HomeMy WebLinkAbout065-340-049COUNTY OF BUTTE �`�•
DEPARTMENT OF PUaLIC WORKS 7 COUNTY CENTER: DRIVE
OR.VILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been'installed in accordance with the requirements
of the California. Administrative Code, Title 25, Chapter 5, under 'permit.
numberfor the following location: -
Owner
Owner's Address
Mobilehome Mfg. Model Year
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATES
White - Owner, Yellow - installer, Pink - D.P.W.
�u
i
RESIDENTIAL
065-340-049 94-0198B,P,E,M
FISCHER, STAN C.
14777 HOLMWOOD DR., MAGALIA
NEW SINGLE FAMILY
OFFICE COPY
Address_ 4"- 1
GAS
Meter By Dat��o�
ELECTRIC
Meter By
Date
OFFICE COPY
roo-S
Address _----�
GA5 —� Dated
I Meter By
ErLECTRIC - .r1
Date
Meter By
JOB FINALED (Date') �y
Signature
r
V =iot5.
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR Plans OK except #'s
Zoni ng -Setbacks -Ease menta -Flood -Slope
_1aa" ) 9�19g., Main; Soils-Elec. d.-/ P' Ftg. Depth
[J Ftg., Garage; soll4EgRgElec. Grnd.-/ /" Ftg. Depth
12
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
A%OPT'Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
Insulation
Date/Initials PLUMBING Permit OK except #'s
ter Htr.; Vent -Access -Combustion Air -Baffle
r' Water Pipe Anchor -Nail Protection
. D.W.V • - ittings & Anchor -Nail Protection
19.Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
f' . Gas Pipe; Size & Anchors
Date/initials
221Fixture & Trangformer Clearance -Ins. Protection
r' Elec. Rec cies Spacing Lights & Switches at Doors
Ve"Size Boxes & No. of Conductors -Stapled
R9mex Installed Close to Edge of Studs & C.J.
K. Pulp. Ground made up w/Meth. Fastners-Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size/GFI
,4 L,!�
' . •Snbfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size /,3/ga.
t7 _ R`uu)or Al
{�(7 _W. Range Circ. /a/ ga"Soor AI -Oven Circ. / / ga. Cu or Al.
V Insulated Neutral fik Yes 0 No
Service -Riser Conductors & Ground -Main Disconnect
11 uip. Clearances Panels -Motors -Mach. Equip.
lothes Closet Light -Shower Light -Spa Light
. Smoke Detector
Date/Initials ME HANICAL Permit OK except #'s
X. A.C. Ducts Insulation & Support
35; V nt Fan; Exhaust above insulation
Qj' . Condensate Drain & Overflow; Size & Grade
3^ Furnance-Vent; ccess-Comb. Air -Return Air Vent -115 outlet
�iM Attic Access & Platform if Furnance in Attic
Date/initials FRAMING Plans OK except #'s
34, Sils, Proper Material & Anchors
Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Baring Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
jK,FIre Stops; Furred Ceilings-Stairsse ub
IC &B -am -Size & Bearing
Date/Initials FRAMING (Continued)
> ngers-Post Caps -Anchors -Connectors
Ing. Joist-Rftr. ties -Purls =roof Bmc-Truss-Shthng.-Rfng.
Fireplace Ties A Fl6_6-fl replace Throat clearance
48 --Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill Hgt. & Dimensions
e Fire actio
o 'LinenrewaijiA Openings
SB'Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
5&-4"rs; Width -Headroom -Rise -Run -Landing -Fire Protection
4 I ood on Roof Ove - ttic Vents -Rafter Outriggers
5,6. iding-Nailing Veneer
'
56.et1%co Mesh -Drip Screed -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
er W IIs; Nailing -Bolts
AG VWJ"uIa1r1,opZLNa - ill
ef Infiltr on -Wal -Win ws
Date/Initials FIN Plana OK except #'s
Steps -Door & Sidelight Protection -Landings
Or oke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel; Breaker Sizes & Labels
6ZS s & Rails
Fireplace o(Stover 1 nces earth
68r-Efec. Outlets at Wood Panel; Int. & Ext.
. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Zkqlec. Outlets & Receptacles at Kit. Counter
7ZGarage Fire Door, Swing -Landing -Closer
79--A-C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
Garage; Above Floor -Mach. Protection
Elec. ech. Equip. Listed for Location
Elec. R eptacles in Garage G.F.I.)-Romex Protection
sulation-Foam-Looked in Attic 0 Yes
.Z& -Guard Rails & Deck Construction -Post Caps
Win: Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
ad -Following instld.; Drive XYes 0 No; Walks Yea 0 No;
Planters 0 Yea WNo
**.-St=co; Brown -Finish
9QA. . Unit; Disconnect, Electrical, Plumbing
ants Above Roof; Plbg: Appllance-Fireplace: Clearence to
Openings
84-Wa-ter Well; Disconnect, Electrical, Plumbing
eS Exterior Elec. Trim; G.F.I. Receptacle -Underground
86/Ventilation Throughout House
e. ss Protection
ti ns from Previous Inspections
' a est- eters Tagged; Gas -Electric
W r & Sewer nected-C/O to Grade- A roval
9 Energy Co Bance CerdficateCotherACrtificates
Comments at Final:
V=pK
O = N64 OK "
• = NotNot Reeaadyable MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Looation-Clearencea-Grnd-/ /Amp -Concrete
8. 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 #'s
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 Test -Fall -Flex Connector
8. Water; MH Teat -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Ralls
4. Wood Awn.; Posts-Beams-Rftre :Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
8. 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 #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
8. 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. Test -Water Supply Test
k\1 / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
PE MIT N �
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 i -
APPLICATION AND PERMIT o
ASSESSOR PARCEL NUMBER •
065-340-049
ZONING
RMH WP
BUILDING PERMIT
OWNER
STAN FISCHER
TELEPHONE
873-4389
SQ. FT. OCC. BUILDING VALUATION
1300 R 70,200
OWNER'S MAILING ADDRESS
PO BOX 1740 MAGALIA 95954-1740
462 M 8,316
CONTRACTOR'S NAME
OWNER
TELEPHONE
196 C 2,543
CONTRACTOR'S MAILING ADDRESS
Fireplace 1 A 1,500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 82,5 4
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
563.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
365.95
Energy Plan Checking Fee $
23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
14777 HOLMWOOD DRIVE MAGALIA
PERMIT FEE $
971 .95
PLUMBING PERMIT
Filing Fee
20.00
Each Trap
7.00
56.00
Solar or heat pump water heater
23.00
Water piping
15.00
15.00
LOT NO.
93
SUBDIVISION'S NAME
SIERRA DEL ORO
PARCEL MAP
XXXXX34-27
Each gas water heater or vent
15.00
15.00
USE OF STRUCTURE
SF M Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets
15.00
15.00
Building sewer 15.00
15.00
Mobile Home S G W @20.06 --
2.00TYPE
TYPE OF WORK
New A( Addition ❑ Remodel ❑ Utilities El Installation 1:1 Other ❑
Describe Work: 1 BEDROOM
$
PERMIT FEE 136.00
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( 11V OR LESS 200A OR LESS )
23.00
23.00
Main Service ( 200A TO I000A )
46.00
NEW CONS.OR ADONS? ( D LLIN&EACCGBLDS. )
3.5C F°:
61.67
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compensation, will do
AK,e work, and the structure is not intended or offered for sale. (Sec 7044)
Ias the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
I POWER APPARATUS )
1 & SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00
FIXEDTS (RESID OR
Ex. Occup.UT
(OUTLETS IRESID.1 EA. ) 5•��
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
rtiticate 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 $
104.67
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.0
Cooling 15.0
Hood 6.50 (�, 5
Ventilation
PERMIT FEE $
56.51
Contractor
I certifythat I have read this application and state thatthe above informationis correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit. J O
X �!i [I'f�/ Date ��v 7
Signa ure of Applicants Owner ❑ Contractor ❑ 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 $ 46. 0
occ
CONST. TYPE
TOT FEE $ 1315.1
HAZ.
D,7IM
FLOOD
COF PARCE PD
H
Issu
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do
indicated above for which fees have been paid.
DIRECTOR OF
OF PUBLIC WORKS
By %�`�" Date 2
gs
PERMIT EXPIRES ON /
/Dare!
work
153815-557.95// �' � •- Pi �'7
Receipt No. 8-11ra
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
f
,- C OUNTYOF BUTTE -DEPARTMENT OF DEVELOMENTSERVICES -BUILDING DIVISION j
7 COUNTY CENTER DRIVE - OROVILLEA ,0FORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER S r A n/ F t S C µ e a A. P. No.
Proposed Building Use S _ F Building Inspector GCs Date /-2 4
At, time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. i
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
912.
