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Home My WebLink About068-150-09368-15-93 2709-90B,P,E,M BEARD SLEY, DON & Sanc`� 110 Sharp Rd,-Oroville (new single family/Dari Munson 0(o6 - 115G-cxt3 � R•;, rs'•w i ' • _ '�' _„ , ' .y.... T r3 't.. -,:Y j�--t. , a k...-..f•ti"" r , ..i '�'4'�}2,a�1• ,�;..^.. 'iCricit -+°�+"' _'�; .t i'r ..,�.; � y y 1 +1 vT'i� f•'ei'a r,+,y,,' '•t'w,y'• � •�. 68-15-93 44-91B BEARDSLEY, Ralph 110 Sharp Rd, Oroville (woodstove/si) 'Fwr- i 4P --WT<i9R1, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR -KS PERMIT O. 7 County Center Drive - Orovil le, California 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 68-15-93 ZONING AR41H BUILDING PERMIT OWNER TELEPHONE Ralph Beardsley 533-6422 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 110 Sharp Rd., Oroville, CA 95966 ' CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 1,OW LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 110 Sharp Road, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap+, 2.00 t Solar or heat pump water heater 20.00 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 SF EF Duplex❑ Mobilehome❑ Other Building sewer 5.00 Mobile Home S I G I W 10.00e SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other Permit Fee $ Describe work: woodstove _ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • Main service 10001 OR 0 AMP ORLESS10.00 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 and my license is in full force and effeet. License No. Classification —� I, as the owner, or my employees with wages as their sole compen- NEW CONST. DWELLING OCCUP.h , OR ADONS. ACC. BLDGS. 2/2¢sgft NEW CONSTR. ULTI.OUT LET 2.50 ea NO--RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu zAL@ Occup(OUTLETS OR FIXTURES e10 30 Ex. OCCUp. OU LETS PRESID .)OR EA.) 2.00 Temporary service 10.00 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) Mobile Home Facilities 15.00 Misc. Wiring g 15.00 ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ for this reason 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. Coolin g Hood 3.00 _fl I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue occ CONST TYPE TOTALFEE $ 27.50 HAZ CUA PARK ELD PAR ISSUE against said County in consequence of the granting of this permit. X L4, C} 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. JPDJHDJ This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which � � DIRgo"T R OF PU4 B �� .� Y PERMIT EXPIRES Date the applicable provi- resolutions to do feces have been aid. ,,i� p 4.0 WORKS Date 9 / Yom• ,/ Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - O};aville, California 959e5 - Telephone: 916/538-7541 L",/ APPLITION AND PERMIT ASSESSOR PARCEL NUMBER 68-15-93 ZONING AR -MH BUILDING PERMIT OWNER TELEPHONE Ralph Beardsley 533-6422 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 110 Sharp Rd., Oroville, CA 95966 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace 1 1 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 7-luou LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan ARCHITECT OR ENGINEER'S MAILING ADDRESS Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 27.50 110 Sharp Road, Oroville PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 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 iYy � SF " Duplex❑ Mobilehome❑ Other L"1 Building sewer 5.00 SPECIFY ( Mobile Home I S I G JW 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other NJ Permit Fee $ Describe work: woodstove Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW oR ADDNST ( DWEACCLLING S./ 2yzQsgft I declare under penalty of perjury (check one): DGOCCUP.&\ NEW CONSTR ULTI-OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRC ITS POWER APPARATUS e and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20806 9AL@30 -91I, as the owner, or my employees with wages as their sole compen- Ex. OCCup. OUTLETS P(RESID 1RE A.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the Mobile Home Facilities 15.00Misc. as owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Wiring g 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. Cooling g I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. 27.50 1 also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ all liabilities, judgments, costs, and expenses which may in any way accrue HAZ CLIAPARK SCHL FLD PAR Issue aga' said County 'n consequence of the granting of this permit. JPDJHDJ XI , J This permit is hereby issued under the applicable provi- Date ions o the Butte County Code and/or resolutions to do Signature of Applicant — Own Contractor ElAgent❑ work nal ated above for which f s have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- D) R OF P WORKS ov r 3 stories inheight. Lionof.structures t No. Date . P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIR S Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - &rbvi'lle:galifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER --� ZO G _ - _.-...__B_U I LD.IN.G_P_ ERMI_T_- _ OWNER TELEPHONE533--F 14-22. SO. FT. OCC. BUILDING VALUATION OW ER'S MAIL NG ADDRESS t` CONTRACTOR'S NAME TELEPHONE CON'TRACTOR'S MAILING ADDRESS Fireplace I oo(J— CONSTRUCTION LENDER UNKNOWN Total Valuation $ o 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 Permit fee $, ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SC64 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OR LE 100 VAMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑N.O I 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 ❑ 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 OCCUP.h\/zQsgft OR ADONS, l ACC. BLDGS. NEW CONSTR ULTI.OUTLET H.R E SID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e\ ( SINGLE OUTLET CIR. / Ex. Occup(OUT LETS OR FIXTURES 20PS0¢ eAL@30 FIXED APPLN5. OR Ex. Occup. OUTLETS IRESIO.1 EA. 