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HomeMy WebLinkAbout066-240-0296-24-29�113;2 , 11MFOLD, 30MERO 7 Wichita DI, 10t281 " Permit#418-89B p 1 PPCC#4,Maga1 � , ,E,M(new Single family) B06-2560 M29 ISCELLANEOUS HVAC Change29 Out PACKAGE UNIT GRO D C NGE C 13529 WICHITA DR BURTON, VICKI A1A i 1, w i i t Qo f i (coiYcail �1Yel'1 Z� C-3 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds L Permit No: B06-2560 Issued: 10/31/2006 Address: 13529 WICHITA DR MAGALIA APN: 066-240-029 Permit Subtype: HVAC Change C Owner: BURTON, VICKI L Applicant: SIERRA REFRIGERATION HEATING A Description: PACKAGE UNIT GROUND CHANGE OUT MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set acs 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed. Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 4118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMI'T'S BECOME NULL AND VOID 1 YEAR FPO AN('.F._ IF WORK HAC COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy INSTALLATION CERTIFICATE (Page 4 of 12) CF -6R Site Address I Permit Number INSTALLER COMPLIANCE ATEMENT FOR DUCT LEAKAGE INSTALLER COMPLIANCE STATEMENT The building was: ✓ Tested at Final ✓ ❑ Tested at Rough -in INSTALLER VISUAL INSPECTION AT FINAL CONSTRUCTION STAGE: Remove at least one supply and one return register, and verify that the spaces between the register boot and the interior finishing wail are properly sealed. 1# If the house rough -in duct leakage test was conducted without an air handler installed, inspect the connection points between the air handler and the supply and return plenums to verify that the connection points are properly sealed- 91 ealed11 Inspect all joints to ensure that no cloth backed rubber adhesive duct tape is used ®'New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platforms returns in lieu of ducts). ✓ ❑ DUCT LEAKAGE REDUCTION P/vicedure4 for field verification and dtamos c tesdnP of air AThibudon svW" m are available in RA(.M Annendir R!.d 3 NEW CONSTRUCTION: signature: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM: Fan Flow: Calculated (Nominal: ✓,M Cooling ✓ ❑ Heating) or ✓ ❑ Measured 2 If Fan Flow is Calculated as 400 cfm/ton x number of tons or as 21.7 cfrn/(kBtu/hr) x Heating 2„, p D Capacity in Thousands of Btu/hr, enter total calculated or measured fan flow in CFM here: ✓ ✓ 3 Pass if Leakage Percentage. 61/o for Final or <_ 4% at Rough -in: ❑ Pass ❑ Fail 100 x ine # 1 /_(Line # 2)11 ALTERATIONS: Duct System and/or HVAC Equipment Change Out Enter Tested Leakage Flow in CFM from Pre -Test of Existing Duct System Prior to Dud 4 System Alteration and/or Equipment Change -Out Enter Tested Leakage Flow in CFM from Final Test of New Duct System or Altered Duct 5 stem for Dud System Alteration and/or ent Chane-Out Enter Reduction in Leakage for Altered Duct System 6—(Line # 4 Minus_(Line # 5 — if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) ✓ ✓ Entire New Dud System - Pass if Leakage Percentage <_ 6% for Final Pass ❑Fail 8 100 x ine # 5 / Line # 2 TEST OR VERMCATION STANDARDS: For Altered Dud System and/or HVAC Equipment Change- hangeOnt OutUse one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <-15% [100x[_(Line # 5) / O 67 (Line # 2)]] 6 Wass ❑ Fail 10 Pass if Leakage to Outside Percentage:5 10% [100 x L_(Line # 7) / (Line # 2)D ❑ Pass ❑ Fail Pass if Leakage Reduction Percentage' 60% [100 x [__(Line # 6) / (Line # 4)n ❑Pass ❑Fail 11 and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection - ❑ Pass ❑ Fail Pass if One of Lines # 9 throu #12passl,.'' ' ` ` ° ' `` Pass ❑ Fail ✓ 11I, the undersigned, verify that the above diagnostic test results were performed in conformance with the requirements for compliance credit I, the undersigned, also certify that the newly installed or retrofit Air -Distribution System Ducts, Plenums and Fans comply with Mandatory requirements specified in Section 150 (m) of the 2005 Building Energy Efficiency standards. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner -S/ e/ �' a 6 signature: Date: V v U Copies to: BUELDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms September 2005 INSTALLATION CERTIFICATE (Page 3 of 12) CF -6R Site Address Permit Number 1 3 SL 9 W1 c4 t Vet A- An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Heating Equipment Equip Type heat um CEC Certified Mfr. # of Name and Model Identical) Number S Efficiency� 2CF-1Rvalue) Duct Location attic, eta Duct or Piping R value Heating Load bdhr) Heating Capacity (BbAT) a 3r 4ce ei`ilan _ 7oa CZ a3 Cooling Equipment Nip Type (pkg. heat um CEC Certified Mfr. # of Name and Model Identical Number System(Z-,CF-IR M'Cianry t S r EER) value Duct Location atti etc. Duct R -value Cooling Load Bulft Cooling Capacity tu/hr ei`ilan _ 3� DOD YC O O.B 1. > symbol reads greater than or equal to what is indicated on the CF -IR value. Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ ❑I 1, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in. the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner a 1 S / Q/.`„Q le -4 Signature` Date: IV Copies to: BUILDIN DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 r `' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13529 WICHITA DR Owner: Permit No: B06-2560 APN: 066-240-029 BURTON, VICKI L Issued Date: 10/31/2006 By TMP Permit type: MISCELLANEOUS 13529 WICHITA DR Subtype: HVAC Change Out MAGALIA, CA 95954 Expiration Date: 10/31/2007 Description: PACKAGE UNIT GROUND CHANG (530) 873-3509 Occupancy: Zoning: R-1 Contractor _ Applicant: Square Footage: SIERRA REFRIGERATION HEATING A SIERRA REFRIGERATION HI Building Garage Remdl/Addn 6899 -B -CLARK ROAD 6899 -B -CLARK ROAD PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B708 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Fxpires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SIERRA REFRIGERATION HEA CSLB-452376 / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full rce and effec . of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 10/31/2006 penalty ($500]; Please check one of the following: C trac s ign a Date ❑ 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: Policy Number: Exp. Date: 7/1577/' Contractofs License Law.). (This section nee not a competed if the permit is or one hundred dollars ($100) or less.) ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: ❑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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 10/31/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date prow ions. X 10/31/2006 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Si at Date ARN G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte Coun ty, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 10/31/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner lO'Contractor OR Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION L ��1'�I bbl,{ r l-� first Name Mailin�gg Address I sa-t 0Ic H I T& p City A GA L I State Zip s Phone�30 - 873 - 3,soS Fax E-mail CONTRACTOR ARCHITECT/ENGINEER Name City dS A bdrfss (ftAak (ac Zip City CityPR� U `� t: State Zg596 qr PhoSjff��e 0- X377 --Lb ZZ_ Fax Fax E-mail Lic.#gSa Class --m —APPLICANT APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number —APPLICANT APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: AP# ol_ Zoning Flood Zone SRA I Yes No Occ. Policy Number Type Const. Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date: //� ciib / lV - 3(— Date Approved: PERMIT �NO. lX/ BIN # PROJECT LOCATION AP# ol_ Property Address sa City Foss'lreet Bldg WORKER'S COMPENSATION Policy Number Carrier To Tq rL u9 e'�;T c co CA I If hiring anyone other than license contractors, a certfficate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name AGex> �L Address ®Ro C3C�o O�ootcc� Description or Scope of Work: 'Ptc%:0,czF- LA h i i CtK -'6C -0c4T Sq FT- Living Garage Open Cov ❑ Structure Built without Permits. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: �S• cU Bldg SRA Receipt #: Sheriff SMTP Date: //� ciib / lV - 3(— �" C Ji GC> Other Total 1 PERMIT NO. 2 �J418-89B ,Q,E, M PERMIT EXPIRES JSir � r OWNER HAROLD ROMFRn CONTR. ownar i ASSESSOR PARCEL 66-24-99 + LOCATION 1 X527 Wi rhi to , 10t 2$1 PRY9 , Ma gal la �Y • 4 Temp. Power Pole Called PG&E ` Temp. Elec. Service 57-02'8 c Called PG&E Temp. Gas Service��� Called PG&E JOB FINALED (Date) Signature i = OK '0 = Not OK NotApplicable= MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch 5. Electricity; Location-Clearances-Grnd.-/ / Am 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -81 Date Card -131 Date Card -131 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -131 Date Card -81 Date Card -131 Date MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ' � . 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -131 Date Card -131 Date Card -81 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81 Date Card -131 Date Card -81 Date = vK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s r mooning -Setbacks; -Easements -Flood -Slope ,?/Ftg., Main; Soils-Steel-Elec. Grnd.-/ W,/" ,,3e,'Ftg., Garage; Soils -Steel-/ 12 /" Ftg. Dept O/Ffg., Porches & Decks; Soils -Steel -/!o /" %VStemwalls, Main; Steel-Blockouts-Wrappe IIs, Garage; Steel-Blockou 8. Piers -Fireplace Ftg.-Steel W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test Gas Pipe; Size -Anchors ater Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground A21,0jenums & Ducts; Clearance-Material-Supprt-Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 (.,G Date3—ILL Card -Br(, Date 4Sz-I Rq Card -131 DateN.Zygq Card -131 Date Date PLUMBING (Permit) OK except #'s Water t- ccess-Combustion Air -Baffle CRWater Pipe; est & Anchors -Nail Protection C1,4 D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 2 . Test Tub & Shower, 2nd Floor -Tub Access Gas .ipe)Size & Anchors Card -131 Date -S- .- Card -B1 Date Card -131 C5S Dat Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23'-Elec. Receptacles Spacing -Lights & Switches at Doors YX Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. (MlEquip. Ground made up w/Mach. Fasteners as Water Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28--6tt f ed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. I g"r Al QWRange Circ. /Q / ga. Cu or OOven Circ. / / ga. Cu or �Al. I Insulated Neutral ej> No 10 -Riser Conductors & Ground -Main Disconnect VrIquip. Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light Card -81 (-YG; Date3 -( -89 Card -131 Date I Card -B1 (.0 Dates --204A Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -81 C -,G Datej!�':j.?y4 Card -131 Date Card -131 6C, Dateff�CA Card -B1 Date Date FRAMING (Plans) OK except #'s Wills, Proper Material dapamlif Walls Studs -Nailing, Spacing & Bracing s ound earing Walls over Girders & Floor Nailing 42-braft Stop in Walls (rat proof) 49'Fire Stops; Furred Ceilings -Stairs -Chases -Tub & Beam -Size & Date FRAMING (Continued) 1 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. ireplace Ties or Type A Flue -Fireplace Throat Clearance 4070Ct'tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49-9drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5@-13arage Fire Protection Framing if. -Property Line Firewall & Openings 52 -Ext. Doors -One T -Check Garage -3rd story, 2 exits yaks; Width -Headroom -Rise -Run -Landing -Fire Protection 64 -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers argiding-Nailing Veneer 56t ft co Mesh -Drip Screed -Fd. Vents-Underflr. Access Sa-,Mzing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 4-9. Insulation-Watt's-CliT. 66.'lnfiltr,0bn-WaJK-WKdws Card -B1 _.G_ Dates -,,as Card -131 Date Card -131 �,� Dated L�,,3QCard-B1 Date Date INA tans) OK except #'s xt. Steps -Door & Sidelight Protection -Landings Smoke Detector 3. Furnace; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor -Ducts -Meeh. Protection Bedroom Exitino G.F.IBath Fixtures & Tub Ac INK bpanel; Breaker Stairs I -'Rails Fireplace or Stove; Clearances -Hearth 9. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance \fffXlec. Outlets & Receptacles at Kit. Counter �2. Garage Fire Door; Swing -Landing -Closer ,Z -76a. A.C. Duct in Garage -Damper Wtr. Htr.;-Clears -Comb. Air-Connector-P.R.V.- In'Garage; A o Floor -Meeh. Protection Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic D Yes Guard Rails & Deck Construction -Post Caps 115. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Stucco; Brown -Finish --9Z A.C. Unit; Disconnect, Electrical, Plumbing 83, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House 87 Glass Protection 88. Correctio from Previous Inpections Gas T t -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval OtI-Energy Compliance Certificate -Other Certificates tlT Roofing Certificate Card -131 Date Card -131 Date Card-B1C..�(g Date%_l4igCard-B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) 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 ER 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. QS -S VA �Qi►2oJAL ���- �r��1N r_��� GAfZAG� C,TSiM W N, -L 'VA4� Sl_AQ� Inspector Date 3-15-8 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS y 196 Memorial Way, Chico — Phone: 891-2751 =r 7 County Center Drive, Oroville — Phone: 538-7541 ~z, 747 Elliott Road, Paradise — Phone: 872-6307 's "z CORRECTION NOTICE OWNER PERMIT NO. r 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. 'ZAA OQ Q D,�4 G 2 G Iz - - t5'A\rkD-J SL- (0 GAArG . I t0 s P t;. eT(T1� . Y o w&rte C Inspector Date �3� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS c`. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 f. CORRECTION NOTICE OWNER PERMIT Alr) 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. j 1NStA�tc� e4 �'UoIL� AY Cy.�de�rllC S�: �2J�eE, TO soy90 1' uL r' ctt �� F sw 1✓t�ss ri t p1 44'. µ �LtnrhMG� B t(A -} C',) 011 wATi�� Q►�� . ,w, co- a^�Cka 6a\,j car (,Y\ sI<< A1, Nlktt i�r O � Sl%ir\l� �?. - to • GC �5 e �PtN� �(�� I �� fir{ c f �� �- C�vg�c�,� Inspector_ A� Date S • (—a S 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 Vii, !4-(8 -Sq 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. kK, K,. C, s P\a\NCO fM"sr IV& -r 40T- C-00�11&<"y"S FSR \'A 5CgCr io -J, Inspector /� .�+i.�r�v� Date ,COUNTY OF, BUTTE , , . , , , , j 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 t CORRECTION NOTICE R 1, • PERMIT NO. -r 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 offYce immediately. InspectorCi • Date .. .. .. .... .. ... .. ..._.._....._...�......__....�.:.,.�.,.��.:vu+Hb.1[d:W1:nr/nId1WW..Ltlnll.irr ni.wnru0ertnrr�lswr�.rn �N! :. nu•� —� • CA", It T I F I G1 A T 1 0 1 LOCATION A.Y. No. . a ^� DL:SCRIPTIUN UI? INSIII.JITIUW Lsl)or t-latertnt TIIicknesh (inches) FX'1EIR1011 WALL. PintcrIn 1. _ Fi_bcrg tasss ' h.tckness(incltee)` 3'a %— CP.IIANG Datt or Il.tnnket Tyle F iber sl s. I'll is kl.in n s ( irtche s ) Loose F.I.11 TYPeF___ rg.l.ass ttittitln!In l'11ic1cnepQ(Itiches),,5`�a� Aren covered(ft. FI -POR, I !,%VATC1)— - - – - Mntcran l 1'i be1jcL.L ass '1'hiclr.tess(1.ttclles)—_-���-'—�r rl,OOR, S7,All tlatcria I. • '1'hlcicl�r.