0. Fees of$ 8Y6- C7 . ............................
1. Impact fees as shown on attached schedule. .. .
California Department of Forestry plan approval/fees.... I/A ....... .
13. Flood elevation letter (100 year flood) by California Engineer . ............. .
14. Sanitation and plot plan approval PAPAUiSf- Health Department . . /�gy
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .
- W1119. Driveway permit (construction approval required prior to occupancy). .. .. ...
t ne-Inspection requ�-
20. Pre -inspection for required. . .toBu;;d;ng;napect0, (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). .. �
24. Recorded copy of Agricultural Acknowledgement Statement. . . ................ _
25. Letter of signature authorization . ........................................ {
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ......................................... R
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
.34. '
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
e Telephone and hold for pickup at ,�& :n1Z npffice. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant o�e4elf - Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior t ermit i sua ce it a new itnot ecked above). 4
1. Index permiffor above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mailr Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail' Cou or by _ Date
Plans checked by Date Plans approved by ► Date
Sets of plans on hold in File cabinet AP folder
41
Copy - Department of Public Works -� ' ^ '
TO: Building Department
FROM:. Encroachment Permit Section
RE: Driveway Clearance
014,1 / GLS 77 7 Ae 4 WzJ-J&
owner location
Driveway permit
4
si ature
3�- y
AP #
has been issued for the above property.
--z f,5.
date
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location
Plan Approved for: Sewage Disposal Water Supply: I'Llblic
Clearance for—L—bcdrooni i ")4k Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental "It5l, pec la Itt
8/92
E. 11. nsI uNLL-
Hot I'likii Altadieda
Hournt Io Him Awicket
V
NeWV--T-Ak
AP#
Private Well -
Date
Owner: _ Permit No.
ENERGY CERTIF I: CAT ION
14777 Holmwood, Maqalia, Ca.
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material FIBERGLASS BATTS Brand Name MANVILLE-SCHUA!L+ER
Thickness(inches) 3 5/8" Thermal Resistance(R Value) R13
CEILING
Batt or Blanket Type FIBERGLASS BATTS Brand Name MANVILLE-SCHU'LER
Thickness(inches) 91" Thermal Resistance(R Value) R30
Loose Fill Type FIBERGLASS Brand Name INSLA! SAFE 3
MinimumTh icknes (Inches) -122" Numberof B�;s L.L Wt, per bag 35 lb.
Area covered(ft. ) 680 Thernial Resistance(R Value) R30
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material.
_ Thickness(inches)_
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand, Name ..
•Thermal Resistance(R-Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
L'OERKE INSULATION CO., INC. 499150
F NAME/OWNER STATE CONTRACTORS LICENSE NO.
April 21, 1994
SIG URE OF INSTALLATIO APPLICATOR 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 are
specifically approved by the State of California.
FIRM,NAME/OWNER' (Please print) STATE, CONTRACTORS LICENSE NO.-
_ r • ./ 3 �% dim � �%
SIGNATURE OF (GI !, RAL CONTRACTOR OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
Installation Certificate: Residential i CF -6R
BUILDING OWNER: �� %�i� C F SCH BUILDING PEPraIT # :
BUILDING LOCATION: /-4777
An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form
may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that
the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of
Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall
responsibility for the appliance installation.
I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that
the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to
demonstrate compliance with the Energy Efficiency Standards for residential buildings.
HVAC SYSTEMS
Note: Hydronic boiler information is entered here.
Water Heating Systems.
Heating Equip. CEC Certtf led Actual
Type (furnace, Manuf. Make & Efflcle
heat pump, etc.) Model Number (AFUE
x6
t
Other hydronic or combined hydronic equipment is listed under
Distribution Duct or Heating Load Heating
Type and Plping Before Over- Equipment
Location R -Value Slzing (Btuh) Capacity(E
CEC Certifled
Cooling Equip. Compressor Unit' Actual Distribution Duct or
Type (air cond., Manuf. Make & Efficiency Type and Plping
heat oumo. etc.) Model Number (SEER) Location R -Value
C
` '361 "
..i
The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of
the Energy Efficiency Standards, and are two of the criteria used for equipment sizind sel ction.
Signature Date HVA Subontractor (Co. Name) or General Contractor or Owner
WATER HEATING SYSTEMS
Water Heating CEC Cart If led Rated' Tank
System Type Manuf. Make & Input (kW Capacity
(storage gas, etc. Model Numober or Btuh (gallons)EHlcfenc
Energy'
Factor or
Recovery Standby'
Loss %
External
Tank
Insulation
R -Value
t
1. For small gas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump
water heaters, list Energy
Factor.
