HomeMy WebLinkAbout068-030-0819
"68-03 61. 2733-90B, P E�!.Ti:
.-
LEACH,,-,,Bob.& Joyce,".
,.COkR.` "TML 'jnq,-
331 Ward Bld, Oi'o v i 11 e,
/.
(NEW k
a
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i Cfl � - � 0
Y
F� RESIDENTIAL
!LEACH, Bob & Joyce
fCONTR: TML Inc.
} ;331 Ward Blvd, Oroville'`
'(NEW SF)
OFFICE COPY
Address
33% ik/tead/�D
GAS Date/L �
Meter By
ELECT Date
Meter y
r`J
' OFFICE C—
OPY
j1
Address
G Date
Meter By
ELECTRIC pate/ ��JJ�
Meter By �6�U'',
r
i
I
J08 FINA
Signatu
u
V OK
O = Not OK
- = Not Applica0le
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
Soils-Elec. Grnd.-/
g., Garage; Soils-Steel-Elec.'Grnd.-Yj/" Ftg. Depth
6117,1 t ig., Porches & Decks; Soils -Steel-/ /Ftg. Depth
Uafe-mwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Unt�ard B-1 ate Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit OK except #'s
ater Htr.; Vent -Access -Combustion Air -Baffle
ager,Pipe; Test & Anchor -Nail Protection
V • Test -Fittings & Anchor -Nail Protection
owe Pan; Test, First Floor -Tub Access
est Tub ,& Shower, Second Floor -Tub Access
1 ipe; Size & Anchors
Dat and 13-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL Permit OK except #'s
fixture & Transformer Clearance -Ins. Protection
lec. Receptacles Spacing -Lights & Switches at Doors
xes & No. of Conductors -Stapled
omex Installed Close to Edge of Studs & C.J.
i round made up w/Meth. Fastners-Bond Gas & Water
Appliance Circuts in Kitchen & Conductor Size/GFI
e¢tt'+/Ch�e Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
28: -Eire-/ / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
ervice-Riser Conductors & Ground -Main Disconnect
uip. Clearances Panels -Motors -Mach. Equip.
3¢►6FottWs' Closet Light -Shower Light -Spa Light
e Detector
Dal!0!� Card B- Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
8�4�. �A.C. Ducts Insulation & Support
_4&.- e r t Fan; Exhaust above insulation
Drain & Overflow; Size & Grade
47-�urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38„4ic-7r6ess & Platform if Furnance in Attic
Date ,b lza` rd B- Card B-1
Date Card B-1 Date Card -B-1
Date FRAMING fans) OK except #'s
ils, Proper Material & Anchors
0 s Studs -Nailing, Spacing & Bracing -Plates -Sound
44- Baring W over Girders & Floor Nailing
raft Sto i s (rat proof)
ire Sto .;.Furred Ceilings -Stairs -Chases -Tub
eaders & Beam -Size & Bearing
Date FRAMING (Continued)
4& -Post Caps -Anchors -Connectors
Jo' - ies-Purlin-roof Brac-Truss-Shthng.-Rfng.
fireplace Ties or Type A Flue- Fireplace Throat clearance
48:-AtttV-Aenss; Size & Romex Protection -Draft Stop -Ins. Baffles
48�BtyTRr Windo _or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
pe ine Firewall & Openings
t2 -fit. Door -One T -Check Garage -3rd Story, 2 Exits
aus; Width -Head room-Rise-Run-Landing-Fire.Protection
54-p agMoof-Overhang-Attic Vents -Rafter Outriggers
5 . iding-Nailing Veneer
ps✓ctucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _
6�-@tazttfg Area -Glass
Protection -Skylights;Plastic.
68rehearWalls; Nailing -Bolts y
fi9.-Msa1at16Pf =oVa l l s -Ceiling s
60. Infiltration -Walls -Windows
Dat and B- Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL P s OK except #'s
-64-'Ext. Steps -Door & Sidelight Protection -Landings
o e Detector__
6 . urnace; Vents70learance-Comb. Air -Connector -
In Garage; -Above Floor -Ducts -Meth. Protection
e roo Exiting
F.I. & Bath Fixtures & Tub Access -Spa
c. Tr' ubpanel; Breaker Sizes & Labels
tairs & Rails
6f3 ace or Stove; Clearances -Hearth
,61f Elec. OLdlets at Wood Panel; Int. & Ext.
it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
7 . ec. Oets & Receptacles at Kit. Counter
7 . arage Fire Door; Swing -Landing -Closer
�Gara e -Damper
7 r. Htr.; Vents -Clearance -Comb. Air-Connec r-P.R.V.
