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HomeMy WebLinkAbout066-040-007P a 66-04-07 A JOE CANZONERI_— -, E• --w-. ..• • - 13912 'Carver Dr-, Magalia'Y. Permit #397-89B,P,E;M(new SF) 0 -1'666-04-:`'0-007, C A N Z 0 N E R I xJo; �'` •+ `"L *� g x� 13912- Carver Drive;yMagaIia; ; ((g ... , _h as,piping/ heating,ystove) ' ;,; ;'• T 't •tit. is i0 l���r y:9 Ri V{ Iaf^ 1 le 7 ' it C.Y �•ya1J tl a , 66 '04' �r � � ' •� � ' 4 � ... 0-007( • 97' r. 1.674`rl • , 1CANZONERI; Jo �;ax 13912 Carver Drive Magaliau`e ,t. »;(gas pi.Ping/heati ng • t I 8 1 1 Y O • i U COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -7541,' -)PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �' e1_1 � ASSESSOR PARCEL NU -.v l o �0 ZONING BUILDINGPERMIT V OWNER I TE x - 43aa SO. FT. OCC. BUILDING VALUATION OWNER'S MAIU .ADORE. C( CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS -39 6 v � \ ' Ja Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDNISION•S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF)� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat pumpwater heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00h-1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ji7 Describe Work: NJ ,O t.11'-..- Gas piping system 1 -5 outlets 111, 15.00 Building sewer 15.00 Mobile Home. S I G I W 1 920.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. S.3.5¢FT: NEW CoNST. MULTI -OUTLET =.ESI.. @7.50 POWER APPARATUS 8 SINGLE OUTLET C'R. Ex. OCCu OUTLET OR FIXTURES 20®'•50 BAL 30 LNS Ex. Occup. ourLEeors AEsID.oeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensationl.,provsions of section 3700 of ;the/Labr Code, I shall forthwith complyJwith those provisions. 4P�� _of X � %_ Date T Signature of Applicant -:;l OAOr ❑ Contractor ❑ Agot An OSHA permit is required for excavations over 5'0" deep and demolition or constructionO of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occco� M . yST. V TYPE m TOTAL FEE $ J Q .0 Q 5-0.00 HAZ' D. FEES IMP I FLOOD COF PARCEL I PD I HDISS This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date '7 By"4CLUIJIp PERMIT EXPIRES ON b - Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541,9,7 IEI 7 NO. (Rev. 12/96) APPLICATION AND PERMIT 'J ASSESSOR PARCEL NU V ZONING BUILDING PERMIT OWNER rL.v1t.�. T LEPHONE ' 3- y3� SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUN D E rna CONTRACTOR'S NAME T PHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ^ N , Energy Plan Checking Fee $ $ PERMIT FEE S IAT NO. SUBDNIS ION'S NAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF04 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 JE ,()(:> TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: _ Gas piping system 1 - 5 outlets 15.00 S.ob Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S �. v ELECTRICAL PERMIT Fling Fee 20.00 Main Serviceeoov oR LEss 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. d I am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. ADDNS. ( a ACC. BLDs. So 3.50 N"WOR NON-RESIIDT CTI OU CLET 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FUTURES SAL @':0050 Ex. Occup. ouxTLEEDTS R E D.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' comp aws of California, and agree that if I should become subject to the W, ers' compe sation vI :'ons of section 3700 of the r Code, I shall orthwith comply ith ose p visions. v — X Date Si ature of—Apfcant - Owillki Contractor ❑ Age An it is required f r excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ c C ys� . TYPE TOTAL FEE $ 5().00 HAZ. D. FEE IMP FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date t� PERMIT EXPIRES ON 7 '-7 I Date Receipt No.; WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMeF 0v U (D (— zoN y�G ,�— ' BUILDING PERMIT OWNER O ♦ O TELEPHONE � 3� SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADD 6S ♦till CONTRACTOR'S NAME ELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE S LOT NO. S UBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF fX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ah,Ae Gas Piping system 1 - 5 outlets 1 15.00 Building sewer 15.00 Mobile Home IS I G1 W1 @20.00 PERMIT FEES .Qv ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so NEW CONST. DWELLING OCCUP. WEE CCU7 OR ADDNS. ( 6 ACC, SUDS. SO 3.50FT. NON-p.Ip. MULTI.OUTLETT. 7.50 POWER APPARATUS 8 SINGLE OUTLET CI EX. OCCU OUTLET OR FUXTUR SAL @ I.00 .50 Ex. Occup. OUTETS pD EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dara Receipt No. WHITE •O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 r PERMIT NO. 397 9B,P, E,M PERMIT EXPIRES OWNER JOE CANZONERI CONTR. UNKNOWN ASSESSOR PARCEL 66-04-07 LOCATION 13912 Carver Dr., Magalia U) &- Spy ' • 4, V } Temp. Power Pole Called PG&E l Temp. Elec. Service ��Z'�� J>n.Liv%w Called PG&E " Temp. Gas Service Called PG&E JOB FINALED (Date) Signature � ItJ 111! 1: ... ... .. .. _ .�.. .. .. ..... cl..:r..: rr:�L•e—_edl±+_ed•..g�:�._ . •—.—...__.__._—_.._._—._.__�—.._,—__� .._ ____ I�1`1. 1111. (: [Ill. l C A '1' 1. U 11 LOCATION 1W."cltJ:I.'boN rtl' 1IJSIII A" RO01. IIntcrl.a1. _ '1'bickrtcs:?(incben) Platerin L__ [' _i_}x�rq.l_�rsss '1'Itickner:s (incltr..�)��` C r I I11.iJG _ Batt or. 111,1111cet 7:ype 1' fiber lass _ Tilickttens(inclte.^>) Loose F.L1.1 'type- I:_'a.bcrq].as.� TtlttJ.nnnn '1'It.ickrres�(:[ncltes)`%� •. Aren covcr.cd(Ct, ) tintcrl.n l _- 1. _i-I_�c .r:q:LaF;S .I'bl.cic-ir!nn(J.nII ceo)`_ 171,UUIt, PInter:i.n Tit] cklwns. 14 id Lit(l.ncltcs) --_ ------------ F'UI1NItAT.1:1),N IJAI.1, ---~ flat crJnl I'll I.cicnens(.lrrcllcn)_ 1. brrl,l,�� c•r•,�t.11 11uN 13rnnd 1'Ptet�»nl R!1r.11.ALnttce (it Vnlue.) l)rnnd T,nme d Tilvrtnnl It(!s1 ttnttce(R Vnlue) Ornttd Nnme_CcrL-a.i ..feed_ '.1'Itrrmnl RC91.Atntitf.(R. Vnlue)�j� Brand Name_C.orLa i n'reed !•lumber. of 11rtl;n� -_ llt, per. hrtg _2_5 lb. Tilermnl Itesislnnce(R Vnlue)_ �— Ilrnnd tinme C et: L�t.i.tt'1'cccl Thermal Renl-ritanc:e(It Vrttttr_)`% I1r:utd • Nnme_ _ 1'lu�t7nr.11 Iten.f.nLnttce.(It Vnl.lte) -�— Ilr,urd 'l:it�t:ntnl Itcnl.3trttii:c:(lt Vnlne)� �_ ..