+.ns(i.tt�at— —)- Width ( L.nches)`_ FUI1NDATIoN WALL Material. _ '1'hiclulcns(inclles) --- _ )lrnnd Name_ � 1 ' • Thermal ttetli.stnttce (tt Value) . ; Brnttd Name_CerlraimTeed - The.rmal ltesistnnce(II 13rnttd Nnme CertainTeed Thertnnl ltes– tnnca(tt Value)_ ilrmul Nnme CertainTeed Number of 11nf;� o�c/ Wt • per bntt 25 lb. Therinnl Itenlstance(II Value)` Brand Nnme Certa:i.t)'l.'eed 'lhermnl Itenlntnnce(It Vnlue) l-.9 Brntla Nnme Tile..rtnttl Itepistnitce(It VttLue) � - llrmid Nrune. _ Thernln.l Itesintnuca(K i Ilcrcbv c rrt.tfy that tile! ahovc! Lnnuln tl.l.. wap l.nstctlleli i.tl tach above bitl.ttlinp Ln coilfornlarlce with tale State of Cal.iforliin Latercy Ite,julremeats. I1awk i.11^, it)sll] a l..i.on 379407,,;,; 1' .i Iti•t rind 11 /i Iwiirat'`-` STA11s Coll, �. , rllsr•. nu. si(:��n'.cultic �)r %�ls'l,v%n'r3:uN nrP1:.Il:n'.colt , i 1. ticreby ccYt:ify elle abouo inntlttttiott al►d nil required itemrt nn nbowtt on tllo nuLld.tnn 1)nl,nrlmellt ^1'hrnvr•(I , l,tnnn nne.1 nt:tnctuntlrtNll have"betstt inntnLlad nn rnyulr.ecl by the State of Cnlifurttia Isttergy ttc!qul.remeuts.' ? Atl r•,I,li.l,Inent, dev.icep nn<1 u►'ll'VI inln are of the quality prencribed or arcs n,ec .f caLLy I'uro by the StnLe. of Cnliforttin. , F11 OWNER (t'ectne i `s STA•1'L' COUMAC'1'Utt'S LIChNSis ilU�' s T 'U E OF llli.iil;l(AI� CU�If lt/1(;'l'UR �UIJ1ii';I t /�^ -- � • E= - } DATE . THIS CERTIFICATE' rlus'r. UIJ FLL.I; WITII 1113rECT1-JN APPROVAL AND A 'fills BUILDING ))EpAltIT11?N1' rrtlrnt ToriNAL Copy SIIALI.' Isis POSTED WITIl1N THE HUILIl1NG . "� .I:.luunry 1 r ., i t. x...• .; tip.;! ._._. I,, .� •i _ .x _ ...�i;,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-754 APPLICATION AND PERMIT P_ PERM N ASSESSOR PARCEL NUMB R • — —� ZO G BUILDING PERMI OWNERTELEP o �7 SQ. FT. OCC. BUILDING YACOATION OWNER'S M ING AI1pR .- 6 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAI LI G ADDR Fireplace Q CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Filing Fee $ •10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS • Penalty $ BUILDING ADDRESS 3 Perviilt fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q`%( Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME C (I q PARCEL MAP Water piping 5,00 (J� Each qas water heater or vent 5,00 USE OF STRUCTURE SFuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S_J G JWJ 0.00 ea TYPE OF WORK New Pi""Addition❑, RemodellE Utili%t'es❑ Installation❑' Other❑ Describe work: �.lJL�v i Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 0 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuSinesS and Professions Code and my license is in full force and effect. License No. Classification ©'I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed confiract- ors. (Sec. 7044) ❑ I am exempt under Sec. . Business and Professions Code for this reason NEW CONST. DWELLING OCCU' , OR ADONS. ( ACC, BLDGS. zoSgft NEW CONSTR. MULTI -OUTLET NON•RESID ,BRA CH CIRC ITS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR.. ) , Ex. Occup(OUTLETS OR FIXTURES 20000Q eAL930 FIXED APLNS Ex. OCCup. OUTLETS P(RESID.)REA.) 2.00 Temporary service. -10.00 .-- Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �l shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Coolin Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa' County in conAe u nce of the granting of this permit. X Date Signature of Applicant — caner Contractor ❑ Agent ❑ An OSHA permit is required for .excovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in'height. — Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ IS oo LooD PARC N 139U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR TO OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. fOS�-i ,. �S:D� WHITE-C.P., YELLOW-ASB!93011, PINK-IN9 ! R, LD R P .CANT COUNTY OF BUTTE - ?department 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) /V/ O 2. I (have/have not) 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 '/)/) JJ 4 ris Address 5-2 Z ti f%L ow OK 11 5 7 Cityc- Phone 8"77 G 51 60 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 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~-�!Gr Social Security Number Date 2 / G - 99 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 our office before we are pe z, mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER /tet- �(o A. P. No. 2 - = Proposed Building Use Building InspectorDate- /4 At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: ` t DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... Or Statement of Intent for Non -Heated and AC Buildings .............. �7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 2. - P QS 7� School District fees paid .............. .. . 3. Sanitation approval from Health Department .. . 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 7. Improvements may be required. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for re Ulred . , , , Pre-Inspec. quest to p q • • Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ � ecorded copy of Agricultural Acknowledgment Statement ............ �. 24. Letter of signature authorization .................................... . 25. t 26. ' When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone r1- and hold for pickup at office. Deliver w/inspector. Other Applicant= 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 _maII—counter by Contractor, designer, owner, Aas advised of above required data by—phone _maII—couryt2nby. Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder — date — date Date a" �Z — 81 TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance i owner 5--z 17 144Cff/-rP (76 -24-Zg location AP Driveway permit has been issued for the above property. �'2 -2 2 si ature date T0; Building Department FROM: Environmental Health; SUBJECT: SANITATION CLEARANCE OWNER LO CATIO N Plans approved for: Hold final for: Final Clearance O.K. for: Sewage Disposal Clearance for Z bedroom mile me. Other y Clearance for addition of A. -C4/ X6 -4f2 1L �X4;ee f; Note * AP # Water Supply Water Supply Water Supply DATE BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number /� (p ' o2 L(��J Building Department No. —W School District ,�(,( �%> City Q County Jurisdiction Property Owner ��{/t. U- tt / ��,119 Project Location/Address % Sa •� J Subdivision*y! 11radlsc 101"'tr Lot' Number :2N f Residential Development: � � Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial:,,' a Sq. Footage New Addition (Including Exterior rs Roofed Areas) Building Departnfent Representative Date M` Distri t dNo. Q / r I a_ School District certifies that e (Applic nt Name (Phone Number) (Street Address) D414 (City) (State) Zip Code) has complied with the requirements of Resolution No. by t e pay e t of $ �(�O G d representing Il969square feet. r chool District Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow building department, pink -school district SCHOOL . FEE (5/88) Return I,o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENT[AL DEVELOPMENT Section 26-8.1 of: I. -he Butte County. Code requires this acknowledgement be recorded pr.i.or. to .issuance of a building permit. NOT COMPARED WITR The property described herein is adjacent ORIGINAL,DOCUMEN� to land or :included within an area zoned for agricultural purposes, and residents FIEB 2 2 1981 of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, .including, 89-005648 but not limited to herbicides, pesticides, and lett.i.l-izers; and from. the pursuit of agricultural operations including, but not li.mi.ted to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established i,,riciil t..ura.l zones which have as a priority use for productive agricultural purposes, wind I idem:; wi.thin said zones and on adjacent property should be prepared to accept such i nc,niv(.n i enr r• or disconform from normal, necessary farm operations. All. that. real property situate in the County of Butte, State of: California, described ,i:; f ol.l.ows : Lot 281, as shown on that certain map entitled Paradi;3e Pines Country Club Estates Unit No. 4, which map was filed in the office of the Recorder of the county of Butte, State of Ca__ifornia, on October 27, 1971 in Book 38 of Maps, at pages 69 70, 71., 72 and 73. EXCEPTING therefrom all minerals, oil, gas, asphaltum andother hydrocarbon substances, with provision that any and -all mining operations shall be done from orifices outside the surface area of the land herein described, and that no damages -shall be done to, the surface of said land. I)ate: �!