HomeMy WebLinkAbout065-340-036FEW
0-036
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,GLENW00D DR., MAGALIA..
OLDENWEST ENGLE FAMILY ' T
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RESIDENTIAL
065-340-036 94-0502B,P,E,M
CUSEO, JOHN
14800 GLENWOOD DR., MAGALIA
CONT: GOLDENWEST ENT.
NEW SINGLE FAMILY
N
(=Cc
OFFICE COPY
Address—/ Y910
GAS
Meter By Date
ELECTRIC
Meter By —Datej//,/-
�"FFICE COPY
Addres
GAS
Meter By DateCpl,4:457�
ELECTRIC
Meter By Date
JOB FINALED' (Date)*
Signature
V=OK.
O = Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex),
&-Kg., Godge; Soils-Steel-Elec. Grnd.-/ /"
4. Ftgerfo'rches & Decks; Soils -Steel-/ /Fto
b!SteM*wAI§, Main; Steel-Blockouts-Wrapped
felfamwalls, Garage; Steel-Blockouts-Wrapped
6a. Ho ns and Special Anchors
/o -Lo lab; Steel -Wrapped
8. Piers -F' Ftg.- el
/6 Zo -94! 9 V.; Fall -Fitt -Te ay C/O -Sewer Test ///I
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Materiel -Support -Ina.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) except #'s
16. Water Htr.; V - ass-Combu n Air -Baffle
17. er Pipe; Tftf & Ar1ctrr- I ProtecqWn
1 DTest-Fittiftlis & Anchor-NW-iProtection
Sh or -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
11-30 `1 V,!5
Date/initials ELECTWAL (Permit) OK except #'a
22VFixture & Transforr2g learance-Ina. Protection
23. Elpe-oegptac Spacing -Lights & Switches at Doors
No. of Coni
U' Ro x !astalled Close to Edge of Studs & C.J.
Ground made up w/Meth. Fastne -Bold GmA Water
27.1'2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. ire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
2 Range Circ. 1()/ ga.@0 or AI -Oven Circ. / / ga. Cu or Al.
lnpatoR Neutral ❑ Yes M-ITO-
i -Riser Conductors & Ground -Mein Disconnect
3 . E ip. Clearances Panels -Motors -Mach. Equip.
3 . Clothes Closet Light -Shower Light -Spa Light
�} Smoke Detector
l-'ib-'i't Ls
OK except #'s
35^! an; Exhaust above insulation
ndensate Drain & Overflow; Size & Grade
37. Furnance ant• Access -Comb. Air -Return Air Vent -115 outlet
38. Atti ccess Platform if Furnance in Attic
s) OK except #'s
Material & ArteWii
-4+ Bp6ring Walls over Girders & Floor Nailing
4YDr Stop in Wells (rat proof)
4 j'KStops; Furred Ceilin t ' -Chases-Tub
Date/Initials
48. Cing. Joist-Rftr. ties -Purlins Brac-TrUel_Shthng.-Rfng.
47. Fir ce Ties or Ty lue-Fireplace Throat clearance
Att' • &ze !Pemex Protection Drs top Ina affles
49. Bdrrn Windo r Exitino Doors- at_ A nt ain..
Fire Protection
51. Property Line Fir%Watr& Openings
t. Doors -One 3' -Check Garage -3rd Story, 2 Exits
go idth-Headroom-Rise-Run-Landing-Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
4 5. Siding -Nailing Veneer
56. a r. ccesa
57. ing Area -Glass Protection -Skylights -Plastic
5 s; ai ng- o s
1-59. Insulation -Wells -Ceilings
80. Infiltration -Walls -Windows
l i -3o 'g -q vQ
Date/Initials FINA lane OK except #'s
J�apelteps-nnnr & Sidelight Protection -Landings
62" -smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In gW-age; Above Floor -Ducts -Meth. Protection
tt'S. G.F.I. & Bath FIx#d6s & Tub Accebe•6p-
86. Elec. Trim & Suboane Brea er Sizes Label
or
74! Ejec. Outlets & ReceptaclR4t Mi ,punter
7eGarage_Fire Door, Swirtli-La na-CI
T+4' Wtr. Htr.; Vents -Clearance -Comb. Air -Connector -P.64.7
In t r ge; Above Floor -Mach. Prote n
Elec. & Mach. Equip. Lis*446'r Location
JE;2J/t1ec. Receptacles Irrtiare e G omex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
7 ion- s
79,-rdn. Vents & Crawl Hole Door-Draina e & Wood -Earth
earance Looked uncle, FToo
0. Following instld.; Drive ❑ No; Walks ❑ Yea 1244r.,
Planters ❑ Yea o
rown-Finish
2. C. Un , Disconne lecocal, Plumbing
83. Vents Above Roof; PI : Appliance-Fi .-Clearance to
OpeWags-
84014ter_Well; Disconnect, Elegj%rcal, Plumbing
8_� or Elec. Trim; Receptacle -Underground
Ven Throughout House
_ a7r0T1aj§,Wotection
Sge'lSrrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. WattLxSewer Connected- rade-HD Approval
113-15-ergy Compliance Certificate -Other Certificates
Comments at Final:-*) -_9 a -qs 0
V=OK
O=Not OK
= Not Reeaady Ready MOBILE
MOBILE HOMES `
Date/Initials MOBILE HOME UTILITIES (Plans) OK except Va
1. Zoning Requirements -Setbacks -Easements
2 Soils; Special MH Support Sketch
3. Sewer; Location -Teat -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /" L"ft.
/ /"Net. or/ P'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance "
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Teat -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Teat -Fall -Flex Connector
6. Water; MH Teat -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Inep: Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, OARAOES, (Plans)OK except #'a
1. Zoning Requirements-Setbacks-Eaeements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posta-Beams-Rftm.-Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftm-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'a
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-Panelboards-Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Teat -Water Supply Test
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive-*Oro'ville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ObESSOq,PpRCELNU,�+ Efl
s- 340-0 S�
ZONING )��TT
LLL ILL
BUILDING PERMIT
OWNER
JOHN CUSEO
TELEPHONE
877-2431
SO, FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
PO BOX 1013, MAGALIA, CA 95954
j
1008Q R 54,432
440 M 7,920
CONTRACTOR'S NAME
GOLDEN 6dEST ENT
TELEPHONE
877-2431
CONTRACTOR'S MAILING ADDRESS
PO BOX 1013, 11AGALIA, CA 95954
Fireplace 1 A
1,500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 63 852
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 477.50
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 310-15
Energy Plan Checking Fee
$ 46.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
14800 GLEN4100D DR. AIAGALIA
PERMIT FEE
$ 853.85
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00 35.00
-
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
86
SUBDIVISION'S NAME
SIERRA DEL ORO EST UNIT 2
PARCEL MAP
34-27 28
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFS Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
9
Mobile Home S G W
@20.00
TYPE OF WORK
Newer Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other C)
Describe Work: MASTER PLAN #39-91
PERMIT FEE
$ 119 no
Cont ractor
ELECTRICAL PERMIT
Filing Fee 1 20.00
'3FnRnnP�s
OR LESS )
Main Service I 'OA
200A OR LESS
23.00
123.00
Main Service ( 200A To IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. I & ACC. SLOS. )
SO•
3.50 FT. 35.25
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Codr, y lic nse is in full force andyffect.
License No. Classification
3 �T 214 � �s
❑ 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)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS )
@7.50
(gPONGLEAOUTLETTC R. )
Ex. Occup. ( OUTLET OR FIXTURES )
zo p ,.00
B20AL. .00
Ex. Occu FIXED APPNS.OR
p' ( OUTLETS IRESID.I 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):
eis permit is for $100.00 (valuation) or less.
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
$ 78.25
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
0
Cooling
15.00
Hood
6.50 6,50
Ventilation
PERMIT FEE
$
56-50
Contractor
1 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 to46-00
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 f the gra 'ng of this permit.
X Date Z Z 9
Signature of licant - 1:1 Owner Contractor ❑ Agent
An OSHA rmit 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 $ 1,149.60
HAZ.
J
1 D. FEES
I IMP
'�
I FLOOD
_CDFJ
PARCEL PD
HD
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
' G
PERMIT EXPIRES ON `%
the applicable provisions
Resolutions to do work
been paid.
Date
/
(Dat
156287
Receipt
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Owner: ��� //� L° Permit No.
E NERGY C E R T•I F I C A T ION
14800 Glenwood, Magalia, Ca. 03�0
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material_ (,–C),14 Brand Name
Thickness(inches) Thermal Resistance (R Value)_.
EXTERIOR WALL
Material FIBERGLASS BATTS Brand Name SCHULLER INT. __JL.
Thickness (inches) 3k" Thermal Resistance(R Value),�_t
CEILING
Batt or Blanket Type Brand Name
Thickness(inches) Thermal Resistance(R Value)�___,y��^
Loose Fill Type FIBERGLASS Brand Name SCHULLER INT.
Minimum Thick nes (Inches) 13" Number of Bags 18 Wt. .per baF;._�lb,
980 Thermal Resistance(R Value
Area covered (f t . ) ) R30''
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Brand Name.
Thermal Resistance(R Value)_- _---
Brand Name
Thermal Resistance(II Value)��
Material_ Brand dame
Thickness(inches) Thermal Resstance(R Vetlue)___'
I hereby certify that the above itnsula tiop ..was installed in the abQvti hiillang
in conformance with the State of Califorti�a EnRrgy Requirements. 10(i3. .
LOERKE ]'NSULATION CO., INC. 499150
•F NAME/OWNS
SIG URE OF INSTALLA.TI( APPLICA:rOR
STATE CONTRACTOR'S LICENSE NO,, �x
January 10, 1995
DATE^
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the: quality prescribed or arc-
s ifi
rcspecifi lly approv d a State of California.
�C/S37 _
FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO -t::
SIGNATU OF GENERAL CONTRAC'rO.R. O{JNFR DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO IN,
INSPECTION APPROVAL AND A COPY SHALT. BE POSTED WITHIN THE BUILDING.
9 � .
January 1984 f', ,
Date % 1-3(3 • q/ j Inspector
REV 11/91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
O * R PERMIT NO.
!
A routine inspection indicates that the following violations of Butte County Ordinances exist at
?q
the above address should be corrected. Please notify this office when correction of work
is completed. ou have any questions pertaining to this matter, or need additional explanation,
,
please co ct this office immediately.
Date % 1-3(3 • q/ j Inspector
REV 11/91
COUNTY OF BUTTE
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
�1 XD o CJ
OWNER PERMIT NO..
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the aboveaddr and should be corrected. Please notify this office when correction of work
is complete you have any questions pertaining to this matter, or need additional explanation,
please c tact this office immediately.
y -
Frill MKIrlm-,
12
i
1
A ."n-
1 J "m.:I_4��
•
Date!1 ' ° (fD Inspector
REV 101/2
F.H. MSE ONLY
------------
Hot Plan Allached Y—'
Floor Han AtLiched Ye'97
SCIII to 1J.D. �Fc/ 1QQ
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal ✓ "later Supply: PLIbhC- ✓ Private Well
Clearance forJ2
be(Iroom nit)A.AI1ome. Other
Hold final for:
Final clearance 0. K. liar:
NOTE:
Environrnentaf,—Heilth Spedialist
8/92
Date
COUNTYOF BU ,yTEE - gEPARTMENT F DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIAw95965' TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER P. No.
Proposed Building Use �� ' Building Inspector Jd/ Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEWD 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 . .............
5. Hazardous Material Form . .......................................... .
6. Energy Design Compliance and supporting documentation . ................. .
Statement of Intent for Non -Heated and A/C Buildings . ......................
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 $ ........... .......................... .
1. Impact fees as shown on attached schedule. 45..4HV49.L--, c
2. California Department of Forestry plan approval f e ./vj..&74..3� �'.-�ur3.2_
�13 Flood elevation letter (100 year flood) by California Engineer. ..................
14. Sanitation and�iot plan approval e6 i1 4 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.a bout (A) Improvements (B) Drainage.
Driveway permit (construction -approval required prior to occupancy). .�`o ?S ?-... -
20. Pre -inspection for '��"��°" fBQUe
required. .. to Bu;ld;"9 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 . ...`.�...... .
4. 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. ....................................... r
32. Plan check list . .................................................... f1
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date 1 29'
ly
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Oth r Date By
The following data must be submitted prio toermit is : ( iv 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 —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 21;�n Date 3
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
V
COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (9.16) 538-7541
OWNER G �/1-, A.P. #
PROPOSED BUILDING USE DATE Z ��
REC. # DATE REC
1. SCHOOL DISTRICT FEES
070 (paid at District Office) .........................
r V 2. SHERIFF FEES
(paid at Building Department)
Residential...... x =$j�7
unit amt.
Commercial (sgft) x =$
IIA 3. URBAN AREA FEES sq.ft. amt.
(paid at Building Department)
Residential (per unit) # x =$
units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office) .........................
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
6. SRA FIRE INSPECTION AND PLAN CHECK = $89 . oo ...... /5�t 2-8-7Z cj
(paid at Building Department)
7. OTHER
8. OTHER
At time of permit application, I was advised the above fees are required to be.paid
prior to issuance of the permit.