In Ga age; Above Floor -Meth. Protection
7 ., Elec. & Mach. Equip. Listed for Location
?6. Efts Receptacles in Garage; (G.F.I.)-Romex Protection
7: 2sulation-Foam-Looked in Attic ❑ Yes
7$-G rd -Rails-& Deck Construction -Post Caps
n. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor o es
ollowing instld.; Drive ❑ o; Walks es .fl No;
Planters ❑ Yes
8. attiegot h
C. isconnect, Electrical, Plumbing
88—'Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Trim; G.F.I. Reci
rouqhout House
Gas -Electric
a Sewer Connected -C/O to Grade -HD Approval
Mstnergy Compliance Certificate -Other Certificates
Dat Card B-1494 3 Date Card B-1-
DatJ — ffe4j t Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
J=OK
O = Not OK
-=Not Applicable
Not Ready 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-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
f
j 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
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office ,
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date! ��_ ��� Inspector
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
ER
Rol
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.
' /'^ --41
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t
Date /y �// �v Inspector <
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
. s.
CORRECTION NOTICE
)WNER PERMIT NC
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.
l'/zo v 6- Au- � 5, 5' 7- /— � .4
Date `� ~ Inspector z_ -"
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
fa,C
ER
A routine inspection indicates that the following violations of County Ordinance
exist at the abov address and should be corrected. Please notify this office .
when correction f work is completed. If you have any question pertaining to this
matter, or ne tional explanation, please contact this office immediately.
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Date /v— I — < y Inspector" .
{
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ENERGY CERTII' ICATION
I•0)� -03 0 - ogi
LOCATION A. P. NO.
MATERIAL BRAND NAME
THICKNESS THERMAL RESISTANCE (R VALUE)
EXTERIOR WALL
MATERIAL FIBEGLASS BRAND NAME CERTAINTEED
THICKNESS -.(INCHES) THERMAL RESISTANCE (R VALUE)_
CEILING
BATT OR^BLANKET. TYPE FIBERGLASS_ BRAND NAME CERTAINTEED
THICKNESS THERMAL RESISTANCE (R VALUE) 3$
LOOSE FILL TYPE' FIBERGLASS BRAND NAME CERTAINTEED
MINIMUM THICKNESS (INCHES) IS NUMBER OF BAGS 3 % WT PER BAG 25 LB
AREA COVERED (SQ FT) 11JO THERMAL RESISTANCE (R VALUE)
FLOOR, ELEVATED
MATERIAL FIBERGLAS BRAND NAME CERTAINTEED
THICKNESS (INCHES) (D THERMAL RESISTANCE (R VALUE)_
'FLOOR, SLAB
.MATERIAL BRAND NAME
'7,THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE)
9. -:hl IAIninTTnhl LIM I
A: lleTERIAL
''. JTHICKNESS (INCHES;
1 'I HEREBY CERTIFY
ABOVE BUILDING IN
REQUIREMENTS.
BRAND NAME.
THERMAL RESISTANCE (R VALUE)
THAT THE ABOVE INSULATION WAS INSTALLED IN THE
CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY
HAWKINS INSULATION 379407
FIRM NAME/OWNER STATE' CONTRACTOR'S LICENSE NO.
)kd
SIGNATURE DATif
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS: AS SHOWN
ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN
INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS.
ALL EQUIPMENT, DEVICES AND MERTIALS 'ARE OF THE QUALITY PRESCRIBED OR
ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA.
i-/Oz - -;,:s 6 to?
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
IGNATURE GEN. CONTRACTOR/OWNER DATE
-1-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califprnia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NQ. ,
ASSESSOR PARCEL NUMBER
68-03-81
ZONING
ARI
BUILDING PERMIT
OWNER
Bob & Joyce Leach
TELEPHONE
533-5773
SO. FT. OCC. BUILDING VALUATION
1624 R 64
960
OWNER'S MAILING ADDRESS
331 Ward Blvd. Oroville 95966
768 M 10,752
CONTRACTOR'SNAME
TML Inc.