�• /a �9 PROPERTY OWNERS: State ofCalifornia) On this the 16th day of February 19$x, hel"ore nu•, SS. the undersigned Notary Public, personally appeared County of Butte ) HAROLD ROMERO - - 'a�wwwwwa`mwews�wslstewA��MIM� Personally known to me. >]X Proved to me on the basis M. SWAGRRTY NOTARY of satisfactory evidence. 10 be the person(s) whose name(s) /S Butte Courtly - MyCommission Expires July 26,t991 *ubscribed to the within instrument and acknowledged tliat �- Iwwawwwwwwwwlwmwwwgewwm.wwwlrxecuted the same for the purposes therein contained. IN WITNEtii WHEREOF, I hereunto set my hand and off.ic:i.a.l seal. Present A.P.. Nu. 066-24-0-0 29 No r Pub rc ro r m� ca m RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # '411 g- ?9 OWNER A.P. # (0 G - 2'1 - -;x 9 GENERAL hw'�Zoning requirements: (sideyards and number of permitted living units). Valuation. ; Plans signed by designer. Energy Design and Compliance. .Existing violations on property. PLOT PLAN I,. -'complete parcel size and dimensions. 2-.'- Setbacks, sideyards, easements, etc. B!- Other buildings or structures. d-�' Grading, fills, drainage. 6f Flood hazard. Special conditions on creation map or compliance document. FLOOR PLAN 7/85 ]!/Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). 3,.'- Required windows for second exit (Sec. 1204). —4-- Skylights (Chapter 34 & Sec. 5207). i.," -Human impact glass (Sec. 5406). 6/."- Required room sizes, ceiling heights (Sec. 1207). V- G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). a.-" Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9.-' Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. .10,*"- Garage firewall, door size, and closer (Sec. 503(d)(3)). ll -"'-1 - 3'0" exterior exit door (Sec. 3304(.e)). 12-"" Fireplace and wood stove location. 1V� Smoke detectors (Sec. 1210). STRUCTURAL DETAILS L,' -Foundation plan complete enough:to construct building. 2(, Floor construction details complete enough:to construct building. I. --Elevations and wall construction details complete enough to construct building. 4�---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 1G/ Exposure I plywood on exposed locations and overhangs. --2----Sfairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 3✓Guardrail details (Sec. 1711 & 3306(j)). --4---Brick or stone veneer (Chapter 30) . Exterior plaster - weep screeds (Sec. 4706). 4,�.Proper roof pitch for roof covering (Chapter 32). V Rafter ties or bearing.ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) F Garage door or porch header sizes. i- Adequate bracing. -3 —living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 11—T-wo exits on three-story dwellings (Sec. 3303 & see Mezannines .t-2--_ Attic access and ventilation (Sec. 3205). 1L5-.---IInderfloor access and ventilation (Sec. 2516). 14<`_ -Wood stoves, clearances, alcoves & 1 -hour shafts. 19/Combustion air for fuel burning appliances. 1fr.. Toise requirements on duplexes. 11'.Adobe soils - special foundation design. -it-.�Retaining walls requiring design. on garage side 1716). 1-9'Unusual shape, size or split level house requiring lateral design. Point System Summary: Climate Zone 11 P -2R z _ /3 — 89' ProjectTltleDate M& t Mi2.5 �2.0 O BUILDING DATA Conditioned Floor Area A/ 9(/, Number of Stories Slab/Raised Floor Check all applicable Unit Type condition(s): [ ] Single Family Detached (SFD) [ ] Addition Alone [ y' Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition SCORE CARD Glass Area % Glass North 2 -/ 2_ East 6-9 1/. G 8 South //, /. 33 West 2 Skylight or Total SCORE CARD . Measures Point Scores 1. Ceiling Insulation 39 or R -value 138] U -value [0.030] 2. Wall Insulation /3 or R -value [ I 1 ] U -value [0.098] 3. Raised Floor Insulation / 9 or (� R -valve 1191 U -value [0.037] 4. Slab Edge Insulation - or • R -value (0] F2 factor (0.77] 5. Infiltration Standard 0 6. , Glass Heat Loss 2 a -4 O � Type [double] U -value [0.65] % Total Glass [ 161 Sum 1-6 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North 2 x , 7 7 = 1.5-W p b. East y 68 X .77 = 1 6 d c. South /, 3 3 x .77 = ,v2- /,02- d. d. West R: 2 7 x — Tl e. Skylight x = S. Shading (Shade Closed) % Glass SC Eff. % Glass a. North 2. x 066 b. East y. G $ x,! = 2 12-Y — 1, C. South I. 3 3 x _ . (�G = : 9 7 + t d. West'. a 7 x e. Skylight x = + 9. Interior Thermal Mass - 2 10. Exterior Wall Mass Interior Mass/CFA Exterior Wall Mass Sum 7-10 11. Heating System 1711 x 83 = s9, y + Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.61 HSPF 10.56/5.151 12. Cooling System q S x Vo j?, ,,-.'j, +,T Zonal Control? ( Y / N) SEER 19.51 Duct Efficiency [0.741 Effective SEER (7.03] ® 13. Water Heating S C- o Type [SG] Credit (none] Point Total: 4 - Form Revised March 1988 'hn-Certificate of Compliance: Residential p (Page 2 of 2) CF -111 '® ProjectTltle Date HVAC SYSTEMS Type (furnace, air Minimum Efficiency Duct Location Duct Output Manufacturer/ Model # Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) S 702 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT 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. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Building Owner Name: Title/Firm: (>64 SM1TN Address: 6:q x r A eL p &Ppy'V C-7- P/�kAO/sc ca.gh Telephone: $'> 64-16.0 Lic. #: g p 2- 13 - 69, (signature) (date) Documentation Author Name: Title/Firm: On/V 5, ^1 rw Address: T-cj 7L S ASM AN/) S ,0444,01.5,4e r 4 .7 S9Gy Telephone: > D (signature) (date) Form Reviscd.March 1988 Name: Title/Firm: Address: Telephone: (signature) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) (date) 3 l q if S u (3L -o - b = Factor for Horizontal Reaction at Ridge Joint = .625 Q = Distance from Base Joint to Roof Bisector = 91.0 in. R = Length from Ridge joint to Eave Joint = 124. in. LOADING: 1 2 3 4 5 6 7 Moment about Base (in -Kips) _ -23. -60. -234 0 0 -30. 0 Vert. Ridge Reaction (Lbs) = 0 0 977. 0 0 0 0 Hori. Ridge Reaction (Lbs) = 150 400. 781. 0 0 200. 0 Reactions at Base/Ridge: Vertical: 1273 / 977. Lbs. (DL of Wall Added) Horizontal: 1594 / 1531 Lbs. MOMENTS IN FRAME SIDE A Moment at Ea ve Joint = Moment at 30" from Ridge Joint = Moment at 60" from Ridge Joint = Moment at 90" from Ridge Joint = Moment at: 30" from Base Joint = Moment at: 60" from Base Joint = Moment at: 90" from Base Joint MOMENTS IN FRAME SIDE B Moment at Ea ve Joint = Moment at: 30" from Ridge Joint = Moment at: 60" from Ridge Joint = Moment at: 90" from Ridge Joint = Moment at: 30" from Base Joint = Moment at: 60" from Base Joint = Moment at: 90" from Base Joint = 41.3 34.6 49.2 51.4 38.4 58.1 59.1 -184 -23. -66. -119 -46. -92. -138 in.Kips in . Kips in.Kips in .Kips in.Kips in . Kips in.Kips in.Kips in . Kips in.Kips in . Kips in.Kips in . Kips in.Kips OWNER'S NAME: PERMIT #: "!_ fr-H r A. P. #:2 When approved, process as follows: Mail to owner (Address) Mail to contractor (Name and Address) Call % % ' and hold for pickup at office. Deliver with next inspection. RECEIVED DATE Als TIME REVISED PLAN CHECK FEES PAID: $15.00 $30.00 Additional Fees Not Required • r ' pop F' ;4 S T R U C T U R A L 'ins • _ a C A L C U L A T I O N S F 0 R TYPICAL RESIDENTIAL GARAGE FOUNDATIONS {� OAK RIDGE BUILDERS INC. 5925 ALMOND STREET PARADISE, CA 95969 ',..,i. CALCULATIONS ARE IN COMPLIANCE WITH THE'1982 EDITION OF THE 09C • DATE SIGNED FRANK L. TYUKOS; R 32434 F L'T ENGINEERING 5790 CLARK ROAD PARADISE, CA 95969 '(916) 872-0254 FLT ENGINEERING SUBJECT: ',TYPICAL RESIDENTIAL GARAGE FOUNDATIONS 5790 C LAAK ROAD PARADISE;: CA 8yi, FLT DATE& 8/87 JOB NO.: 7606 FROJECf a OAK RIDGE BUILDERS INC. SHEET 1. OF 5925 ALMOND STREET, PARADISE, CA 95969 DESIi3N 'i�F:ITERIA: STUD WALL, ' FLOOD: & ROOF ARE SUPPORTED BY CONC. FETA I N I NG -DEAR I Nim WALL FOUNDATIONS: CONCRETE WALLS ARE SUPPORTED @ TOP CONCRETE SLAP AND AT THE BOTYPH BY FOOTING. i= 0DE 1985 UPC: SUPERIMPOSED LOADS: MIN, DL = .01c) x (3+8) _ .11 k:/1 MAX. LL = .020 x 16 +.010 x (16--3) + .05%4 + .010 x 8 = .734/1 LOAD I Nim PER ABOVE IS CRITICAL FOR BOTH - BEARING (INCLUDES DL+LL ) AND SLIDING RESISTANC=E(MIN. DL ONLY); MAX: LL - ROOF :SNOW) + ADD'L LIGHT ROOF DL + FLOOR DL+LL ADD'L WALL DL 'SUGH'ARGs OF 2000# WHEEL_ LOAD @ APPROX. 