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE TOTAL AL E $� HAz CUA PARK PAR PD Ho ISSUE This permit is nereby 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 By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW-A33E330R. PINK-INSPCCTOR, GOLDENROD-APPLICANT rr" 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) e_q 2. I (\have/have not) � A V f— signed an application for a building permit for the proposed work. - 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 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 Social Security Number Date / -!Y - 244 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 per- mitted to issue the permit. rJ J RESIDENTIAL 68-15-93 2709-90B,P,E,M BEARDSLEY, DON & Sandy 110 Sharp Rd, Oroville (new single family/Dan Munson) JOB FINALE Signature OFFICE COPY Address_1l GAS Meter By Date ELECTRIC Meter By Date�B%�,7 'J OK O= Not OK _ = Not AIS^.licable = Not Reddy Date UNDEAF RESIDENTIAL (Single & Duplex) 2�,rtg., Main; Soils-21ee-5=.-/J i'Ftg. Depth 2ttgff�_ge; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth tg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5Mfemwalls, Main; Steel -BI ockouts-Wrapped Steel-Blockouts-Wrap ped 6a. Id Downs and Special Anchors . Slab; Steel- Wrapped 8. Piers -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way -Sewer Te 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 Card B-14,16 Date Card B-1 Date and B-1 Date Card B-1 Date PLUMBING Permit OK except #'s 1 iter Htr.; Vent -Access -Combustion Air -Baffle d-7-Wd(er 'pe; Test & Anchor -Nail Protection it1lm_; Test -Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access 2 Wer, Second Floor -Tub Access 24--e Rt ize & Anchors Date` _�-,>f 6 Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2M.eaH(Stlrlrik"rt'f3TT5r8rmer Clearance -Ins. Protection 8 eceptacles Spacing -Lights & Switches at Doors ?4. oxes & No. of Conductors -Stapled mex nstalled Close to Edge of Studs & C.J. uip. round made up w/Mech. Fastners-Bond Gas & Water 127. ppliance Circuits in Kitchen & Conductor Size/GFI - / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / ga U> AI -Oven Circ. /,V/ ga. C r Al. Insulated Ne tral 0 Yes No 30-Zervtc-e-Riser Conductors & Ground -Main Disconnect 34--EgDT.-Clearances Panels-Motors-Mech. Equip. es Closet Light -Shower Light -Spa Light 3a_&mdke—Detector DatV7s yj} Card B-17522-- -1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34_-A-e—[Tucts Insulation & Support 3 an; Exhaust above insulation drain & Overflow; Size & Grade 3• . rnance-Ve t: Access -Comb. Air -Return Air Vent -115 outlet 3 c Access & Platform if Furnance in Attic Date( —J4fL>Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s ils, Proper Material & Anchors Aa_Walis uds-Nailing, Spacing & Bracing -Plates -Sound earl alis over Girders & Floor Nailing ,Lktop in Walls (rat proof) F' Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing Date FRAMING (Con 'nued) _k�,<ang rs-Po aps-Anchors-Connectors ist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng. A . repl ce Ties or Type A Flue -Fireplace Throat clearance is A ss; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions arag raming wall & Openings 5 Doors -One T -Check Garage -3rd &8 y, 2 Exits 5 , i - ea oom-Rise-Run-Landing-Fire Protection &4,-plywoo oof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer co - d -Fd. Vents-Underflr. Access a ' Area -Glass Protection -Skylights -Plastic. he ills; Nailing -Bolts nsu lat ion -Walls -Ceilings WInfiItratio n -Walls -Windows T Datq/2� - 4ZNCard B-1 Date Card B-1 Date o 49b Card B-1 Date Card B-1 Date FINA ans OK except #'s Ext,,316ps-Door & Sidelight Protection -Landings 6 . Smo Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Ga Above Floor-Ducts-Mech. Protection edroa xiting 5 .. & ath Fixtures & Tub Access -Spa ec. Trim & Subpanel; Breaker Sizes & Labels 68. replace or Stove; Clearances -Hearth utlets at Wood Panel; Int. & Ext. 7 it.Fix & Appliance; Grnd.-Air Gap -Cooking Clearance c. Outlets & Receptacles at Kit. Counter 72-emmgtr Ire Door; Swing -Landing -Closer 70-frE-Bnct in Garage -Damper 7 tr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In age; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location 7 . in Garage; (G.F.I.)-Romex Protection ulation-Foam-Looked in Attic O Yes 78. Deck Construction -Post Caps 7 . dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 8 wing instld.; Drive ❑ Yes o; Walks 0,Yes o; Planters ❑ Yes ❑ No inish Un�isconnect, Electrical, Plumbing fla—VVIon—ts Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openi gs 94,Vra—ter Well; Disconnect, Electrical, Plumbing Trim; G.F.I. Rec roughout House Ril.