TELEPHONE
589-1529
GOO COV
VCJ
C7
6,800
CONTRACTOR'S MAILING ADDRESS
2944 Heritage Rd. Oroville 95966
Fireplace A
1,000
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 83,512
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 385.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 192.50•
Energy Plan Checking Fee
$ 15,00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
331 Ward Blvd.
Permit fee
$ 602.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
8 2.00 16.00
rovill
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 5 .00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ffX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 9,00
Building sewer
5.00
Mobile Home is G W
10.00ea
TYPE OF WORK
New pg Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: _
Permit Fee
$ 46.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00 in nn
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code my license is in full fprce and effect.
License No. Classification �J�
1
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.DWELLING OCc . P
OR ADDNS. ( ACC. SLOGS.
2'/20sgft
NEW CON5TR ULTI-OUTLET
NON-RESID BRANCH CIRC ITS -
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
2ALI30
"0@500
FIXED PLINIS R
Ex. OCCUp. OUTLETS RESID IEA.)
2.00
Temporary service
10.00 in nn
Mobile Home Facilities
15.00
Misc. 4Virin 9
15.00
Permit Fee
$ 92
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
1 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.
otice 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 10.00
Heating 3T
6.00
forced air
Cooling
6.00
Hood
3.00 3.00
Ventilation
1 3.001 3.00
permit Fee
$ 28.00
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 xpenses which may in any way accrueSCH
�,ai said County in onsequ� the granting of this permit.
Date��% ~9�
tore of Applicant - Owner ❑ Contractor Ig Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
CONST E
✓
AL
TOTAL FEE 798.80
MAI
'-
cuA
PARK
PAR PD
H
Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated abov for which fees
DI OR PUBLIC
By (12
PER 'IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 70558
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
PERMIT NO.
7 County Center Drive - Orovi)I?, Caiii'o;nia 95965
- Telephone: 916/538-7541
. APPLICATION AND PERMIT-
j
ASISE oR PEA L N ER
�u J
Z° "�I
BUILDING PERMIT _
TELEP ONE
SO. FT. OCC. BUILDING VALUATION
O S At G ADD �\ ••
CN RATOR'SFyn
T H NE
I
i
CO `r RA CTOR S JA AI LIN ADDRESS
r. "
:N� ill
1 fLoon
Fireplace95ye
_
CONSTRUCTION LENDER /
UNKNOWN
Total Valuation $
Filing Fee
10.00
,
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S M (LING ADD SS
�afn v
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
12
Each Trap
2.00
—
Solar or heat pump water heater
20.00
I l
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
SFDuplex❑ Mobilehome❑ Other
SPECIFY
Mobile Home S I G W
0.00e
- TYPE OF WORK
New Addition❑ Remodel El Utilities❑ Installation❑ Other ❑
Permit Fee
$
Describe work:
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service OR L
j00VAMP ORSLESS
10.00
Main service.EA. AOD•L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work, and the structure Is .not intended or offered
NEW CONST. ( DWELLING
OR AODNS. ACC. BLDG
NEW CONSTR. ULTI.OUTLET
NON•RESID BRANCH CIRC ITS
POWER APPARATUS .&)
(SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESIO.I EA.
Temporary service
/:¢sgft •
12.50 ea
zoesoe
DA 030C
2.00
10.00
for sale. (Sec. 7044)
Mobile Home Facilities
15.00
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Misc. Wiring
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑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.
Cooling
Hood
Ventilation
3.00
- &D
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.
Permit Fee
Contractor
$ I
1 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
Mobile Home Installation Fee
$
Energy Inspection Fee
$
occ
CONST TYPE
TOTAL FEE $
HAz
I CUA I
PARK
I SCHL
I FLD
I PAR
I Po I HD I ISSUE
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
Receipt No.
WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR• GOLDENROD -APPLICANT
BY
PERMIT EXPIRES Date
Date
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. G
OWNER Laa-0-14 ..No. a —P —
Proposed Building Use -/W" 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
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. Hazardous Material Form ........................................ .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ b ........................