APPLICANT DATE Z
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
r. 7 County Center Drive-•proville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT qq--OSD2-
ASSESSOR PARCEL NUMBER �,• K _
zON !�
BUILDING PERMIT
OWNER
T L E 0
SQ. FT. OCC. BUILDING VALUATION
5
OWNER'S 1 NDRESS .AL / /
U /V^
7 cf 2-- D
CON S NAME
LEPHONE _
CONTRACT M LING DRESS
Fireplace I
CONSTRUCTION LENDER
UNKNOWN
Total Valuation$
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 4Z 77, Sad I
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ S
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS O� ' /
N Q
PERMIT FEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00 D 6
Solar or heat pump water heater 23.00
Water piping 15.00 115'.0o
LOT NO.
SUBDIVISION'S NAME
' P-/7-
JJCEL MAP
Each gas water heater or vent j 15.00 1S,()o
USE OF STRUCTURE
SFY Duplex O Mobilehome O Other
/ SPECIFY
Gas piping system 1 5 outlets 15.00 1 v0
Building sewer 15.00 ,()
Mobile Home S G W 20.00
TYPE OF WORK
Ne _XAddition ❑ Remodel 0 Utilities O Installation O Other O
Describe Work: (� 7 TE X 0— p
PERMIT FEE g
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( 200V OR LESS
200A OR LESS 23.00 3,Q
Main Service ( 200A To I000A ) I 46.00
_
NEW CONST. DWELLING OCC US
P. O.
OR ADDNS. ( a ACC. BLDS. _ ) _ _ 3.50 FT, , jt I
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS ) @7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
U I 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
O 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)
O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
for this reason
( POW ER APPARATUS 1
& SINGLE OUTLET CIA. I
Ex. Occup. ( OU ILEI OH FIXTURES ) BAL � '.so
Ex. Occup.FIXED APPLNS. OR
( OUTLETS IAfSID.I EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring Y3.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
O 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.
O 1 shall not employ anyperson 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 S 7 ,1�, oZ
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating l%�d
Cooling
Hood 6.50
Ventilation –^ ----T
PERMIT FEE S—
Contractor
1 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.
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 saidHA2.
County in consequence of the granting of this permit.
X Date --,7 b4This
Signature of Applicant - O Owner O Contractor O Agent
-An 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
$
cc CONST T PE TOTAL FEE $ r
0. FEES I IMP I Foo PARC HD ISSUE
permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By -Date---
ate__Receipt
PERMIT EXPIRES ON
(Dere/
ReceiptNo.
WHITE-D.D.S.-S.D. CANARY -A ESSOR PINK -IN SPECT.OR' GOLDENROD -APPLICANT
i
;:;,Ren,,rn to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
Building Division FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this
acknowledgement be recorded prior to issuance of a building -
permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents
of this property may be subject to inconveniences or
discomfort arising from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and ~- 'APR 1
fertilizers; and from the pursuit of agricultural operations g; (pqi✓► 1994
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
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
SEE ATTACHED LEGAL DESCRIPTION
Date: 4-1-94 ' PROPERTY OWNERS:
State of California
County of BUTTE
On 4-1-94 before me,
personally appeared
JOHN CEO
WENDY CSER
JOHN CUSE0
personally known to me (or proved to me on the basis of satisfactory evidence) to be theperson(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument. _ -
WITNESS my hand and official seal. .� 1
Signature -� ✓I i •�-1 i, �,�� aJ`L� Seal: =AJpi: E•,`.. ...n. .:7c ; -,
A.P. # . 065-340-036
DESCRIPTION
'ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
LOT 86, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO
ESTATES UNIT NO. 211, WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER
19, 1965, IN BOOK 34 OF MAPS,. AT PAGE(S) 27, 28 AND 29.
EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE
SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID
MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING
OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST
DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS,
SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA
OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE
DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS,
ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL
RECORDS.
�� / ��/ 8/91-
RESIDENTIAL PLAN CHECKING GUIDE `%6�f/ll 9—
(S.F., DUPLEX-& MISC. ONLY)
Bldg. Permit #
OWNER A. P. # �.ff-L3
Plan Chec eros J cg—
GENERAL GENERAL
-ice /Zoning requirements: (sideyards and number of permitted living units).
Y/Valuation.
ZPlans signed by designer.
roper description of work on application.
-S Existing violations on property.
;1:�t-ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
! Recorded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map,
ustible, and foundations).
FAU & FAS road setback.
(noise, CDF, fire sprinklers, non—comb—
Building or utilities across lot lines (Record form).
FT.nnp PT.Am
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec.
Required windows for second exit (Sec. 1204).
.Skylights (Chapter 34 & Sec. 5207).
.Human impact glass (Sec. 5406).
1205).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article
Light fixtures, switches, receptacles, and exterior receptacles
210-8).
for main-
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
,or gas equipment.
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
Smoke detectors (Sec. 1210).
clearance.
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
' Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
after ties or bearing ridge beam.
Garage door or porch header sizes.
tud heights.
dobe soils — special foundation design.
�etaini-ng walls requiring design.
Spacial,InspAction required.
building
8/91
RESIDENTIAL PLAN CHECKIVN&.GUZDE.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
roper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
oam insulation - protection.
36" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
Attic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
Combustion air for fuel burning appliances - L.P.G. requirements.
oise requirements on duplexes.
nergy design.
F shing at all exterior openings.
CDF responsible area requirements.
r
L oT
97
/ O.
I I
I
- I
I - I
I - I
APPROVED t
Butte County
Environmental Health INVIN4NMEWAL HEALTH W
I �
MAR - 8 1994
Date - I
PARADISE, CALIFORNIA
_ �
Signature
I �
I
I
2s/ L 1
�,LFRiw000 DR/�/�
Certificate of Compliance: Residential: f-��'�� Climate Zone 11
Documentation Author Telephone
BUILDING DATA �/
C boned Floor Area Oo _
.sed Floor
Single Family Detached (SFD)
[ ] Single Family Attached (SFA)
[ ] Muld-Family (NM
Number of Stories
Number of Units
[ ] Addition Alone
[ ] Existing Building
[ ] Existing -Plus -Addition
B UII,DING SHELL INSULATION
Component Insulation Locatiionleomments
Type R -Value (arae, to taste. tv L-4
Roof .............
Roof.............
i Wall ..............
Wall...........».
Floor .............
Moor .............
Slab Edge....:
GLAZING
Glazing
Orientation
Shading Devices
nuua��utg r _omit • 3 V
v
Cbedted By / Date
Enfotoemeat Asencv Use only
North
1�1SR:arC3
95 Glasa
East
g.
Location
South
West
r' Ale—
. t'
Skylight
Total
A - i
'0'ro
Area Glass Type Interior Exterior Overhang Framing Type
North
Minimum
Duct
Notzh
( )
Location
East
( )
(attic, ctcctc.i
East
( )
11.4- t-
South
( )
South
( )
West
West
( )
]
Skylight.......
TliERMAL
MASS
Type/Covering
Area
Thickness
IiVAC SYSTEMS
Minimum
Duct
Type (furnace. air
Efficiency
Location
conditioner. heat pump)
AFWF SEER.HSPF)
(attic, ctcctc.i
7r.
11.4- t-
1 ->A A*'
Duca Heat Pump
R -Value Thermostat Tvne. (split or . pal
i
owl
-"
r, n
IIOT WATER SYSTEMS V
Tank R Value
System T (storage gaS. etc.) Capacity Number _Energy Factor Ext- Tank Tns- Di st-ri hnt-i nn
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Point System Summary: Climate Zone 11 Point scores
1. Ceiling Insulation or
R -value (38l U -value (0.0281 .
2. Wall Insulation or - - - -'
R -value 1191 U -value 10.0651
3. Raised Floor Insulation or
R value 1191 U -value 10.0371
4. Slab Edge Insulation or
R -value 101 F2 tawor [0.751
5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) [Y]
6. Fenestration Heat Loss • L /0. � I
Type U -value [0.651 Total % Fenes.1161 Sum 1-6
7. Fenestration Heat Gain
Fene ration SCshade open Eff. % Fenes. Shade Eff Ratio
North � x 7 -�
Eastx _
South x = Q [
West x I - yUL 1
Skylight�x
Overhangs? ( Y / N_
S. Interior Thermal Mass ",-No or
X Exp. Slab 1201 Int Maes/CFA �7
9. Exterior Wall Mass �Ji
Ext Waa Mass Su 7-9
10. Heating System . % T x .175
AFUE or HSPF Duct Eff11 story: Ettective AFUE Zonal Control
[78% or 6.81 0.83: 2+ storms 0.881 or HSPF Adjustment (01
11. Cooling System ly x r = 0
SEER 110.01 Duct Effie. (1 story: Eftectrve SEER Zontaf.Connd
0.81: 2+ story: 0.871 Adjustment (01
12 Water Heating !
System 1 ( (� ► 107�) �_ (2 Sj
Heater ype Energy Factor Ext I -fin . R-va-lue Auxtiiary Input Distntwaon
Isc501 10.531 (121 (None( ISTDI
System 2
Heater Type (None) Energy Factor Ext Ins. R -value Auxiliary Input Distribution
Pont Total:
1. Ceiling Insulation
Number of stones
R -value One Two
thrie`
R-0
-74
-48
-27
R-19
-5
d
.2
R-30
-1
-1
0
R-38
0
0
0
2. Wall Insulation
1.11
1.01
.91
Single
single -
.71
.66
Family
Famay,
1041111-
R -value
Detached
Attacted
FamtN
R-0
-72
-57
-43
R-11
-7
-6
-4
R-13
-5
-4
-3
R-15
-4
.3
.2
R-19
0
0
0
R-21
1
1
t
3. Raised Floor Insulation
.75
70
IttsttlatJon
In Flow
55
.50
Number of stones
40
R -value
One
Two
Three
R-0
-14
-9
-5
R-11
-3
.2
-1
R-19
0
0
0
R-30
2
1
1.
4. Slab Edge Insulation
Numoer of Stones
slue One Two Three
R-0 0 0 0 5. Infiltration (Duct Air Leakage)
R-5 . 6 4 2 Ducts to Uncondatoned Space 0
R-7 7- 4 2 No Ducts in Unconotttoned Space 3
6. Fenestration Heat Loss
7. Fenestratio
Ell Non
87 .67
Fen- or to
on- more .86
lion
18 : -5 -4
16% -4 -4
14% -4 -3
12% -3 -2
11% -2 -2
107. -2 -2
9% '-2 -1
87. -1 -1
77. -1 -1
6% -1 -1
5% -1 0
4% 0 0
3% 0 0
2% 0 0
1% 1 1
0% 1 1
U-Ywue
Total
1.31
1.21.
1.11
1.01
.91
.81
.76
.71
.66
.61.
.56.
.51
.46
.41-
.36
.35
Percem -
_or
to
to
to
to
to
to -
to
to
10
to
to
to
to
to
or
Fenestration
more
130
1.20
1.10.
1.00
.90
.80
.75
70
65
60
55
.50
.45
40
less
50y.
-100
-76
-69
-62
-55
-48
-41
-38
.34
.31
-27
.24
.20
.17
-13
-10
4011.
-17
-58
-52
47
-41
-36
-30
-27
-25
-22
-19
-16
.13
.11
-8
.5
35%
-66
49
-id
-39
-34
-29
-25
-22
-20
-17
-15
-12
-10
-7
.5
-3
3011.
-54
-40
-36
-31
-27
-23
-19
-17
-15
-13
.11
-8
-6
-4
.2
0
28%
-50
-36
-32
-28
-25
-21
-17
-15
-13
-11
.9
.7
.5
.3
.1
1
215%
-15
-33
-29
-25
-22
-18
-14
-13
-11
-9
-7
-5
-4
-2
0
2
24%
-41
-29
-26
.22
-19
-16
-12
-11
-9
-7
-6
4
-2
.1
1
3
2211.
-36
-25
-22
•19
-16
-13
-10
$
-7
.5
-1
-2
-1
1
2
4
20%
-31
-22
-19
-16
-13
-11
-8
-6
-5
-4
-2
-1
1
2
3
5
18%
-27
-16
-16
-13
-11
-8
-6
-t
-3
-2
-1
1
2
3
4
6
16%
-22
-14
-12
-10
-8
.6
.3
.2
-1
0
1
2
3
4
6
7
14%
-18
-11
.9
-7
-5
-3
-1
0
1
2
3
4
5
6
7
8
12%
-13
-7
-6
-s
.2
-1
1
2
3
4
4
5
6
7
8
9
10%
-8
-4
-2
-1
1
2
3
4
5
5
6
7
8
8
9
10
811.
-4
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
7. Fenestratio
Ell Non
87 .67
Fen- or to
on- more .86
lion
18 : -5 -4
16% -4 -4
14% -4 -3
12% -3 -2
11% -2 -2
107. -2 -2
9% '-2 -1
87. -1 -1
77. -1 -1
6% -1 -1
5% -1 0
4% 0 0
3% 0 0
2% 0 0
1% 1 1
0% 1 1
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measurq_s regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by more stringent compliance, requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as -binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the doct)ments.or on this checklist only.