-GIo6 Protection . Corre ' ns from Previous Inspections as Test -Meters Tagged; Gas -Electric 9 Sewer Connected -C/O to Grade -HD Approval energy Compliance Certificate -Other Certificates Date (j Card B-1 Date Card B-1 Date/'ZCard 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 Readyable 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 ti 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' t 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 COUNTY OF BUTTE ... DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico = Phone: 891-2751 7 Count enter Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE n 10-" -2705 - / q D OWNER —4-- 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. c Date �/ 9a Inspector Owner: 1 Permit No. ENERGY CERTIF ICAT ION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose•Fill Type Minimum Thicknesi(Inches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Ener &, Requirements. FIRM NAME/OWNER SIGNATURE OF INSTALLATION APPLICATOR , STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR OWNIER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 L�- .,....w..•, ....-..: .•`�... ..—....,_ ._ _.. � .-.a.niM1ia.'. ' . .-_.�.r:.:�_+3�.---'._:_ .'m""':.a=.,".'..w.L.. " �� •--re.y _ _ —1— ENERGY CERTIFICATION N _ . LOCATION A. P. NO. �ITI2 MATERIAL BRAND NAME_ THICKNESS THERMAL RESISTANCE (R VALUE) EXTERIOR WALL MATERIAL FIBEGLASS BRAND NAME CERTAINTEED_ THICKNESS (INCHES) ?�j �c�. THERMAL RESISTANCE (R VALUE_ CEILING BATT OR BLANKET TYPE FIBERGLASS_ BRAND NAME CERTAINTEED THICKNESS A Q - - "H_E.PIMP.L RESISTANCE -(y VALUE) � — I,OOSE FILL TYPE_FIBERGLASS BRAND NAME CERTAINTEED MINIMUM THICKNESS (INCHES) kff)„ NUMBER OF BAGS ao� WT PER BAG 25 LB AREA COVERED (SQ FT) �� THERMAL RESISTANCE (R VALUE) FLOOR, ELEVATED MATERIAL_ FIBERGLASS BRAND NAME CERTAINTEED THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) FLOOR, SLAB MATERIAL _ BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) FOUNDATION WALL i MATERIAL BRAND NAME THICKNESS (INCHES) _ THERMAL RESISTANCE (R VALUE) I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. HAWKINS INSULATION 379407 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE DATE I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ,ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. ALL EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PRESCRIBED OR ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE GEN. CONTRACTOR/ OWNER DATE —1— r 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 OWNER W 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. I Date 12 v / ( Inspector COUNTY OF BUTTE +i 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 ✓3CA-C.�l705r-5 OWNER PERMIT O. 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. �7C, Ccs l•' — /�e�,,E��w ��r��'��v s Date /Z // VV > Inspector 961 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 re -6 65k - 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. Date /u r• - < 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 3CA2 <c%7a:F-�� ER 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. 13& -o, -,o /,LL- 1w C %f9 L %�dflcS c. FC?�C/�igL F (u e' Date /� z (/ Inspector _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER 68-150-93 ZONING ARMH BUILDING PERMIT NER Don &-6422 �1 TELEPHONE S0. FT. OCC.1 BUILDING VA TION 43 R 57,440.00 OWNER'S OWNER'S MAI LI G ADDRESS 146 C 1,460.00 21 Evanswood Circle, ro ille CONTRACTOR'S NAME TELEPHONE Dan Miinson 1846-3724 CONTRACTOR'S MAILING ADDRESS Fireplace A 11000.00 633 Pridley CONSTRUC ION LENDER UNKNOWN Total Valuation $ 59,900 00 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 777 Cnl iiqq ba Ci t)[ Permit Fee $ 301.00 ARCHITECT OR ENGIN ER LICENSE NO. Plan Checking Fee 0. CJO $ 150.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 476.50 PLUMBING PERMIT Filing Fee 10.00 lin 9harp Rd- Each Trap 9 2.00 18.00 01-6) Solar or heat pump water heater 20.00 LOT N . SUBDIVISION NAME PARCEL ,MA/P �`t ' 7 Water piping 1 5.00 5.00 Each qas water heater or vent 1 5,00 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 1 5.00 5.00 SF ® Duplex❑ Mobilehome❑ Other Mobile Home S I G I W10.00e SPECIFY TYPE OF WORK EE New ❑X Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Permit Fee $48.00 Describe work: 3 Bedroom Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 10.00 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): /O-C`I4 I 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. y b� Classification 0 ❑ I, as the owner, or my employees with wages as their sole compen- Main service EA. ADD'L too AMP NEW CONST. DWELLING OCCUP.& OR ACDNS. ( ACC. BLDGS. NEW CONSTR MULTI -OUTLET NO"I.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES p� FIXED APPLNS. EX. Occup. OUTLETS (RESID )REA.1 2.50 2.50 2/2Osgft X 35.90 2.50 ea 20@50Q BAL03o 2.00 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) Temporary service10.00 Mobile Home Facilities Misc. Wiring 10-00 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $68.40 WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. rJ 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. Heating Dual Pack Cooling 116.00 1 6.00 1 6.00 6,00 ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Hood Ventilation Permit it Fee Contractor 1 3.00 1 3.00 3 3.00 9.00 $ 34.00 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 Countyot 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, c st , and expenses which may in any way accrue again a d County in nce of the granting of this permit. Mobile Home Installation Fee $ Energy Inspection Fee $30.00 O CONST TYPE U /L)TOTAL FEE $ 656.90 NAI CUA PARK scHL FLD PAR PD HD ISSUE - `"'.