUBLIC WORKS
7 County,Qenter Drive - Orovlller California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBERZO
64-58-14
G
BUILDING PERMIT
OWNER
L & B HOLTZHAVER
TELEPHONE
893-3157
S0. FT. OCC. BUILDING VALUATION
144 open 1 008
OWNER'S MAILING ADDRESS
6310 BENTLY CT MAGALIA 95954
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $,00
•
LENDER'S MAILING ADDRESS -
Filing Fee
$ 155,00
Permit Fee
$ 24.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
6310 BENTLY CT L A
Permit fee
$ 59.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF)Q, Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition [N Remodel ❑ ti 'es Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMITFiling
Fee 15.00
Main service 200A OR LESS
18.50
Main service 20CATO IOOOA)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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-
rs. (Sec. 7044)15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.&)
OR ACDNS. l ACC. BLDGS.
3.64sq.ft.
NEW CONST R. ULTI.OUT LET
NO N•R ESID BRANCH CIRC ITS
@ 5.00
/POWER APPARATUS IN
SINGLE OUTLET CIR.
Occup
Ex. OCCU OUTLETS OR FIXTURES
(OUTLETS
20 76
FIXED APLNS.
EX. DCCUp. OUTLETS (RESID 'OR
EA.�
I .3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
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
OConsent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Noti a to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Coolin g
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again�,sd o ty ' sequence of the granting of this permit. XDate
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL EE $
t+Az
os
/
F o coF
PAR
H
S
This permit is hereby issued under the applicable provi-
sions Of the Butte County Code and/or resolutions to do
work indi ed b for which fees have been paid.
D R OF PUBLIC WORKS
By Date
PER EXPIRES Date 3
Si nature of lic t – Owner
9 Pp ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structuresover3 stories in height.
Receipt No. `l �SA�
WHITE-D.P.W., YELLOW-ASSLSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
TO Buildinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
C, -, <
-
ownerLocation AP#
Plan Approved for:
Sewage Disposal `Mater Supply
Water Supply
Hold final for:
^incl clearance O.R. for:
Clearance for /--bedroom-mobile home.
Wafter Su
ppl
y
Other �
NOTE ***
Date _
San_tar an
/'{��'v(Kib'�}�f�irrl�Svi.�rrA>w'119s4;i.:�ift"'Jf'A3c. �t� .•'�..'.'.4� .; •f8t.yi,-�'�;.W `LSif�T .itL►�A`fy� e� �lt�' i!". '� a5- r'1�+i Y"rt+"5
yr .S
COUNTY OF BUTTE - DEPARTIIIeNT=CF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIL-LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET t '1
Permit No. / —'�
OWNER OLS Z H10_06 A. P..No.
Proposed Building Use oDc� ULAbh /G Building Inspector C5 -J Date 5/
At time of permit application, I was advised the following data must be submitted prior`to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted.
2. Plot plans in duplicate/triplicate;-signed by preparer of plans .........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet sigLriature on plans ..
5. Hazardous Material Form .........I............. ' ...... .
6. Energy Design Compliance and: supporting documentation
. , , . , ...entation ........ .
7. Statement of Intent for Non-Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior top lan check)
9. Mobilehome installation data including manufacturer's installation
i instructions .
10. Fees of $ ........................
11. Chico Urban Area fees paid.......................................
12. Park fees paid ............ `
13. School District fees paid ..............
14. Sanitation approval from �T6p�,�Health Department -�'-
15. City of Chico plumbing permit................................
• 16. Plot plan and, business license,approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre-Inspection required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner-Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization...................................
26. i
27.
When you issue the permit, process as follows:. Mail to owner. Mail to contractor. I
_ , Telephone.077 2/S% and hold for pickup at office. Deliver w.
/inspector.
Other ��' 3'�/ /65' f
4
Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By •
The following data must be submitted prior to permit issuance: (Circle new item not checked above):.