DESCRIPTION
Building Envelope Measures
' §150(a): Minimum R-19 ceiling insulation.
§150(b): Loose ill insulation manufacturer's labeled R -Value.
' §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
• §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
§150(1): Stab edge insulation -water absorption rate no greater than 0.3%. water vapor transmission rate no
greater than 2.0 oerm inch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116.17: Fenestration Products, Exterior Doors and Infillradon/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces oesioned to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windows weatnerstripped: all joints and penetrations caulked and sealed.
§150(g): Vapor bathers mandatory in Climate Zones 14 and 16 only.
§150(1): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
.2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110.13: HVAC equipment, water heaters, snowerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§150(j): Pipe and Tank Insulation
1. Indirect not water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined intenonextenor insulation (R-16 or greater).
2 First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 5VF insulated.
5. Piping insulated between heating source and indirect hot water tank.
' §150(m): Ducts and Fans
1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: ducts insulated
to a minimum vutafled value of R-4.2 or ducts enciosed entirely within conditioned space.
2. Exhaust fan systems nave backdraft or automatic dampers
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible.
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions.
no eiecuic resistance neatind_ and no pilot light
2 System is instatleo with:
a. At least 36' Pipe between filter and heater for future solar.heating.
b. Cover for outdoor boots or outdoor spa.
3. Pool system nas c rectionaf inlets and a circulation Dump time switch.
§115: Gas-fired central rurnace. pool heater, spa neater or household cooking appliance have no
continuously bunno piiot ndht. (Exception: Non-eteartcal cooking appliance with pilot < 150 Btwhr.)
Lighting Measures
§I50(k): 40 lumenswan or greater for general lighting in kitchens and rooms with water closets: and
recessed ceiling fixtures iC 6risuiation coven approved.
COMPUANCE STATEMENT
DESIGNER I ENFORCEMENT
This certificate of compliance lists the balding features and.perfonnance specifications needed to comply*with Title 24, Parts 1 and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
.V dvkkW with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special Featlues/Remarks.section. .
Designer or Owner (Per eusine" ft, Profession* code)
Name:
Tide/Firm:
Address:
Telephone:
Lic. t:
(3gnature) (date)
Enforcement Agency
Name:
Title:
Agency.
Telephone:
(signaturaistamp( (dais)
Documentation Author.
Name:
Tide/Firm:
Address:
Telephone:
(signature)
(date)
.t Heat Gain (based on Shade Effectiveness Ratio)
h
..
Exit
Three
Ston
. South
Stones
Stories
went
AtMrned
Skybo
.52 S1
.87
.67
.52
.51
.87
.67
32
.51
.87
.67
.52
.51
.67
.66
to or
or
to
to
or
or
to
to
or
or
to
to
or
or
or
.66 less
more
.86
.66
less
more
.86
.66
less
more
.86
.66
less
more
less
•3 -2
-21
-20
-15
•12
-26
-23
•16
•12
•36
•32
-23
•16
-75
-50
.2 •1
•18
•16
-13
-10
-21
•19
.13
-9
•31
•27
•19
-14
•65
44
.2 -1
-14
-13
•11
-8
-16
•14
•10
•7
-26
-23
•16
-11
•55
-38
.1 •1
-11
•10
-8
-6
-12
•10
-7
-4
-21
•18
•13
-8
-46
•31
.1 0
-10
-9
-7
b
-10
•8
.5
-3
•19
•16
•11
-7
-41
•28
-1 0
-8
-8
-6
-5
-8
•7
.4
-2
•16
•14
-9
-6
•37
-Z5
•1 0
-7
-7
-5
-4
•6
.5
.3
.1
-14
-12
-8
-5
.32
-22
•1 0
-6
-5
-4
-4
-4
.4
-2
0
-11
•10
-6
-4
-28
•19
0 0
-5
-4
-4
•3
-3
.3
-i
0
-10
-8
-5
-3
-24
•17
0 0
-4
-4
-3
•2
-2
-2
-1
0
-8
-7
-4
•2
-20
.14
0 0
•3
-3
-2
•2
-2
•1
0
0
.6
.5
-3
-'1
-16
•12
0 0
-2
-2
•1
-1
-1
•1
0
1
-4
-4
-2
0
-12
•10
0 0
-1
•1
-1
0
0
0
0
1
•2
-2
0
1
-9
.7
0 1
0
0
0
0
0
0
1
1
0
0
1
2
-6
•5
1 1
1
1
1
1
0
0
0
0
1
1
2
2
•3
•2
1 1
1
1
1
1
0
0
0
0
3
3
3
3
0
0
"hernial Mass
lah-on-grade Consttuction Only)
One
..
Two
Three
Ston
Family
Stones
Stories
-3
AtMrned
-2
0
-1
-2
3
-1
2
-1
0
4
0
8
0
1
10
1
14
1
3
17
2
10
1
4
11
3
17
2
5
18
3
24
2
6
6.8
4
*1
2
S.
0
5
85%
3
9
5
6
3
3
10
1
6
7.8
4
Method
B
5
4
ab Flow
1
Raised Floar
Rom
8.0
11
Stones
7
Two Three
One
Two
Three
--a
-0
-1
-1
0
-7
-0
0
0
0
-0
-5
1
1
1
-5
.4
2
2
2
-3
4
4
4
5
4
1
6
6
6
2
4
8
8
8
3
5
9
9
9
I •
5
11
10
10
6
7
13
13
13
6
8
14
14
14
7
9
15
15
15
8
10
16
16
16
9
11
18
17
17
r Wall Thermal Mass
..
Single.
Single.
Mufti
Family
Family
Family
Detached
AtMrned
Pkg
0
0
0
3
3
2
7
5
4
9
8
6
12
10
7
14
12
9
17
13
10
18
14
11
21
17
13
23
18
14
24
19
14
10. Heating -System
Houses With Duets (R4.2)
AdJttstment for No Tank (tuulatioo
11. Cooling System
Houses With Ducts (R4.2)
1000
Water heatmg
.SEER
Sum of 1.6
Poen Score
Sum of
Gas
Spirt
Pkg
-25
-24
-14
.4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
NSPF NSPF less
-15
-5
+5
+15
more
787.
6.8
6.6 •
0
0
0
0
0
0
807.
7.0
6.8
1
*1
1
1.
0
0
85%
7.4
7.2
5
4
3
2
2
1
90%
7.8
7.6
8
7
5
4
3
1
957.
8.3
8.0
11
9
7
5
4
2
100%
8.7
8.5
13
11
9
7
4
2
-20
-12 -17
Effective AFUE or HSPF
7-9
6.11,13.15
1.80
(AFUE or HSPF x duct efficiency)
Pckg
Effective
-24 to
-14 to .410
+6 to
Sum of 1.6
AC
AC
Gas
Spirt
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-4
NSPF HSPF
less
-15
-5 -
+5
+15 mora
One Story House
-2
0
7.0
6.8
•7
-6
33%
2.9
ZS
-62-
'-53
.44
-34
-25
-16
40%
3.5
3.4
-0
-34
-28.
-22
-16
_-10
50%
4.4
4.2
-19
-16
-13
-10
-7
-5
60%
5.2
5.1
-4
-4
-3
-2
-2
-1
64%
5.6
5.4
0
0
0
0
0
0
70%
6.1
5.9
6
5
4
3
2
1
80%
7.0
6.8
13
11
9
7
5
3
90%
7.8
7.6
19
16
13
11
8
5
100%
8.7
8.5
24
20
17
13
10
6
Two or Three
Story
House
-35
-27
-20
-13
33%
2.9
2.8
a
-S8
-48
-37
-26
-15
407.
3.5
3.4
-46
-39
-32
-24
•17
-10
50%
4.4
4.2
-24
-20
-16
-13
-9
•5
60%
5.2
5.1
-9
-8
-6
-5
-3
-2
69%
6.0
5.8
0
0
0
0
0
0
70%
6.1
5.9
1-
1
1
1
0
0
80%
7.0
6.8
9
8
6
5
3
2
907.
7.8
7.6
15
13
10
8
6
3
100%
8.7
8.5
20.
17
. 14
11
8
4
0
15.0
Zonal Control Adjustment
20
16
11
System Type
3
0
Resistance
6
4
3
2
1
0
Other
3
3
2
1
1
0
AdJttstment for No Tank (tuulatioo
11. Cooling System
Nunoer of Water Heaters
water Heater Tvoe One Two
SG50 •2 .5
SG75 -3 a
SE -5 4
HP .2 4
Zonal Control Adjustment
House Stra Adjustment
Htaae Sae (n2)
Sub=
Houses With Ducts (R4.2)
1000
Water heatmg
.SEER
to
Poen Score
Sum of
7.9
-30
-17
Split •
Pckg
-25 or
-24 to
-14 to .410
+6 to
16 or
AC
AC
less
-15
.5
.5
.15
more
10.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
12.0
11.6
8
6
5
3
1
0
13.0
12.6
11
9
6
4
2
0
14.0
13.6
13
11
8
5
2
0
15.0
14.6
16
12
9
6
2
0
6 5
-5 -1
Effective SEER
-3
0.68 _
7
10 8
(SEER x duct efficiency)
7
SE
Ell SEER
0.87
-20
-12 -17
Sum of
7-9
6.11,13.15
1.80
Split
Pckg
-25 or
-24 to
-14 to .410
+6 to
16 or
AC
AC
less
-15
-5
.5
.15
more
One Story House
-12
HP
b11,13,15
5.0
4.9
-29
-23
-17
-11
-4
0
6.0
5.8
-16
-13
-9
-6
-2
0
7.0
6.8
•7
-6
-4
-3
-1
0
8.0
7.8
•1
0
0
0
0
0
8.1
7.9
0
0
0
0
0
0
9.0
8.7
5
4
3
2
1
0
10.0
9.7
9
7
5
3
1
0
11.0
10.7
12
10
7
4
2
0
120
11.6
15
12
9
6
2
0
13.0
126
18
14
10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.0
14.6
22
17
12
8
3
0
Two or Three
Story House
5.0
4.9
-35
-27
-20
-13
-5
0
6.0
5.8
-21
-17
-12
-8
-3.
0
7.0
6.8
-11
A
-7
-4
.2
0
8.0
7.6
-4
•3
-2
-1
-1
0
8.7
8.4
0
0
0
0
0
0
9.0
8:7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
4
1
0
120
11.6
13
- 10
7
5
2
0
13.0
126
16
12
9
6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
20
16
11
7
3
0
Nunoer of Water Heaters
water Heater Tvoe One Two
SG50 •2 .5
SG75 -3 a
SE -5 4
HP .2 4
Zonal Control Adjustment
House Stra Adjustment
Htaae Sae (n2)
Sub=
lots
1000
Water heatmg
than
to
Poen Score
1000
1499
-30
-17
.5
-25
-14
.4
-20
-11
•3
•15
A
•3
-10
.6
-2
•5
-3
-1
0
0
0
5
3
1
10
6
2
15
9
3
20
11
3
25
14
4
House Stere AdJuatatent
House Size (ftp
Subtotal
1500
2000
water Honing
to
or
Pant Stare
1999
mora
30
0
3
-25
0
2
-20
0
2
-15
0
1
-10
0
1
.5
0
0
0
0
0
5
0
0
10
0
-1
15
0
-1
2D
0
-2
25
0
-2
All 6
5 4
2 1
0
.4
-
-17
12. Water Heating
-7
0.63
1
5
One Water
Heater - No Amdllary Ct mUM
-4
1
0.73
Dlonmmon Syaum2
8
-2
2
7
SG75
Remit: Systems
water
t?+mae
Enwgy
SiD
HWR Pipe
No Timer Dow
HeaterTvoet
zones
Factor
0.58
POU Irtsut
tun
0
SG50
AO
033
0
3 1
-0 -5
0
9
7
0.63
5
8 6
-4 0.
5
0.87
-22
0.73
8
11 9
0- 4
8
SG75
A8
0.48-
-2
1 -1
-12 -7
-2
-28
-15
036
3
6 5
-5 -1
4
-3
0.68 _
7
10 8
-1 3
7
SE
All
0.87
-20
-12 -17
31 32
-19.
6.11,13.15
1.80
0.83-17
3
-0 -13
- 38-.28
-16
IG`
All
0.80_
2
5 3
IE
AS
0.93
-21
-12
HP
b11,13,15
180
4
7 5
-5 -1
4
Two Wats Heaters - No AntdBary Credits
SGSO
Ile
am
-7 '
.4
-6
-17
-12
-7
0.63
1
5
3
-8
-4
1
0.73
610
8
-2
2
7
SG75
Ai
0.48
•12
4
-11
-22
-17
-12
0.58
-1
3
0
-11
b
-1
0.68
6
9
7
-4
1
8
SE
AN
0.87
-22
-14
-19
46
-35
•22
OM
-16
-7
-12
-39
-28
-15
1G
All
0.80
.4
-1
-3
IE
AN
0.93
-21
-12
HP
6.11,13.15
1.80
.1
3
1
-10
4
0
Certificate of Compliance: Residential
prolectTltle ,0 , .