11. Chico Urban Area fees paid ............. / .........................
12. P k feespa �..................................
�3. School District fees paid ..............
14. Sanitation appy al from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
- 18. Improvements may be required. Contact Land Development Section DPW
119. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. r6que., to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4 or4
f 24. Recorded copy of Agricultural Acknowledgment Statement .. W, v"
25. Letler,of signaty,r_e authorization
27.
When you issue the permit, process as follows: Maiij�toowner. Mail to contractor.I
Telephoneo i S and hold for pickup at C,�
.�' office. _ Deliver w/inspect
s�or.
Other—
-7f
Applica
Datee` 7 -?0
Copy of Haz- Mat Torm sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. _Fire Dept. Other Date By.
The following data must be submitted prior to permit issuance: (Circle new item not checked above),
1. Index permit for above items No.
2. Additional items required:
I rw1.94,p
Contractor, designer, owner, was advised of above required data by' ✓phone_mall_counter by- &,U .date 23-90
Contractor, designer, owner, was advised of above required data by—phone —mal I—counter by date
Plans checked
Sets of plans on hold in
Copy—DPW
Date Plans approved by cS-- Date
File cabinet AP folder
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance �3d
OwnerLoca i n AP#
vSupply
Plan Approved for: Sewage Disposal Water
Hold final for:. Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroo home. O her __
TO: Building Department
FROM: Encroachment Permit Section
RE: Diiveway Clearance
owner location _ AP-#
Driveway permit l Lid has been issued fort the above property.
numb
A - 7-
date
y�
sign re
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 7�6-8.1 of the Butte County Code- '
requires this acknowledgement be recorded
prior to.issuance of a building permit.
The property described herein is adjacent
90-034925 Rec Fee
7.00
to land or included within an area zoned
Cash
7.00
for agricultural purposes, and residents
;
Recorded
of this property may be subject to incon-
official Records
Off
veniences or discomfort arising from the
County of ;
use of agricultural chemicals, including,
Butte
but not limited to herbicides, pesticides,
Candace J. Grubbs
and fertilizers; and from the pursuit
Recorder �
Rae
of agricultural operations including,
2:21p g-90
X 2
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established
agricul-
tural zones which have as a priority use for
productive agricultural purposes,
and residents
within said zones and on adjacent property
should be prepared to accept such
inconvenience
or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as
follows:
Date:
See attached legal description
August 15, 1990
PROPERTY OWNERS:
e , h
State of Ca ifornia ) On this the 15th day of August 19 gobefore me,
) SS: the undersigned Notary Public, personally appeared
County of Butte )
---------------------
Robert Louis Leach and Margie
yce Teach------ -
OFFICIAL SEAL
TRI(IA L. HAM
NOTARY PUBLIC • CAUFORNY1
BUTTE COUrNTY
` My Comm. Expires lune 20,1994
Present A.P. No.
[:]Personally known to me. []R Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) are
subscribed to the within instrument and acknowledged that they
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
IL
Notary Public
Exhibit A
The land referred to herein is described as follows:
All that certain real property situate in the County of Butte, State of
California, described as follows:
A portion of Lot 28 of Oroville Wyandotte Fruitlands Unit No. 2, heretofore
recorded in Book 11 of Maps, at pages 11 and 12, in the Recorder's Office,
County of Butte, State_of California, and more particularly described as
follows:
BEGINNING at the Southwest corner of'Lot 28 of Oroville Wyandotte
Fruitlands Unit No. 2; aforementioned, said true point of beginning for
this description being also a point on the centerline of Ward.Boulevard;
thence leaving the true point of beginning for this description and the
centerline of Ward Boulevard and running along the Westerly line of said
Lot 28, the following courses and distances: North 63° 53' 00" East, 42.84
feet, North 49° 43' 00" East, 50.00 feet, North 350 51' 00" East, 50.00
feet, North 27° 19' 04" East, 689.98 feet; North 240 42' 00" East, 50.00
feet, North 190 09' 00" East, 10.30 feet to the Northwest corner of said
Lot 28; thence leaving the Northwest corner of said Lot 28 and running
East, a distance of 202.33 feet along.the North line of said Lot 28 to the
Northwest corner of parcel of land as described in Deed from Myron L.