} t..Il:tt_ tate r►bovc! J.n::tllnL:i.ltrt w:►n i.ttslrtl.l_ell Ltl lAw.. nbovc b,ti.ldl.nl 111 con Cormance wi.l'b theSt:.tte of Crtl.itornin PaerRy Iteltud.r.emettlA. Ilztwk i tt.; tir.^u.l a I..i ort 379407.. I' tltl•I MAI Ir lrlt•Jr)t R �•--- S'1:A'rl: 'U.II'1'IlAC'I:l)IZ'3 I,ICI:N:;I: 1IU.— S ..IIA'.CUIt1i .)p lris'.ini,i.A'1'lcip, n.i�n'.ru)_R ] Itcxeby cet:t:ify t:b.e nbovc .ttinttl:ttJ.o )tuf_.ld.in> n and nll rerluircc 1)rpnrtmnut: npproved pl.:tttn and n(AnclnneittA It�vcibeell inntall.edoll n,rllre rclltrirccl by the Slrtt:e of Crt.l.ifortti:.t I:uct:hy Reclul.remerrt:s. All. �nlri.pnt�uL', cicvtcc�g rurd ntrtfci'irtl.n nt-e (if I:Ite rlua).ily prcncribcd or nr:r: npecl.Ll.caL.ty approved by the ;t::tte of CnI.I.fornin. FIIU•1 IJr\I•li•:/OIJNk;It (C1.enne pt'ittl-'j —"- --- — STATE COKURACTOR 'S 1,1CI;rJil NU, S.ICIU\'1'lllt?,i UI lJlc:[ll;Itnl, I;UtLCItAC'['O1t7111JIJi;It DATE '!'Ills CI'.It'I't1UCn'I'I; 11I)S:L' lit: UIJ r7.t.1 Id1.a'll '1:111; 13111.1-l)1aJG 1)It'nit•t'r•(1?pl'(' 1'Iti(r►t '1•U P].tIAL INS11.XTION APPROVAL AND A t,'t7py ;IIA1,i )sl, I'u,;:GU WT'1'I(1.IJ 1lu? 1siJziu114G . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE i OWN ER* x+0!!2 7�r 197 -,?9 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 correc ' of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. cI � -4p -r- S t Inspector Date .....'..+a..�r..,+.A•-•.;.t;?yyi��«:�Xs-..-+,`..'Tars+'.M4'�`rii5fc+_'�'ser`r`a'�" COUNTY OF BUTTE 6sPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, Oroville — Phone: 538-754.1 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT N 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. c a" � '.� A. 1. r e �►� _..� .�:L Inspector //�2i5'C/ Date o li COUNTY OF BUTTE >, DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 . 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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. ii aF gyps • ,� 5/J,C iL� Inspector %/ Date �"Z) = OK 0=Not OK - = 'Not Applicable = Not Ready MOBILE HOMES i MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements, 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete , 6. Gas; Location -Test -Wrap: / /"L"ft. ♦ / /"Nat. or/ PV ft./ /"LPG , v 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Sic - 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses i 9. Siding; Nailing -Veneer -Stucco -Mesh Card -Bt Date Card -B1 _ Date 4 10. Roof; Shthg-Roofing Card -B1 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s a 1. Zoning Requirements -Setbacks -Easements Card -B1 ,Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector . -. % % %. , 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s :. 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining N. 8. Gas and Electricity Tagged N3 9. Exits; Insp.-Sketch \A 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy _._, 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-Enclosu res -Panel boards- Ins. to Main in Conduit Card -B1 Date Card -81 Date v Card -B1 Date Card -B1 Date _ 9. Health Department Approval t , 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -61 Date Card -B1 Date � , v ;t�Lt Sic i . .v = vK 0 = fiat OK - = Not Applicable ' Not Ready RESIDENTIAL (Single and Duplex) Date UN ERFLOOR (Plans) OK except #'s Date FFYAMING (Continued) ' POZoning-Setbacks;-Easements-Flood-Slope ngers-Post Caps -Anchors -Connectors Q!Ftg., Main; Soils-Steel-Elec. Grnd.-/ /Z /" Ftg. Depth . Cing Joist-Rftr. Ties-Purlin;Roof Brac.-Truss-Shthng.-Rfng. Ftg., Garage; Soils -Steel-/ " Ftg. Depth F- place Ties or Type A Flue -Fireplace Throat Clearance g., Porches & Decks; Sd11s-Steel-/t& /"Ftg. Depth c Access; Size & Romex Protection -Draft Stop -Ins. Baffles �! Stemwalls, Main; Steel-Blockouts-Wrapped rm. Windows or Exiting Doors -Sill Hgt. & Dimensions J!Stemwalls, Garage; Steel-Blockouts-Wrapped rage Fire Protection Framing 7. Slab; Steel -Wrapped 4<Ppdperty Line Firewall & Openings 8. Piers-Fireplac Ftg.- teel teExt. Doors -One 3' -Check Garage -3rd story, 2 exits . D.W.V.; II -Fitt s -Te 2 way C/O -Sewer Test 'dth-Headroom-Rise-Run-Landing-Fire Protection 10. Gas Pipe; Size -A chorsSA/Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Water Pipe; 1F,st-An rs-Regulator-Service Test 5. Siding -Nailing Veneer 12. Electric; Underground . Q� tucco -Drip Screed -Fd: Venmr-Unde fir. AVegs- lenums & Ducts; CI ce-Materi -Su ns. Glazing Area -Glass Protection -Skylights -Plastic irders-Sills-Anc Bol oists-Ven -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation o i .Infill tion -W Is- dws Card -B1 Date -( Card -B1 ate Card -B1 Date -B1 Date Card -81 Date and -B1 Date -(_� Card -B1 Date Card -B1 &G DaDate PydMBINte Permit) G OK except #'s Vater Ht. Vow -Access -Combustion Air -Baffle Date FIN(Plans) OK except #'s . Vj4ter Pipe; Test & Anchors -Nail Protection . E : Steps -Door & Sidelight Protection -Landings 1 : .W.V.; Test-Fttngs & Anchors -Nail Protection qg. S ke Detector 1 %ower Pan; Test, First Floor -Tub Access . Furnace; Vents -Clearance -Comb. Air -Connector - I Garage; Above Floor -Ducts -Mach. Protection Test Tub & Shower, 2nd Floor -Tub Access Sy Qa"ipei Goes & Anchors . Bedroom Exiting WSG+.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date 4/Card-B1 Date & Rails Card -131 Date Card -B1 Date or S e; Clea es -He flec. Outlets at Wood Panel; Int. & Ext. Date EL TRICAL (Permit) OK except #'s ,Fixture & Transformer Clearance -Ins. Protection . Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance lec. Receptacles Spacing -Lights & Switches at Doors 1. E�. utlets & Receptacles at Kit. Counter geAize Boxes & No. of Conductors -Stapled 7 . Garage Fire Door; Swing -Landing -Closer omex Installed Close to Edge of Studs & C.J. T%9. -A-e. Duct in Garage -Damper quip. Ground made up w/Mech. Fasteners- s & 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- rage; Move Floor-Mech. Protection Appliance Circuts in Kitchen &Conductor Size/ .I. � pl , Elec. &Mech. Eq u' 'ted o tion / / ga. Cu or AI-A.C. Wire ze / /ga Cu or Al � / lec. Receptacles in ar .F omex Protec. - ,411� 29: F3ange Circ. / / ga. Cu or AI -Oven Circ. / / AI. nsulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes rd Rails & Deck Construction -Post Caps ? vice -Riser Conductors & Ground -Main Disconnect . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth CJe`arance Looked under Floor fes quip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light Y,t8 . ollowing instld.; Drive es ❑ No; Walks ❑ Yes ❑ No; PI ❑Yes ❑ No inters 39. Smoke Detector cco; Brown -Finish Card -B1 Card -B1 Date Card -B1 Date: Date rg� i%O�Card-B1 Date "A . Unit; Disconnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date RM15HANICAL (Permit) OK except #'s ell; Disconnect, Electrical, Plumbing C. Ducts Insulation & Support . F,�rior Elec. Trim; G.F.I. Receptacle -Underground ent Fan; Exhaust above insulation . Ve ' tion throughout House V,tondensate Drain & Overflow; Size & Grade 8 ss Protection urnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet . Corrections from Previous Inpections Attic Access & Platform if Furnace in Attic 89. Cys Test -Meters Tagged; Gas -Electric Ater & Sewer Connected -C/O to Grade -HD Approval Card -B1 Card -B1 Date Card -B1 Date Date I I Card -B1 Date Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -61 _523)qV4L%'5_ Card -B1 Date Date F A ING (Plans) OK except #'s Card -61 Card -61 Dat .�.f ;ard-131 Date Date Card -B1 Date ,UAi ls, Proper Material & Anchors ells Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: earing Walls over Girders & Floor Nailing raft Stop in Walls at proof) re Stops;r ei in - irs-Chases-Tub 4 Header & e -Size (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT Q, 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754' S APPLICATION AND PERMIT ASSE O PAR L UMBEFJon ZONI BUILDING PERMIT HONE SQ. FT. OCC. BUILDINrp VALUATION OWSEN MAI 1 G A RESS �c r v&1r CO RAC 7OR•5 ME TEL ,S V CONTRACTOR'S MAILING AD ESS Fireplace CONST CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ AR:VT OR ENGINEE R ARCHI T OR ENGINEEri LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Oq Penalty $ BUILDING ADDRESS �,(a �\ V lr 1 • 0 Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump er heater 20.00 LOT NO. C;A% SUBDIVISION NAME cic RCEL MAP I C3"(00 Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SFGGGG���"' � Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 67 61) Mobile Home S I G I W 0.00 ea TYPE OF WORK New X Addition ❑ Remo IA g ities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ 3 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OC OR ADONS. ( ACC. BLDGS. , h�SQft NEW CONSTR U I.OUTLET NON.RESID BRA CH CIRC TS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20030c AL 300 FIXED APLN5. Ex. Occup. OUTLETS P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00- Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1(i 0o Heating to Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon thea entioned property for inspection purposes. I also a sav ndemni and keep harmless the County of Butte against all liabilities, ' gments, costs, and expenses which may in any way accrue agai st said nt in nsequence of the granting of this perm't. - 0 "0 02 Date of Applicant — Owner ❑ Contractor El Agent 1-1work An OSHA permit is required for excavations over 5'0" dee aytd a olition or construct- ion of structures over 3 stori s in height. 'j Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. "G CONST.TYPc SCJ L Fl PARCE PD HD Is E This permit is hereby issued under sions of the Butte County Code and/or indicated above f r which DIR T OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Xn Date �' V - [� Receipt No. p WHITc-D.P.W.. YELLOW-ASDC330R, PINK-INSPICTOR. OLE PP i�"'Sr'�'":+1:'vel[�'��'pr�a�sr.��4fwY}�1RRlp1R'3`1f5'T�'P'"ei'►;'e'M7';��'!t'�-fig=_ ,x.'�i`�-t!qC+ ,c: COUNTY OF BUTTE - DEPARTMENTS Pt BLIC WORKS., -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965P_ ONE: 916/538-7541` �. PERMIT APPLICATION DATA SHEET Permit No. OWNER IT'toyl - VI � I A. P. No. Proposed Building Use Aig 7 C h Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: `DATE RECEIVED APPROVED 91 9. 10. 1. 13. 14. 15. 16. k#71 4Y' V. 19. 20. 21. { 2. 1 23. 24. 25. 26. All items have been submitted . .................................... Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer of plans .. Complete engineered plans and calcs, with wet signature on plans .. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... Fees of $ .......................... Chico Urban Area fees paid ........................................ Park fees aid ......................................... _ School District fees paid ................ . Sanitation approval from Health Department ... City of Chico plumbing. permit ..................................... . Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: Improvements may be required. Driveway permit (construction approval required prior to occupancy) ... Pre -Inspection for required Pre-Inspec. requ st to t Building Inspector JDate) Contractor's license information (No., Name Style, Classification) ....... '. r Certificate of Workmans Compensation Insurance .................... Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ......... Recorded copy of Agricultural Acknowledgment Statement �G Letter of signature authorization ..................................... When you issue the permit, process as follows: xv— Telephone A and hold for pickup Other Appl Mail to owner. Mail to contractor. t .—office. Deliver w/inspector. Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone�naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II —coWnter by date Plans checked by Date Plans approved by Sets of plans on hold in iLp q3l ji t2 AP folder Copy—DPW ��� Date 3-/' TO: Building Department FROM: Environmental Health S173JECT: SANITATION CLEARANCE i) OWNER Plans approved for: Hold final for: LOCATION AP # Sewage Disposal Water Supply Water Supply Final Clearance O.K. for: Water Supply - Clearance for _Z --bedroom awe omee they Clearance for addition of No tAcx • 1k7 DATE TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance Joh Ozop? er owner Driveway permit si ature locution ��- 0/--1-o7 AP # has been issued for the above property. L-- /ter —8,� date r�v+.r.r.,rr _.w�rC..n-.r'r..ivjy"W+s:i•ae'�'rMJ'�ji�'�'+'?''