Addren
Documentation Author Telephone
BUII.DING DATA
C 'boned Floor Area 0 6
la sed Floor
[ Single Family Detached (SFD)
(] Single Family Attached (SFA)
[ ]
Multi-Family(MF)
Number of Stories 7
Number of .Units
(] Addition Alone
[ ] Existing Building
[ ] Existing -Plus -Addition
B UELDING SHELL INSULATION
Component Insulation Locaffoo/Comme.193
Tyne R -Value (rude, to Eamee. "L -r-1
Roof........— ..Z5> X
Roof ........»...
Wall ..............
( )
WaU.........
North
East
Floor ..........».
(attic- ctc.)
Floor .............
( )
Slab Edge....:
South
FENESTRATION
-Eenestration
Area
Orientation
(sf) 0
North
( )
Type (furnace. air Efficiency
North
East
( )
( )
(attic- ctc.)
East
( )
South
( )
South
( )
West
( )
West
( )
Skylight.......
THERMAL
IViASS
Type/Covering
Shading Devices
Type Interior Exterior
4 --
Area
Area Thickness
HVAC SYSTEMS Minimum
Duct
Type (furnace. air Efficiency
Location
conditioner, hent DutnD) (A F UE, SEER•HSPF)
(attic- ctc.)
r 70
Climate Zone 11
Building M
Checked By / Date �. 91
Enforcaneni Agency Use only
Fenestration
ea /
North v
East
South
West tP
Skylight
Total
Overhang Framing Type
Duct Heat Pump
R -Value Thermos/twat Tyne (sRlit or pkg)
sr I, 0
%,~ . ---- -
IIOT NATER SYSTEMS
Tank ,. r
Svstem T (stora¢e as, etc.1 Capacity Number Ener F 1N crr; h„t; nn
73
-e —�_ 5 �� S 7:/)
SPECIAL FEATURES/REMARKS
Point System Summary: Climate Zone 11 Point scores 7- Fenestratiot
Eft Nortf
1. Ceiling Insulation _ky or x .87 .67
R -value (381 U -value (0.0291 Fen- or to
2. Wall Insulation % �j or an- Mrs .96
R-varue 1191 u -value [0.065]Ito
8 l s a
3. Raised Floor Insulation or 16% -4 -4
R -value (191 U -value 10.0371 141. -4 -3
4. Slab Edge Insulation or 12% •3 -2
R -value 101 F2 factor (0.751 11% -2 •2
5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) IYJ lox -2 -2
9% =2 •1
6. Fenestration Heat Loss L- (a /D , ,� 8% •' •'
Type U -value (0.651 Total % Fene71161 Sum 1-6 N -' -'
r . Fenestration Heat Gain 6% •1
sx •, 0 0
% Fenestration SCshade ocen Eft. % Fenes. Shade Eff. alio 411. o 0
North 41,0 x _ 3� O 0 3% 0 0
2x o 0
East Lf x = -4-1 lx 1 1
South x = °% ' '
West O x = O
Skylight _�_ x = _� S. Interior'
Overhangs? (Y / N) Metbed A 0
8. Inteilor Thermal Mass 42(0 - or �L Pen Ez se
% Exp. Slab (201 Int MasslCFA 0
0
9. Exterior Wall Mass 10
�`"'
10. Heating System :7Y x �( D _ �v ��� 30
AFUE or HSPF Duct Effie. 11 story: Effeeave AFUE Zonal Control 40
[78% or 6.81 0.83: 2+ s 881 or HSP F Adjustment (01 /� 50 -
11. Gaoling System t_ xl
SEER 110.01 Duct Effic. 11 story: Effective SEER Zom-40onaol 70
0.81; 2+ story: 0.871 Adjustment (01 80
90
12 Water Heating 100
System 1 O
-Reater Tpe Energy -Fa-=r Ext In� Autoiiary Input Dtstnbunon Int 5
(St�50j (0.53j (12j (Navel (STDI �
System 2 � ICFA One
Heater Type (Nonel Energy Factor Ext Ins. R -value Auwuary Input Distnbuoon 0.0 -11
0.1 -10
Point 7btak CU -9
0.5 -8
1. Ceiling Insulation
R-0
Number of stones
-57
R -value
One
Two
Three
R-0
-74
-48
-27
R-19
-5
-4
-2
R-30
-1
-1
0
R-38
0
0
0
2. Wall Insulation
.71
.66
.61
Single•
Single-
.46
.41
Famty
Famtty
fyfulCi-
R-0
-72
-57
-43
R-11
-7
-6
-4
R-13
-5
-4
-3
R•15
-4
-3
2-
.2.
R -19
R-19
0
0
0
R-21
1
1
1 -
3. Raised Floor Insulation .
Iasutstlms to Floor
Numoer of storm
R -value One Two Three
R-0 -14 -9 •5
R-11 -3 -2 -1
R-19 0 0 0
R-30 2 1
4. Slab Edge Insulation
Number of Stones
R-vatue One Two Three
R-0 0 0 0
R-5 6 4 2
R-7 7 4 2
6. Fenestration Heat Loss
5. Infiltration (Duct Air Leakage)
Dual to Urt=drtwned So= 0
No Duos in Untw 01110ned Soave 3
U V.-Jue
Total
1.31
1.21
1.11
1.01
.91
.81
.76
.71
.66
.61
.56
.51
.46
.41
.36
.35
Pw=
or
to
to
to
to
to
to
to
to
to
to
to
to
to
to
or
Fenesvanon more
130
1.20
1.10
1.00
.90
.80
.75
70
65
60
55
.50
45
40
less
50%
•100
•76
-69
-62
-55
48
-41
-38
-34
-31
-27
-24
-20
-17
-13
-10
40%
77
-58
-52
-47
41
-36
-30
-27
-25
-22
-19
•16
•13
-11
-8
-5
35%
-66
49
-44
-39
•34
-29
•25
-22
•20
•17
.15
-12
-10
-7
-5
-3
• .30%.
-54
-40
•36
-31
•27
•23
•19
-17
-15
•13
-11
-8
-6
-4
•2
0
28Y.
-50
-36
-32
-28
-25
-21
-17
-15
•13
-11
-9
-7
•5
•3
-1
1
2.
--45
-33
.29
-25
-22
•18
•14
-13
•11
-9
.7
•5
-4
-2
0
2
24k
,.41
-29
-26
-22
.19
.16
-12
•11
-9
-7
-6
-t
-2
•t
1
3
22%
•36
-25
-22
-19
-16
-13
•10
-8
-7
-5
-4
-2
-1
1
2
4
20%
•31
•22
-19
•16
•13
-11
-8
•6
•5
.4
-2
-1
1
2
3
5
18%
-27
•18
•16
-13
•11
-8
-6
.4
-3
-2
-1
1
2
3
4
6
16%
-22
-14
-12
--10
-8
-6
•3
•2
-1
0
1
2
3
4
6
7
14%
-18
-11
•9
-7
-5
.3
-1
0
1
2
3
4
5
6
7
8
12%
•13
-7
-6
-t
•2
•1
1
2
3
4
4
5
6
7
8
9
107:
-8
-t
.2
.1
1
2
3
4
5
5
6
7
8
8
9
10
8%
4
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lownse reseoential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (') may be suloersided by more stringent compliance, requirements -
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all panies as binding minimum component performance specifications tar the
mandatory measures whether they are shown elsewhere in the documents or -on this checklist only.
DESCRIPTION DESIGNER ENFORCEMENT
Building Envelope Measures
• §150(a): Minimum R-19 ceiling insulation.
§150(b): Loose fill insulation manufacturer's labeled R -Value.
• §I50(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
• §150(d): Minimum R-13 raised floor insulation in framed floors: minimum R-8 in concrete raised floors.
§150(1): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no
greater than 20 pemvinch. 1
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116-17: Fenestration Products, Exterior Doors and InfiltrationtExfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces desioned to limit air leakage.
b. Manufactured fenestration products have label with certified LLvalue. and infiltration certification.
c Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(0: Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2 No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110.13: HVAC equipment, water heaters, snowerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§150(j): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or comoined intenorrextenor insuiaiion (R-16 or greater).
2 First 5 feet of pipes closest to water heater tank norrrecirculatino systems, insulated (8-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system pipino below SS?F insulated.
5. Piping insulated oenveen heating source and indirect hot water tank.
§150(m): Ducts and Fans.
1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: ducts insulated
to a minimum installed value of R4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems nave backdrah or automatic dampers
3. Gravity venuiatino systems serving conditioned space have either automatic or readily accessible.
manually operates dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on -orf switch, weatherproof operating instructions.
no electric resistance neatma and no ptlot light
2 System is instaileo with:
a. At feast 36' cite oetween filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has cerectionai inlets and a circulation pump time switch.
§115: Gas-fired centrat furnace. pool neater• spa neater or housenold cooKindappiianae have no
continuously bunnd pilot liaht. (Exception: Non-etedncal cooking appliance with pilot < 150 Btwhr.)
Lighting Measures
§ 1501kl: 40 lumenswad or Greater for General lighting in kitchens and rooms with water closets: and
recessed cefind textures C (insulation coven approved.
COMPLIANCE STATEMENT -
Ibis certfficate of compliance lists the building feattfres and pertormance specifimtions needed to amply with Title 24, Parts 1 and 6, of
the California Code of Regulations, and the admitlimbve regulations to implement them. This certificate has been signed by the
individual with overall design resportsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is Indicated in the Special FeattiresrRemafks sed0h.
Designer or Owner (per a„ ...•.a-���- ^d-+•)
Name: �a_�' �'-,=— � -- _.�•:.
Tede/Fihn:"��"
Address:
Telephone:
Lie. s:
(signature) (date)
Enforcement Agency
Name: 3
Tide: r
Agency
Telephone: '
(segnatureistamp) (nate
Documentation Author
Name:
Tide/Fwm:
Address:
Telephone:
(signature) (data)
I Heat Gain (haseo on Shaoe Effectiveness Raw
I
52 S1
10 at
56 lass
.87
or
more
East
.67 .52
t0 t0
.86 .66
.51
or
less
.87
or
more
South
.67 S2
t0 10
.86 .66
.St
or
less
West
.87 .67 .82
0r to t0
more .86 .66
.51
or
less
Skylight
.67 .66
or or
more less
-3 -2
-21
-20
-15
•12
-26
•23
.16
-12
-36
-32
-23
•16
-75
-50
-2 •1
-18
-16
-13
•10
-21
-19
-13
•9
•31
-27
-19
-14
-65
44
.2 -1
-14
-13
-11
•8
•16
-14
-10
•7
-26
-23
-16
-11
•55
-38
.1 -1
-11
-10
-8
.6
•12
-10
.7
.4
.21
-18
•13
-8
-46
-31
.1 0
-10
-9
.7
b
.10
-8
•5
-3
19
-16
-11
-7
-41
.28
-1 0
-8
-8
-6
.5
-8
-7
-4
-2
-16
.14
-9
-6
•37
-25
.1 0
-7
-7
•5
-4
-6
-5
•3
-1
-14
-12
-8
-5
-32
-22
.1 0
-6
-5
-4
-4
-4
.4
-2
0
-11
•10
-6
-4
-28
-19
0 0
-5
-4
-4
•3
-3
-3
-1
0
•10
-8
•5
-3
-24
-17
0 0
-4
-4
-3
-2
-2
-2
-1
0
-8
-7
-4
-2
-20
.14
0 0
-3
-3
-2
_2_2
3
•11
0
0
o6
-5
•3
-'1
•16
-12
0 0
-2
-2
•1
-1
•1
-1
0
1
.4
-4
-2
0
•12
-10
0 0
-1
•1
-1
0
0
0-
0
1
•2
-2
0
1
•9
•7
0 1
0
0
0
0
0
0
1
1
0
0
1
2
-6
•5
1 1
1
1
1
1
0
D,
0
0
1
1,2
9.0
2
.3
•2
1 1
1
1
1
1
0
0
0
0
3
3
� 3
3
0
0
'hernial Mass
lab -on -grade Construction Only)
One
Ston
Muni
Family
Two
States
Twee
Stories
-3
3
-2
.1
-2
5
.1
.1
0
6
0
0
1
14
1.
1.
3
13
2
1
4
11
3
2
5
23
3
2
6
19
4
2
8
0
5
3
9
0
6
3
10
1
6
4
Method
B
0
ab Floor
7.4
Raised Floor
atones
4
3
Stones
Two
Three
One
Two Three
-8
-6
-1
-1 0
.7
-6
0
0 0
-6
.5
1
1 1
-5
-4
2
2 2
-3
.1
4
4 5
.1
1
6
6 6
2
4
8
8 8
3
5
9
9 9
'6 -
5
11
10 10
6
7
13
13 13
6
B
14
14 14
7
9
15
15 15
8
10
16
16 16
9
11
18
17 17
Ir Wall Thermal Mass
Single- Single-
Family Family
Detached Attec+ed
Muni
Family
0
0
0
3
3
2
7
5
4
9
8
6
12
10
7
14
12
9
17
13
10
18
14
11
21
17
13
23
18
14
24
19
14
10. Heating -System
Houses With Ducts (R-4.2)
Effective AFUE or HSPF
(AFUE or HSPF x duet d ncieney)
Effective Sum of 1-6
Gas Split Pkg -25- -24 .• -14 -4 +6 16
AFUE HP HP or to to to to or
NSPF IUP; less -15 -5 - +5 +15 morn
One Story House
.6 to
16 or
more
10.0
9.7
Sum of 1.6
0
33%
Gas
Split
Pkg
-25
-24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
HSPF MSPF 1855
-15
•5
+5
+15
rnore
787.