� X Date a Sign Icanr Owner ❑ Contractor 0 Agent ❑ Th's permit is nereby issued under the applicable pr i - sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep a ohti construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. . S WHITE-D.P.W.. YELLOW -ASSES OR. PINK -INSPECTOR. GOL HROD-APPLICANT By.Date,��Z1gy��F�1 PER EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,.California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL_ IMJ V_ Zoy,'NG,it / BUILDING PERMIT OWNER TE/-LLEPHH�O�NE SQ, FT. OCC,. BUILDING VALUATION OWNER'S MAILING ADDRE //,l� [ H✓ int - CJS 1 C1 CONTRACTOR'S NAME paw. TELEPHONE son -J7 CONTRACTOR'S MAILING ADDRESS 6 Fireplace CONSTRUCTION L DEri ,/�( / V` f. V C�� 0 -?L`1 C UNKNOWN Total Valuation $ FilingFee $ t0•� - / LENDER'S MAILING ADDRESS � � 7'7'7 Ccr!�Q d`w Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ t Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR(E�SS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 p USE OF STRUCTURE SF* Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 QZj Mobile Home S I G I W 0.00e TYPE OF WORK Ne,w�1 Addition[—]Remodel❑. tilities❑ InstallationInstallation[]OtherOther[:]Permit Describe work: 622ALV Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00. Main service 6001 OR L 100 AMP ORSLESS 10.00 00 Main service EA. AOD'L 100 AMP 2.50 o? - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): gr I 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. S-1' ,5'->r5`U 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) ❑ 1, 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 OCCUP.& OR ADDNS. ACC. SLOGS. /20sgIt NEWCONSTR. ULTI.OUTLET NON . RES ID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS e (POWER OUTLET CIR. ) (2 Ex. Occup OUTLETS OR FIXTURES 0050c eAL030 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Q, Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee S WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department .a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation �Q�f 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 said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I 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 $ occ CONST TYPE ALL FEE TOTAL �p r� HAZ cuA PARK FLo PAR PD HD ISSUE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �d J� WHITE-D.P.W.. YELLOW-ASSr.330 . PINK -INSPECTOR. GOLDENROD -APPLICANT TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance. tY� SA a"O-p Pd 6 Owner Locati n AFF Plan Approved for: Sewage Disposal Water Supply C �/ Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for .� bedroom mobi a home. Other NOTE * * * Date Sanitarian 9. 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 C) l A. P. No. Proposed Building Use S Building Inspector Date 3 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........................................ ............. 0. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... Ci Park ees_palms .......................................... 9D USC pl District fees paid .............. 4. Sanitation approval 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 19. Driveway permit (construction approval required prior to occupancy, !/�`"" 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector ; (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. .Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... • 4. Recorded copy of Agricultural Acknowledgment Statement ......... �Z� X50 25. Letter of signature authorization ................................... 26. 27. When, yo issue the pervt, process follows: Mail t ner. Mail to contractor. ts'Telephone �3 _wand hold for pickup at office. Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. _Other Date By The following data must be submitted prior to permit iss 1. Index permit for above items No. 2. Additional items required: new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_—mall counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date Plans checked by Date Plans approved by �S- Date Sets of plans on hold in File cabinet AP folder Copy—DPW Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 O- 3 4 4 S 2 4 FOR RESIDENTIAL D_EVEL PMEN Section 26-8.1 of the Butte County Code r.equir(�s this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned 90-034452' Rec Fee 7."00 for agricultural purposes, and residents '... ; ,Check 7.00 of this property may be subject to incon- Recorded ' veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of r; but not limited to herbicides, pesticides, Butte ; and fertilizers; and from the pursuit .Candace J. Grubbs ; of agricultural operations including, Recorder ; but not limited to cultivation, plowing, 2:48pm 13 -Aug -90 ; X 2 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: See attached for complete legal description Date: ��v Palpfl D. Beardsley M ri 16 �*_V) PROPERTY OWNERS: State of California) On this the 3rd day of &=st , 19—ga-, before me, ) SS. the undersigned Notary Public, personally appeared County of Butte ) Ralph D. Beardsley := UNDA TWILSON NOTARYLMSUC =CA UOft&- Personally known to me. JL-] Proved to me on of satisfactory to be the person(s) whose name(s) 2101 My Comm. Expires Feb. 15,19.92 subscribed to the within instrument and acknowledged that hp s- -- executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. , Present A.P. No5�h9j Notary Public the basis evidence. EXHIBIT. "A".' The land referred to herein is described as follows: 90-34452 t All that certain real property situate.in the Unincorporated area of the County of Butte, State of California, described as follows: Being a portion of the Northwest quarter of Section 14, Township 19 North, Range 4 East, M.D.B&M., and being more particularly