For large gas storage water heaters (rated input >75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
For Instantaneous electric water heaters, list Rated Input.
FAUCETS & SHOWER HEADS
All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads,
pursuant to Title 24, Part 6, Subchapter 2, Section 111.
Signature Date Plum, ' g Subcontractor (Co. Name) or General Contractor or Owner
THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL Air'D A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
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
OWNER
f-/7r-�?
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please cgtttact this office immediately.
Date - (1- q Inspector
REV 11/91
COUNTY OF BUTTE yz
a'
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541 =Y
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
�f
1�15
OWNER _ t PERMIT NO.
>r'
A routine inspection indicates that the following violations of Butte County Ordinances exist at c
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation, V.
please contact this office immediately.
~ ifi
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Int r C IG 14-rlw b UfF,&nt.N-Ty oN%ZED►� i 11 FnAn.TC _ t.
w
Date Inspector
REV 11/91
•,s
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 w
CORRECTION NOTICE
� 4 SC stz
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at y'
the above address and should be corrected" Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation, r_
please contact this office immediately. ;
w
CuA,2Arjei rY f- "Alt Fc 4F.
Date 3 20°-1 y Inspector ,C(;J-t, ,�
REV 11/91
P
2 t �s
nG-o-Jlv'
y _ 3 Ft t ,�, . 1
ti3
4 y
Date 3 20°-1 y Inspector ,C(;J-t, ,�
REV 11/91
i
ti3
Date 3 20°-1 y Inspector ,C(;J-t, ,�
REV 11/91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 8912751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
r-kSr)Ag,�
OWNER'PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date �-1a4tj Inspector .i7;.Jl_11.r—
COUNTY OF BUTTE - DEPARZMENT'OF.DEVIIAPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541
OWNER S T' A A/ A. P. # 419
PROPOSED BUILDING USE�_ F� L� W CL t 1,J4. DATEt - ��_ c1/
3.
SCHOOL DISTRICT FEES PA aA b 1-5 £
(paid at District Office) ...............
SHERIFF FEES ..........
(paid at Building Department)
Residential...... x =$-360- 00
unit amt.
Commercial (sqft) x =$
sq.ft. amt.
URBAN AREA FEES
(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) .........................
REC. # DATE REC
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
6. SRA FIRE INSPECTION AND PLAN CHECK = $$9.00...... x'38 _5
(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
COUNTY OF BUTTE - DeRittment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) "11,1 , signed an application for a building permit
for the proposed.work.
3. I have contracted with the following person (firm) to provide the,proposed
construction:
Name' (J"4, tz _
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name /t/19 -
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner �C
Social Security Number - ,-
Date 1 %moi ?47
NOTE:. This Owner -Builder Verification is sent to you as required by Sections 19831.and'
19832 of the California health and Safety Code.
This verification .must. be' .completed and returned, to 'o_ur office before we are per--
mitted to issue the -permit.
RETURN TO DPW
94-00527 1 Rec Fee
I Check
Recorded I
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder I
2:01.pm 2 -Feb. -94 I PUBL
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
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 the area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences of discomfort
arising from the use of agricultural chemicals, including, but not
limited to herbicides, pesticides, and fertilizers; and from the
pursuit of agricultural operations including, but not limited to
cultivation, plowing, spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County
has established agricultural zones which have as a priority use for
productive agricultural purposes, and residents within said zones
and on adjacent property should be prepared to accept such
inconvenience or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State
of California, described as follows: VACANT LAND ON HOLKWOOD DRIVE,
NAGALIA, CA 95954
SEE ATTACHED LEGAL DESCRIPTION
Date: - `I
STAN C. FISCHER
State of California
Property Owners:
County of BUTTE )ss.
On 2-2-94 before me, WENDY CSER
personally appeared STAN C. FISCHER
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 person(s) acted, executed the.instrument.
9.00
9.00
XX 2
WITNESS my hand and official seal
stuuuuuuuuutrurrrrrrrrrruuuuunnuunnuurnuunrrr•
OFFI9M12 SEAL 9
y -s WENDY CSER :0
Vr NOTARY PUBLIC -CALIFORNIA N
COUNTY OF atrrrt W �•��' �_ My Commission Expires June 27,1997
iaturunuuuunnnrrunumrrrunuuuunnuuununnwi
ORDER NO. BU -139284-2
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL I:
LOT 92, 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.