6.8
6.6 -
0
0
0
0
0
0
807.
7.0
6.8
1
1
1
1.
0
0
85%
7.4
7.2
5
4
3
2
2
1
90%
7.8
7.6
8
7
5
4
3
1
957.
8.3
8.0
11
9
7
5
4
2
100%
8.7
8.5
13
11
9
7
4 ;
2
Effective AFUE or HSPF
(AFUE or HSPF x duet d ncieney)
Effective Sum of 1-6
Gas Split Pkg -25- -24 .• -14 -4 +6 16
AFUE HP HP or to to to to or
NSPF IUP; less -15 -5 - +5 +15 morn
One Story House
.6 to
16 or
more
10.0
9.7
0
0
33%
2.9
28
-62
-53
-44
-34
-25
-16
40%
3.5
3.4
-40
-34
-28 -
-22
-16
-10
507.
4.4
4.2
-19
-16
-13
-10
-7
-5
60%
5.2
5.1
-4
-4
-3
-2
-2
-1
64%
5.6
5.4
0
0
0
0
0
0
707.
6.1
5.9
6
5
4
3
2
1
80%
7.0
6.8
13
11
9
7
5
3
90%
7.8
7.6
19
16
13
11
8
5
100%
8.7
8.5
24
20
17
13
10
6
Two or Three
Story House
4.9
-29
-23
-17
33%
2.9
2.8
a
-58
48
-37
-26
-15
409%
3.5
3.4
-46
-39
-32
-24
-17
-10
50%
4.4
4.2
-24
-20
-16
-13
-9
-5
60%
5.2
5.1
-9
-8
-6
-5
-3
-2
69%
6.0
5.8
0
0
0
0
0
0
707.
6.1
5.9
1
1
1
1
0
0
80%
7.0
6.8
9
8
6
5
3
2
90%
7.8
7.6
15
13
10
8
6
3
1007.
8.7
8.5
20
17
14
11
8
4
3
0
Zonal Control Adjustmem
14.6
22
System Type
12
8
3
0
Two or Three
Story House
6
Resistance
Al
6
4
3
2
1
0
Other
-5
0
3
3
2
1
1
0
Adjuaement for No Teak Insntattau
11. Cooling System
Houses with Ducts (R4.2)
SEER Sum of 7.9
, n y t xg -25 or -24 to -14 to •410
AC AC less -15 -5 .5--15
.6 to
16 or
more
10.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
120
11.6
8
6
5
3
1
0
13.0
12.6
11
9
6
4
2
0
14.0
13.6
13
11
8
5
2
0
15.0
14.6
16
12
9
6
2
0
3 1
-0
Effective SEER
0
0.63
(SEER x duct eMciency)
8 6
.4
Eft SEER
5
Sum of
7.9
8
it 9
Solft
Pctg
-25 or
-24 to
-14 to -4 to
.610
16 or
AC
AC
less
-15
-5
+5
.15
more
One Story House
-5
-1
4
5.0
4.9
-29
-23
-17
-11
.4
0
6.0
5.8
-16
-13
•9
-6
-2
0
7.0
6.8
-7
-6
-d
•3
-1
0
8.0
7.8
-1
0
0
0
0
0
.8.1
7.9
0
0
0
0
0
0
9.0
8.7
5
4
3
2
1
0
10.0
9.7
9
7
5
3
1
0
11.0
10.7
12
10
7
4
2
0.
120
11.6
15
12
9
6
2
0
13.0
12.6
18
14
10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.0
14.6
22
17
12
8
3
0
Two or Three
Story House
6
SE
Al
0.87
5.0
4.9
-35
-27
-20
-13
-5
0
6.0
5.8
-21
-17
•12
-8
-3
0
7.0
6.8
-11
A
-7
-4
•2
0
8.0
7.8
-4
-3
-2
-1
-1
0
8.7
8.4
. 0
0
0
0
0
0
9.0
8.7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
4
1
0
120
11.6
13
10
7
5
2
0
13.0
12.6
16
12
9
6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
20
16
11
7
. 3
0
Water Hearer Tvoe
Nutnoer of Waw Masa
One Two
SG50
•2 .5
SG75
•3 a
SE
-5 -9
HP
•2 -4
Zonal Control Adjustment
Have Stm Adjusoment
House Site (n=)
Subtotal
Water hem g
Pam Score
leas
rum
1000
1000
to
1499
30
-17
.5
.25
.14
.4
-20
-11
-3
-15
A
•3
-10
-6
-2 .
.5
-3
.1
0
0
0
5
3
1
10
6
2
15
9
3
20
11
3
25
14
4
House Shue Adjustment
House sae (it-)
Subtotal
Winer Haamtp
Pont Score
ism
to
1999
MW
or
more
30
0
3
-25
0
2
-20
0
2
•15
0
1
-t0
0
t
.5
0
0
0
0
0
5
0
0
10
0
.1
15
0
•1
20
0
.2
23
0
.2
All 6
5 4
2 1
0
II Water Heating
One Wsuer
Heater - No Au zMary Cswdtla
Disotbetmn Sy4toritz
PA=. Systems
Water
curnsta
ErWV
STD
HWR PiN
f6_
Tlmsr Damd
Heater Tvoel
zones
Freta
POU Instil
fan
SG50
Al
033
0
3 1
-0
.5
0
0.63
5
8 6
.4
0
5
0.73
8
it 9
0
4
8
SG75
Al
0.48
-2
1 -1
-12
-7
.2
038
3
6 5
-5
-1
4
am
7
10 8
-1
3
7
SE
Al
0.87
-20
-12 -17
.41
32
-19
0.83
-17
-0 -13
38
38
-16
IG`
Al
0.80
2
5 3
IE
Al
0J3
-21
-12
HP
bit,t],15
1.80
4
7 5
r.5
-1
4
Two Water Heaters -
No AstsMuT Credits
SCIM
All
033
.7
.4 -6
-17
-12
•7
0.63
1
5 3
-8
.4
1
0.73
6
10 8
-2
2
7
SG75
Al
0.48
•12
-0 -11
-22
-17
-12
0.58
•1
3 0
-11
-6
.1
0.68
6
9 7
.4
1
6
SE
Al
0.87
-22
-14 .19
46
-35
.22
0.83
-16
-7 .12
.30
•28
.15
IG
Al
0.60
•4
.1 .3
IE
Al
0.93
-21
-12 .
HP
6_11.13,15
1.80
•1
3 1
.10
b
0
Certificate of Compliance: Residential Climate Zone 11
ProjectTiti
Building P�°it M (�
Project Address
Checked By / Date
Documentation Author Tekphone Fnfotonnent Agency Use Only
BUILDING DATA Glass Area % Glass
North (7
fC ditioned Floor Area �Q Number of Stories East OW
(: I 'sed Floor Number of .Units �_ South
[ Single Family Detached (SFD) [ ] Addition Alone west
[ ] Single Family Attached (SFA) [ ] Existing Building Skylight O
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total 0 G-
B UU,DING SHELL INSULATION
Component Insulation LocafionlComments
Type R-VaaIue (attic, to garage, typiEaL em'
' Roof .............
Roof .............
Wall ..............
floor...........:
Floor .............
Slab Edge....:
GLAZING
Glaring
Orientation
Shading Devices
Area Glass Type Interior Exterior Overhang Framing Type
North
( )
-JO
North
EastEast
( )
( )
South
( )
c
South
( )
West
( )�
West
( )
Skylight.......
TliERMAL
MASS
Type/Covering
Area Thickness
HVAC SYSTEMS Minimum Duct
Type (furnace. air Efficiency Location Duct Heat Pump
conditioner. hent rump) AFWZSEER.HSM (attic, etc.). R -Value Thermostat "I s
7� ,AftL
IIOT NATER SYSTEMS .Lank ^R Value
Svstem Type (storage gas. etc.) Capacity Number 'Enerev Factor
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Point System Summary: Climate Zone 11
Point scores
1.
Ceiling Insulation
One
or
Thies -
-R-value
R -0
-74
aloe 381
U -value (0.026)
R 19
2.
Wali Insulation
-2
or
-1
-1
0
value 1191
U -value [0.0651
0
3.
Raised Floor Insulation
.71
or
.61
.56
Single
R -value [191
U -value [0.0371
.36.
4.
Slab Edge Insulation
fdulGl-
or
to
to
to
R -value 101
F2 factor 10.751
to
5.
6.
Infiltration
Fenestration Heat Loss
Any Ducts in Unconditioned Space?�( YY/ N)(YI
�,h) 662-
to
to
to
Type
r
U -value 10.65] Total % Fenes. [161
- -
Sum 1�
7. Fenestration Heat Gain
% Fenestration SCshade open Eff. % Fenes. Shade Eft Ratio
North x
East 0x
South x
West x
Skylight �_ x = Q
Overhangs? ( Y / N) �` •��
S. Interior Thermal Mass --- or
X Exp. ab [20J Int. fdatulCFA
9. Exterior Wall Mass
Ext wall �" � Sum 7-9
10. Heating System • < o x _ t'
AFUE or HSPF Duct Elfic. 11 story: E active AFUE Zonal control
[78% or. 6.81 0.83.2 to _ : 0.881or HSJ�F Adjustment (01 D
11. Cooling System l- x / >/
SEER 110.01 Duct Effic. [1 story: Effective SEER ZonaGConad
0.81: 2+ story: 0.871 Adjustment 101
12 Water Heating
System 1.56g 6o , 4 -3 -
Heater Type Energy Factor Ext. Ins. R -value Auxiliary Input Distribution
ISG501 10.531 1121 (Nonel (STDs �..�
System 2
Hearer Type [Novel Energy Factor Ext. Ins. R -value Auxiliary Input Distribution
Pont Total:
1. Ceiling Insulation
R-0
Number of stones
-57
-43
One
Two
Thies -
-R-value
R -0
-74
-48
-27
R 19
-5
-4
-2
R-30
-1
-1
0
R-38
0
0
0
2. Wall Insulation
.71
.66
.61
.56
Single
Single-
.41
.36.
Famtj
Family
fdulGl-
R-0
..a
-57
-43
R-11
-7
-6
-4
R-13
-5
-4
-3
R-15
-4
` • -3
-2
R-19
0
Ito
0
R-21
1
1 •'
` 1
3. Raised Floor Insulation
Iliwlation In Floor
Number of stones
-value One Two Three
R-0 -14 -9 -5
R-11 -3 -2 -1
R-19 0 0 0
R-30 2 1 1.
4. Slab Edge Insulation
Numoer of Stones
R-0 0 0 0
R-5 6 4 2
R-7 7 4 2
6. Fenestration Heat Loss
S. Infiltration (Duct Air Leakage)
Duos to Un=dmmned Space 0
No Du= in Unconantoned Soave 3
7. Fenestratio;
EM Nort
% .87 .67
Fen- or to
an- more .86
eon
187. -5 -4
16% -4 -4
14;. -4 -3
12% -3 -2
11% -2 -2
107. -2 -2
9% "-2 -1
87. -1 -1
71. -1 -1
6% -1 -1
5% -1 0
4% 0 0
3% 0 0
2% 0 0
1% 1 1
0% 1 1
U•-Ndue
-
Total -
1.31
1.21
1.11
1.01
.91
.81
.76-
.71
.66
.61
.56
.51
.46
.41
.36.
.35
Percem
at
to
to
to
to
to
to
to
to
to
to
to
to
to
to -
or
Fenestration more
130
1.20
1.10
1.00
.90
.80
.75
70
65
60
55
-.50
45
40
less
5011.
-100
-76
-69.
-62
-55
48
-41
-38
-34
-31
-27
-24
-20
-17
-13
-10
401/6
-77
-58
-52
-47
-41
-36
.30
-27
-25
-22
-19
-16
-13
-11
-8
-5
35%
-66
49
-14
-39
-34
-29
-25
-22
-20
.17
-15
-12
-10
-7
-5
-3
307.
-54
-40
-36
-31
-27
.23
-19
-17
-15 . -13
-11
-8
-6
-4
-2
0
28Y. '
-50
-36
-32
-28
-25
-21
-17
-15
-13
-11
.9
-7
.5
.3
-1
1
26%
-45
-33
-29
-25
-22
-18
.14
-13
- -11
-9
-7
-5
-4
-2
o
2
24%
-41
-29
-26
-22
-19
-16
-12
-11
-9
-1
-6
-4
-2
.1
1
3
2211.
-36
-25
-22
-19
-16
-13
-10
-8
-7
-5
-4
-2
-1
1
2
4
20%
-31
-22
-19
-16
-13
-11
-8
-6
.5
-4
-2
-1
1
2
3
5
18%
-27
-18
-16
-13
-11
-8
-6
-4
-3
-2
-1
1
2
3
4
6
16%
-22
-14
-12
-10
-8
-6
-3
-2
-1.