Nichols, et ux, to Fred E. Dawson, et ux, recorded October 21, 1947, in
Book 460 of Butte County Official Records, at page 454; thence leaving the
North line of said Lot 28 and the Northwest corner of said Dawson parcel
and running South, a distance -of 174.24 feet along the West line of said
Dawson parcel to.the Southwest corner of said Dawson parcel; thence leaving
the Southwest corner of said Dawson parcel and running West, a distance of
40.00 feet to a point; thence South 43° 221.27" West, a distance of 393.15
feet to a point; thence West, a distance of 14.00 feet to a point; thence
South 34' 51' 54".West, a distance of 365.61 feet to a point on the
centerline of Ward Boulevard; thence West, a distance of 116.06 feet along
the centerline of Ward Boulevard to the true point of beginning for this
description.
EXCEPTING THEREFROM all rights'of the County of Butte for road purposes.
AP No. 068-030-081
I
�"-;+�y,c,'�y�'bi'-Ii' .-r.�,+'X yi'^'T .,., y.,.+. •rnura.�,..r, .. s .. v ...�... ....� ,��fn�Y .. w
4
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number — �� ' Building Department No.
School District City = County [�!J Jurisdiction
Property Owner
Project Location/Address
Subdivision
Residential Development:
# of Living MHI
Units
Lot Number
Sq. -Footage
Addition (Grou R)
P
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
o7zo
�'u':ft�i g V15epartment"��e`prestntative Date
(Floor Plans reviewed by School District Personnel)
District Id No.
6:i�n��
School District certifies that
`.I
(Apt Name)
(Phone Number)
(Street
Address)
&0'�m
ol
,(City)
(State)
(Zip Code)
has complied with
the requirements
of Resolution No. g )0-691�1_1
by the paygient of
$ �?$-%�. S-6
representing
^A%J,;-- square feet.
School District RiPpresentative
Date
PAID BY CHECK NO.
BANK NO
PAID BY CASH
white -applicant, yellow -,building department, pink -school district
SCHOOL.FEE (8/88)
5/89
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # v�%✓�✓ "��
OWNER 9 2 'd A.P. #
GENERAL
Zoning requirements: (sideyards and number of permitted living units).
4211 Valuation.
Plans signed by designer.
Energy Design and Compliance.
Existing violations on property.
® Items on data sheet.
PLOT PLAN
.ICompleteparcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills,.drainage.
Flood hazard.
Special conditions on -creation map or compliance document.
FAU & FAS road setback.
PT 001? PT AM
'y Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
kylights (Chapter 34 & Sec. 5207).
. Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
�FCIs in baths,`garage, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance
of mechanical equipment.
!"'� Locations of water heater, heating and cooling equipment, other electrical or
as equipment, and plumbing fixtures.
rage firewall, door size, and closer (Sec. 503(d)(3)).
r.Fireplace
- 3'0" exterior exit door (Sec. 3304(e)).
and wood stove location, alcoves, and clearance.
oke detectors (Sec. 1210).
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
' Elevations and wall construction details complete enough to construct building.
Roof construction�.details complete enough to construct building.
Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOKOUT FOR (CONY D)
Exterior plaster - weep screeds (Sec. 4706).
-roper roof pitch for roof covering (Chapter 32).
Roof covering,type - (fire hazard).
Rafter ties or bearing ridge beam.
arage door or porch header sizes.
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).
ttic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
. Combustion air for fuel burning appliances.
Noise requirements on duplexes.
Adobe soils - special foundation design.
. Retaining walls requiring design.
Unusual shape, size, or split level house requiring lateral design.
Flashing at all exterior openings.
1. Ceiling Insulation
-70
-06
-120
Number
of stories
I
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
-70
-06
-120
Single-
Single -
-95
-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
3
Two
Three
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
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
-144
-70
-06
-120
-5e
38
-95
-46
Three
-69
-34
.22-
-43
-21
-14
-17.
-8
-5
-11
-6
..--4
-6
-3
-2
-1
0
0
4
2
1
10
5
3
Controlled Ventilation Crawlspace
South
..West
Number of stories
1-.