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone___*2*jnail—counter by ..date
Contractor, designer, owner, was advised of above required da/hs
_phone mail_ ount _.'by date
I
Plans checked by Date Papproved by Date
-Sets of plans on hold in File cabinet AP folder
~ Copy—DPW t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oro0rle,'Cal1fornle 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
_s _/y
ZONING
BUILDING PERMIT
OWNER
8 c4 r
TELEPHONE
/,r
S0. FT. OCC.1 BUILDING
VALUATION
L
OWNERtS MAILING ADDRESS
CONTRACT 014'5 NAME
C.
TELEPHONE
CONTRACTO 'S MAILING ADDRESS '
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ OD
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
3AA
Each Trap
5.00
Solar or heat pump water hpater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each qas water hpder or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping sy6fem 1 - 5 outlets
5.00
Buildin ewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
j$,50
Main service 200A TO t000A)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 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 OC P. hl
OR ADDNS. ACC. BLDGS II
3.64sq.ft.
NEW CONSTR. U LTI.O LET
NON.RESID BRANC CIRC ITS
@ 5.00
POWE APPARATUS e
(SIN OUTLET CIR.
Ex. Occup(ou ETS OR FIXTURES
20 761
A
Ex. Occup. UTLETS ED PIRESID ILNS REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature pp ❑ Contractor ❑ Agent ❑
nature of Applicant – owner
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Ener Inspection Fee
Energy P
$
OCC
I CONST TYPE
TOTAL FEE $ S y1
HAL
1 0FEES
IMP
I FLOOD
I COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
sions
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
Certificate of Compliance: Residential Climate Zone 11
Project Title ,
BUILDING DATA
Con ' ' Area / 4400 Number of Stories
Sl sed Floor Number of Units
[ Sin a amily Detached (SFD) [ ] Addition Alone
[ ] Single Family Attached (SFA) [ ] Existing Building
[ ]
Multi-Family(MF) [ ] Existing -Plus -Addition
BUILDING SHELL INSULA110N
Component Insulation Locafforurotnmems
Tvoe R -Value (edc. to gmv r_ -al.
BuildinST u ` �
X
Checited By/ Daattee
Fnforoanent Agency Use Only
H- P_
Walla .............. 4!
Glass Area
% Slass
%T
Wall ..............
North
3A
13
East
Roof .............
0-r
South
('2-0
Floor .............
West
9�
Skylight
GLAZING
Shading Devices
Total
--O
--1
/0.0
Orientation (SO
H- P_
Walla .............. 4!
Wall ..............
Roof .............
Roof .............
Floor .............
Floor .............
Slab Edge .....
GLAZING
Shading Devices
Glazing Area
Glass Type
Interior Exterior Overhang Framing Type
Orientation (SO
(single. double)
(roller blind. etc.) (shadescreen, etc.) (yes/no) (metaltwood)
North ( )�
North
East
East ( )
South ( )
a ..
�—
South ( )
b 14.4 C5–
West ( ) �,—
'f
•r
West ( )
Skylight.......
THERMAL MASS
Type/Covering
Area
Thickness
(stab/exposed, tile, etc.)
00
(inches) Loeadon/DCSCription (kitchen. bath. etc.)
HVAC SYSTEMS Minimum Duct a ��
Type (furnace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner heat pump) (SE, SEER HSPF) (attic, etc.) R -Value (Btuh) (or approved equal),r 6 A0"
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model#
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF-lR
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance tequnemenb luted
on the Certificate of Compliance. When this checklist is incorporated into the permit doenmeriM the feutrea noted shag
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they arc shown elsewhere in the documents or on this checklist only.
DESCRIPTION DESIGNER ENFORCE1MENr
Building Envelope Mmures
§2-5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose fill insulation manufacturers labeled R -Value.
• §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
§2.5352(k). Slab edge insulation - water absorption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 perm/inch.
§2-5311: Insulation specified or installed mats California Entergy Commission (CEC) quality
standards. Indicate type and form.