PARCEL II:
LOT 93, 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.
PAGE 4
1 BUTTE COUNTY SCHOOLS.. MPACT FEE CERTIFICATION FORM
(One Fo(m Per Building)
School District A 2A %5 f- Building Department No.
A.P. Number 3 4 -.1i t Jurisdiction City ® County
Property Owner S .f Ay Et S c k£ 2
Property Location/Address Vii L ty\ Wo oh
Subdivison S%,;-V-fLA 'hSL 09-0 �--ScA'TES UNIT h Lot No.
Residential Development
Commercial/Industrial
0
No. of Living MHI
Units
New
0 Sq. Footage 1300
Addition (Group R)
0 Sq. Footage -
Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
(Floor Plans reviewed by School District Personnel) ;.
Districtentification No..
0.v,chool District certifies that
(Applicant) r.
..(Street A. dress) (Phone Number)
i
(Ciiy (State) (Zip Code)
has complied with the requirements of Resolution No. _ by payment of $
representing square feet.
Sc oft istrict Representative Dat
Paid by Check Number Remarks:
Bank Number D
Paid by Cash
r
If, subsequent to the.School District Representative signing this Butte County Schools Impact Fee
Certification' Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), 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) feeformmkl (4/92)
• ,`
RESIDENTIAL PLAN.-, CHECKING GUIDE 8/91
(S.F., DUPLEX--& MISC. ONLY)
Bldg. Permit #
OWNER,�'�� A. P. #
GENERAL -
Plan Checker
Zoning requirements: (sideyards and number of permitted living units).
Valuation.
Plans signed by designer.
Proper description of work on application.
Existing violations on property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
Recorded notice of violation.
PLOT PLAN
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).
AU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
PLAN
jComplete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
. ,Required windows for second exit (Sec. 1204).
//-Skylights (Chapter 34 & Sec. 5207).
/Human impact glass (Sec. 5406).
/Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mec L- ip
Locations o water heate nd cooling equipment, other electrical
or gas equipment.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
- 3'0" exterior exit door (sec. 3304 (f).
replace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
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.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
Special Inspection required.
building
8/91
RESIDENTIAL PLAN"CHE,CKING GUIDE
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).
Proper roof pitch for roof convering (Chapter 32).
woof covering type - (fire hazard).
Foam insulation - protection.
36" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side
k,.Attic
luding supporting walls and posts, etc.
exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
access and ventilation (Sec. 3205).
erfloor access and ventilation (Sec. 2516).
bustion air for fuel burning appliances - L.P.G. requirements.
se requirements on duplexes.
ergy design.
shing at all exterior openings.
�! CDF responsible area requirements.
W
Certificate of Compliance: Residential
Climate Zone 11
Pro,ectTUle
°
J �S G� r
project Address
Building Permit M ?
LS
j 77 40
Checked B y f Date
Documentation Author Telephone
Enforcement Agency Use only
SPECIAL FEATURES/REMARKS
Fenestration
BUILDING DATA
Area
ned Floor Area .r � oy Number of SwriesNorth
/
�' 4sed
East
Floor Number of Units �
R
le Family Detached (SFD) [ ] Addition Alone
South
west
(] Single Family Attached (SFA) [) Existing Building
Skylight U
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition
Total
B UU.DING SHELL INSULATION
Component Insulation LocaiiorVComme.=
Type R -Value (aaac, to garage, typiseL emc
Slab Edge....:
FENESTRATION
-Eenestration - Area
Orientation (sf)
Shading Devices
. Type Interior Extedor Overhang Framing Type
North ( ) "R 3 bbL
North ( )
East ( )�
East ( )
South
South ( )
West ( ) U
West ( )
Skylight....... e)
THERMAL MASS
Type/Covering Area Thickness
(stab/exvosed. tile, etc.) (so (inches) Location/Descriotion (kitchen. bath. etc.)