0
1
2
3
4
6
7
14%
-18
-11
.9
.7
.5
.3
.1
0
1
2
3
4
5
6
7
8
12%
-13
.7
-6
-4
-2
-1
1
2
3
4
4
5
6
7
8
9
101/6
-8
-4
-2
-1
1
2
3
4
5
5
6
7
8
8
9
10
8Y.
-1
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
7. Fenestratio;
EM Nort
% .87 .67
Fen- or to
an- more .86
eon
187. -5 -4
16% -4 -4
14;. -4 -3
12% -3 -2
11% -2 -2
107. -2 -2
9% "-2 -1
87. -1 -1
71. -1 -1
6% -1 -1
5% -1 0
4% 0 0
3% 0 0
2% 0 0
1% 1 1
0% 1 1
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lownse 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 stnngent,compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checIdist only.
DESCRIPTION I DESIGNER I ENFORCEMENT
Building Envelope Measures
• §150(a): Minimum R-19 oeiling insulation.
§150(b): Loose fill insulation manufacturer's labeled R -Value.
• §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
• §150(d): Minimum R.13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors.
6150(1): Slab edoe insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no
greater tnan 2.0 oermrinch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116.17: Fenestration Products, Exterior Doors and InfiltratiorVExfiltration Controls
a. Doors ano windows between conditioned and unconditioned spaces oesioned to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windows weatnerstr,pped: all joints and penetrations caulked and sealed.
§150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110.13: HVAC equipment. water heaters, showerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§150(j): Pipe and Tank Insulation
1. Indirect not water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined intenonextenor insulation (R-16 or greater).
2 First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater):
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
5. Piping insulated between heating source and indirect hot water lank.
' §150(m): Ducts and Fans
1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: duan insulated
to a minimum instailed value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems nave backdraft or automatic dampers
3. Gravity ventilating systems serving conditioneo space have either automatic or readily accessible:
manually operated campers..
§114: Pool and Spa Heating Systems and Equipment
1. Systems certified with 78% thermal efficiency, dn-off switch, weatherproof operating instructions.
no eiectric resistance neatino and no plot light
2 System is instailec with:
a. At least 36' upe between filter and heater for future solar heating.
b. Cover for outdoor pools or outcoof spa.
3. Pool system nas orrectionai inlets ano a circulation pump time switch.
§115: Gas-fired central furnace. pool heater, spa neater or household coopno appliance have no
oontinuously bunnd piiot light. (Exception: Non-etectriral cooking appliancewith pilot < 150 Btwhr.)
Lighting Measures
§f 50(k): 40 lumenswah or greater for general lighting in kitchens and rooms with water closets: and
recesses ceding fixtures rC (insulation coven approved.
COMPLIANCE STATEMENT -
This cerifficate of compliance lists the btd ffng features and performance specifications deeded to compy'with True 24, Parts 1 and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the -
indiviclual with overall design resporisibiliy. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special FeaWresrRemarks section.
-Designer or Owner (per susine" a prore.dons code)
Name: —
Tide/Firm:
Address:
Telephone:
Lic. s:
(signature) (date)
Enforcement Agency
Name:
1 Tide:
Agency:
Telephone:
(signature/stamp) (dare)
Documentation Author
Name:
Tide/Firm: -
Addrese:
Telephone:
(signature)
(date)
1 Heat Gain (based on Shaoe Efteetrveness Raoo)
I
.
East
Three
Ston
South
Stones
Stories
ww
Split
Skylight
0
52 51
.87
.67
.52
.51
.87
.67
32
.51
.87
.67
.52
.51
.67
.66
0 or
or
10
to
or
or
to
to
or
or
to
to
or
or
or
i6 less
more
.86
.66
less
more
.86
.66
less
more
.86
.66
less
more
less
3 -2
-21
-20
-15
-12
-26
-23
•16
-12
-36
•32
-23
-i6
-75
-50
.2 •1
-18
-16
-13
-10
-21
-19
•13
-9
-31
-27
•19
-14
-65
-44
.2 •1
-14
-13
-11
-8
-i6
•14
•10
-7
-26
-23
-16
-11
•55
-38
.1 -1
-11
-10
-8
-6
-12
-10
-7
-4
-21
-18
-13
-8
-46
•31
.1 0
-10
-9
-7
-6
-10
-8
-5
.3
-19
-16
.11
•7
-41
-28
.1 0
-8
-8
-6
-5
3
-7
-4
.2
•i6
-14
•9
-6
•37
-Z5
•1 0
-7
-7
-5
-4
-6
-5
-3
-1
-14
-12
-8
-5
-32
-22
•1 0
-6
•5
-4
-4
-4
•4
•2
0
-11
-10
-6
-4
-28
-19
0 0
-5
•d
-4
•3
-3
•3
-1
0
•10
-8
-5
-3
-24
-17
0 0
-4
-4
-3
•2
-2
-2
-1
0
-8
-7
-4
-2
-20
-14
0 0
-3
-3
-2
-2
•2
-1
0
0
-6
-5
-3
-1
•16
-12
0 0
-2
-2
-1
•1
•1
-1
0
1
•4
�
-2
0
-12
-10
0 0
-i
-1
-1
0
0
0
0
1
-2
�2
0
1
-9
-7
0 1
0
0
0
0
0
0
1
1
0
0
1
2
-6
•5
1 1
1
1
1
1
0
0
0
0
1
1
2
2
-3
-2
1 1
1
1
1
1
0
0
0
0
3
3
3
3
0
0
hermal Mass
ab -on -grade Construction Only)
One
.
Two
Three
Ston
Famiy
Stones
Stories
-3
Split
-2
0
1
.2
3
-1
7
.i
0
9
0
6
0
10
7
14
12
9
3
13
2
18
1
4
21
3
13
2
5
14
3
19
2
6
6.8
4
1
2
8
0
5
85%
3
9
5
6
3
3
10
1
6
7.8
4
Method
B
5
4
D Fioor
Raised Floor
Imes
8.3
&0
Stones
9
Two
Three
One
Two
Three
4
3
•1
-1
0
•7-
-6
0
0
0
-6
•5
1
1
1
-5
.4
2
2
2
,i
-1
4
4
5
•i
1
6
6
6
2
4
8
8
8
3
5
9
9
9
s .
' 5
11
10 "
10
6
7
13
13
13
6
8
14
14
14
7-
9
15
15
15
8
10
16
16
16
9
11
18
17
17
' WaU Thermal Mass
.
Single-
Single-
mufti -
Famiy
Family Family
Detached
AlMoned
Split
" 0
0
0
3
3
2
7
5
4
9
8
6
12
10
7
14
12
9
17
13
10
18
14
it
21
17
13
23
18
14
24
19
14
10. Heating System
Houses With Ducts (R4.2)
Effective AFUE or HSPF
(AFUE or HSPF z duct efficiency)
Effective Sum of 1.6
Gas Split Pkg -25 , -24 -14 .4 +6 16
AFUE HP HP or to to to to or
MsPF Kw less -15 -5- +5 +15 more
One Story House
Number of waw Heaters
Water Heatef Tvoe
Sum of 7-9
SGSO
Sum of 1.6
Soln
33%
Gas
Split
Pkg
-25
•24
-14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
HSPF HSPF las
-15
-5
+5
+15
more
M.
6.8
6.6 -
0
0
0
0
0
0
8011.
7.0
6.8
1
1
1
1.
0
0
85%
7.4
7.2
5
4
3
2
2
1
90%
7.8
7.6
8
7
5
4
3
1
959'. -
8.3
&0
11
9
7
5
4
2
100%
8.7
8.5
13
11
9
7
4
2
Effective AFUE or HSPF
(AFUE or HSPF z duct efficiency)
Effective Sum of 1.6
Gas Split Pkg -25 , -24 -14 .4 +6 16
AFUE HP HP or to to to to or
MsPF Kw less -15 -5- +5 +15 more
One Story House
Number of waw Heaters
Water Heatef Tvoe
Sum of 7-9
SGSO
-2 •5
Soln
33%
2.9
2.8
-62-
-53
-44
-34
-25
•16
40%
3.5
3.4
40
-34
-28
-22
-16
-10
5011.
4.4
4.2
-19
-16
-13
-10
•7
-5
60%
5.2
5.1
-4
-4
-3
-2
•2
-1
64%
5.6
5.4
0
0
0
0
0
0
70%
6.1
5.9
6
5
4
3
2
1
80%
7.0
6.8
13
11
9
7
5'
3
90%
7.8
7.6
19
16
13
11
8
5
100%
8.7
8.5
24
20
17
13
10
6
Two or Three
Story House
-24 to
-14 to
-4 to
+6 to
33%
2.9
2.8
-69
-58
-48
-37
-26
-15
4011-
3.5
3.4
-46
39
-32
-24
-17
-10
50%
4.4
4.2
-24
-20
-16
-13
-9
-5
60%
5.2
5.1
-9
-8
-6
-5
-3
-2
69%
.6.0
5.8
0
0
0
-0
0
0
70%
6.1
5.9
1
1
1
1
0
0
- 8096
7.0
6.8
9
8
6
5
-3
2
9011..-7.8
9.7
7.6..15
7
-13.
10-
8
6
3 "
100%
8.7
8.5
20
17
14
11"
8 -
4
15
. 12
Zonal Comrol Adjustment
6
2
System Type
13.0
126
18
14
10
6
3
Resistance
14.0
6
4
3
2
1
0
Other
15.0
14.6
3
3
2
1
1
0
Adjustment for No Tank inauutoe
11. Cooling System
Houses With Ducts (R-42)
SEER
Number of waw Heaters
Water Heatef Tvoe
Sum of 7-9
SGSO
-2 •5
Soln
Pt kg
-25 or
-24 to
-14 to
.4 to
+6 to
16 or
AC
AC
less
-15
-5
+5
.15
more
10.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
120
11.6
8
6
5
3
1
0
13.0
12.6
-11
9
6
4
2
0
14.0
13.6
13
11
8
5
2
0
15.0
14.6
16
12
9
6
2
0
-2
Effective SEER
058
3
6 5
-5
-1
(SEER z duct efficiency)
Elf SEER
7
10 8
Sum of 7-9
3
7
Soln
Pckg
-25 or
-24 to
-14 to
-4 to
+6 to
16 or
AC
AC
less
•15
-5
+5
.15
more
One Story House
Al
080
2
5 3
-
5.0
4.9
-29
•23
-17
-11
-4
0
6.0
5.8
-16
-13
-9
-6
-2
0
7.0
6.8
-7
-6
-4
-3
-1
0
8.0
7.8
-1
0
0
0
0
0
8.1
7.9
0
0
0
0
0
0
9.0
8.7
5
4
3
2
1
0
10.0
9.7
9
7
5
3
1
0'
11.0
10.7
12
10
7
4
2
0
12.0
11.6
15
. 12
9
6
2
0
13.0
126
18
14
10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.0
14.6
22
17
12
8
3
0
Two or Three
Story House
: 0.93
-21
-12
5.0
4.9
•35
-27
-20
-13
-5
0
6.0
5.8
-21
-17
•12
• 3
-3
0
7.0
6.8
-it
A
-7.
.4
-2
0
8.0
7.8
-4
-3
-2
-1
-1
0
8.7
8.4
0
0
0
0
0
0
9.0
8.7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
4
1
0
120
11.6
13
10
7
.5
2
0
13.0
12.6
16
12
9
- 6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
20
'16
11
7
� 3
0
All
Zonal Control Adjustment
Have Sita Adjustment
Haag Sae (rte)
Sutttotat
Number of waw Heaters
Water Heatef Tvoe
One Two
SGSO
-2 •5
SG -s5
.3 b
SE
-5 4
HP
-2 4
All
Zonal Control Adjustment
Have Sita Adjustment
Haag Sae (rte)
Sutttotat
las
1000
Water Heem 9
than
to
Port Score
1000
1499
JO
-17
.5
-25
-14
.4
-20
•11
-3
-15
A
-3
-10
-6
.2.
•5
.1
4
0
0
0
5
3
1
10
6
2
15
9
3
20
it
3
25
14
4
House Stse Adjustment
Haas Sae (ft-)
Subtatal
1500
2000
Water Haonp
to
or
Pore Score
1999
more
-30
0
3
-25
0
2
-20
0
2
-15
0
t
-10
0
t
.5
0
0
0
.0
0
5
0
0
10
0
. -1
15
0
•1
2D
0
-2
25
0
-2
17- Water Heating
One Water Hanger -
No Attsmary Czodbz
-
-
Cinnouoon Systgm2
Rene Smems
Water
CLman
ErwV
STD
HWR Frog
No
Tit w Damd
Heater Tvoei
lanes
Factor
POU Insul
On
SG50
Al
am
0
3 1
-0
-5
0
0.63
5
8 6
-4
0.
5
0.71.
8
it 9
0
4
6
SG75
At
0.48
-2
1 -1
-12
-7
-2
058
3
6 5
-5
-1
4
am
7
10 8
-1
3
7
SE
As
097 ,.
-2D
-12, -17 .