3' FROM WALL - Q/6"2 = .056 KSF -- 1' SURi_H. O'AL&' S PROVIDED FOR 41-0- HIGH WALL MAX. - SHEETS 2 & 3 CONSTRUCTION :TION DETAIL - SHEET 4. MATErRIALS: • CONCRETE - ULTIMATE COMPRESS. STRENGTH - f1c 2000 it i PSI @ 28 DAYS, REINFORCING! ASTM A615, GRADE 40, WELDXD WIRE MESH - ASTM A185, 6XG - W1.4 :r. W1.4 (10/10), ALLOWABLE SOIL BEARING PRESSURE -- 1500 PSF, ALLOWABLE LATERAL BRG. PRESSURE - 200 PSF, s PROJECT e OAK RIDGE BUILDERS INC. JOB N0. : 7606 DATE 6 8/ 1'387 CALCIS BY : FLT SUBJECT: CONCRETE RETAINING — BEARING WALL_ --------------------------------- WALT_ DESIGN: ------------ ALL CALCULATIONS ARE IN UNITS/LN. FT. GRADE SLOPE FIATI0e SOIL EOUIVOLENT FLUID PRESSURE (PSF): SURCHARGE ( FEET) t 2 004 WHEEL LOAD YIELD -STRENGTH RE I NF . (KSI)-. ULTIMATE COMPRESSIVE STRENGTH OF CONCRETE (PSI): GRAVITY LOAD — DEAD LOAD (KIP) — LIVE LOAD (k::IF) OVERALL HEIGHT OF THE WALL — Hw (FEET): OVERALL H& GHT OF THE SOIL — Hr (FEET): THICkNESS OF WALL — T :INCHES): COEFFICIENT `TOTAL EARN PRESSURE — Fhr (K I F') e REACTION @ TOP OF WALL = Rt (K I F') e REACTION @ BOTTOM OF WALL — Rb (KIF)t HEIGHT OF 10i �' SHEAR - Ho (FEET): MOMENT.-- Mw (FT—KIP): AREA RE I NF. ( IN -2) ' d' (I N) SIZE i SPA ( I N ; ----------------------------------------------------- Q.033 ---------------------------------------------------- Q.033 v 3.75 44 @ 73. MIN. VERTICAL REINF. — ;15 % ( IN''2 MIN. HORIZONTAL_ RRINF: — .25 % ( IN` 2) : LEVET_ 1►, 4o 2000 0.11 0.73 4 5 6 1 46 0.108 0.180 FLT .EN►3T NEER I Nim 5790 CLARK ROAD PARADISE, CA (916) 872-0254 SHEET Z OF '¢ DESIGN RE I NF. —• VERTICAL: #4 @ 2.4 — HORIZONTAL: #4 @ 13 ►OMBINED STRESSES @ WALL 0.11 < 1.c► SLAB REINFORCEMENT: RE I NF C TOP OF WALT_ (BAR #) : 4 MAX. HdRIZONTAL SPAN OF WALL (FEET): 7.81 DESIGN HORIZONTAL SPAN (FEET) : 4 SLAB THICKNESS (INCHES) : 4 SLAB WIDTH REOUIRED (FEET): 8.93 DESIGN AREA OF SLAB RE I NF e c: I N` 2 / LF) d 0.029 ALLOW: TENSILE STRESS OF REINF: (KSI): 30 LENGTH OF DOWELS (INCHES): 8.6: FLT ENGINEERING 5790 CLARK ROAD PARADISE, CA ( 916) 872-0254 SHEET S OF I- PROJECT 6 OAK RIDGE ,BUILDERS INC. JOB NO: e 76.16 87 DATE-. 8/1987 CALCIS BY : FLT FOOTING DESIGN: --------------- DENSITY OF SOIL (PGF): loo DENSITY OF GONGERTE (PGF)6 15o ALLOW: SOIL BEARING PRESSURE ( PSF) a 150c ALLOW: LATERAL BEATING PRESSURE (PSF): 200 FRICTION COEFFICIENT — Fc: 0.35 BEARING QESSURE REDUCTION ( PSF) : o NET; ALLOW! BEARING PRESSURE ( PSF) : 15� 0 PRELIM: FOOTING — WIDTH\(INCHES): 10.7: — DEPTH (INCHES): ick 6.0o DESIGN FOOTING — WIDTH (INCHES): 12.io — DEPTH (INCHES): 6.0o TOTAL GRAVITY LOAD — PV WIP): 1.34 INCREASE OF ALLOW. SOIL PRESSURE (%): 0.0 ACTUAL SOIL PRESSURE — 0 ( PSF) e 1340 < 1500 SLIDING RESISTANCE — Fr (KIP) : 0.31 > 0.22 SLAB REINFORCEMENT: RE I NF C TOP OF WALT_ (BAR #) : 4 MAX. HdRIZONTAL SPAN OF WALL (FEET): 7.81 DESIGN HORIZONTAL SPAN (FEET) : 4 SLAB THICKNESS (INCHES) : 4 SLAB WIDTH REOUIRED (FEET): 8.93 DESIGN AREA OF SLAB RE I NF e c: I N` 2 / LF) d 0.029 ALLOW: TENSILE STRESS OF REINF: (KSI): 30 LENGTH OF DOWELS (INCHES): 8.6: FLT ENGINEERING 5790 CLARK ROAD PARADISE, CA ( 916) 872-0254 SHEET S OF I- L, yt - DATE;,�1o7 1 SUBJECT.......................... IeFS/�ENT/.4G SHEAT e 1fl "FO(/,VATIONS` R0�2 06 DATE ..................._....................................................... Joe X40.. CrIKG �if��s cs ... DA E e -...76. - ....-...... M.¢X. DL f LL , ' CURB OerloNil'L /F - "; /O O ~IY/A/. 6 -Oct lad, HAX. t eola CxG .,O/,/OWE/:/2�DOIt/E3 S e ¢80.c. OR BEND IYALL Re*i1l . • ' - ( � ATO SZ AAS - '08 kb .r ¢ 2�C4eAM ■ {r ~,. !: CreAO • . e Y O 2-- y ft t . t ,,. r Via` "t • •ti. �•" -��. f `p.'�4' ` SIp ¢ CONT, � .y 71 i )=O4 I40A7 /OAC/ .. D..�T,4/..L q�F F�C M T. S.- NOTE: `-,Rovzo/(�/v/-/O e/NG�OP OW CQ.GffJ/`•�4GL eIN7X .i. Tye COWC, C, •.O� se-/r. /S f.I e//t `ii/. FLU Mr.Qa(�C�OG:�IC� `5790 CLARK RD., PARADISE, CA, 95969 (916) 872-0254 S T R U C T U R A L C A L C U L A T I O N S F 0 R TYPICAL RESIDENTIAL GARAGE FOUNDATIONS OAK RIDGE BUILDERS INC. 5925 ALMOND STREET PARADISE, CA 95969 CALC(1LATIONS ARE 1N COMPLIANCE WITH THE 1982 EDITION OF THE UBC �10?/? 7 M SIGNED ,� DATE FRAF--- i TYUKOS; R9 32434 a r F L T ENGINEERING 5790 CLARK ROAD PARADISE, CA 95969. (916) 872-0254tl SUBJECT: ' , TYP T CAL RESIDENTIAL GARAGE FOUNDATIONS BYV FLT DATE: 8/87 JOB NO.: 760E. PROJECT : . OAK RIDGE BUILDERS INC 5925 * AL -MOND STREET, PARADISE, CA 95969 FLT ENGINEERING 57'� 0 CLARK ROAD PARADISE, CA SHEET 1 OF DESIGN CF: I TEF: I A STUD WALL, WALL, FLOOR & ROOF ARE SUPPORTED BY CONC. RETAINING—DEAF:ING WALL FOUNDATIONS. CONCRETE WALLS ARE SUPPORTED 0 TOP CONCRETE SLAP AND AT THE BOTTOM BY .FOOTING. CODE 1985 UBC: SUPERIMPOSED LOADS: MIN. DL = .010 x t3+8? = .11 k/1 MAX: LL = .020 1E +.010 x (16--3) + .0%4 + .010 x 8 .73 k/1 LOADING PER ABOVE IS CRITICAL FOR BOTH — BEARING (INCLUDES DL+LL> AND SLIDING RESISTANCE(MIN. DL ONLY), MAX. LL — ROOF (SNOW) + ADD'L•LIGHT ROOF DL + FLOOR DL+LL ADD'L WALL DL SURC-HARGE OF 2000# WHEEL LOAD C APPROX. 3' FROM WALL NQ 0/6-2 = .05E KSF -- 1' SURCH. C:AL& S PF:OV I DED FOA- 41-0- HIGH WALL MAX. — SHEETS 3 °< 3 CONSTRUCTION -DETAIL — SHEET 4 MATEF:IALSd CONCRETE — ULTIMATE COMPRESS. STRENGTH — f9 =,2000 PSI C 28 DAYS, REINFORCING — ASTM A615, GRADE 40, WELWD WIFE MESH — ASTM A185, GxG — W1.4 fir, W1.4 (10/10), ALLOWABLE SOIL BEARING Nim PRES SURE -- 150O PSF, ALLOWABLE LATERAL BRG. PRESSURE — 200 PSF, PROJECT, e OAK RIDGE BUILDERS INC. JOB NO. 76� �6 DATE 8/ 1'87 :ALL'S BY e FLT SUBJECT e CONCRETE RETAINING — BEARING WALL --------------------------------------- WALT_ DES I GH e ------------- ALL CALCULATIONS ARE IN UNITS/LN. FT. eRADE SLOPE RATIQ SOIL QUIVkLENT FLUID PRESSURE (PSF): SURCHANGE ( FEET) :� �00# WHEEL LOAD YIELD STRENGTH REINF. (KSI): ULTIMATE COMPRESSIVE STRENGTH OF CONCRETE (PSI): GRAVITY LOAD — DEAD LOAD (KIP) � — LIVE LOAD ' (KIP) OVERALL HEIGHT OF THE WALL — Hw (FEET): OVERALL HSIGHT OF THE SOIL — Hr (FEET).- THICKNESS FEET):THIiKNESS OF WALL — T (INCHES): COEFF I i_ I ENT — a : TOTAL EARTH PRESSURE — Fhr (KIP)e REAS_TION @ TOP OF WALL — Rt (KIP) REACTION @ BOTTOM OF WALL — Rb (KIP) : HE I M OF ' f SHEAF =- Ho (FEET): MOMENTj— Mw (FT—KIP)- FLT .ENG I NEER I Nim 5790 CLARK ROAD PARADISE, CA ( 916) 872-0254 SHEET Z OF '¢ LEVET_ 10 40 2000 0.73 4 5 E 1.46 AREA REINF. ( IN -2) ' d' (IN) SIZE 0 SPA (IN) --------------------------------------------- (1; O33 3.75 #4 @ 73.3 MIN. VERTICAL REINF. — .15 % ( IN``'2 4 MIN: HORIZONTAL REINF. — .25 % (IN"2) : DESIGN REINF: — VERTICALe #4 @ 24 — HORIZONTAL: #4 @ 13 COMBINED STRESSES @ WALL '; 0.108 0.180 0;11 < 1.o e`JR`•` 4 FLT ENGINEERING PROJECT : OAk:: RIDGE , BU I I_DEF*.S INC. 5790 GLAF:F:: ROAD JOB NO. : 7606 PARADISE, CA DATE a S/ 1987 (916). 872-02-54 CALi_' S BY : FL_'T - SHEET S OF FOOTING DESIGN: DENSITY OF SOIL (P F.5 d 14o -DENSITY OF i_ ONS_ ERTE (F'i :F) : 15� � ALLOW. SOIL BEARING PRESSURE (' PSF) : 1500 ALLOW: LATERAL BEARING PRESSURE (PSF) : 2o0 FF: i CT I ON COEFFICIENT — Fc: 0. 35 BEARING PRESSURE REDUCTION (PSF) : i > NET: ALLOW. BEARING PRESSURE (PSF) : 15o i PRELIM. FOOTING - WIDTH (I Ni :HE S) c 1(-.).72 - DEPTH (I NCHES) c 6. oo DESIGN FOOTING - WIDTH (I Ni_ HES) : 12'. o Q �.. - DEPTH ('INCHES): 6. oo TOTAL GRAVITY LOAD - Pv (k: I F') e 1.34 INCREASE OF ALLOW. SOIL PRESSURE M : o.o ACTUAL SOIL PRESSURE - 0 (PSF) : 1340 :: 15oo SLIDING RESISTANCE - Fi~ (V'IP) 9 0.31 > 0.22 SLAB REINFORiEMENT ------------------- RE I NF @ TOP OF WALT_ (PAR #) : 4 MAX.; -HORIZONTAL SPAN 13F WALL (FEET): 7.81 r DESIGN HORIZONTAL SPAN (*FEET.),: � SLAB ' TH I i :k;NESS (I NC HES) : 4 SLAB WIDTH REQUIRED (FEET): 8.93 DESIGN AREA OF SLAB REINF: (IN''' -:_/LF) : o.029 ALLOW: TENSILE STRESS OF RE I NF. (V.S I) : 30 LENGTH OF DOWELS (I Ni :HES) : 9.62 e`JR`•` Ea ----- -- `• DATE.41/4eZ d kjUBJECT.............................................................. Y�ICf>tGO:. SHEET NO..... ..j OF .. 