IiVAC SYSTEMS Minimum Duct
Type (furnace. air Efficiency Location Duct Hem,! �•Y
conditioner. heAtDumy) (AFUE,SEER,HSPF) (attic,ctc.) R -Value Thermostat Tyne isplitr�or nlcorYe`
U r
IIOT WATER SYSTEMS
Tank'
R Je
System Type (storage gas, etc.) Capacity
Number Energy Factor Ext f Str
5_ 4-ed� . Gas 50
_� / 57 --
T -SPECIAL
SPECIAL FEATURES/REMARKS
Point System Summary: Climate Zone 11
1. Ceiling Insulation
2. Wall Insulation
or
R -value [381 U -value 10.0281
or
R -value 1191 U -value [0.0651
3. Raised Floor Insulation or
IV -value 1191 U -value [0.0371
4. Stab Edge Insulation or
R -value 101 F2 tactor 10.751
5. Infiltration Any Ducts in Unconditioned Space? ( Y / N) (Yj
6. Fenestration Heat Loss
Type U -value 10.651 Total X Fenes. [161
Point Scores
7. Fenestration Heat Gain
0/46 Fenestf mon SCshade open Eff. % Fenes. Shade Eff. Ratio
North Y x = ( : 3 -I�o ��
East x = I ' _�Z
South - of A x = -�
West x
Skylight x
Overhangs? ( Y / N) 11
8. Interior Thermal Mass _�_ or I
X Exp. Slab [201 Int Mass/CFA
9. Exterior Wall Mass
Ext waU Mass r/
10. Heating System 7_ x
AFUE or HSPF Duca Effie. 11 story: Effective AFUE Zonal Control
[78% or 6.81 0.83; 2+ story: 0.881 o HSPF Adjustment (01
11. Cooling System 1v x = /
SEER (10.01 Duct Eftim (1 story: Etfeeave SEER Zonlacormi
0.81; 2+ story: 0.871 Adjustment 101
12 Water Heating
System 1 56,50
Heater Type Energy Factor Ext Ins. R -value Auxiliary Inout Distribution
(SG501 10.531 1121 [Novel [STD1
System 2
Heater Type 1None1 Energy Factor Ext Ins. R -value Aututiary Input Distntwtion
1. Ceiling Insulation
Numtbr of stones
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
509.
-too
Sirgw
Single.
-62
`r° ►, I Family
Famtq
Wtti-
R-0 ; r -722j -57 -43
R-11 • 7 -6 -4
R-13 �Ct 4 -3
R-15 .2
R-19 0 n 0 0
R-21 1 1
3. Raised Floor Insulation
InsuiaUm in Floor
Number of stones
R -value One Two Three
R-0 -14 -9 -5
R-11 -3 .2 -1
R-19 0 0 0
R-30 2 1
Point 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
Sum 1-6
_3
Sum 7-9
0
V
0
5. Infiltration (Duct Air Leakage)
Ducts In Uncortditoned Space 0
No Ducts in Uncondtitoned Soave 3
7. Fenestratiot
En NoM
% .87 .67
Fen- or to
estra- more .86
non
181. -5 -4
1611. -4 -4
14X -4 •3
1211. -3 -2
11% •2 -2
109. •2 -2
9% =2 -1
8% -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
Total 1.31
Percent or
Fenestiaoon more
1.21
to
130
1.11
to
1.20
1.01
to
1.10
.91
to
1.00
.81
to
.90
.76
to
.80
U-Vajue
.71 .66
to to
.75 70
.61
to
65
.56
to
60
.51
to
55
.46
to
.50
.41
to
45
.36
to
40
.35
or
less
509.
-too
•76
.69
-62
-55
48
-41
-38
-34
.31
•27
-24
-20
-17
-13
-10
40%
-77
-58
-52
-47
-it
-36
-30
-27
-25
-22
-19
•16
.13
.11
•8
.5
357E
.66
49
4d
•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
287.
-50
-36
-32
-28
-25
-21
•17
-15
.13
-11
-9
-7
-5
.3
•1
1
267.
-45
-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
-t
-2
•1
1
3
221.
-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
-t
-2
-1
1
2
3
5
18%
-27
-18
-16
-13
-11
-6
-6
-1
•3
-2
-1
1
2
3
4
6
16%
-22
-14
-12
-40
-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
4
1
2
3
4
4
5
6
7
8
9
107.