§2-5352((): Vapor barriers mandatory in Climate Zoites 14 and 16 only.
§2.5317: InfiltratioNExfrltration controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit err
leakage.
b. Doors and windows certified
c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed
02-5352(e): Special infdtration barrier installed to comply with §2.5351 meets CEC quality
standards
§2-5352(d): Installation of Ftreptaces
1. Masonry and factory -built fireplaces have
a. Tight fitting. closeable metal or glass door
b. Outside air intake with damper and control
r— Flue damper and control
2. No continuous bursting gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculation
§2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
• §2-5316(a): Ducts conswcted. installed and insulated per Chapter 10. 1976 UMC.
§2-5316(by Exhaust systems have dampercontrols.
§2-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
62-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC.
§2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R-16 or grater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has.
a. On/off switch on heater.
b. Weatherproof instruction plate on heater. 1
e. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional vrrter inlet.
Lighting and Appliance Measures
§2-53526): Lighting - 25 lumciWwatt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
62-5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance spcdficadons needed to comply with
Title 24. Chapter 2-53 and Title 20. Cllapttr 2. Subchapter 4. Article 1 of the Califoniia Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purdiaser of the building.
Designer
rawbox
Address:
TekpSonc
Lic. 4:
(signature)
Documentation Author
Name:
TitkJFirm:
f Address:
(date)
Building Owner
Name
Tttk/l=um-
Address:
Tekphone:
6i6nature) (date)
Enforcement Agency
Name:
Agency:
Telephone:
t-V'
a
u
1. Ceiling Insulation
Single-
Single -
f
Number
of stories
Family
:.R -value
One
Two
Three
R-0
-103
-49
32
R-19
-8
-4
-2
R-30
-2
-1
-1
R-38
0
0
0
U -value
U -value
-144
-70
0.50
-176
-84
-54
' 0.30
-102
-43
32
0.10
-26
-47
-36
0.08
-18
-9
-6
0.06
-11
2
-4
2
-4
0.04
1
1
0.02
0.00
4
11
2
5
3
2. Wall Insulation
3. Raised Floor Insulation
Insulation in Floor
Single-
Single -
Number of stories
R -value
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-144
-70
-46
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10,
0
0
0
0.08
4
3
2
0.06
9
7
5
j 0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
Insulation in Floor
Controlled Ventilation Crawlspace
I
Number of stories
Number of stories
R -value
One
Two
Three
R-0 .
-17
-8
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
4. Slab Edge Insulation
4
-
-_. 0.60.
-144
-70
-46
0.50
-120
-58
38
0.40
-95
-46
-30
0.30
-69
-34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0:08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
I
Slab Floor
Number of stories
Effective Pasant Glan
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2
-2
-2
R-19
-1
-2
-2
4. Slab Edge Insulation
4
-
-90
Number of Stories
-26
R -value
One
Two
Three
R-0
0
0
0
R-5
t 8
5
2
R-7
'' 8
6
3
F2 factor
29
-58
-20
0.90
-4
3