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
.74
-4
3
R-11
-2
-2
-2
R-19
-1
-2
-2
4. Slab Edge Insulation
40 •
-90
37
Number of Stories
-14
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
•8
6
3
F2 factor
-58
-20
-12
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
5. Infiltration (Air Leakage)
Specification Points
Standard 0
',.6. Glass Heat Loss
Total
South
..West
Skylight
1-.
U -value
1
Percent
2
5
.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 1
-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
or
12
14
16_
18
20
7.,Shading (Shade Open)
Effective Percent Glass
(percent glass x SC) -
Effective '
%Glass North
18 .5
16 4
14 4
12 3
11 3
10 2
9 2
8 2
7 1
6 1'
5 1
4 0
3 0
2 0
1 -1
0 -1
na = not allowed
East
South
..West
Skylight
1-.
_ 4
1
na
2
5
1
na
2
5
1
na._
3
5
2
na "-
3
5
2
na
3
5
2
1
3
5
2
2
3
5
2
2
3
4
2
2
3
4
2
3
2
4
2
3
2
3
1
3
1
2
1
3
0
1
0
3
-1
-1
-1
2
-2
-4
-2
0
1B. Shading (Shade Closed)
Etfmdve Percent Glass
(pemat gWt x SC)
Effective
%Gim Norlh East ScA West Sky6pht
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
1
4
6
8
8
9. Interior Thermal Mass
Interior
-
Slab Floor
Raised Floor
Mass
8
Stories
Wall
Family
Stories
Multi
ICFA
One
Two
Three
One
Two
Throe
0.0
-8
-5
-4
-2
-1
-1
0.1
-8
-5
3
-1
0
0
0.3
-7
-4
-2
0
11
8
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 •.i
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Zonal Control Adjustment
Exterior
Single- .
Single -
8
SEER
Wall
Family
Family
Multi
No Cooling System
Mass
Detached
Attached
Farm
0.00
0
0
0
tandard
Standard -
0.20
3
2
1
16 or
0.40
5
4
3
+15
0.60 r
8
6
4
1
0.80
10
8
5
-12 -10
1.00
13
10
7
-9
1.20
13
12
8-
r•.j 8.9
1.40
12
13
9
-2
1.60
10
13
11....f,:..
2
1.80
10,
12
12
0
2.W
10
11
-
13
3 3
11. Heating System
2
1'
a 10.5
7
SE or HSPF
4
3
_
(assumes ducts In attic)
..:
9 7
6
Sum of 1-6
3'
j 12.0
15
-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 r11
10 8
7
5
0.90 8.25
17 15
13 11
9-
7
0.95 8.71
20 18
-- 15 13
11
8
.9
Effective SE or HSPF
-12
(SE or HSPF x duct efficiency)
-7
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
i
12. Cooling Syst,!M
Zonal Control Adjustment
b.
j
10
8
SEER
6
4
3
R -v [11]
No Cooling System
(assume) duets
In attic)
R-value[1)
--'Stories
or
Sim of 7-10
Ic�tM •I.bl
F2 factor [0.77]
tandard
Standard -
-25 or -24 to a14 to
-416
+6 to
16 or
SEER
less
-15 f •6
+5
+15
more
:, 2
2
F
1
Single
-Family aktached and
8.0
-14
-12 -10
-8
-6
-3
8.5
-9
-7 -6
-5
-4
3 .
r•.j 8.9
-5
-4 -4
-3
-2
-2
9.0
-4
-3 3
-2
2
1
9.5
0
0 0
0
0
0,
10.04
0..
3 3
2
2
1'
a 10.5
7
6 5
4
3
2
' 11.0
10
9 7
6
4
3'
j 12.0
15
13 11
9
7
5 I -
1 q.0
20
17 .tl 14 _
12
9
6
3
.3
Effm9ve SEER
None
-37
-24
(SEER xduct efficlency)
-15
-12
2.7
Sun of 7-10
-1
-1
Effective -25 or -24 to -1410
-410
+610
16 or
SEER
less
-15 S
+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
I
Zonal Control Adjustment
b.
j
10
8
7
6
4
3
R -v [11]
No Cooling System
Installed
R-value[1)
--'Stories
or
Ic�tM •I.bl
F2 factor [0.77]
tandard
Standard -
One
-5
-4
-4
-3
-2
-2
Two +-
3
3
:, 2
2
2
1
Single
-Family aktached and
Attached
Unit Size (sQ
Water
109
i 12LY
*1700
2200
2100
Heater
(.(edit
or -
10
to
to
or - •
Type.