-8
.4
•2
-1
1
2
3
4
5
5
6
7
8
8
9
10
8%
-t
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
Heat Gain (baseo on Shaoe Effectiveness Ratio)
'hermal Mass
labors -grade f; onstrucuon Only)
One
Ins
East
Three
Ston
Sotto
Stones
Stories
West
Attached
Skylight
R St
.87
.67
.52
.51
.87
.67
S2
.51
.87
.67
.52
.51
.67
.66
0 or
or
to
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
-16
-75
-50
.2 -1
-18
-16
-13
-10
-21
-19
-13
-9
-31
-27
•19
-14
•65
-4
•2 -1
-14
-13
-11
-8
•16
•14
-10
-7
-26
-23
•16
-11
55
a8
•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
Is
•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
-it
•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
-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
011
-2
1
0
0
1
2
-6
•5
1 1
1
1
1
1
0
0
0
0
1
1_2
80%
2
-3
-2
1 1
.1
1
1
1
0
0
0
0
3
3
3
3
0
0
'hermal Mass
labors -grade f; onstrucuon Only)
One
Ins
Two
Three
Ston
Family
Stones
Stories
-3
Attached
-2
0
-1
-2
3
.1
2
.1
0
4
0
8
0
1
10
1
14
1.
3
17
2
10
T
4
11
3
17
2
5
18
3
24
2
6
7.0
4
1
2
8
1.
5
0
3
9
7.2
6
4
3
10
2
6
90%
4
Method
B
7
5
ah hoer
3
Raised Floor
959'6
Stones
8.0
11
Stones
7
Two
Three
One
Two
Three
-8
-0
-1
-1
0
•7
-0
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
8
14
14
14
7
9
15
15
15
8
10
16
16
16
9
11
18
17
17
tr Wall Thermal Mass
Ins
Single-
Single-
Mufti
Family
Family
Family
Detached
Attached
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
Hooses With Duets (R4.2)
Adju went for No Tads 10:21221100
11. Cooling System
. Houses With Ducts (R-4.2)
Ins
1000
W8rorHeacn9
SEER
Sum of 1-6
Point Scare
Sum of 7.9
Gas
Split
Pkg
-25
-24
-14
--4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
IBPF HSPF
less
-15
-5
+5
+15
more
78%
6.8
6.6 •
0
0
0
0
0
0
80%
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
959'6
8.3
8.0
11
9
7
5
4
2
100%
8.7
8.5
13
11
9
7
4
2
Split
Pckg
Effective AFUE or HSPF
-24 to
-14 to
-4 to
(AFUE or HSPF x duct e8idency)
16 or
Effective
AC
less
-15
Sum of 1-6
+5
.15
Gas
Split
Pkg
-25
-24
-14
-0
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-13
KSPF WF
less
-15
-5 -
+5
+15 Moro
One Story House
-0
-4
-3
-1
0
8.0
33%
' Z9
Z8
-62-
-53
44
-34
-25
-16
40%
3.5
3.4
40
-34
-28
-22
-16
•10
5076
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
607.
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
-13
-5
0
6.0
33%
Z9
ZS
-69
-58
-48
-37
-26'
-15
40%
3.5
3.4
-06
-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.
90Y.
7.8
7.6
15
13
10- 8
-•-6•-'3
9
1017%
8.7
8.5
20
17
14
11
8
4
3
0
Zonal Control Ad;ustmem
14.6
20
System Type
11
7
3
0
Resistance
6
4
3
2
1
0
Other
3
3
2
1
1
0
Adju went for No Tads 10:21221100
11. Cooling System
. Houses With Ducts (R-4.2)
Ins
1000
W8rorHeacn9
SEER
to
Point Scare
Sum of 7.9
1499
a0
Sola
Pcxg -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
1Z0
11.6
8
6
5
3
t
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
-2
1 -1
Effective SEER
7
-2
(SEER x duct emdency)
038
3
Eli SEER
-5
-1
Sum of 7.9
Split
Pckg
-25 or
-24 to
-14 to
-4 to
+6 to
16 or
AC
AC
less
-15
-5
+5
.15
more
One Story House
-17
-0 -13
-W
M
-16
5.0
4.9
-29
-23
-17
-11
-4
0
6.0
5.8
-16
-13
-9
-0
-2
0
7.0
6.8
-7
-0
-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
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
-9
-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
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
Zonal Control Adjustment
Have Stre Adjustment
Vase Size (112)
Submial
Ins
1000
W8rorHeacn9
roan
to
Point Scare
1000
1499
a0
-17
•5
•25
.14
-A
-20
-11
-3
-15
A
•3
-10
6
2
-5
a
1
0
0
0
5
3
1
10
6
2
15
9
3
20
it
3
25...