-1
0.80
" -1
-1
0
0.70
2
2
1
-52
-17
-9
-2
0.50
9
6
3
j 0.40
12
8
4
S. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
Single -
Slab Floor
-4
Effective Pasant Glan
U -value
East
Percent
:West
Skylight
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.0
.40
less
0
.121
-53
-39
-24
-10
4
40
-90
37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
it
-6
7
10
13
16
19
10
3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
Efrecen
ctive Pert Glass
(pereent Slaw x SC)
Effective
Single -
Slab Floor
-4
Effective Pasant Glan
%Glass North
East
South
:West
Skylight
18 5
1
4
1
na
16 4
2
5
1
na
14 4
2
5
1
na
12 3
3
5
2
na
11 3
3
5
2
na
10 2
3
5
2
1
9 2
3
5
2
2
8 2
3
5
2
2
7 1
3
4
2
2
6 1
3
4
2
3
5 1
2
4
2
3
4 0
2
3
1
3
3 0
1
2
1
3
2 0
0
1
0
3
1 -1
.1
-1
-1
2
0 -1
-2
-4
-2
0
na = not allowed
-7
-23
3
0
IB. Shading (Shade Closed)
Single -
Slab Floor
-4
Effective Pasant Glan
Family
Mass
(percent RIMx SC)
Stories
Mass
Detached
Stories
Famiy
IOFA
One
%Glass
NoM
Etat
South
West
SIWI&
18
-14
.48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-0
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-47
6
3
-11
-15
-14
38
5
-2
-9
-11
-10
-30
4
-1
-6
-8
-7
-23
3
0
•4
-5
-4
-16
2
1
-1
-2
-1
-9
1
1
1
1
1
-4
p
2
3
4
3
0
no. -art e1'nW d
7
8
10
11
9. Interior Thermal Mass
Interior
Single -
Slab Floor
-4
Raised Floor
Family
Mass
Multi
Stories
Mass
Detached
Stories
Famiy
IOFA
One
Two Three
One
Two Three
0.0
-8
-5
-4
-2
.1
-1
0.1
-8
-5
-3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
25
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior Single-
Single -
SEER
-4
Wall
Family
Family
Multi
in attic)
Mass
Detached
Attached
Famiy
1
000
0
0
0
1
-24 to P-14 to
0.20
0.40
3
5
2
4
3
less
0.60
080
8
10
6
8
4
5
8.0
1.00
13
10
7
8
-4
-3
1.20
1.40
13
12
12
13
9
-2
1.60
10
13
11.-
-2
1.80
10
12
12
0 0
200
10
11
13
4
7
11. Heating System
4
3
2
11.0
SE or HSPF
9 7
6
9
4
7
(assumes ducts In attic)
- 120
13.0
15
20
13 11
17 14
Sum of 13
9
6
None
-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
3 2
0
2
0
1
0.75
0.80
6.88 3 3
7.33 8 7
6 5
4
3
0.85
0.90
7.79 13 11
8.25 17 15
10 8
13 11
7
9
5
7
0.95
8.71 20 18
15 13
11
8
+5
Effective SE or HSPF
more
5.0
(SE or HSPF x duct efficiency)
-25 -21
-17
Effective -25 or -24 to -14 to -4 to
+61o, 16 or
SE HSPF less -15
-5 +5
+15 more
0.30
275 -73 -64
-56 -47
-38
-30
na
3.41 -45 -39
-34 -29
-24
-18
0.40
3.67 -34 -30
-26 -22
-18
-14
0.0
4.58 -10 -9
-8 -7
-5
-4
0.56
5.13 0 0
0 0
0
0
0.60
5.50 5 5
4 3
3
2
0.70
6.42 17 15
13 11
9
7
0.80 7.33 25 22 19 16 13 10
0.90 8.25 32 28 24 20 17 13
1.00 9.17 37 32 28 24 19 15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling Syst•!m
I
Stories
Zonal Control Adjustment
10 8 7 6 4 3
No Conlin:; System Installed
One
-5
SEER
-4
-3
-2
-2
(assume; ducts
in attic)
3 ..
2
2
Sl m of 7-10
1
Single-Famlly Iletaehed and Attached
X
R -value [01
-25 or
-24 to P-14 to
-4 b
+6 to
16 or
SEER
less
-15 I •6
+5
+15
more
8.0
-14
-12 -10
-8
-6
-4
-4
-3
8.5
8.9
-9
-5
-7 -6
-4 -4
-5
-3
-2
-2
9.0
-4
-3 -3
-2
-2
-1
9.5
0
0 0
0
2
0
2
0
1
10.0
10.5
4
7
3 3
6 5
4
3
2
11.0
10
9 7
6
9
4
7
3
5
- 120
13.0
15
20
13 11
17 14
12
9
6
None
-37
j.