Type
less..
(1699
2199
2699
more
z SG
None
0
Il 0
0..
0
0
or
Solar
12 '
8
6
5
4
HP -
-HWR
8
5
4
3
3
3.8
WSB
5
3
3
2
2
5.3
POU
8_
5
4
3
.3
SE
None
-37
-24
-18
-15
-12
2.7
Solar
-1
-1
-1
0
0
4.2
HWR
-18
-12
-9
-7
-6
20%
WSB..
-25
-16
-12
-10'
-8
1.6
POU
_ -18 _.
_'I2
-9
_7
-6
n
None
-5
-3
-2
-2
-2
4.5
Solar
7-
5
4
3
2
0.5
POU
3
2
1
1
1
IE
None
-28
-19
-14
-11
-9 .
3.5
Solar
8
5
4
3
3
4.9
POU
-10
'I -6
-5
4
3 ,
0.9
Multi -Family (IndI,Id..I
units)
1.5
1.7
1.9
2.2
Unit Size (sQ
26
Water
3
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 i
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
' 6.1
WSB
9
4
3
2
2
2
POU
9
5
3
2
. 2
SE
None
45
-23
-15
-11
-9
4.9
Solar
2,
1
1
0
0
60%
HWR
-23
-12
-8
3
--5
23
WSB
-25
-13
-8
-6
-5
3.8
_PQU
_23'
-12
-8
-.-6
-5
IG
None
' 4
-4
-3
-2
-2
-
Solar
6.
3
2
1
1
2.6
POU
3
3.2
0 .
0
0
IE
None
_1__0
:30
-15
-10
'--8
3__
5.5
Solar
18
9
6
4
4
1.4
POU
-8
-4
-3
-2
- -2 "
Interior Mass/CFA
. TTFC S PSS
II.1-UINC:4. 11
North
b.
East -
c.
South
d.
West
e.
4 TYPE t•lW.SS (UIM,C,� 4.2, Se: exposed slab)
R -v [11]
U -value (0.098]
(9 or
R-value[1)
U -value [0.0371
or
Ic�tM •I.bl
F2 factor [0.77]
tandard
Standard -
--
0%
5%
10%
15%
20%
2S%
30%
3S%
40%
45%
50%
55%
60%
61t
70%
75%
80%
8595
90%
95%
100% 105% 110% 115% 120% 125`
OY.
0
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
5.3
10%
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21
2.3
25
2.7
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.6
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
U
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
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
5.8
40Y.
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
50%
0.9
1.1
1.3
1S
1.7
1.9
21
23
23
27
3
32
3.4
3.6
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
' 6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
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
23
2.5
2.7
29
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
6.3
65%
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
6.1
6.4
70%
1.2
1.4
1.6
1.8
2
22
25
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
.1.9
21
2.3
25
2.7
3
3.2
3.4
3.6
3.6
4
4.2
4.4
4.6
4.6
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
S.
6.2
64
66
65%
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
5.2
54
5.6
5.9
6.1
6.3
65
67
90Y.-"
1.5
1.7
2
2.2
2.4
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%
1.8
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
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
21
2.3
25
28
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
105%-
1.8
2
2.2
2.4
2.6
28
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
6.4
6.6
68
7
110%.
1.9
2.1
2.3
2.5
27
29
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
6.9
7.1
115%
2
2.2
2.4
2.62.8
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
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
S.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
21
2.3
25
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
Measures
Id . ;�-
Type
or
-
R -value [38]
U -value [0.030]
�t 9
or
R -v [11]
U -value (0.098]
(9 or
R-value[1)
U -value [0.0371
or
R -value [0]
F2 factor [0.77]
tandard
Standard -
/a.;-
Type [double) U -value [0.65] % Total Glass [ 16)
% Glass SC Eff. % /G -lass
�• X 2-7_ &
� x = 3.