�'"w`Yi'i.+w1+.:►i�rr'b1tiF�1:M►#$'Ilii',}r'•i1sSatr�4'iii'LS►�'�y:"# .. y ;;;Pi�ti�4r�iRtit+T''y�i�.i� 'sir�+�/+-%-*!�t�' `-�'�+s�."+-s _.a=•"" BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number School District Building Department No. City Q County Jurisdiction Property Owner (./ 0 -. rki e r Project, Location/Address IC V i Q 1 a Subdivisionj• i Lot Number Residential Development: 1 t D Sq. „Footage / 6 #. of iving.' MHI Addition- (Group R) ` Units ` Commercial/Industrial:, a Sq. Footage New Addition (Including Exterior x Roofed Areas) Buil i �epartment� Representative 6 Date Dis�ric Id No School' District "certifies ,that all(Applican me) (Phone•Number) 1 Street Address) City) (State) (Zip Code) I has complied with the requirements of Resolution No. by e ay ent of $ representinglTsquare feet. School District Representative Date PAID BY CHECK NO. BANK NO �lp PAID BY CASH REMARKS: rwhite-applicant, yellow -building department, pink -school district SCHOOL . FEE ( 5/88 St Return ►.o DPW ACRTCl1LTURAL STATI'?Ml?NT OF ACKNOWI,I"DC;I?MGNT " FOR RESIDENTI'AL DEVELOPMI?NT Section 26-8.1 of. the Butte County Code requires Lhis acknowledgement berecorded prior to issuance of a building permit. The property described herein is adjacent FE 16 199%, to land or included within an area zoned for agricul.Lural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the C�d9:-:00�55159- .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 'esLabl .i shed ;,;,r i r u l Lural zones which have as a priority use for productive agr:icultural purposes, nn,l re:;idcni within, said zones and on adjacent property should be prepared to accept surli i nr „nvc ii i c. nc r or disconform .from normal, necessary .farm operations. All. that. real property situate in the County of Butte; .State oi: Ca.liforni�i, described f of l.ows : /'6 $a�"l6 Date: P PARE� Yfff,HVIC4CMT, 'DOCtJ= PROPERTY OWNER ' State of. CALIFORNIA) On this the 16th day of February , 1.989 before mc.•,, ) SS. the undersigned Notary Public, personally appeared County of BUTTE ) ***JOE CANZONERI AND KATP.LEEN CANZONERI*** OFCIAL SEA _ P@rsonally known to of satisfactory me. 0 Proved to me on the b;,s i s fyw,t�ic = E�skit�itil > . r: t�'t�!tr y e v :i d o i, c e. fV 0 be the person(s) whose name(s)cwaarP ma,"P.ronYo•19E9 ubscribed to the within instrument and acknowledged that - xecuted the same for the purposes therein conta-i ned . I N W I'I'NI;tiS WHEREOF, I hereunto set my hand and official seal. Present, A; P Nu. (U� Notary Public RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLF,X & MISC. ONLY) Bldg. Permit # 3?7- OWNER JbAL CAN1 D/1Ileo-1 A.P. # 4v4 -0V'-_07 GENERAL Zoning requirements: (sideyards and number of permitted living units). &- /Valuation. io Plans signed by designer. Energy Design and Compliance. Existing violations on property. PLOT PLAN Complete parcel size and dimensions. 2401 Setbacks, sideyards, easements, etc. her buildings or structures. 4or' ading, fills, drainage. �ood hazard. 8! Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Cam _kylights (Chapter 34 & Sec. 5207). .xuman impact glass (Sec. 5406). (&Q// Required room sizes, ceiling heights (Sec. 1207). -Ao F.C.I.'s in baths, garage and exterior outlets (Article 210-8). :&e Light fixtures, switches, receptacles, and exterior receptacles for maintenance of Ole mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas l�quipment, and plumbing fixtures. arage firewall, door size, and closer (Sec. 503(d)(3)). 1�1 - 3'0" exterior exit door (Sec. 3304(e)). �F.&PeVtaVV" and woodueeove location . 1� Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 4! jFoundation plan complete enough -:to construct building. loor construction details complete enough:to construct building. evations and wall construction details complete enough to construct building. �! Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR 1o.0000'Exposure I plywood on exposed locations and overhangs. Stairway details: landings, rise and run, head.clearance, handrails (Sec. 3306). 8000' Guardrail details (Sec. 1711 & 3306(j)). -4-/Brick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706). .' roper roof pitch for roof covering (Chapter 32). 7.Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) /Garage door or porch header sizes. i! Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1�Attic access and ventilation (Sec. 3205). l�� �nderfloor access and ventilation (Sec. 2516). 14i/ Wood stoves, clearances, alcoves & 1 -hour shafts. Combustion air for fuel burning appliances. -I-6�' Noise requirements on duplexes. Adobe soils - special foundation design. 'Retaining walls requiring design. 1Goo"' Unusual shape, size or split level house requiring lateral design. Certificate of Compliance: Residential Insulation LocatiotiXomments ` Climate Zone 11 J0& c. � Wall........ (shadescreen, etc.) (yes/no) Wall. ........... Project Title Roof .............d Roof 3 P7 —rSr 13 ys CA1040A Det• ��G��� Floor ............. Build' P it M Project Address East ( ) Checked By / Date Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA _ Glass Area % Glass West North A 1 1.1 Condi' ea Number of Stories East IV 40 Sl Number of _Units �_ South -TO J?., 010 Single Family Detached (SFD) [ ] Addition Alone West ?to 3. Q (] Single Family Attached (SFA) [ ] Existing Building Skylight --0m 41�- [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Tom COQ 76,1. BUILDING SHELL INSULATION Component Insulation LocatiotiXomments ` Type R -Value (attic; to garage, typical, etc.) Wall........ (shadescreen, etc.) (yes/no) Wall. ........... North I X tOt4&& Roof .............d Roof ............. Floor ............. Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior . Overhang Framing Type Orientation (Sn (single, double) (roller blind. etc.) (shadescreen, etc.) (yes/no) (metal/wood) North I X tOt4&& North ( ) East East ( ) South ( ) a' South ( ) _ West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (SO (inches) LOcadon/DCScription (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct output'. Manufacturer/ Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: �7 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) 31eft#Wn& Ast_cor ,��'�r Pd*P SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential _ MF -1R NOTE: Lowrite residential buildings subject to the Standards must contain these ntcanues mCvdl= of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance roquusments listed on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents, the features noted scull 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 checklist only. DESCR MON DESIGNER ENFORCEMENT. Building Envelope Measures §2.5352(a): Minimum ceiling insulation R.19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. ' §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation . water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zona 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit au leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. 12-5352(e): Special infiltration barrier installed to comply with §2.5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have a Tight fitting, 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. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. 02-5352(h) and 2-5315: Setback dwrnosat on all applicable heating systems. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2.5314(c): Gas-fired spat heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(i): Water heater insulation blanket (R-12 or greater) or combined intexior/exterior insulation (R-16 or greater); fust 5 feet of pips closest to tank insulated (R-3 or greater). §2.5312(Excepdon 1): Pipe insulation on stearn and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating I. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal ctrciency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Applianct Measures §2.5352(1): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATENMW This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Building Owner Name: Name: Titk/Fum Tttk/Fum: Address: Address- Tekphtona T ne: / t.ic. 0: (signature) (date) (si ase) ) ( Documentation Author Enforcement Agency Name: Name: TicWFurn: Agency: Address: Telephone 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories -46 R -value One Two Three R-0 _ - - -103 -49 - -02 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Single- Single - -46 Number of stories Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -6 -3 -2 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation U -value 0.60 Insulation In Floor -70 -46 Number of stories -120 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 0.60 -144 -70 -46 0.50 -120 -58 -08 0.40 -95 -46 -00 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace 4. Slab Edge Insulation Number of Stories R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 Number of stories 0.80 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation Number of Stories R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inr►ltration (Air Leakage) Specification . Points Starhdard 0 6. Glass Heat Loss Total -14 -48 -69 -64 U -value Percent South West .51 to Alto .31 to 0.3 Glass Single Double .60 .50 .40 le 50 -121 -53 -39 -24 -10 40 -90 -37 -26 -14 -0 1 35 -75 -29 -19 -9 1 1 30 -61 -21 -13 4 4 1 29 -58 -20 -12 -3 5 1 28 -55 -18 -10 -2 5 1 27 -52 -17 -9 -2 6 1 26 -49 -15 -8 -1 7 1 25 -46 -14 -7 0 7 1 24 43 -12 -5 1 8 1 23 40 -11 -4 2 8 1 22 -37 -9 -3 3 9 1 21 -34 -7 -2 4 10 1 20 -31 -6 0 5 10 1 19 -29 -4 1 6 11 1 18 -26 -3 2 7 12 1 .17 -23 -1 3 8 12 1 16 -20 0 4 9 13 1 15 -17 1 6 10 14 1 14 -14 3 7 10 14 1 13 -12 4 8 11 15 1 12 -9 6 9 12 15 1 11 -6 7 10 13 16 1 10 -3 9 11 14 17 1 9 -1 10 13 15 17 2 8 2 12 14 16 18 2 7. Shading (Shade Open) Effective Percent Glass (Peretat glass x SC) ) or ;s 1 3 2 2 3 3 4 4 4 5 5 5 3 3 3 7 7 7 9 9 3 3 3 ) 3 Effective -14 -48 -69 -64 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 2 3 4 8 a3. Shading (Shade Closed) Effective Pei ces t Class (percent Sim x SC) Effective %Class North Etat South West Skylight 18 -14 -48 -69 -64 na 16 -12 42 -59. -55 na 14 -10 -35 .50 -46 na 12 -8 -29- 40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 .74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 1 38 5 •2 -9 -11 -1 -30 4 -1 -6 -8 2 -23 3 0 4 -5 1 -16 2 1 5 2.0 -1 k .9 1 1 1 1 1 -4 0 2 3 4 8 0 �. _ ..... .a,. _4 6 8 8 9 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -0 -1 0 0 0.3 -7 4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 1-6 Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20 0.40 3 5 2 4 1 3 0.60 8 6 4 0.80 1.00 10 13 8 10 5 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assume; ducts In attic) Sum of 7-10 -25 or -24 to -14 to -410 Sum of 1-6 16 or SEER less 15 -6 _ -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 12 9 Effective SE or HSPF -1 Effective SEER (SE or HSPF x duct efriciency) HWR Effective -25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assume; ducts In attic) Sum of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached -25 or -24 to -14 to -410 +6110 16 or SEER less 15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 4 -3 -2 -2 9.0 -4 -3 .3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 .f7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -1 -1 Effective SEER 0 HWR (SEER xduct efficiency) -9 -7 -6 Sum of 7-10 WSB -25 Effective -25 or -24 to -14 to -4 to +6 b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures 3 u or R -value [38] U -value [0.0301 Or R -value [111 U -value (0.098] Q i I or R -value (191 U -value [0.037] or R -value [0] F2 factor [0.77) Type [double) U -value [0.65] Point Scores � Z �3 0 a %Total Glass [16] Sum 1.6 % Glass SC Eff. % Glass Unit Size (sQ .i) _ Water 3I x 1199 1200 1700 22M 2700 Heater Credit or b to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 OND. L OR WSB 5 3 3 2 2 Duct