described as follows: Parcel 4, as shown on that certain Parcel Map recorded in the office of the Recorder of the -County of Butte, State of California, on January 2, 1980 in Book 75 of Maps, at page 49.' TOGETHER WITH a non-exclusive easement for road and public utility purposes- 60 urposes60 feet in width as shown on said Parcel Map. TOGEIIiER WITH the right.to construct; maintain and use a road over a strip of land 60 feet in width lying contiguous to and Southerly of the Northerly boundary line of said Section 14 and extending from the Northwest corner of Parcel One on said Map to the Northwest.corper of said Section 14. ALSO TOGETHER WITH a non-exclusive easement for road and public utility purposes 60 feet in width lying Southerly of and adjacent.to the following described line: BEGINNING at the Northwest corner of said Section 14, said corner also being the Northeast corneg of Section 15, Township 19 North, Range 4 East, M.D.B&M.: thence North 89 49' 44" West 253.81 feet to the East right of way of Glen Drive and the end of said line. AP#: 068-150•-093 Cam Ex. _..L •�1, :' � tut � t 4 � �� -, ': EN® OF ®[)tea aug:ruT r"ti..:-w -: .. t.f:+�7,.:r.a,�v-4 iv.��.c: 'v .y-.�--..1..� N.s�,r rr FY+..�vrVSR7R�:y;rt .'� Caw-"1� lai-"'4" mow,,,. �."�-r.- .r � ...� �. a..� ,.. ': �..-.,..., - r- ....- . ter._-• r. i ` BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) AiP. Number Building Department No. School District 0A_ 0 C:TCAF/41 City = County Jurisdiction Property Owner j N A U655 Al R DS L J—'- ', / Project Location/Address_/ SJ i9 00ePE� Subdivision Lot Number Residential Development: t I ( Sq. Footage / #-of Living MHI Addition (Group R) Units Commercial/Industrial: D Sq. Footage New Addition (Including Exterior Roofed Areas) `Buildin Department Representative 'bate ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. �Q 74 t School District certifies that (Applic nt Name) (Phone Number) P D (Street Add ess) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the p ment of $ representing square feet. /gh School Dist/? A r Representative Date PAID BY CHECK NO. / BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) i 1 Ca: ;ificate of Compliance: Residential (Page i of 2) CF -1R -cam+st NOY 5S4 ProjectTlde Date . 7.7 EVAAI5I 6a2 GI R. fn-ovrllgg Project Address Building permit I Documentation Author Telephone ' Chedred By / Date Compliance Method (Package, Point System or Computer) comate Zone Enforcement Agency Use only GENERAL INFORMATION Total Conditioned Floor Area: '. C 4=_.t, -62 Building Type:Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition. - Multi -Family (4 or more stories) Existing -Plum -Addition Front Entry Orientation: North / East / Soutt� / All Orientations (circle one or more) Number of Dwelling Units: I Floor Construction Type: 4N_Z / Raised Flo, . (circle one or both) Infiltration Control: an rd/Tight (circle one) BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) " Wall ............... -1 I 2X4 ld' 16p"6 -e, .. Wall .............. Roof ............. 'V--3 -c%4? Roof ............. Floor ............. -IYp Floor........... Slab Edge..... GLAZING Glazing Area Orientation (SO Glass Type (single, double) Shading Devices Interior Exterior Overhang (roller blind, etc.) (shadescreen, etc.) (ye4no) Framing Type (metaltwood) Front.... (W) 75 1:;;3�. c Inan }t -- Front.... ( ) . . Left...... (N) Left...... ( ) Rear..... O:) u n u Rear..... ( ) Right.... (GJ) l� i ►1 Right.... ( ) Skylight....... _!le Skylight....... THERMAL MASS • Type/Covering Area Thickness (slab/exposed. We, etc.) (SO (inches) _ Location/Description (kitchen, bath, etc.) M = 17, aint System Summary: Climate Zone 11 P -2R Froleet Title Date BUILDING DATA Conditioned Floor Area SCo' Number of Stories Stab/Raised Floorjv� ' Check all applicable Unit Type condition(s): (� Single Family Detached (SFD) () Addition Alone [ ] Single Family Attached (SFA) [) Existing Building [ ] Multi-Family(MF) [ ] Existing -Plus -Addition SCORE CARD % Glass SC Eff. % Glass a. North -3.1 x 1.0's 1 Measures 2.2 x /"V5 Point Scores 1. Ceiling Insulation A?-��5� or _ 5,1 x C. Skylight /. 1 RR -value 13 11 U -value [0.030) _ .� 2. WallInsuiation Interior Mass1CFA or r7— 11. Heating System Exterior Wa11 Masa .7Z x ��Z _ Sum 7-10 Sq +3 R-value[11) SE or HSPF [0.7?/6.6J U7value10.098, Effective SE or 12. Cooling System 3. Raised Floor Insulation — or Duct Efficiency, [0.74) Effective SEER (7.03) 13. Water Heating � R -value [ 19J U -value 10.037J Credit (none) 4. Slab Edge Insulation 'rZ-0 or -8 R -value 101 F2 factor (0.77) S. Infiltration Standard. 0 6. Glass Heat boss -Qty_'7 Type [double) U -value (0..651 % Total Glass [ 161 Sum to 7. Shading (Shade Open) %Glass SC Eff.%Glass a. North 3. 1 x 77 �0— b. East _ c. South _ 5.9 x . 77 d. West S. / x -77 e. Skylight /, / x . 7'7 = . f3 3 _•�- Z 8. Shading (Shade Closed)L�-t ��[ Fort Revised March 1998 w % Glass SC Eff. % Glass a. North -3.1 x 1.0's 1 b. East 2.2 x /"V5 C. South 15.9 x d. West . _ 5,1 x C. Skylight /. 1 x 9. Interior Thermal Mass _ i 9 10. Exterior Wall Mass Interior Mass1CFA r7— 11. Heating System Exterior Wa11 Masa .7Z x ��Z _ Sum 7-10 Sq +3 Zonal Control? ( Y / N) SE or HSPF [0.7?