'XXj ReS/ /AI- • "FD41MOAT%ON 'D 76 Gr�K B� s JCB 10....:. •----06-........_. ........ DATE ..::,...... ...-... �._ �....................... ' A�4,K �/dGE' �8t'//Ll��`�'S /NC. P•4�AIj/SE Gi4. f LL y � JbER ShlEET / , '. CURB OST/ON4G - /F N/6HYee•��iP r�/ G �nXt/t'E'i'1 j/O. - O 6 CUR,& - -#d qac . l'lAk. ;• ' SG AB OR *sc -st OR BENIs IYALG A&i1IF. AVrO SLAB - 48Nose: ; � r, • X �,%o�•a • - S£,E lt/OT� � � �• a .:. , Alp .t • .. '. .� yrs f » � ' ` �• ' CrC AO R . -S Ok �. .'ti j ,�.� N •t.:}�-fir,: �•L•i s � •_ 'a +'�.• 1 �� SPA t • •Q.. - � t_ t .S'' �,��f ES St ' CoQ i..tr ¢ CONT, 12 . W a6 ' r CI 0F cA���°� • � N� T S. riN+r More.. P/�Ol�/De Sf,/O�'/NG O/' GL'YS/C• if/•4 G L U/VT/G r' , WC CONC,':ar= SLAB. /S C41RF�. F L cT EMOO MENUM •'5790 CLARK RD., PARADISE, CA, 95969 (916) 872-0254 Certificate of Compliance: Residential Climate Zone 11 Project Title V.?3077 L 3S7; / `16,%+a. Buildin ermitN Proj [Address 3 Checked By / Date Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA North Glass Area % Glass x4f_ OA•o ;. Conditioned Flcor Area 196 Number of Storie3 _� East Jr& 4. -7 Duct C. .SOU61 14 —1-3 Output Manufacturer / Model # ( �ngle Family Detached (SFD) (] Addition Alone West /01 g. d4 J*AeV* f•t %'Z [ ] Single Family Attached (SFA) [ ] Existing Building Skylight Total O O [ ] Multi -Family (MF) [ ] Existing -Plus -Addition BUILDING SHELL INSULATION Maximum Furnace Heating Output: #6d*A/ : BNh Component Insulation Location/Comments HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage Ras, etc.) . •,Capacity (or approved Type R -Value (attic, to garage, typical, etc.) StrrlrE Wall .............. Ik 13 Wall .............. m AB r 9 ► >~ �� DfIVG Roof ............. � Roof ............. -- ANT APPRO.1f Floor ............. • 1 ED Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (roller blind. etc.) (shadescreen. etc.) (yes/no) (metal/wood) North ( ) 2±1 North ( ) — East ( ) 96,_ East ( ) — South ( ) / 4P _ Sou t.h ( ) — West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (SO (inches) Location/Description (kitchen. bath, etc.) N oN tl= ;. 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) J*AeV* f•t %'Z Fhw-, % % S *## Maximum Furnace Heating Output: #6d*A/ : BNh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage Ras, etc.) . •,Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add.extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent complisrce requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIMON I DESIGNER I 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): I-linimum wall insulation in framed wa)ls R- I I wcfghtcd average (dors not apply to c. tenor ma.m •,alls? §2-5352(1[): Slab edge tnsulauon - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 prmVuch. §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 Zones 14 and 16 only. §2.5317: Infiltm6on/Eaftltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed. §2-5352(e): Special infdtration barrier installed to comply with §2.5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have a. Tight fitting, closeable metal or glass door b. Outside au 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 sizing: attach calculations. §2-5352(h) and 2-5315: Setback themtostat on all applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2.5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(1): Water heater insolation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4• Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers, freezers and nuorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the budding features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2, Subchapter 4. Article I 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 Name_ Ttk/Fum: Telephone i Lic. N: (signature) (date) Documentation Author Name: Tide. Fttm: Address: Building Owner Narrte: Tak/Fum: Address: T.lephonc (signature) (date) Enforcement Agency Name: Agency: Tek -phone: 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories Number of stories R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 .2 R-30 -2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 .54 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 3. Raised Floor Insulation Insulation In Floor Single- Single - Number of stories R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -i44 -70 -46 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation In Floor Controlled Ventilation Crawlspace -4 Number of stories Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 4. Slab Edge Insulation 4 40 0.60 -i44 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 .-14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -4 3 .1 Number of stories -1 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 40 -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 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. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total -25 or -24 to -14 to Slab Floor Effective Percent Glass Mass U -value (percent glass x SC) Percent Effective Stories .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 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 7. Shading (Shade Open) -25 or -24 to -14 to Slab Floor Effective Percent Glass Mass ENeetive Percent Glass (percent glass x SC) Family Family Effective Stories (percent Slaw x SC) /CFA Effective Two %Glass No(Ih Eat %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 -1 -9 1 S. Shading (Shade Closed) -25 or -24 to -14 to Slab Floor Effective Percent Glass Mass SEER (percent glass x SC) Family Family Effective Stories Detached Attached /CFA One Two %Glass No(Ih Eat South West SkAht 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 -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 ren - not allowed 3 7 8 10 9. Interior Thermal Mass Interior -25 or -24 to -14 to Slab Floor Raised Floor Mass SEER Stories Family Family Mum Stories Detached Attached /CFA One Two Three One Two Thi 0.0 -8 -5 -4 -2 -1 0.60 0.1 -8 -5 3 -1 0 1 0.3 -7 -4 -2 0 1 8 0.5 -6 -3 -1 1 1 10 13 0.7 -5 -2 -1 1 2 2.00 0.9 -5 -1 0 2 3 120 1.1 -4 -1 1 3 4 20 1.3 -3 0 2 3 4 +610 1.5 -3 1 2 4 5 ! 2.0 -1 2 4 5 6 8 7 6 5 2.5 0 3 5 7 7 1 3.0 1 4 6 8 8 ! 3.5 2 5 7 9 9 1 4.0 3 6 8 9 10 1 4.5 3 7 8 10 11 1 5.0 4 7 9 11 12 1 5.5 5 8 9 11 12 1 6.0 5 8 10 12 13 1 6.5 6 9 10 12 13 1 7.0 6 9 11 13 13 1 7.5 6 10 11 13 14 1 8.0 7 10 11 13 14 1 8.5 7 10 12 13 14 1 3 3 1 2 2 3 3 4 4 4 5 10. Exterior Wall Thermal Mass -25 or -24 to -14 to Exterior Single- Single - 16 or SEER Wall Family Family Mum Mass Detached Attached Family 0.00 0 0 0 -6 0.20 3 2 1 -7 -6 0.40 5 4 3 8.9 0.60 8 6 4 -2 0.80 10 8 5 -3 -3 1.00 13 10 7 9.5 1.20 13 12 8 0 1.40 12 13 9 3 3 1.60 10 13 11 10.5 1.80 10 12 12 3 2.00 10 11 13 j 11. Heating System 4 3 120 SE or HSPF 13 11 9 7 (aswimes ducts In attic) 13.0 20 17 14 Sum of i-6 9 6 '-4 -25 or -24 to -14 to -4 to +610 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 6.0 Effective SE or HSPF -11 -9 (SE or HSPF x duct efficiency) -6 Effective -25 or -24 to -14 a -4 to +6 to 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 1 -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 tr_'T 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 29 24 System Type 15 10 Heater Resistance 10 9 7 6 4 3 Other 6 5 • 4 3 2 2 12. Cooling Syst.:m SEER (assumes ducts In attic) Sum of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 . No Cooling System Installed Stories One -5 -0 -4 -3 -2 -2 Two+ 3 3 2 2 2 1 Single -Family Detached and Attached -25 or -24 to -14 to -4 to +6 to 16 or SEER less -15 -5 +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 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 '-4 -1 Effective SEER 0 1.9 HWR (SEER x dud efficiency) -9 -7 -6 Stmt of 7-10 WSB -25 Effective -25 or -24 to -1410 -4 to +610 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 72 7.0 .. 