Efficiency 10.781 POU 8 5_ _- 4 3 3 SE None -37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10 -8 -- POU -18 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 15% Solar 7 5 4 3 2 55% POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 .9 0.6 Solar '8 5 4 3 3 2.1 POU -10 -6 -5 4 -3 3.6 Multi -Family (Individual units) 4.2 4.4 4.6 4.6 Unit Size (sQ 53 Water 0.2 699 700 1200 1700 2200 Heater Credit or b to to or Type Type less 1199 16% 2199 more SG None 0 0 0 0 0 or Solar /4 7 5 4 3 HP HWR 9 5 3 2 2 3.3 WSB 9 4 3 2 2 4.8 POU 9 5 3 2 2 SE None -45 -23 -15 11 .9 2.2 Solar 2 1 1 0 0 3.7 HWR -23 -12 -8 -6 -5 5.1 WSB -25 -13 -8 -6 .5 1.1 _ e0U _23 -112 -8 -6 -5 IG None -8 -4 -3 -2 i -2 4 Solar 6 3 2 1 • 1 5.5 POU 1 0 0 0 0 IE None -30 -15 -10 -8 -6 3 Solar 18 9 6 4 4 4.4 POU -8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures 3 u or R -value [38] U -value [0.0301 Or R -value [111 U -value (0.098] Q i I or R -value (191 U -value [0.037] or R -value [0] F2 factor [0.77) Type [double) U -value [0.65] Point Scores � Z �3 0 a %Total Glass [16] Sum 1.6 % Glass SC Eff. % Glass X .i) _ •ss 3I x » __ -1 X .%i = 42.O IS X Interior MasslCFA 3.0 .0- X .0- _ .0- % Glass Sc Eff. % Glass �aI X TYPE 2 wss s.l X .6 _ J.640W X At - X .6f. -- f' X _ O TYPE 1 MASS ARE _ $ Interior M.-%s3/CFA COND. FLOOR AREA TYPE 2 MASS AREA 9 Exterior Wall Mass OND. L OR AREA lt.NutMC•. &.V X 13 = 5. bCJ SE or HSPF Duct Efficiency 10.781 Effective SE or [0.7216.6] '{ TYPE I KASS (VIMC b 4.2, le: exposed slab) �- Duct Efficiency [0.741 Effective EER [7.031 Iuryet.0 a.bi -- - OYi 5% 10% 15% 207. 25% 30Y. 35% 40% 45% 50% 55% 60% 657. 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 1251; OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.6 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 23 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 S 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 2.2 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 4011. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 501Y. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 9.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.0 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 701Y. 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 59 6.1 63 65 67 9011. 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 21 2.3 2.5 2.111 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 COSY. 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 so 7 110Y. 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.t 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures 3 u or R -value [38] U -value [0.0301 Or R -value [111 U -value (0.098] Q i I or R -value (191 U -value [0.037] or R -value [0] F2 factor [0.77) Type [double) U -value [0.65] Point Scores � Z �3 0 a %Total Glass [16] Sum 1.6 % Glass SC Eff. % Glass X .i) _ •ss 3I x » __ -1 X .%i = 42.O IS X .77 3.0 .0- X .0- _ .0- % Glass Sc Eff. % Glass �aI X s.l X .6 _ J.640W X At - X .6f. -- f' X _ O TYPE 1 MASS ARE _ $ Interior M.-%s3/CFA COND. FLOOR AREA TYPE 2 MASS AREA 9 Exterior Wall Mass OND. L OR AREA &.V X 13 = 5. bCJ SE or HSPF Duct Efficiency 10.781 Effective SE or [0.7216.6] HSPF [0.5615.15] .O XI ff� - SEER [9.51 Duct Efficiency [0.741 Effective EER [7.031 (- Type (SG] Credit [none] .0- 31. -1 S Sum 7-10 _tq_ �- Point Total: t9 Certificate of Compliance: Residential Climate Zone 11 �0 l= C Pr N Z o f Type (fumace, air Efficiency Location Duct Output Project Title C A conditioner, heat pump) (SE. SEER,HSPF) (atilt:, etc.) R -Value (Btuh) R- R—_ i IA1 I t 1J. -NERT QuM Q .0 g0 CRau)L- Building Permit M C,.�m�ti UCo©D UZ Pro feet Ad dries BNh HOT WATER SYSTEMS Tank Manufacturer/Model # Rob-- A • M Awry,)M System Type (StOTage gas, etc.) Capacity (or approved Checked By/ Date Special Feature(s) Documentation Author Telephone �I �_t�nJ E x,, u,1, Fltfomement Agency Use Only BUDDING DATA North Glass Area e;;t 2 % Glass 16 Conditioned Floor Area 196-7 Number of Stories I East (0 0 '' Slab/Raised Floor Number of -Units � South S 0 t a .S j p --Y Single Family Detached (SFD)_ [ ] AdditiomAlone _. West [ j Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi -Family (MF) (] Existing-Plus-Addidon Total -1 o g H.0 i BUILDING SHELL INSULATION $ Component Insulation -, Location/Comments Type R -Value (attic. to Swage, typical. enc.) - Wall .............. wall .............. R-19 7-UP%'CAj Roof ............. Roof ............. R - 30 v t c Floor ............. Floor ............. R -Io rtUQt'cr�h —� Slab Edge....-.-- GLAZING _ _ _ _ Shading Devices _ Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation -- - - (sf) (single, double) (lolls blind. etc.) (altadescreen, etc.) tyea/no) ° (metal/wood) North.:, North 't ( Do 0 b t= -£s 71lAL— East ( ) c East South South West ( ) WestQI►"�sv- Skylight....::: _... .. THERMAL MASS - - Type/Covering Area - Thickness (slab/exposed, cite. etc.) (SO (inches) LOcadOrl/Description (kitchen, bath, etc.) 41} - HVAC SYSTEMS Minimum Duct Type (fumace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE. SEER,HSPF) (atilt:, etc.) R -Value (Btuh) (or approved equal) -NERT QuM Q .0 g0 CRau)L- 'R -s. -Ig. 42.0no C,.�m�ti UCo©D UZ Maximum Furnace Heating Output: BNh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (StOTage gas, etc.) Capacity (or approved equal) Special Feature(s) H 0 AL, s-1�� .c►� L AN �I �_t�nJ E x,, u,1, SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lo.•rise rrsidcn" buildings subject to the Standards must contain the mmeasures noganl1ess of the cmnplianee approach used. Items marked with an asterisk (-) may be supetseded by more stringent compliurce requuements listed on the Certirmase of Compliance. When this checklist is incorporated into the permit document, the features noted shall be considered by all parties as binding minimum component perform&= specifications for Use mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENMRCEMENT Building Envelope Measures 12.