-18
-15
-12
25%
Solar
ERedive SEER
-1
-1
9
(SEER xduct efficiency)
•6516
HWR
-18
Su..." of 7-10
-9
-7
Effective -25 or
-24 to -1410
-41*
+s fo
16 or
SEER
less
-15 .5
+5
+15
more
5.0
-30
-25 -21
-17
-13
-9
6.0
-12
-11. -9
-7
-6
4
6.6
-5
-4 -4
3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
1 10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
I
Stories
Zonal Control Adjustment
10 8 7 6 4 3
No Conlin:; System Installed
One
-5
-4
-4
-3
-2
-2
Two +
3
3 ..
2
2
2
1
Single-Famlly Iletaehed and Attached
X
R -value [01
F2 factor [0.77]
Unit Size (sQ
TYPE 1 MASS
Water
:199
1200
1700
2200
2700
Heater
U-9dit
or
to
to
to
or
Type
Type
less. ,1699
SE or HSPF
2199
2699
more
SG
None
0' i
0
0
0
0
or
HP
Solar
HWR
12 "
8
8
5
6
4
5
3
4
3
WSB
5
3
3
2
2
l
POU
8
5
4__
3
3
SE
None
-37
-24
-18
-15
-12
25%
Solar
-1
-1
-1
9
0
•6516
HWR
-18
-12
-9
-7
-6
100% 105% 110%
WSB
-25
-16
-12
-10
-8
PQU
-18 -
-12
-9
-7
-6
IG
None
-5
-3
-2
.2
-2
Solar
7
5
4
3
2
POU
3_
2
1
1
1
IE
None
-28
-19
-14
-11
-9
2.3
Solar
8
5
4
3
3
3.7
POU
-10
-6
-5
-4
.3
5.2
5.4
Multi -Family (individual units)
20% .
0.3
0.6
0.8
UM Size (6
1.2
1.4
Water
1.8
699
700
1200
1700
2200
Heater
Credit
or
b
10
lo
or
Type
Type
less
1199
1699
2199
more
SG
None
0.
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
5.1
WSB
9
4
3
2
2
0.9
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
-9
4
Solar
2
1
1
0
0
5.5
HWR
-23
-12
-8
3
-5
1.3
WSB
-25
-13
-8
-6
-5
_ PQU._
_23
-12
-8
3
-5
IG
None
-8
-4
-3
.2
; .2
-
Solar
6
3
2
1
1 1
_.
POU_
1-_
` 0
0
0
0
IE
None
30
-15
-10 '
-8
4.3
4.5
Solar
18
9
6
4
4
6
POU
-8
-4
.3
-2
-2
Point System Summary: Climate Zone 11
CCnRE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. West
• e. Skylight
9. Interior' Thermal Mass
10. Exterior Wall Mass
i
11. Heating System
Zonal Control? ( Y / N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
Measures
SC
J03 y or
R -value 1381
U -value [0.030]
or
R7vallac [ III
U -value [0.098]
or
9 -value [ 91
Interior Mass/CFA
or
X
R -value [01
F2 factor [0.77]
Standard
TYPE 1 MASS
AREA 8
. nre2 hiss
rl. 7.0 [Plea. 21
GOND. FLOOR
AREA
Interior Nass/CFA
TYPE 2 MASS
AREA $
Exterior Wall Mass
t TYPE 1 nASS JUIRC
& 4.2-,
ie: exposed
slab)
3,16
- o
SE or HSPF
Duct. Efficiency [0.781
Effective SE or
HSPF 10.5615
[0.72/ .61
X
��
-IS)?
le.rDeted .1__b)
-�-
Duct Efficiency [0.74]
Effective SEER 17.031
[
Credit [none]
0%
5%
10%
15%
20%
25%
30%
35%
40% 45%
50%
55%
60%
•6516
70%
75%
80%
85y.
90%
95%
100% 105% 110%
115%
120%
125•
5
53
10%
0.2
0.4
06
0.8
1
1.2
1.4
1.6
19
21
2.3
23
2.7
2.9
3.1
9.3
3.5
3.7
48
4.1
4.2
4.3
4.4
4.5
4.6
4.8
!6
5
58
5.2
5.2
5.4
54
56
20% .