0 0 0 0 0 _ 8.0 -14 -11 -9 1.2 Solar 9.0 16 14 97 3 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 -0 -4 -3 -2 -2 Two+ 3 3 2 2 2 1 Single -Family Detached and Attached Point system summary: Climate Zone 11 SCORE CARD Unit Size (sQ Water % Glass 1199 1200 1700 2200 2700 Heater Credit or 10 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 1095 WSB 5 3 3 2 2 50.% POU 8 _ 5 4 3 3 SE None -37 -24 -18 -15 -12 0.4 Solar -1 '-4 -1 0 0 1.9 HWR -18 =12 -9 -7 -6 3.4 WSB -25 -16 -12 -10 -8 4.8 POU -18 __12 -9 -7 -6 n None -5 -3 -2 -2 -2 2.3 Solar 7 5 4 3 2 3.7 POU 3_ 2 1 1 1 IE None -28 19 -14 -11 -9 1.2 Solar 8 5 4 3 3 27 POU -10 -6 -5 -4 -3 4.1 Multi -Family (Individual 4.8 units) 52 5.4 56 30% Unit Size (sf) 0.7 Water 1.1 699 700 1200 1700 2200 Heater Credit or to to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4.3 WSB 9 4 3 2 2 5.7 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 3.2 Solar 2 1 1 0 0 4.6 HWR -23 -12 -8 -6 -5 6.1 WSB -25 -13 -8 -6 -5 2 _e0U _23 -12 -8 -6 .5 IG None -8 -4 -3 .2 1 2 4.9 Solar 6 3 2 1 62 60% POU 1_ 0 0 0 0 IE None -30 -15 _ -10 -8 -6 3.8 Solar 18 9 6 4 4 5.2 POU -8 -4 _ .3 -2 .2 Point system summary: Climate Zone 11 SCORE CARD % Glass Measures Eff. % Glass a. North 12. 1. Ceiling Insulation Interior Mass/CFA or b. East 1001.7 x R -value 1381 U -value [0.030] I. 3 . TTPC 2 MASS I1't•utMr.'tl Ic.�pet., .l.bl 13 or d. West �. p, 4 x R-va ue [11] U -value [0.098] t TYPE I MASS (UIMC a 4.2, le: exposed slab) TYPE 1 MASS R -v ue(19) U -value [0.037) 4. Slab Edge Insulation 4- or 0% 5% 1095 15% 20Y. 25% 30% 35% 40% 45% 50.% 55% 60% 65t 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125• 0y.0 % Total Glass (16] 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 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% O.S 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 $.1 5.3 5.6 so 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 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 SOY. 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 3.2 3.5 3.1 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.S 2.7 2.9 3.1 3.3 3.S 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 36 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 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 2S 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 3.5 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 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 5.9 6.1 63 6S 67 9".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 5.5 5.7 5.9 6.2 6.4 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 5 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 28 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.6 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.9 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 1.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.S 3.7 3.9 4.1 4.4 4.6 4.6 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 % Glass Measures Eff. % Glass a. North 12. 1. Ceiling Insulation .3T or b. East 1001.7 x R -value 1381 U -value [0.030] I. 3 2. Wall Insulation 13 or d. West �. p, 4 x R-va ue [11] U -value [0.098] d 3. Raised Floor Insulation = p or TYPE 1 MASS R -v ue(19) U -value [0.037) 4. Slab Edge Insulation 4- or TYPE 2 MASS R -value [0] F2 factor 10.771 S. Infiltration Standard 11. Heating System x 6. Glass Heat Loss lt:�b rto Zonal Control? ( Y / N) SE or HSPF .Ir Duct Effic' cy [0.78) Type [double] U -value [0.65] % Total Glass (16] 7. Shading (Shade Open) HSPF [0.5615.15) 12. Cooling System 9'. s' x % Glass Zonal Control? ( Y / N) SC Eff. % Glass a. North 2 x _ /. Sy b. East X1.7 x _ 3. Q Q c. South /. ; x = /, oo e d. West Sr, x = G, y`sr e. Skylight a x = p 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North 12. x 44 b. East 1001.7 x C. South I. 3 X 1 _ 0 8 Syr ._ d. West �. p, 4 x -----/-----�� e. Skylight d x = p 9. Interior Thermal Mass TYPE 1 MASS AREA MeriorNiss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA Exterior Wall Mass ND . L OR AREA 11. Heating System x 0 S4. 76 Zonal Control? ( Y / N) SE or HSPF Duct Effic' cy [0.78) Effective SE or [0.7216.6] HSPF [0.5615.15) 12. Cooling System 9'. s' x 7.17 Zonal Control? ( Y / N) SEER [9.5) DucttEf Efficiency 10.74) Effective SEER [7.03] 13. Water Heating Type [SG] Credit (none] Point Scores d .ea D D Sum 1-6 c fto 5 - Sum 7-10 10 a Point Total: + S Certificate of Compliance: Residential Climate Zone 11 Mandatory Measures Checklist: Residential MF-1R Project Title t NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used Items marked with an asterisk (•) may be superseded by more stringent compliance mquuements fisted Building PCfMit N on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall Project Address be considered by all parties as binding minimum component performance specifications for the mandatory measures re whether they ashown elsewhere in the documents or on this checklist only. C7tedced By/ Date Documentatlon Author Telephone Enforcement Agency Use Only DESCRJFInON DESIGNER ENFORCEMENT Building Envelope Measures BUILDING DATA Glass Area % Glass ' §2.5352(a): Minimum ceiling insulation R-19 weighted average. North ! §2.5352(b): Loose fill insulation manufacturer's labeled R-Value. Conditioned Floor Area Number of Stories East�- ' §2.5352(c): Minimum wall insulation in fraffwA walls R-1 I weighted average (does not apply to Slab/Raised Floor Number of _Units South exterior mass walls). t [ ] Single Family Detached (SFD) [ ] Addition Alone West § transmiiss): Slab ion rate no u�non 2' er perbsiputron ram rt0 greater than 0.3%. water vapor ( greater [ ] Single Family Attached (SFA) (] Existing Building Skylight §2.5311: Insulation specified or installed meets California Energy Commission (CELS quality [ ] Muld-Family (NM (] Existing-Plus-Addition TOW standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zona 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls BUILDING SHELL INSULATION a. Do ors and windows between conditioned and unconditioned spaces designed to limit air leakage. Component Insulation Location/Comments b. Doors and windows certified. f c. Doors and windows weaUtersOpW-. all joints and penetrations caulked and sealed. Type R-Value (otne. to garage, typical. etc.) ; 12.5352(c): Special infiltration barrier installed to comply with 12.5351 meets CEC quality standards. . Wall .............. f §2.5352(d): Installation of Fueplaces Wall,,, I. Ma Masonry and factory-built fireplaces have: �. ���� Roof ............. a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control Roof . ............ ' 2. No continuous bue burnin gas pilots allowed. B B D� Floor ............. HVAC and Plumbing System Measures Floor ............. 