/6.6J DuaE(ficiency [0.78) Effective SE or 12. Cooling System 9.5 x _ HSPF [0.56/5.13) 7-7 Zonal Control? (Y / N) SEER (951 Duct Efficiency, [0.74) Effective SEER (7.03) 13. Water Heating � Type--' SG) Credit (none) T::;UC+ Tz-= Point Total. n Fort Revised March 1998 w 17'111111Jtulul4ylVlt43LtCa%A1Ct:2►11&t9 ACa14CAmal •.aa •.. NOTE: Lawrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk 0 may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist Is incorporated into the Permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere In the documents or on this checklist only. DESCRIPTION DESIGNER I ENFORCEMENT Building Envelope Measures • 12-5352(x): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. • 12-5352(c): Minimum wall'insulation in framed walls R -Ill weighted average (does not apply to exterior mass walls). §2=5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. 62-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and uncon, .,ioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. 62-5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. 12-5352(4): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control . 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures - 12-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. 62-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 62-5316(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(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Excepdon I): Pipe insulation on steam and steam condensate return & recirculating piping. 62=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, l 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 62-53520: Lighting .25 lumens/watt or greater for general lighting in kitchens and bathrooms. 12-5314(c): Gas fired appliances equipped with intermittent ignition devices.. ° 12-5314(x): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Foos Revised Dec mber 1987 ��r.. Certificate ofCompliances iii Re'ddential MIR k2 Minimum Duct Yi-YYC 'Effidency:'Location Duct -Output Manufacturer /Model #. =owl (SE SMASPR hirek- &L- % D-Valtia ino..s.% 4 1716 It 152910 Anne .................. _Aj .......... Maximum Furnace Heating Output: Btuh .HOT WATER SYSTEMS System T Tank Manufacturedmodel # Type (swrese gas. etc.) Capacity (or approved equal)— Special Features) -5. SPECIAL FEATURESIREMARKS (Add extra sheets if neoessaq) COMPLIANCE STATEMENT This certificate of compliance lists the building features wd performance speafications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter4, Article I of the Calffomj& Administrative code. ,is certificatt has been signed by ft individuil with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subse quept purchaser of the building. When this certificate of compliance is submitted for atingle building plan to be built in multiple orient&dotM all building conservation featrues which vary are indicated in the Special FesturtMemaft section. Designer NW -C L) kprzp.A,- Addmss: 1191-aff Tek*= LkC (S* 210 Building Owner No= rakftm. Addma: ftuwm) (dam) Doculnentation Author Enforcernent, Agency Nit= Arae7k, CO- 44F Ad&=. ew: ('14V Tekphonc&_ & Z- (SUAa:UM3 (due) (daw) RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 02 �G py OWNER A.P. # GENERAL f oning requirements: (sideyards and number of permitted living units). aluation. lans signed by designer. nergy Design and Compliance. xisting violations on property. tems on data sheet. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. �i. Special conditions on -creation map or compliance document. FAU & FAS road setback. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 1205). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 21.0-8). Light fixtures, switches, receptacles, and exterior receptacles 5/89 for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1- - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and Smoke detectors (Sec. 1210). clearance. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. levations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction.details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR • fStairway details: landings, rise and run, head clearance, handrails (Sec. 3306). • Guardrail details (Sec. 1711 & 3306(j)). Br -ick or stone veneer (Chapter 30). 5/80. RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) ' Exterior plaster - weep screeds (Sec. 4706). !Proper roof pitch for roof covering (Chapter 32). �oof covering type - (fire hazard). Rafter ties or bearing ridge beam. Garage 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. 'Y'Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). �.' Attic access and ventilation (Sec. 3205). a -.--Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances. S—Noise requirements on duplexes. Adobe soils - special foundation design. 7. Retaining walls requiring design. 4Unusual shape, size, or split level house requiring lateral design. lashing at all exterior openings. 