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
2.7
29
3
3.1
32
3.3
3.5
3.5
3.7
3.7
3.9
3.9
4.1
43
4.5
4.7
4.9
5.1
5.3
5.6
58
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
2.2
2.4
2.4
2.6
2.6
2.8
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.3
25
2.7
3
32
3.4
3.6
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
50%
0.9
1.1
1.3
15
1.7
1.9
2.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
S.6
5.8
6
6.2
65�%
1.1
1.3
1.5
1.7
1.9
2.2
2.!
2.6
2.8
3�
3.2
3.4
36
3.8
4
4.3
4.5
4.7
49
5.1
5.3
55
5.7
5.9
6.1
64
70%
1.2
1.4
1.6
1.6
2
2.2
2.5
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
1.9
21
2.3
2.5
2.1
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
80%.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
S.1
5.4
5.6
5.8
6
6.2
6 4
66
05%
1.4
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
4.9
S
5.1
5.2
53
54
5.5
56
5.7
5.9
5.9
6.1
6.2
63
64
65
66
67
68
90X'
1.5
1.7
2
2.2
2.4
26
2.8
3
3.2
3.4
3.6
3.7
3.8
3.9
4.1
4.1
4.3
4.3
4.5
4.6
4.7
4.8
S
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
69
95%
1.6
1.8
2
2.2
25
27
2.9
3.1
33
3.4
3.5
3.5
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
SS
5.7
5.9
6.1
6.3
6.5
6.7
7
100'/.
1.7
1.9
21
2.3
25
2.8
3
3.2
105%
1.8
2
2.2
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
43
4.7
4.9
5.1
5.4
56
5.8
6
6.2
6.4
66
68
7
7.1
110%
1.9
2.1
2.3
2.5
2.7
29
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.6
S
5.2
5.4
5.7
5.7
5.9
5.9
6.1
6.2
6.3
6.4
6.5
6.6
6.7
6.8
69
7
7.2
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.1
4.3
4.4
4.5
4.6
4.7
4.8
4.9
5
5.1
5.2
5.3
5.4
5.5
5.6
50
6
6.2
6.5
6.7
6.9
7.1
7.3
120%
2
2.3
2.5
2.7
2.9
3
3.1
3.2
3.3
3.4
3.S
3.6
3.7
3.8
3.9
4
4.2
4.4
4.6
4.9
5.1
5.3
S.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
74
M%
2.1
2.3
2.5
2.8
Point System Summary: Climate Zone 11
CCnRE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. West
• e. Skylight
9. Interior' Thermal Mass
10. Exterior Wall Mass
i
11. Heating System
Zonal Control? ( Y / N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
Measures
SC
J03 y or
R -value 1381
U -value [0.030]
or
R7vallac [ III
U -value [0.098]
or
9 -value [ 91
U -value [0.0371
or
X
R -value [01
F2 factor [0.77]
Standard
TYPE 1 MASS
Type [double] U -value [0.65]
% Total Glass [ 161
% Glass SC Eff. % Glass
o?- 3 X ` % (_ 7
C> • ri X =
jX 69
X =
% Glass
SC
Eff. % Glass
/
t7 ,RC1 X
0 X
' -
0.9 X
=
5
X
_
TYPE 1 MASS
AREA 8
GOND. FLOOR
AREA
Interior Nass/CFA
TYPE 2 MASS
AREA $
Exterior Wall Mass
ND. L OR
AREA
X
3,16
- o
SE or HSPF
Duct. Efficiency [0.781
Effective SE or
HSPF 10.5615
[0.72/ .61
X
��
-IS)?
SEER [9.S1
-�-
Duct Efficiency [0.74]
Effective SEER 17.031
[
Credit [none]
Point Scores
0-
-#--r-
0
M
I1
0
-6--
um 1 6
Point Total.
Sum 7-10
Point Total.