02-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. Slab Edge..... §2-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. GLAZING Shading Devices • §2.5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems havedampercontrols. Glazing Area Glass Type Interior Exterior OVerhanFraminry�,,� g g • Type §2-5314(c): Gas-fated space heating equipment has intermittent ignition devu es. 62.5314: HVAC Orientation (SO (single, double) (roUer blind. eta.) (shadescreen, etc.) (yes/no) (metallwood) equipment, water heaters, showerheads and faucets certified by the CEC. i §2-5352(1): Water heater insulation blanket (R-12 or greats) or combined interior/exterior North(( )\ insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). North \ ) §2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return & recirculating piping. East ( ) §2-5318(d): Swimming Pool Heating East ( ) I 1. System has: a On/off switch on heater. i South ( ) b. Weatherproof instruction plate on heater: _ South ( ) c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. West ( ) 3. Pool cover. i 4. Time clock. West ( ) 5. Directional water in1eL Skylight....... Lighting and Appliance Measures THERMAL MASS §2.5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas Fred appliances equipped with intermiucnt ignition devices. Type/Covering Area Thicknessfin r 62-5314(a): Refrigerators, refrigerator-freezers, freezers and Ouorescent lamp ballasts certified xp , (slab/eosed, tile, etc.) (SO (inches) Location,,/ Dcscription (Kitchey% bath, etc.) by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the budding 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 - HVAC SYSTEMS Minimum Duct retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Type (furnace, air Efficiency Location Duct Output Manufacturer /Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R-Value (Btuh) - (or approved equal) Designer Building Owner Nance: Name: Tttk/Fum: Tideffiu ` Addmss: Address: Telephone Tekphonc Maximum Furnace Heating Output: BNh tx. s: : HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) (signature) (date) (siinature) (date) Documentation Author Enforcement Agency SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Namc: Name:Tik/Firrn. IIr Agency: l 4 Address: Telephone 1. Ceiling Insulation F2 factor 0.90 -4 Number of stories 0.80 R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value .40 less 50 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 O.C6 -11 -5 -4 0.04 -4 -2 -i 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 5 13 27 Single- Single - -2 6 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 15 22 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 4 9 Insulation in Floor 17 15 -17 1 Number of stories 10 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 -6 7 10 13 0.60 -144 -70 -46 0.50 -120 -58 -08 0.40 -95 -46 -30 0.30 . -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace (assumes ducts In attic) 9 Number of stories 3 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 2 1 0.80 Number of Stories 8 7 6 5 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. Infiltration (Air Leakage) ` Specification Standard 48 -69 Points 0 na f 6. Glass Heat Loss North East South Total Skylight 18 5 U -value 4 Percent na .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 -37 726 -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 .-a -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 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 7. Shading (Shade Open) Efrective Percent class (percent glass x SC) Effective -14 48 -69 -64 na %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 �3. Shading (Shade Closed) Efrective Pei cc It Class (percent glass x SC) Effectin Glass Norft East 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 -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 na . not allowed 9. Interior Thermal Mass U -value [0.65] %Total Glass [16] Sum 1.6 Interior Slab Floor Raised Floor Mass One Stories Stories .4 /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 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 -3 Exterior Single- Single - 7.0 0 Wall 0 Family Family Mutt 8.0 Mass 6 6 Detached Attached Famiy 0.00 9.0 0 0 0 9 0.20 5 3 2 1 19 16 0.40 10 5 4 3 26 0.60 15 8 6 4 12.0 0.80 26 22 10 8 5 9 1.00 33 13 10 7 15 1.20 700 13 12 8 2200 1.40 Credit 12 13 9 6 1.60 3 10 13 11 Installed 1.80 1699 10 12 12 SG 200 0 10 11 13 I 11. Heating System or Solar 14 7 SE or ASPF 4 3 HP (assumes ducts In attic) 9 5 3 2 Sum of 1-6 WSB 9 4 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 -5 Effective SE or HSPF -23 X12. (SE or HSPF x duct efficiency) -6 Effective -25 or -24 to -1410 -4to +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 Resistance10 9 7 6 4 3 Other . 6 5 4 3 2 2 12. Cooling System U -value [0.65] %Total Glass [16] Sum 1.6 % Glass SC Eff. % Glass SEER One -5 .4 -4 -3 (assume; duets In attic) Two + 3 3 Sam of 7-10 2 2 1 Single -Family Detached and -25 or -24to -1410 -41D +6 to 160r SEER less -15 -5 +5 +15 more 8.0 -14 -1'2 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4. -4 -3 -2 -2 9.0 -4 ! -3 -2 -2 -1 9.5 0 C 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 -10 c' 7 6 4 3 12.0 15 . 13 11 9 7 5 13.0 20 17 14 12 9 6 Solar -1 Effective SEER -1 0 0 (SEER xduct eMclency) HWR -18 -12 Sum of 7-10 -7 -6 Effective -25 or -24 to -14to -4to +6b 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 6 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 10 700 Zonal Control Adjustment 2200 Heater Credit 10 3 7 6 4 3 Type No Cooling System Installed 1199 Stories U -value [0.65] %Total Glass [16] Sum 1.6 % Glass SC Eff. % Glass One -5 .4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached SC Eff. % Glass Unit Size (sQ Water X 1199 12M 1700 2200 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 t 5 4 3 3 WSB 5 3 3 2 2 Duct Efficiency [0.74] Effective SEER [7.03] POU V 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 Solar 7 5 4 3 2 POU 3. 2 1 1 1 IE None 28 -19 -14 -11 -9 Solar 6 5 4 3 3 POU -10 -6 -5 -4 -3 Multi -Family (individual units) Unit Size (sQ Water 699 700 1200 1700 2200 Heater Credit or b to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6 -5 WSB -25 -13 -8 -6 -5 POU -23 X12. _8 -6 -5 IG None -8 -4 -3 .2 i -2 Solar 6 3 2 1 1 POU 1 - 0 0 0 0 IE None -30 -15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 -4 -3 -2 -2 Interior MasslCFA t TYPE 2 FO*ss (t.7.ulmca4.2) 't TYPE' I MASS (UIMC 6 4.2, ieexposed slab) (carpeted .lab) : _.P-__- OY. 5% 10T. 15% 20% 25% .30TH 35% 40% 45% 5W. 55% 60% 69t 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125- 0y. 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 4.9 5 53 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.6 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 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 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 59 509'. 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 2.4 2.6 28 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 5.8 6 6 2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.S 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' S 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 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 S5 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 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./ 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 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 67 909: 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 5 3 5.5 5.7 5.9 6.2 6.4 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 5 5.2 5.4 S.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.8 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3, 4.5 4.7 4.9 5.1 5.4 5.6 5.6 6 6.2 6.4 66 68 7 110% 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 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 5 8 6 6.2 6.5 6.7 6.9 7.1 73 125% 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 Measures 1. Ceiling Insulation 2. Wall Insulation or R -value [38] U -value [0.030] or R -value [11] U -value [0.098] 3. Raised Floor Insulation or R-value[191 U-value[0.037] 4. Slab Edge Insulation or R -value [0] F2 factor [0.77] S. Infiltration Standard 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 Nfass 11. Heating System Zonal Control? ( Y/ N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Point Scores Type (double] U -value [0.65] %Total Glass [16] Sum 1.6 % Glass SC Eff. % Glass X = X = X = X = X = % Glass SC Eff. % Glass X = X = X = X = TYPE 1 MASS AREA % COND. FLOOR AREA Interior Miss/CFA TYPE 2 MASS AREA % Exterior Wall Mass COND. FL=OR AREA Sum 7.10 X = SE or HSPF Duct Efficiency [0.78] . Effective SE or [0.77/6.61 HSPF 10.5615. 151 X = SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] Type [SG] Credit [none] Point Total: a_