-3.3 x = •S
U X = !•
% Glass SC Eff. % Glass
3-3 X
a•S x
X
TYPE 1 MASS AREA %
N'�ss/CFA COND. FLOOR AREA
Interior
TYPE 2 MASS AREA
Exterior�j Mass . ND. L OR AREA'
11.. Heating System / x _
Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or
[0.72/6.6] HSPF [0.56/5.15)
12. Cooling System x =
Zonal Control? ( Y / N) SEER [9S] Duct Efficiency [0.74] Effective SEER [7.031
13. Water Heating S�
Type [SG1. Credit [none]
Point Scores
. 1.0
0
Sum 1.6
,a-
-3.
Sum 7�
3
b.
Point Total.
Certilicate or Comptiance0e Residential Climate Zone 11
Project Title
a . Building Permit li
Project Address
Checked By/ Date
Documentation Author Telephone Etfomanent Agency Use Only
BUILDING DATA Glass Area % Glass
North
Conditi ea Number of Stories East 11117 40".
;Slab sed Fl Number of .Units South_
' Sin a Family Detached (SFD) [ ] Addition -Alone West oZ -5
[ ] Single Family Attached (SFA) [ ] Existing Building Skylight C�
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total ,a . s-
BUILDING SHELL INSULATION.
Component Insulation LocatiorVCommerats _
Type R -Value (attio..ta garage, tical, etc.j
ac
Wall ..............
Roof .............
Roof .............
Floor .............
Floor .............
Slab Edge .....
GLAZING
Glazing -Area Glass Type
Orientation (sf) (single doubl
Shading Devices
Interior Exterior Overhang Framing Type
North ---
North ( )
East
East
South ( )
South ( )
West ( )�
West ( )
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (Sf) (inches) Locatiorl/13CSCli2tion (kitchen. bath etc.)
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner, heat pump) (S1?, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
.3304l
Maximum Furnace Heating Output: BNh r
HOT WATER SYSTEMS IP
Tank Manufacturer/Model # `v®
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the cbrn iance
approach used Items marked with an asterisk (•) may be superseded by more stringent compliance requtranents fisted
on the Certificate of Compliance Wben 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 arc shown elsewhere in the documents or on this checklist only.
DESCR MON DESIGNER ENFORCEMEW .
Building Envelope Meuures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b} Loose fill insulation manufacturer's labeled R -Vane.
• §2.5352(c): Minimum wall insulation in framed walls R- l 1 weighted average (does not apply to
exterior mass walls).
§2-5352(kr Slab edge insulation - water absorption rate no greater than 03%, water vapor
transmission rate no greater than 2.0 pe:rrrtfineh.
§2.5311: Insulation specified or installed meets California Energy Commission (CEO quality
standards Indicate type and form.
12.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiluation/Exftltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weathcrsuipped: all joints and peneaadons caulked and sealed
§2.5352(e): Special infdtration barrier instilled 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
e. 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.
§2.5352(h) and 2-5315: Setback thermostat ort 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, showerieads and faucets certified by the CEC.
§2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorhexterior
insulation (R-16 or greater): fust 5 fest of pipes closest to tank insulated (R-3 or greater).
§2-5312(Exccption p: Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a Onfoff switch on heater.
b. Weatherproof instruction plate on hearer:
e. Plumbed to al low for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4• Time clock.
5. Directional water inlet.
Lighting and Appliance Measures ,
t §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
02-5314(c): Gas fired appliances equipped with intermittent ignition devices.
12.5314(a): Refrigerators, refrigerator -freezers, fteezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
Ll
COMPLIANCE STATEMENT
This certificate of compliance lists dr. building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, ChaW r 2. Subichapter 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 purcimser of the building.
Designer
Name:
TukJFimt
Address:
Building Owner
Name
Titk/Firm:
Tekphonc Telephoner
V1 a 1VVGU G Uat opukadi r'Cdt' Si -1
tsnattu+e) (bate) (signature) ._ .. - (dart)
ir
Documentation Author Enforcement Agency
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
i Name: Name::.
rtk/F
tete
-r = A
Add:en.