31
32
-19
0.83
-17
-0 -13
38
-26
-16
IGS
Al
080
2
5 3
-
IE
AM
am
-21
-12
HP
6-11,13,15
180
4
7 5
-5
-1
4
Two %Vater
Reagan -
No AtndOary Credits
SG50
Al
0.51
-7
.4- -6
-17
-12
-7
0.63
1
5 3
-8
.4
1
0.73
6
10 8
-2
2''
7
SG75
Aa
0.48
-12
"-9 -11
-22
i7
-12
am
-1
3 0
-11
4
-1
0.68
6
9 7
-A
1
6
SE
Al
0.87
-22
•14 -19
46
-35
-22
0.93
-16
-7 -12
-39
-28
-15
tG
AA
0.80
-4
-1 •3
IE
Al
: 0.93
-21
-12
HP
6-11,13,15
1.80
•1
3 1
-10
4
0
Certificate of Compliance: Residential . 1-50
Project Tltle
Documentation Author Telephone
BUILDING DATA
eqC 'tinned floor Area �� U
/Raised Floor
(�ingle Family Detached (SFD)
( ] Single Family Attached (SFA)
[ ] Multi -Family (MF)
Number of Stories - I
Number of .Units
[ ] Addition Alone
[) Existing Building
[ ] Existing -Plus -Addition
B UELDING SHELL INSULATION
Component Insulation Locaiiom'Commonu
Type R -Value (attic, to gwage, -e2. eta.
R f �
00 ............
Roof .............
Duct
Wall .........
Wall ...........».
Location
Floor .............
Heat Primp
Floor .............
(attic. etc.)
Slab Edge....
77Y
FENESTRATION
-Eenestration
Area
Orientation
(sf) (:
North
Notch ( )
East ( )
=
East ( )
IIOT NVATER SYSTEMS
Tank
South ( )
=
South ( )
Svstem Type (storage Ras. etc.) Capacity
West
Enerey Factort.
West
Skylight.......
_
TliERMAL MASS
Type/Covering
(slab/exwosed. tile. etc)
vr-
Climate Zone 11
3 9—
sua�
Cheekedd B y / Date
Enforcement Aaencv Use only
Are
North /ted5
East �
South
West
Skylight
Total ME Z
Shading Devices
Type Interior Exterior Overhang Framing Type
Area Thickness
(sf) (inches)
li V AU S Yb LEMS Minimum
Duct
Type (furnace, air Efficiency
Location
Duct
Heat Primp
conditioner. heat wino) (ALUEySEER.HSPF)
(attic. etc.)
R -Value Thermostat Type (split nr nkosl
77Y
IIOT NVATER SYSTEMS
Tank
t
e
Svstem Type (storage Ras. etc.) Capacity
Number
Enerey Factort.
kTank Tns_ Di crr; hil-i
67D
SPECIAL FEATURES/REMARKS
Point System Summary: Climate Zone 11
1.
Ceiling Insulation
Three'-
hree`R-0
or
-74
-48
slue (381
U -value [0.026[
2.
Wal( Insulation
-2
or
-1
-1
R -v ue 1191
U -value [0.065]
3.
Raised Floor Insulation
0
or
1.20
1.10
R -value [191
U -value [0.037]
4.
Slab Edge Insulation
70
or
Family
Family
R -value 101
F2 tactor 10.751
5.
Infiltration
Any Ducts in Unconditioned Space? ( Y / N
6.
Fenestration Heat Loss
0 0
I • b
R-30
2 1
Type
U -value (0.65] Total x�es.1161
Point Scores
7. Fenestration Heat Gain
% Fenestration SCshade open Eff./"% Fenes. Shade Eff. Ratio
North x 7 = 4.7 % _
East x �--�-" _ 4 -
South x = :� v a Q
West x
Skylight �x =
Overhangs? ( Y / N )
8. interior Thermal Mass or
% Exp. Stab [201 Int Maaa/CFA
9. Exterior Wall Mass
Ext. wag JAMM
10. Heating System--=� x
AFUE or HSPF Duct 0W. (1 story: Effective AFUE Zonas Control
r7 6.81 0.83: 2+ story: 0.881 or HSPF Adjustment (0]
11. Cooling System � x =
SEER (10.0[ Duct Effic. I sexy: Effective SEER ZomgConual
0.81: 2+ story: 0.971 Adjustment (0]
12 Water Heating
System 1 iS
Heater pe Energy Par Ext Ins. R -value Auwiiary Input Distribution
(SG501 (cca
0.531 (121 [Nonel Ismi
System 2
Heater Type [None[ Energy Factor Ext Ins. R -value Auxiliary Input Distriouaon
1. Ceiling Insulation
R-vwue
Ntunow of stones
One Two
Three'-
hree`R-0
R-0
-74
-48
-27
R-19
-5
-4
-2
R•30
-1
-1
0
R-38
0
0
0
'_. Wail Insulation
1.20
1.10
Iasniation in Floor
.90
singta•
simw
70
R -value
Family
Family
Mu1C1-
R-0
-72 •57
-43
R-11..
.7. ' .6,
-4
R-13'
.5 -4
-3
R-15
.
-4 ' .3
.2
R-19
•,.0 0
0
R-21
c 1 •" 1L r 1
1
3. Raised
Floor Insuiatilon
1.20
1.10
Iasniation in Floor
.90
.80
Numoer of stones
70
R -value
One Two
Three
R-0
-14 -9
-5
R-11
-3 •2
-1
R-19
0 0
0
R-30
2 1
-41
Pont Total:
4. Slab Edge Insulation
Numoer of Stones
R -value One Two Three
R-0 0 0 0
R-5 6 4 2
R-7 7 4 2
6. Fenestration Heat Loss
4 !
sum 1.6
0
5. Infiltration (Duct Air Leakage)
Duas In Unttonlirtroned Space 0
No Duas in Uncmtotttoned Soave 3
Total
Percent
1.31
or
1.21
so
1.11
to
1.01
to
.91
to
.81
to
.76
to
U-VWue
.71 .66
to to
.61
to
.56
to
.51
to
.46
to
.41
to
.36
to
.35
or
9. Exteri0
Fene5tranon more
130
1.20
1.10
1.00
.90
.80
.75
70
65
60
55
.50
45
40
less
Extenor
Walt
50Y. -100 •76 -69 -62 -55 -48 -41 -38 -34-27 -24 -20 -17 -13 -10
40%
-77
-58
-52
-47
-41
•36
-30
-27
-25
•19
-16
-13
-11
-8
-5
35%
-66
-49
•44
-39
•34
•29
•25
22
20
7
-15
-12
-10
-7
-5
.3
Mass
301.
-54
-40
•36
•31
-27
-23
•19
.17
-15
13
-11
-6
-6
-4
.2
0
0.00
MY.
•50
•36
-32
-28
-25
-21
-17
•15
.13
.11
-9
-7
-5
-3
•1
1
0.20
26%
-45
-33
-29
-25
•22
-18
-14
-13
-11
-9
-7
-5
-4
.2
0
2
0.40
24%
-41
-29
•26
-22
-19
-16
-12
-11
-9
-7
-6
-t
-2
-1
1
3
0.60
227.
-36
-25
•22
-19
•16
-13
-10
-8
-7
-5
-s
-2
-1
1
2
4
0.80
20%
-31
-22
-19
-16
-13
-11
-8
.6
•5
-t
-2
•1
1
2
3
5
1.00
18%
-27
-18
•16
-13
•11
-8
-6
s
•3
.2
.1
1
2
3
4
6
1.20
16%
-22
-14
-12
-40
•8
-6
•3
•2 "
-t
0
1
2
3
4
6
7
1.40
14%
•18
-11
•9
•7
-5
-3
-1
0
1
2�
3
4
5
6
7
8
1.60
12%
-13
-7
-6
-a
-2
-1
1
2
3
a
4
5
6
7
8
9
1.80
1011.
-8
-t
-2
•1
1
2
3
4
5
6
7
8
8
9
10
2.00
811.
-4
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
Mandatory Measures Checklist: Residential . MF -1R
NOTE: Lownse resroential 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 requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown eisewnere in the documents or on this checklist only.
DESCRIPTION
Building Envelope Measures
§150(a): Minimum R-19 ceilino insulation.
§150(b): Loose fill insulation manufacturer's labeled 8 -Value.
• §150(c): Minimum R-13 wail insulation in framed walls (aces not apply to exterior mass walls).
§150(d): Minimum R-13 raised floor insulation in framed floors: minimum R-8 in concrete raised floors.
§150(1): Slab ecoe insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no
oreater than 2.0 eernvinzn.
§118: Insulation specified or installed meets California Energy Commission duality standards.
Intricate type and form.
§116.17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls
a. Doors ano winnows between conditioned and unconditioned spaces cesioned to limit air leakage.
b. Manufactured fenestration products nave label with certified U -value. and infiltration certification.
c. Exterior doors ana windows weatherstripped: all joints and penetrations caulked and sealed.
§150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(1): Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door ,
- b. Outside air intake with damper and control
c. Flue damper and control
2 No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§`110-13: HVAC equipment. water heaters, snowerheads and faucets certified by the Commission.
§150(i): Setback thermostat on all applicable heating systems.
§150(j): Pipe and Tank Insulation
1. Indirect hot water tanks Ie.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined intenovextenor insulation (R-16 or greater).
2 First 5 feet of Pipes closest to water heater tank, non -recirculating systems. insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
5. PlPino insulated between heating source and indirect hot water tank.
• §150(ml: Ducts and Fans
1. Ducts constructed. instmied and sealed to comply with UMC Sections 1002 and 1004: duan insulated
to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust tan systems nave backdrah or automatic dampers
3. Gravity venuiatino systems serving conditioned space have either automatic or readily accessible.
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on -orf switch, weatherproof operating mstruaons.
no eeectrnc resistance neatino and no pilot light.
2 System is instaileg with:
a. At least 36' ceDe between filter and heater for future solar heating_.
b. Cover for outcoor pools or outdoor soa.
3. Pooi system has a rectionai inlets ano a circulation oumo time switch.
§115: Gas-fired wntrm rurnace. pool neater, spa neater or housenold cooxind apptiance nave no
continuousiv ourino mot light. (Exception: Non -electrical cookino appliance with pilot < 150 Btuihr.)
Lighting Measures
§ I50(kl: 40 lumenswar, cr greater for general lighting in kitchens and rooms with water closets: and
recesses ceiiino textures rC iinsuiauon ccven approved.
COMPLIANCE STATEMENT
DESIGNER I ENFORCEMENT
This certificate of compliance lists the building features and perforttiartce specifications needed to compy with Title 24, Pans 1 and 6, of
the California Code of Regulations, and the administrative regulations to'implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted tar a single building plan to be built in multiple
orientations, arty shading feature that is varied is indicated in the Special Features/Remarks secffon.
Designer or Owner (per 9uafneas a Profsaalons code)
Name:
Tide/Firm:
Address:
Telephone:
tic.
'(signature( '^-"-tet icete)
Enforcement Agency
Name:
Tile:
Agency:
Teeetintine:
(segnatureistamp) (dare)
Documentation Author
Name:
Tide/Finn:
Address:
Telephone:
(signature)
(data)
Heat Gain (Lased on Shade Eftectneness Rano)
;2 .51
or
A fess
Etat
.87 .67 .52
or to to
more .86 .66
.51
or
less
.87
or
more
South
.67 S2
to . to
.86 .66
•.51
or
less
West
.87 .67 .52
or to to
more .86 .66
.51
or
less
skytlpht
.67 .66
or or
more less
3 -2
-21
-20
-15
-12
•26
-23
-16
-12
-36
•32
•23
-16
•75
-50
2 -1
-18
-16
-13
•10
-21
-19
-13
-9
-31
-27
•19
-14
-65
14
2 -1
-14
-13
-11
-8
-16
•14
-10
-7
-26
-23
-16
-11
•55
-38
1 •1
-11
-10
-8
-6
-12
-10
-7
-4
-21
-18
•13
-8
-46
-31
1 0
-10
-9
-7
-6
-10
-8
•5
-3
•19
-16
•11
-7
-41
•28
1 0
-8
-8
-6
-5
-8
-7
-4
-2
-16
-14
•9
-6
•37
-25
1 0
-7
-7
-5
-4
-6
-5
-3
-t
-14
-12
-8
-5
-32
-22
1 0
-6
-5
.4
.4
-4
-4
-2
0
-11
-10
-6
-4
-28
-19
0 0
-5
-4
-4
•3
-3
-3
-1
0
-10
-8
-5
-3
-24
-17
D 0
-4
-4
-3
-2
-2
-2
-1
0
-8
-7
-4
-2
-20
-14
0 0
-3
-3
-2
-2
-2
•1
0
0
-6
-5
-3
-1
-16
-12
D 0
-2
-2
-1
•1
•1
-1
0
1
-4
-4
-2
0
-12
-10
0 0
-1
-1
-1
0
0
0
0
1
-2
•2
0
1
•9
•7
0 1
0
0
0
0
0
0
1
1
0
0
1
2
-6
•5
1 1
1
1
1
1
0
0
0
0
1
1
2
2
-3
-2
1 1
1
1
1
1
0
0
0
0
3
3-3
2
3
0
0
'hermal Mass
ab -on -grade Construction Only)
One
Ston
Mufti
Family
Two
Stones
Three
Stories
-3
3
-2
2
-1
-2
4
-1
8
-1
0
10
0
14
0
1
17
1
10
1.