14
4
House Size Adjustment
House Site (ft�
slot otal
1500
2000
Water Mum g
to
or
Pant Score
1999
more
a0
0
3
-25
0
2
•20
0
2
-15
0
1
-10
0
t
.5
0
0
0
0
0
5
0
0
10
0
-1
15
0
-1
20
0
d
25
0
-2
All 6
5 4
2 1
0
SG50
-2 -5
SG75
-3 -0
12. Water Heating
-5 -0
HP
-2 4
1
S
3
-0
Out Water Heater - No AUXMN y Credits
1
0.73
6
10
Oimtetsan Systent2
-2
2
7
SG75
All
0.48
Reese Svstenm
Wats
curnaas
ErwW
STD
MR FtoeTlnterNo
Damd
Heater Tvoel
Zones
Factor
0
POU Irrsul
Ct"
-1
SG50
AO
am
0
3 1
-0
-5
. 0
SE
A9
0.63
5
e 6
•4
0
5
-22
0.73
8
11 9
0
4
6
SG75
At
0.46
-2
1 -1
-12
7
-2
038
3
6 5
-5
-1
4
am
7
10 8
-1
3
7
SE
AC
0.87
-20
-12 -17
-41
-32
-19
093
-17
-0 -13
-W
M
-16
_.. .. .IG _
AS
MW
2
5 3
IE
At
093
-21
-12
HP
6-11.13.15
1.80
4
7 5
-5
-1
4
Two Water Heaters - No AmdQary Credits
SG50
Ntmaw of Wars Mettttt s
Water Heater Tyne
One we
SG50
-2 -5
SG75
-3 -0
SE
-5 -0
HP
-2 4
Two Water Heaters - No AmdQary Credits
SG50
AS
0331
-7
•4
-6
-17
-12
•7
0.63
1
S
3
-0
1
1
0.73
6
10
8
-2
2
7
SG75
All
0.48
-12
-0
-it
-?2
-17
-12
038
-1
3
0
-11
-0
-1
0.68
6
9
7
-A
1
6
SE
A9
0.87
-22
-14
-19
16
-35
-22
0.93
-16
-7
•12
-39
-28
-15
1G
Air
0.80
1
-1
. -3
IE
AS
0.93
-21
-12
HP
6.11.13.15
1.80
-1
3
1
•10
-6
0
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lownse restoential buildings subject to the Standards must contain these Wosasures 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 elsewnere in the documents or on this checklist only.
DESCRIPTION I I DESIGNER I ENFORCEMENT I
Building Envelope Measures
• §1S0(a): Minimum R-19 ceiling insulation.
§150(b): Loose fill insulation manufacturer's labeled FI -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(l): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no
greater than 2.0 permrinch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form.
§116.17: Fenestration Products, Exterior Doors and InfiltrationlExfiltration Controls
a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certiflCation.
a Exterior doors ano windows weatherstripped: all joints and penetrations caulked and seated.
§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. Rue 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 combined intenoriextenor 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 exposea piping insulated in recirculating sections of hot water system.
4. Cooling system piping below WF insulated.
5. Piping insulated between heating source and indirect hot water tank.
III 50(ml: 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 R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems nave badkdraft or automatic dampers
3. Gravity ventifatino systems serving conditioneo space have either automatic or readily accessible.
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certifieo mtn 78% thermal efficiency, on -orf switch, weatherproof operating instructions.
no eiectric resistance neaeno ano no Pilot light
2. System is instaileo with:
a. At least 36' tripe oerween filter and heater for future solar hearing.
b. Cover for outcoor wools or outogor spa.
3. Pool system nas cirectlonai inlets ano a circulation pump time switch.
§115: Gas-iireo centrai furnace, pool heater, spa neater or household cooitino appliance have no
continuously burin picot liaht. (Exception: Non-eiectnai cooking appliance with pilot < 150 Btwhr.)
Ughting Measures
§ISUM: 40lumenswar or oreater for eeneral lighting in kitchens and rooms with water doiets: and
recessed ceiling fixtures iC (insuiation coven approved.
COMPUANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to compy with Title 24, Parts 1 and 6, or
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 for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special FeaauesrRemarks secliofm
Designer o Owne Ilpw Bush,... a Prot«alons code)
Name: S rapi c F1ScN�a
TitleIR= L
Address: ..70 Plate / % MA&.
Telephone: W z--1 y, Sr`yy
IJc. t: Ai`M
(signature) (date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(slgnaturerstamp) Idatei
Documentation Author.
TitlerF'mm:
Address: '
Telephone:
(signature)
(dam)