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(0): Loose fill insulation man ufactuer's labeled R -Value • 42-5352(c} Minimum wall in", tion in framed wales R-11 weighted average (does not apply to exterior mass walls). X §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perm/inch. N (,, ` 12-5311: Insulation specified or installed mects California Energy Commission (CEC) quality standandt, Indicate type and form. X 12.5352(fx Vapor bamess mandatory in Climate Zones 14 and 16 only. IV fy 12-5317: InftltrationiEzrdi ation consols a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. X _ e. Doors and windows weaUser=ippcd:s pn all and penetrations caulked and scaled - /\ 12-5352(e): Special infiltration barrier installed to comply with 12.5351 mats CEC quality standards, X §2.5352(dk Installation of Rreptace; 1. Masonry and factory -built fireplaces have: IL Tight flaring. closeable metal or glass door Is. Outside au intake with damper and control c. Flue damper and content 2. No continssau burning gas pilots allowed. ie HVAC and Plumbing System Measurer r 12-5352(g) and 2-5303: Space conditioning equipment siding: attach calculations. • 12-5352(h) and2-531 S: Setback thermostat on all applicable heating systems. -- _ X • 12-5316(ay Ducts constructed, installed and insulated per Chapter 10. 1976 t)MC r• §2-5316(bt Exhaust systems have damper eonuols t . 12-5314(c): Gas -feed span heating equipment has intermittent ignition devices. X §2-5314: HVAC equipment. water heaters, showerheads ad faucas certified by the CEC. 12.5352(ik Water heater insulation blanket (R-12 or greater) or combined interior/exterior - insulation (R-16 or lismater); fust 5 feet of pipes closest to tank. insulated (R-3 or greater). 02.5312(Exception 1). Pipe insulation on swam and ueam condensate return & recirculating N §2-5318(d): Swimming Pool Heating 1. System has a. On/of( switch on heater. ) b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. . 3. Pool cover. M 4. Time clock. 5. Diratiortal water inIcL Lighting and Appliance Measures ' ") 't Q r 12-5352(1): Lighting - 25 hnmensfwatt or greater for general fighting in kitchens and bathrooms. X' §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. X §2-5314(a): Refrigerators. refrigerator -freezes, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLLkNCE STATEMENT This eerdfic ne of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter2-53 and 'I isle 20. Chapter2, Subchapter4. Article 1 of the Califomia Administrative code. This Certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to my subsequent purchaser of the building. Designer Building Owner Name Name rere/Fimt: 't itk/FimL Address: Address: Tekphorte: tic. 0: (signature) (date) Tckphonc (signature) (date) Documentation Author Enforcement Agency Name M Nartte: Titk/Fimt: Agerw7 �. Address: _ Tekphorc - - - -- ---- - - - 1. Ceiling Insulation U -value Single- Single - Number of stuies -46 R -value Ore Two Tree R-0 -103 -49 32 R-19 -8 4 -2 R-30 -2 -1 -1 R38 0 0 0 U -value Single- Single - -70 -46 0.50 -176 -84 -S4 0.30 -102 49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation U -value 0.60. Single- Single - -70 -46 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -8 -5 0.80 -153 -114 -76 0.50 -91 38 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 •14 10 0.00 24 18 12 0.90 d 3 3. Raised Floor Insulation 0.80 �- --" Insulation in Floor -- - 0.70 Number of stories 2 R -value One Two Three R-0 -17 -8 -5 R-11 3 -2 •1 R-19 0 0 0 R30 3 1 1 U -value 0.60. 444 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 •4 0.06 -6 -3 -2 0.04 -1 0 01 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspaee Exterior Slab Floor Number of stories Mass R -value One Two Three R-0 -11 -7 -5 R-5 4 4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 4 - -90 Number of Stories -26 R -value one Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 29 -58 -20 0.90 d 3 12 0.80 •i -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) SPedfica6on Points Standard Q 6. Glass Heat Loss Total Exterior Slab Floor Erfetxlye Pes•cmt GIs= Mass Ll -value Percent (Pereestt;laa6 x SC) . At d .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 •10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 •12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 49 -15 -8 -1 7 14 25 -46 -14 •7 0 7 14 24 -43 -12 -5 1 8 14 23 40 -11 4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 t 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 - 20 3.8 4 4.2 7. Shading (Shade Open) 4.6 4.8 ErretWePertYtsMass _. S.4 5.6 (Pereeat Hast x SC) 63 Effective 1.1 1.3 1.5 1.7 1.0 22 %Glass North East South West Skylight ' 18 5 1 4 4.3 1 na 16 4 2 5 5.7 1 na 14 4 2 5 1.6 1 na 12 3 3 5 3.1 2 na - 11 3 3 5 4.5 2 na 10 2 3 5 6 2 1 9 2 .3 5 1.9 2 2` 8 2 3 5 34 2 2 7 1 3 4 4.8 2 2 6 1 3 4 5.3 2 3 5 1 2 4 22 2 3 4 0 2 3 11 1 3 3 0 1 2 5.1 1 3 2 0 0- 1 66 0 3 1 -1 -1 -1 25 -1 2 0 -1 -2 -4 4 -2 0 na = not allowed 4.6 S 52 54 5659 l6. Shading (Shade Closed) Exterior Slab Floor Erfetxlye Pes•cmt GIs= Mass Family FarnDetachheed Stones (Pereestt;laa6 x SC) . At d Stories 0.00 /CFA One Two Three One Norb East SoA West S1tIG& 18 -14 48 -69 bt na 16 -12 42 -59 -55 na 14 -10 35 -50 46 na 12 -8 -29 -40 37 na 11 -7 -26 36 33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 4 -14 -19 -18 47 6 3 -11 -15 -14 38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 4 0 2 3 4 3 0 . nft 6! -Wu f 8 10V it 11 9. Interior Thermal Mass interior Exterior Slab Floor Raised Floor Mass Family FarnDetachheed Stones Mash At d Stories 0.00 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 , -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10V it 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Sirlple. Singls- 04 Wall Family FarnDetachheed 1.1 Mash At d Family 0.00 0 0 0 1 0.20 3 1 1 0.40 5 4 3 0.60 8 6 .4 I 0.80 10 8 5 _ 1.00 13 10 7 p _ 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 - • 1.80 10 12 12 200 10 11 13 11. Heating System j 3 -2 -2 SE or RSPF 9.5 0 (anisates ducb In attic) j 0 Sum of 14 10.0 _ 25 or -24 b -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 ' +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18-15 13 11 8 .