1. Ceiling Insulation 2. Wall Insulation Insulation in.Floor 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 2 1 R-19 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 Insulation in.Floor ..West Number of stories Single- Single - One 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 -144 -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 Controlled Ventilation Crawlspace Insulation in.Floor ..West Number of stories "Total Number of stories One 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 -24 -Number of Stories 4 ---0.60 - -144 -70 46 0.50 -120 -58 -38 0.40 '- -95 -46 2 0.30 -69 -34 -22- 0.20 -13 -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 South ..West Number of stories "Total 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 -53 -39 -24 -Number of Stories 4 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -13 -4 4 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 South ..West Skylight "Total 4 1 na 2 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 -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) -Effectlre Percent Glass \ (percent &iris 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 2 0 1 - -1 3 0 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 12. -8 -29 -40 2 4 2 3 2 3 1 3 1 2 1 3 0 1 0 3 -1 -1 -1 2- --2 -2 -4 -2 0 �. Shading (Shade Closed) Single- .. Slab Floor Raised Floor Effective Pes eett Glass Family Stories Mutt (percent glass x SC) Stories Effectin /CFA One Two Three One %Glass Nath East South West SlAht 18 -14 -48 -69 -64 na 3 -12 -42 -59 -55 na .16 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 7 8 10 11 11 9. Interior Thermal Mass Interior Single- .. Slab Floor Raised Floor Mass Family Stories Mutt Mass Stories Attached /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 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 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 it 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- .. Single - Sum of 1.6 Wall Family Family Mutt Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 ..}, ..I 1.80 '10 - 12 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts in attic) Zonal Control Adjustment System Type Resistance 10 9• 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling l Systlm -4 Sum of 1.6 -3 _ -2 SEER -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 1; 10.5 11.0 Effective SE or HSPF 4 6 3 4 .,(SE or HSPF x duct efficiency) Effective -25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4- 3 3 2 0.70 6.42 17 15 13 11 9 7 - 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9• 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling l Systlm -4 -4 -3 -2 -2 SEER 3 3 r; 2 2 (assume) duets In attic) TYPE 2 MASS AREA _ g St m of 7-10 R -value [38j U -value [0.030] OND. L OR Single -Family -25 or -24 to Q14 In -416 +6 to 16 or SEER less .15 I -6 +5 +15 more 12MY. 1700 Y 2700 Heater Ckedit 8.0 -14 -12 -10 -8 6 4 8.5 -9 -7 -6 .5 -4 -3 , ' • 8.9 -5 -4 -4 -3 -2 -2 1 9.0 4 -3 -3 -2 0 -2 0 -1 0 9.5 10.0 0 4 0 0 3 3 2 2 1; 10.5 11.0 7 10 6 5 9 7 4 6 3 4 2 3 1 12.0 X13.0 l5 20 13 11 17 9 7 9 5 6 8_ 5 114^12 3 3 SE None -37 Effeetive SEER -18 -15 -12 (SEER xduct eMclency) Solar -1 -1 hm of 7-10 0 0 0.6 Effective -25 or -24 to •1410 4 to +6 to 16 or SEER less .15 t S +5 +15 more 5.0 .30 -25 -21 -17 -13 -9 6.0 .12 -11 -9 -7 -0 4 6.6 -5 1 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 t Zonal Control Adjustment 10 8 7 6 4 3 1 No Cooling System Installed Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 r; 2 2 2 1 TYPE 2 MASS AREA _ g 1 f. R -value [38j U -value [0.030] OND. L OR Single -Family lletached and Attached 7 ii x G. Unit Size (sQ R -value [ I I J Water Effective SE or i 199 12MY. 1700 2200 2700 Heater Ckedit or b to to or - Type. Type less, i1699 2199 2699 more 1 SG None 0 1) 0 0.. 0 0 or Solar 12 't 8 6 5 4 HP -HWR 8 5 4 3 3 0.2 WSB 5 3 3 2 2 1.7 POU 8_ 5 4 3 3 SE None -37 -24 -18 -15 -12 4.6. Solar -1 -1 -1 0 0 0.6 HWR -18 -12 -9 -7 -6 21 WSB -25 -16 -12 -10' -8 3.5 POU _.I8 _-12 -9 _-7- -6 IG None 15 -3 -2 -2 -2 1 Solar 7 5 4 3 2 24 POU 3 ^2 1 1 1 IE None -28 -19 4 -11 -9 5.4 Solar 8 5 4 3 3 1.4 POU -10 -6 -5 -4 -3 , 2.8 Multi-Famlry (Individual units) 3.5 3.7 3.9 4.1 Unit Size (sQ 4.5 Water 4.9 699 700 1200 1700 2200 Heater Credit of 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 25 WSB 9 4 3 2 2 4 POU 9 5 3 2 2 SE None -45 23 -15 -11 -9 1.4 Solar 2 1 1 0 0 28 HWR -23 -12 -8 •6 -5 4.3 WSB -25 -13 -8 -6 .5 5.8 PQU_ _23 -12 -8 -6• .5 IG None -8 - -4 -3 .2 -2 ' - Solar 6 3 2 1 1 4.6 POU 1_ 5.2 . •_ 0 0 0 IE None . -30 _�0 -15 .-10 -8 . -6 1.7 Solar 18 9 6 4 4 - - POU -8 -4 -3 -2 -2 Interior Mass/CFA . T,VC2 1us5 SCORE CARD TYPE 1 MASS AREA =e COND FLOOR AREA • - , • , �rJt jq r -r. •• 1. Y InteriorMiss/CFA , 1. Ceiling Insulation _ or TYPE 2 MASS AREA _ g 1 f. R -value [38j U -value [0.030] OND. L OR 2. Wall Insulation _ ( or 7 ii x 11.7•U 1"C• 21 Ic•ayet.d •1_bl R -value [ I I J U -value [0.098] Effective SE or 3. Raised Floor Insulation or HSPF [0.5615. 151 Zonal Control? ( Y2/ N) 't TYPE 1 kASS (UIMC & 4.4. 2• le: exposed slab) 4. Slab Edge Insulation ' Type [SGI , Credit [none] ry R -value [01 0% 5% 10% 15% 209. 25% 30% 35% 40% 45% 50% 55% 60% 6Si6 70% 75% 80% 859. 90% 95% 100% 105% 110Y. 11S% 120% 125` 09. 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 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 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 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 5.8 401/. 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 3.6 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 1.5 1.7 1.9 21 23 25 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 S5% 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 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 5.4 5.6 5.9 6.1 6.3 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 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.6 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 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 6.5 801/. 