3
11
2
17
1
4
18
3
24
2
5
6.8
3
0
2
6
0
4
0
2
8
6.8
5
1
3
9
0
6
85%
3
10
5
6
3
4
Method
B
90%
7.8
th Floor
8
Raised Floor
5
9ories
3
1
Stones
8.3
Two
Three
One
Two
Three
-8
-6
-1
-i
0
=7
•6
0 1
0
0
3
-5
1
1
1
-5
-4
2
2
2
3
-1
4
4
5
-1
1
6
6
6
2
4
8
8
8
3
5
9
9
9
'6 -
5
11
10
10
6
7
13
13
13
6
8
14
14
14
7
9
15
15
15
8
10
16
16
16
9
11
18
17
17
r Wall Thermal Mass
Single- Single-
Family Family
Detached Attacned
Mufti
Family
0
0
0
3
3
2
7
5
4
9
8
6
12
10
7
14
12
9
17
13
10
18
14
11
21
17
13
23
18
14
24
19
14
10. Heating -System
Howes With Ducts (R-32)
Effective AFUE or HSPF
(AFUE or HSPF x duct efficiency)
Effective Sum of 1.6
Gas Sole Pkg -25 •24 -14 -4 +6 16
AFUE HP HP or to to to to or
NSPF NSPF less -15 -5 - +5 +15 more
One Story House
.610
.15
16 or
more
10.0
9.7
Sum of 1.6
0
33%
Gas
Split
Pkg
-25
-44
-14
-4
+6
16
AFUE
HP
HP
or
'-24
to
to
to
to
or
-
NSPF
NSPF less
-15
-5
+5
+15
more
78%
6.8
6.6 -
0
0
0
0
0
0
800.
7.0
6.8
1
1
1
1.
0
0
85%
7.4
7.2.
5
4
3
2
2
1
90%
7.8
7.6
8
7
5
4
3
1
95%
8.3
8.0
11
9
7
5
4
2
100%
8.7
8.5
13
it
9
7
4
2
Effective AFUE or HSPF
(AFUE or HSPF x duct efficiency)
Effective Sum of 1.6
Gas Sole Pkg -25 •24 -14 -4 +6 16
AFUE HP HP or to to to to or
NSPF NSPF less -15 -5 - +5 +15 more
One Story House
.610
.15
16 or
more
10.0
9.7
0
0
33%
Z9
28
-62-
-S3
-44
-34
-25
-16
400.
3.5
3.4
-40
-34
•28
-22
-16
_-10
W.
4.4
4.2
-19
-16
-13
-10
-7
-5
60%
5.2
5.1
-4
-4
-3
-2
-2
-1
64%
5.6
5.4
0
0
0
0
0
0
70%
6.1
5.9
6
5
4
3
2
1
800.
7.0
6.8
13
11
9
7
5
3
90%
7.8
7.6
19
16
13
11
8
5
100%
8.7
8.5
24
20
17
13
10
6
Two or Three Story House
5.0
4.9
-29
-23
-17
33%
Z9
2.8
-09
-58
-48
-37
-26
•15
400.
3.5
3.4
-46
-39
-32
-24
•17
-10
SO%
4.4
4.2
-24
-20
-16
-13
-9
-5
60%
5.2
5.1
-9
-8
-6
-5
-3
-2
69%
6.0
5.8
0
0
0
0
0
0
70%
6.1
5.9
1
1
1
1
0
0
80%
7.0
6.8
9
8
6
5
3
2
900.
7.8
7.6
15
13
10
8
6
3
100%
8.7
8.5
20
17
14
11
8
4
3
0
Zonal
Control Adjustment
22
17
System Type
8
3
0
Two or
Three
Story House
IE
Resatance
0.93
6
4
3
2
1
0
Other
-5
0
3
3
2
1
1
0
Adjustment for No Tank Insulation
11. Cooling System
Houses With Ducts (R4.2
SEER Sum of 7.9
San Pcrtg •25 or •2d to -1410 .410
AC- AC less -15 -5 +5
.610
.15
16 or
more
10.0
9.7
0
0
0
0
0
0
11.0
10.7
4
3
2
2
1
0
12.0
11.6
8
6
5
3
1
0
13.0
126
11
9
6
4
2
0
14.0
13.6
13
11
8
5
2
0
15.0
14.6
16
12
9
6
2
0
0.63
5
Effective SEER
0
5
(SEER x duct efficiency)
8
11 9 0
ER SEER
8
SG75
Sum of
7.9
-2
1 -1' -12
Soln
Pckg
-25 or
-24 to
-14 to •4 to
+6 to
16 or
AC
AC
less
•15
-5
+5
.15
more
One Story House
SE
Alt
0.87
-20
-12 -17 -41
5.0
4.9
-29
-23
-17
-11
-4
0
6.0
5.8
-16
-13
-9
-6
-2
0
7.0
6.8
•7 ..
6
.4
-3
-1
0
8.0
7.8
-1
0
0
0
0
0
8.1
7.9
0
0
0
0
0-
0
9.0
8.7
5
4
3
2
1
0
10.0
9.7
9
7
5
3
1
0
11.0
10.7
12
10
7
4
2
0
12.o
11.6
15
12
9
6
2
0
13.0
12.6
18
14
10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.0
14.6
22
17
12
8
3
0
Two or
Three
Story House
IE
AN
0.93
•21
5.0
4.9
-35
-27
-20
-13
-5
0
6.0
5.8
-21
-17
-12
-8
-3
0
7.0
6.8
-11
A
-7
-4
-2
0
8.0
7.8
-4
-3
-2
-1
-1
0
6.7
8.4
0
0
0
0
0
0
9.0
8.7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
.4
1
0
1ZO
11.6
13
10
7
5
2
0
13.0
lZ6
16
12
9
6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
20
16
it
7
3
0
Water Heater Tvoe
Hummer or Wow 1 Ww
One Two
SG50
-2 -5
SG75
-3 -6
SE
-5 -9
HP
•2 .4
Zonal Control Adjustment
House Sbe Adjustment
Hasa Size (m2)
SUM=
water heameg
Pam Score
lets
than
1000
1000
to
1499
30
47
-5
-25
-14
-A
-20
-it
-3
-15
A
-3
-10
-6
•2 .
.5
3
-1
0
0
0
5
3
1
10
6
2
15
9
3
20
11
3
25
14
4
House Stw Adjustment
House sae (rte
swKwal
Water Hum 0
Porro Scare
15W
to
1999
2000
or
MOM
30
0
3
-25
0
2
-20
0
2
-15
0
1
-10
0
1
-5
0
0
0
0
0
5
0
0
10
0
. -1
15
0
•1
20
0
-2
25
0
-2
All 6
5 4
2 1
0
I- Water Heating
out Wats
Hester - No Att =wY Quelft
Oionaton Syanm2
PAMC srslenIS
Water
climaas
&wVy
STD
HWR Roe Iro
Timor Domd
Heater Tvoe1
Zones
Fa w
POU Imul tan
SG50
AD
am
0
3 1 -0
-5
0
0.63
5
8 6 -4
0
5
(I'm
8
11 9 0
4
8
SG75
At
0.48
-2
1 -1' -12
-7
-2
038
3
6 5 -5
-1
4
an
7
10 8 -1
3
7
SE
Alt
0.87
-20
-12 -17 -41
.32
-19
0.83
-17
-0 -13 38
-28
-16
IG'
Al
am
2
5 3
IE
All
OM
-21
-12
HP
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BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form.Per Building)
School District T /-.-I>V Building Department No.
A.P. NumberQ6 7-390' f(D Jurisdiction F City ��County
Property Owner 0 H Al
Property Location/Address � Maj- �2
Subdivison sf� D&L Olz- &ir.o/v f�t No.
Residential Development 0 Sq. Footage 00
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial 0 0 Sq. Footage
New Addition (Including Exterior
Roofed Areas)
00ina DeDartmenf R&re entative Date
(Floor Plans revim-wed by School District Personnel)
Distric Identification No. — 0OwiLd�8'
School Cistrict certifies that
.(Applicant)
.i(Street Address) (Phone Number)
/
(State)
has complied with the requirements of Resolution No.
representing / � O square feet.
(Zip Code)
' by payment of $ 6 (0 31 �Plo
School District R presentative Date
Paid by Check Number / (O Remarks:
Bank Number _a
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notifed by the applicable Local Planning Agency that this project
Js being reviewed under the California Environmental. Quality Act (CE(QA), this,project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92)
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REVIEW
BUTTE CO. F!',7%.-
CALIF.
6,,.CALIF. DEPT. of 8=O,;i...
❑ approved as submi'a,,;:;
j approved with conditions
per attached shee 5
Signature Date -
38
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(S ARAG e !
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I
ALL STRUCTURES AND EC IUIPMEQdT INCLUDING
_OVERHANGS SHALL BE CLEAR OF A!J L EASEMENTS. !
A SET BACK OF L[ '?. FR6-M fflfTHE aIDE; -AND — ..
30. FT. FROM THE REAR. PROP RTY LINES AND i
Q FT.. FROkl THE ROAM CENTE LINE SHALL BE
CLEAR OF STRUCTURES AND EQUIPMI=NT EXCEPTo�'�
FOR A 2 FT. SAVE OVERHANG. Ike -�
x0la ,y
A CDF _F I_RE_ SAFE: REQUIREMENTS.-
AP
EQUIREMENTS_AP # PERMIT # NAME
Under authority of PRC 4290, the following
by the Butte County Fire Department and
permit. These requirements are minimums
Butte County local regulations which equal
Field inspections will be made by the Butte
for compliance.
checked items are required
are made a part of this
and will be superseded by
or exceed these standards.
County Building Department
`J 1272.00 'Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided fot in these standards, annual maintenance must
be provided for by the land owner.
Driveway Standards
[ ] 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appurtenant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
L ] 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius.
[ ] 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[ l 2. The length of vertical curves in roadways exclusive
of.gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[ ] 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from center of the road.
[ ] 1273.06 Turnouts. Sia' 1 h-, a minimum of 10 feet wide and 30
feet long with a mir i..- u,n 25 foot taper on each end.
[ ] 1270.10 width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of 3
A yyii
6-5--'AP #
3 L� - � (C::.
c�Sao T �
PERMIT # NAME
[ ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length„ shallprovide a turnout
near the midpoint of the driveway. where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[ ] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[ ] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[ ] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ) 3. Where a one-way road with a single traffic lane
provides entrance,"a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ ] 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from all property lines and/or the center
of the road.
VI 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction., road and driveway construction and fuel
modification_ shall be completed prior to completion of
road construction Dr fi:ial inspection of a building
permit.
Page 2 of 3
S- -3ctl-- 3(�
AP #
•rj C� �OSo2
PERMIT #
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
NAME
- Class A or B roof
- Enclosed eaves
( "I.f-B.ui_ld ng--Setback__is -Less' Than _,.15—F
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi=
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed _096 of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
T
Date Signature
Page 3 of 3
{cecyxe5s�cki � my
tiReturn co':' AGF
$ui d'Q Division
4-15635
Section 26-8.1 of the Butte County Code requires this
acknowledgement be recorded prior to issuance of a building
__ _ ____ _ _ _
permit.
94-0156351
Rec Fee 9.00
The property described herein is adjacent to land or included
I Check 9.00
within an area zoned for agricultural purposes, and residents
Recorded I
of this property may be subject to inconveniences or
Official Records I
discomfort arising from the use of agricultural chemicals,
County of I
including, but not limited to herbicides, pesticides, and
Butte I
fertilizers; and from the pursuit of agricultural operations
Candace J. Grubbs I
including, but not limited to cultivation, plowing, spraying,
Recorder I
pruning, and harvesting which occasionally generate
8: 0 0 a m 11 -Apr -94 I M V T C VS 2
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
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
SEE ATTACHED LEGAL•DESCRIPTION
Date: 4-1-94
State of California )
County of BUTTE )
On 4-1-94
personally appeared
PROPERTY OWNERS:
JOHN CiJ EO
before me, WENDY CSER
JOHN CUSEO
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the
m+tutnunnuuuuuuuuunuuunnnununuutauuuuuuo
person(s) acted, executed the instrument.
a
OFFICIAL SEAL
WITNESS my hand and official seal. M 998812NWEINDY CSE, RNOTARY PUBLIC - CALIFORNIA N
COUNTY OF BUTTE
Signature I Seal: w My Commission Expires June 27,1997 5
A.P. # 065-340-036
94-15635
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
LOT 86, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO
ESTATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER
19, 1965, IN BOOK 34 OF MAPS, AT PAGE(S) 2-7, 28 AND 29.
EXCEPTING THEREFROM ALL OF THE VALUABLE .MINERALS BENEATH THE
SURFACE OF THE SAID LANDS, WITH THE RIGHT -TO MINE AND EXTRACT SAID
MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING
OPERATIONS, THE SURFACE OF. SAID' LANDS 'WILL .BE"PROTECTED AGAINST
DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED.ON FROM TUNNELS,
SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA
OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE
DEED FROM MAGALIA MINING COMPANY,.A CORPORATION, TO E. D. STORTS,
ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL
RECORDS.
END OF. DOCUMENT
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