-13.0 Sum of 1.6' 17 Effective -25 or -24 b -14 b 4 to, +610 16 or SE HSPF less -15 d +5. +15 more _ 0.30 275 -73 -64 -56� -47 38 -30 na 3.41 -45 39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 -3 3 2 0.70 6.42 17 15 13 11 9 • 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System Interior Mass/CFA � rr►s t Mss '• Ii.l•utK•..tl S TYPO 1 IUA43 WINC .I,nl � 4.2, let exposed slab) 0% 5% 10% 1S% 20% 2S% 30% 3S% 40% 45% 50% 55% 60% 66t 70% 75% 80% 85% 90% 95% 100% 105% 110% 1tSY. 120% 125`• 0% 0 SEER 04 06 0.6 1.1 (assu,lles ducts in attic) 1.5 1.7 1.9 Sum of 7-10 23 25 2.7 -25 or -24 j -14 b -4 to +6 to i6 or SEER less -15l -6 +5 +15 more 8.0 -14 -121 -10 -8 -6 -4 8.5 -9 -7 -6 -5 4 3 8.9 -5 -4 4 3 -2 -2 9.0 -4 3 3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 .-13.0 20 17 14 12 9 _6 0.9 1.1 Eirective SEER 1.6 1.8 .2 (SEMxduct emdenc7) •f 24 26 26 Sim of 7-10 32 3.5 Effective -25 or -24 5i -1410 -41* +6 b 16 or SEER less .15 b +5 +15 more 5.0 30 -25 -21 -17 -13 -9 11 6.0 -12 -11 -9 -7 3 4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 1 8.0 9.0 9 16 81 141 6 5 12 9 +_4 7 3 5 10.0 22 191 16 13 10 7 11.0 26 r; 19 15 12 8 120 30 261 22 8 14 9 13.0 33 29`1 24 20 15 10 ' Zonal Control Adjustment 55% at 10 8 7 6 4 3 1 No Cooling System Installed 24 Interior Mass/CFA � rr►s t Mss '• Ii.l•utK•..tl S TYPO 1 IUA43 WINC .I,nl � 4.2, let exposed slab) 0% 5% 10% 1S% 20% 2S% 30% 3S% 40% 45% 50% 55% 60% 66t 70% 75% 80% 85% 90% 95% 100% 105% 110% 1tSY. 120% 125`• 0% 0 0.2 04 06 0.6 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3,4 3.6 3.8 4 4.2 4.4 - 4.6 4.6 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2t 23 2S 27 2.9 11 3.3 3.S 17 A 4.2 4.4 46 4.8 S 52 54 20% 0.3 0.6 0.6 1 1.2 1.4 1.6 1.8 2 22 24 27 29 3.1 33 3.S 3.7 3.9 4.1 43 4.S 4.8 S 52 5.4 56 30% QS 0.7 0.9 1.1 1.4 1.6 1.8 .2 22 24 26 26 3 32 3.5 3.1 39 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 58 40% U 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 12 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 53 5.5 57 5 9 1 50% 0.9 1.1 1.3 13 1.7 1.9 21 23 2S 27 3 32 3.4 3.5 3.1 4 42 4.4 4.6 4.0 S.1 5.3 5.5 5.7 5.9 6.1 55% at 1.1 1.4 1.6 1.8 2 22 24 2.6 26 3 32 3.S 3.7 3.0 4.1 4.3 44 4.7 4.9 S.1 5.3 56 58 5 62 60% 1 12 1.4 1.7 1.9 21 23 2S 2.7 29 3.1 13 3.5 3.8 4 4.2 4.4 4.6 4.8 S 52 S.4 5.6 5.9 61 63 65% 1.1 1.3 1.5 1.7 1.0 22 24 16 2.0 3 3.2 3A 36 3.1 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 61 64 70% 1.2 1.4 1.6 1.8 2 22 2S 27 29 3.1 13 3.S 3.7 3.9 4.1 4.3 4.5 4.1 S 52 5.4 56 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 23 23 27 3 12 34 16 3.1 4 4.2 4.4 4.6 4.8 .5.1 5.3 S.S ' 5.7 5.9 6.1 5.3 6.5 80% 1.4 1.6 1.1 2 22 2.4 26 2.8 3 3.3 1S 11 3.9 4.1 4.3 4.S 4.7 4.9 5.1 54 56 5.8 -0 62 64 66 85% 1.4 1.7 1.9' 2.1 2.3 25 2.7 29 11 3.3 3.5 3.1 4 4.2 4.4 4.6 4.6 S 52 54 5659 6.1 63 6S 67 90% 1.5 1.7 2 2.2 24 20 20 3 3.2 14 3.6 3.1 4.1 4.3 4.5 4.7 4.9 S.1 S3 55 S.1 S.9 62 64 66 68 _ 95% _ 1.6 i.1 2 22 25 27 2.9 3.1 33 3.5 17 3.9 4.1 4.3 4.0 4.1 S 5.2 5.4 5.6 5.1 6 6.2 6.4 6.7 69 100% 1.1 1.9 21 29 25 20 3 3.2 3A ae 11 4 4.2 4.4 4.6 4.9 5.1 5.3 SS &I 5.9 6.1 e3 6.S 6.7 1 105% 1.1 2 22 2.4 26 28 3 3.3 3.5 3.7 3.9 4.1 4.3 43 4.7 4.9 S.1 5.4 55 5.8 8 6.2 6.4 6.6 So 7 110% 1.9 21 23 2.5 27 29 S1 3.3 3.6 3.8 4 42 4.4 4.6 4.8 S 52 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2t 2.6 28 3 3.2 14 3.6 16 4.1 4.3 4.5 4.7 4.0 S.1 S,3 5.5 . 5.7 5.9 8.2 6.4 6.6 6.0 7 72 120% 2 2.3 2S 2.7 29 3.1 3.3 1S 17 19 4.1 4.4 4.6 4.8 S S.2 5.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 73 125% 21 23 2S 28 3 3.2 3A 3.6 3.0 4 4.2 4A 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.3 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11��� SCORE CARDe - -- - Measures Point Scores - ' 1. Ceiling Insulation _ 3(� _ --or-- R-value (381 U -value [0.030] 2. Wall Insulation ___ R-1 q_ or _.____ 4 g R -value (111 U -value [0.098] 3. Raised Floor Insulation 'R-1cl or�- R-value (19] ---- U -value [0.037] - ' • Stories ' One S 4 4 3 -2 -2 4. ...Slab Edge Insulation orTwo + 3 3 2 2 2 1 _ _ _... w_ R -value (0) F2 factor[0.77] - S. --Infiltration - Standard Single-Famil:, Detached and Attached 6. _ Glass Heat Loss.. __ 000 bl C_ 1 I , U _� - - 15 A Unit Size (so __,_ . - _. _ .. _.._. _ _ _ _._ Type (doublcl - U -value (0.651 .% Total Glass (161 - Sum 1-6 ' Water 119' 12W 1700 22W 2700 7. Shading (Shade Open) Heater Gedd or b is to or } Type Type lest • 1699 2199 2699 more -- - . _ % Glass -SC .. --- -- Eff. % Glass SG None o 0 0 . 0 0 a.-•-• North b X - • -7-7 = , L4(. - or Solar 12 8 6 5 4 -� bE HP HWR 8 5 4 3 3 . East -- 3• D X- 7 7 = ::;k-;Zi- WSB 5 3 3 2 2 _. c. South _ . 5 X SE Noe 37 -24 8 -35 2 d. West 3 , R X _ , T = a .Q 3 4 t Solar -1 -1 -1 o o e. Skylight x = HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10 -8 POU -1-8 _-12 -9 -7- -6 8. Shading (Shade Closed) IG None -5 -3 -2 -2 -2 % Glass SC Eff. % Glass Solar 1 5 a 3 2 POU 3._ 2 1 1 a. North 1 b x Lou = 3(a 1_ IE None -28 -19 _ 14 -11 -9 b. East 3.0 X (D (1P = q g Solar 5 3 3 C. South S� X . a9 = 7 Z + POU •11 0 -6 -55 -4 -3 _ �• Muld-Family (individual units) d. West 3 . X . za q unit Size (s e.. Skylight x - Water 699 700 12M 1700 22W - Heater Credit or b to b Or TYPE 1 MASS AREA _ Type Tree less 1199 IWO 2194 mono 9. Interior Thermal Mass �- - • - � COND. FLOOR AREA SG None 0 0 0 0 0 I _. InteriorMus/CFA or Solar 14 7 5 4 3lU. Exterior Wall Mass TYPE 2 MASS AREA HP HWR 9. 5 3 2 2' WSB 9 4 3 2 2 Exterior Wall Mass ND. R AREA Sum 7.10 POU 9 5 3 1 2 11. Heatin $stem I n SE None 45 23 15 2 9 g y g o X = 5' (°� Solar 2 1 1 0 0 Zonal Control? ( Y / N) S or HSPF Duct Efficiency (0.78] Effective SE or HWR -23 -12 -8 -6 '•5 (0.7216.6] HSPF (0.5615. 151 ML � =12 -8 -6 5 12. Cooling System q , p X (� _ '7 , 4 4 2 IG None -8 -4 -3 -2 -2 Zonal Control? ( Y / N) SEER 19.51 Duct Efficiency 10.741 Effective SEER [7.031 Solar 6 3 2 1 1 - POU I 0 0- o .-OL- 13. Water Heating S C - l�S E None 30 -15 -10 -8 Solar 18 9 6 4 4 Type ISG] Credit [none] POU -8 4 -3 -2 -2 Po Int Tota I.