1.4 1.6 1.82 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 5.2 54 5.6 5.9 6.1 6.3 6S 67 WY." 1.5 1.7 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 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 3.13.3 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 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 55 5.7 5.9 6.1 6.3 6.5 6.1 7 105%- 1.82 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 5.8 6 6.2 6.4 6.6 6.8 7 11011. 1.9 21 2.3 2.5 2.7 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 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.8 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 TYPE 1 MASS AREA =e COND FLOOR AREA • - , • , �rJt jq r -r. •• 1. Y InteriorMiss/CFA Measures 1. Ceiling Insulation _ or TYPE 2 MASS AREA _ g 1 f. R -value [38j U -value [0.030] OND. L OR 2. Wall Insulation _ ( or 7 ii x ' • `'. Zonal Control? 9 (Y N •/ ) R -value [ I I J U -value [0.098] Effective SE or 3. Raised Floor Insulation or HSPF [0.5615. 151 Zonal Control? ( Y2/ N) _ Duct Efficiency 1,0.7 41 R -value [191 U -value [0.037] 4. Slab Edge Insulation or Type [SGI , Credit [none] ry R -value [01 F2 factor [0.77] 5. Infiltration Standard 6. Glass Heat Loss �- Type (double) U -value [0.65] % T nal Glass [ 16] 7. Shading (Shade Open) a. North %Glass �- x SC,, - �_ Eff %Glass b. East x = c. South x d. West 5- R x = �o e. Skylight • / x 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North 3. 1 x b. East 1 • a x _ • �S c. South (r • 5 x d. West S • a x = e. Skylight /• x r ii.• 9. Interior Thermal Mass •., • • TYPE 1 MASS AREA =e COND FLOOR AREA • - , • , �rJt jq r -r. •• 1. Y InteriorMiss/CFA . 10. Ekterior�Wall Mass; TYPE 2 MASS AREA _ g 1 f. _ Exterior Wall Mass OND. L OR AREA 1L,Heatin System 7 ii x ' • `'. Zonal Control? 9 (Y N •/ ) { ,'SE or HSPF Duct Efficiency [0.78] Effective SE or t 12. Cooling System "4". [0.7216.61Y, Q. q : x HSPF [0.5615. 151 Zonal Control? ( Y2/ N) SEF[9.5]- Duct Efficiency 1,0.7 41 Effective SE [.7.031 13. Water Heating Type [SGI , Credit [none] ry Point Scores D 501 0 5 O O T Point Total: Su� Sum 77-10 L . ) •�- ! ceruxicaie of Compliance: Residendai Climate Zone 11 ProjectTitle- `isl / A7,1 -9, 0 Building Permit # Project Address , 7-17 //0 &A'a A� Checked By / ate Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA Glass Area North_ % Glass ) Cditioned Floor Area _� Number of Stories �, East a East ( lab sed Floor Number of .Units �� South_ ) : ingle Family Detached (SFD) [ ] Addition.Alone West 7 S West ( )75 [ ] Single Family Attached (SFA) [ ] Existing Building Skylight Cr_ /• / Skylight....... [ ] Multi -Family (MF) ; . [ ] Existing -Plus -Addition Total d & i Type/Covering BUILDING SHELL INSULATION-'. Component Insulation LocatfonlComments Type R -Value (Attie• to garage, mica L etc.) Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor. .. Slab Edge..... GLAZING Shading Devices Glazing Orientation Area Glass Type Interior Exterior Overhang Framing Type (Sf) (single, double) (holler blind. etc.) (shadescreen, etc.) (yeshto) (metalhvood) North ( ) North ( ) East ( ) 3 a East ( South ) South West ( )75 West Skylight....... !� - THERMAL MASS Type/Covering Area Thickness HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain thea tsieaysres regardless of the eomoiance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements fisted 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 Ute mandatory measures whether they are shown elsewhere in the documents or on this chocklist only. DESCRIPTION DESIGNER ENFORCEMENT . Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(by Loose rill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed waits R-11 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 perrrru)ch. §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: tnfiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit stir leakage b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed §2.5352(e): Special infdnation barrier installed to comply with 12-5351 moetsCEC quality standards. §2-5352(d): Installation of Futplaccs 1. Masonry and factory -built Rrcplaces have a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sing: attach calculations. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316 ft Exhaust systems have damper controls. §2.5314(c): Gas -feed spare heating equipment has intermittent ignition devices - §2 -5314: HVAC equipment, water heaters, showcrheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/extc for insulation (R-16 or greater). fust 5 fes of pipes closest to tank insulated (R-3 or greater). §2.5312(Exccpaon 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: e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlcL Lighting and Appliance Measures §2.5352(1): Lighting - 25 Iumenstwatt or grater 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 fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building featm s and performance specifications needed to comply with Title 24, Chapter 2-53 and Mile 20, ( aOn r2. Subdmpter4. 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 purdiaser of the building. conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Designer - 7-R �9ff i C 5� 7rit —�Z---7 t Address. Telephone: Maximum Furnace Heating Output: Btuh la w` t,ic. HOT WATER SYSTEMS T•� Manufacturer/Model # System T (storage gas, etc.) Capacity or approved equal) �``� cial Fe 1igna (date) Documentation Author SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) N`r"` ...... _,_,...�._.,...: _............... .,._..,.. - - - - - ..a - - .._ _ -- Address. Building Owner Name TitWFum: Address: Tekphone: (signature) (date) Enforcement Agency Name: Agency: :Telephone: