HomeMy WebLinkAbout069-140-024JAMES ENKLE - 69-14-24
110 Kris a Place, lot 230, Oroville
ontr : Bett• - B°ldrs ••Const
Permit�k3046-86 E,M(new single• family).
Contr:._ 69-14-24
e'r' Bui lc ers
Perml 681-87B(conv stg to livi`ng)++S�F
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p
ori-
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PERMIT NO. 3046-86B, P,E,M
PERMIT EXPIRES A X) 1
7 OWNER JAMES HENKL
CONTR. Better Builders Const
69-14-24
S� ASSESSOR PARCEL
110 Kristee Place lot 230, Oroville
LOCATION
2
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f
1
I
•I
OFFICE COPY I
Address I
GAS ate
Me p /J�{,
ELECTRIC' ate ky
Meter BY
Temp. Pow-
x
Called PG&E
4 Temp. Elec. Service
Called PG&E
v
Temp. Gas Service
Called PG&E
JOB F
Si
"J=OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except p's
1. Zoning Requirements=Setbacks-Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s,
1. Zoning Requirements -Setbacks -Easements _
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec. -
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date,
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4• Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B' -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
Not qK
Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
� =
Date
^'P
UND FLOOR Plans OK exce t#'s
Date FRA LNG Continued
-Vfi. Zoting requirements -Setbacks -Easements
.
Property Line Firewall & Openings
j tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
:1b
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
_
g., G rage; Soils -Steel- / /" Ftg. Depth
4. Ft ,Porches &Decks; S prs-Steel- / /" Ftg. Depth
50.
,P f'rs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
tem Is, Main; S -Blo uts-Wrapped-Slab
5 .
Siding -Nailing -Veneer
Garage; StpheBlockouts-Wrapped-Slab
h -Drip Screed-Fdn. Vents-Underflr. Access
_emwalls,
X7. Piers -Fireplace Ftg.-Steel
.
—
glazing Area -Glass Protection -Skylights -Plastic
Fall-FittUiga---Test-2 way C/O -Sewer Test
J5,.eShear
Walls; Nailing -Bolts
-
x-9. Gas Pipe; Size -Anchors
-K10. Water Pipe: Test -Anchors -Regulator -Service Test
r11. Electric: Underground
X12, Plenums & Ducts; Clearance -Material -Support -Ins.
�Ql3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
_
Card -BI Lj
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINA lans) OK except #'s
Card -BI Date
/.
Date
PLUMBING (Permit) OK except #'s
teps-Door & Sidelight Protection -Landings
5
Smo Detector
Card -BI
Card-BI
er Ht -Vent-Access-Combustion Air
1�W ter Pipe; Test &Anchors -Nail Protection
L8� D.W.V.: Test-Fttngs & Anchors -Nail Protection
17.eFRa=Test, First Floor -Tub Access
18. T-esa-Ynb-1 hower, 2nd Floor -Tub Access
19--6asEipe-Size & Anchors
y� Date f� ��/ Card -BI Date
y Date Card -BI Date
58.
rnace; Vents -Clearance -Comb. Air-Connector-
I arage; Above Floor-Ducts-Mech. Protection
5
Bed m Exiti
60
F.I. & Ra6 Fixtures & Tub Access
61.
ec. Subpanel; Breaker Sizes -Labels
irs & Rails
it ace or Stove; Clearances -Hearth
IS tlets at Wood Panel; Int. & Ext.
65 .
it. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Pr
67
Garage Fire Door; Swing -Landing -Closer
uc in Ga -Damper
Gard B -I
Card B-1
Date
$ilTixture &Transformer Clearance -Ins. Protection
. Receptacles Spacing -Lights & Switches at Doors
�� - -
i2� 512P Boxes & No. of Conductors -Stapled
�+� mex Installed Close to Edge of Studs & C.J.
uip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2V3,A pliance Circuits in Kitchen & Conductor Size
$.6/bleed Wire Size / / ga. Cu_or AI-A.C. Wire Size / / ga. Cu or At
7. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
2�I sulated Neutral .Yes �No
ervice-Riser Conductors & Ground -Main Disconnect _
26,,E -quip. Clearances: Pane Is-Motors-Mech. Equip.
- 30nleNlee-C-ivsEPLigM-Shower Light
- _-- _-_
_.._... _.-_
Date Card -Bi Date - -
Date Card -BI Date
��
MECHANICAL (Permit) OK except #'s
9. "W . Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
n G ge; Above Floor-Mech. Protection
70 ec. &Mech. Equip. Listed for Location
71, c. eceptacles in Garage; (G.F.I.)-Romex Protec.
72. ation- Foam- Looked in Attic E] Yes
73. &ruarqki6ils &Deck Construction -Post Caps
74. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
ooked under Floor C3 Yes
75. Following instld.: Driv es ❑ No: Walks Yes ❑ No;
Planters ❑Yes ❑No
row n -Finish
77 C. -hit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78 nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79. er Well; Disconnect, Electrical, Plumbing
80.,�xsarior Elec. Trim: G.F.I. Receptacle -Underground
81.jXealilation throughout House
82, s Protection
_
83 orrections from Previous Inspections
_
84.s . est -Meters Tagged; Gas -Electric
85.[r & Sewer Connected -C/0 to Grade -HD Approval
Card -BI
Card -BI
31. A.C. Ducts. Insulation & Support _ _ _ _
32. Vent Fan: Exhaust above Insulation _
33. Condensate Drain & Overflow; Size _& Grade _
34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Date Card -BI Date -
Date Card -BI Date
86
nergy Compliance Certificate -Other Certificates
-
- -
-- -- -
--'—
Card -BI K
Card -BI
V,,ETate Card -BI Date _
to t and -BI Date
Card -BI
to Card -BI Date
Date
FRAMING(Plans) OK except #'s
Com Tents at Final:
IRs; Proper Material &Anchors
W
3 alls: Studs -Nailing, Spacing & Bracing -Plates -Sound
39�C�Bearing Walls over Girders & Floor Nailing
39/ Draft Stop In Walls (rat proof)
Fire Stops: Furred Ceilings-Stairs=Chases-Tub
der & Beam -Size & Bearing--_-
gers-Post Caps -Anchors -Connectors_
g. Joist-Rftr. Ties-Purlin-Roof Brac. Trd s Shthnq.-Rfnq.
e4.replace
/ Ties or Type A Flue -Fireplace Thr
Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles-
Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions
Garage Fire Protection Framing
-
_ -
(NOTE Anentry must be made each time you visit jobsite)
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A_11 No. ,
LOCA :�Il,
1)i:SCita l"l'it)N U(' 1'NSL)t h`}1611 .
Material _--.__....—_.__..._.___... Jil �i►ll li a;n• _.
rihicicnes»(ittciies.) '1;•1wvwal T'.y::.t .tz111Cci (It Value)
ErfEIRIOR WALL
tlaLerial liv:!Ito' ,'..t►'t --
Thi.ckilttss:)(�tiac l e�) __ 1.1 t•►';yt:ll I et�J ,L":►ucc (fh VIr'tirc)_.___.r..___—
CEILING
Batt or lilut.k ot:y ,►
• Tlly.ckncsa(iYRclrrra3�_�.4• '1'hel'►3t:t_L Itt' i:ttance(1t Value)
Loose Fill 'type-
j Miexiunun ".}l9tfc,1?sl14a(l.nchns)_ CJurnl,i:r t,i f3:il;s' tJC, per bag lb.
F1 Arca GiRV,(i-ZlOd'; �.,..M._______._ __ '.111ortli:21 ResisC�ti1C�(tt Va'lue)^___,,,,,_w_ b'='
FLOOR, Ll.1-IMM-111
Material _.._ _� _. 1)1 :,►,,l I.:.u3il �_. _.__ __
'l�tliClfL1(!`•3.��jll4tR�*R3) I:iu`i'111:!{. Ill.'.`il:1:111(i!(lt Value)���
Tilly '. PLUI)tl, S'1,h1; ;A, -*---------- __..._ . -- •
' mat:e'ri. l
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-,CChY Ca' # tt X A. l'.Ile aUuv(: building
inC011l'C)L11�itR1;t liliyJlR �Jlli 1)::d1'i3 u1 l:i.lil•1"At.,�.t 1':fi;','hy 1tlly�li'�7'C'111:'.11(:J.
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1 '
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INS PL AYt'1(U•V4-L l+1NU A l:Ul'Y SilAI.l.. ill': 1"ll!i'1'!:11 lJ'1't'II:LN `1'111: Ill ILDING .
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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 w rk is completed. If you have any question pertaining to this
matter, or need itional explanation, ple7ase contact this office immediately.
le
Inspector_., ,(� � Date_ _ _
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PFRMIT MO
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
z atter, r need additional ex la atiopl'jc ntact this office immediately.
Inspector_ Date Lq
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
RRECTION NOTICE
C77u &-
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT 0.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
r - � - a �
ZO G
�
BUILDING PERMIT
OWNER J�� Q n �7S
W� ' G IFS '
�� %
SQ. FT. OCC. BUILDING VALUATION
%7_673 �
1�0
OWNE 'S MAI LI G ADDRESS
�3 �/2 x'`363 n1
' 4/
CONTRAC O 'S NAME TELEP ONE
�off
PFJ
CONTRACTOR'S MAILING ADDRESS
1nC ,� �j� �$
Fireplace
g'd
CONSTRUCTION LENDER UNKNOWN
�d117e-1
Total Valuatio $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Q�
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
D /o'/s`r,F PL
Permit fee
$ vv
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 PO
Solar or heat pump water heater
20.00 gQ.dD
LOT NO.
SUBDIVISION NAMEPARCEL
��CLLEy /T /!4 IL
MAP
Water piping
5.00 (5. ,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF)o Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 Ca
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
Ne'A Addition E]Remodel [-] Utilities [_1Installation❑ Other El
Describ�-e work: A%_S 9? �y� 2 SH`� �
I4%�-Ts11 Zea& V Ag -Al' elm
Permit Fee
$ �p
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
--'
Main service BDov OR LESS
100 AMP OR LESS
10 00. „Dd
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare and r 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 for and effect.
2
License No. c' Classification
I, as the owner, or my employees With wages as their sole compen-
El 1,
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. (DWELu v UP. al yz¢sgft
OR ADONS. ACC.
NEW CONSTR. MULTI -OUTLET 2-50 ea
NON-RESID BRANCH CIRC ITS
/POWER APPARATUS tri
(SINGLE OUTLET CIR. I
z0®aoa
EX. Occup OUTLETS OR FIXTURES ALO 30C
APPLNS, OR
Ex. OCCUp. OUTLETS (RESID.) EA, 2.00
Temporary service 10.00 10.40
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 7
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The pemit is for $100.00 (valuation) or less.
ave 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
FiIingFee 10.00
Heating
/
Od
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 C my in cons e u f the granting of this permit.
Xs Date / 0-36
Signature of Applicant — Owner ElOwner E]Agent
An OSHA permit is required for excavations over 'f)" deepnd demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $ �-
'/
TOTAL PERMIT FEE $ 7�
OCCUP.
?
J
CONST.TrPE
PLo
PARte
PD ND
Issu
This permit is hereby issued under
sions the Butte County Code and/or
wor in icated a ve for which
R YCFR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees, have been paid.
WORKS
Date `-d Oe -70046
""
I1
Receipt No. a.. ` 6 4- l
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPECTO . GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.//
OWNER 7an
✓Cs 'N+G/U kI e� A. P. No. 1!l'
Proposed Building Use A25ED Building Inspector Date 1,9
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance:
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. Plans with Energy Design Compliance Statement.
.6. CU'SD "Fees Paid" Stamp on Floor Plan.
7. Statement of Intent for Non -Heated and AC Buildings.
.8. Fees of $
9. Letter of signature authorization.
<10. Sanitation approval from!V4� �u/L%a �i 11Health Dept.
11. Planning approval for (A) Use: (B) Parking:
•12. Certificate of Workmen's Compensation Insurance.
1.3. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner , Mail to owner ❑.
d,S
•15. Improvements may be required. Contact Land Dev. Sec. of:D.P.W.
.16. Mobi lehome Installation Data including manufacturer's installation instructions.
17. Pre -inspection for required. �S
Recorded copy of Agricultural Acknowledgment Statement. / —
'�!0\19. Driveway Permit (Construction approval required prior to occupancy). 10 —C�?Z
20. Plot plan approval from city of (See city for other reqts).
21.
22.
When you issue the permit, process as follows: Mail to owner. ✓ Mail to contractor. `P
Telephone and hold for pickup at office.
Other
Deliver w/inspector.
Applicant �L� Date..,./c--_)—_/`0 -66
GENERAL INFORMATION
BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES
Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way
Phone: 891-2751 Phone: 891-2727
Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:00 a.m.
Orovi Ile . . . 7 County Center Drive
Phone: 534-4541
Hours: 8:00 a.m. - 5:00 p.m.
Paradise. . . 747 Elliott Road
Phone: 872-6307
Hours: 8:00 a.m. - 9:00 a.m.
Orovi I le . . . 7 County Center Drive
Phone: 534-4281
Hours: 8:00 a.m. - 10:00 a.m.
Paradise. . . 747 Elliott Road
Phone: 872-6308
Hours: 8:00 a.m. - 9:00 a.m.
PLANNING DEPARTMENT — 7 County Center D v , Orovi le — Phone: 534-4601
p — Hours: 10:00 a.m. - 3:00 p.m.
Original — Applicant
T0: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
owner location AP #
Driveway permit l 4 / _ has been.issued for the above property.
l
Aill
signat e
4:
A
ld -
date
i Telephone
533.2000
North Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965 60-86
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance of a building or occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy, Permit, a `
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: JAMES L. & DORIS J. HENKLE Letter Builders Constr.)
Applicant Address: 23799 Monterey -Salinas Hwy. #29, Salinas, CA 93908
Applicant Phone No.: (408)484-9430 589-2547
Property Location (s). 110 Kristee Place
Kelly Ridge Estates - Unit 1 - Lot230
A. P. No. (s): 69-14-24
Fees Paid: All fees paid.
Application for service approved:
..October 14, 1986 North Burbank
Public Utility District
Inspection(s) made and successful test(s) observed:
Location: Date:
By:
North Burbank Public Utility District release to close permit:
Date: By:
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED IN OFFICIAL RECORDS
FOR RESIDENTIAU'DEVELOPMENT OF BUTTE CC11!I4TI',CALif:O:1NIA
t:TTlic F _.!1U,7S.•10F
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.�6p3 ' '
71
1906 OCT 14 PM 12: 03
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this ELEANOR P�J. BECKER
property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE
the use of agricultural chemicals, including, but not limited to herbicides, pesticides
and fertilizers; and from the pursuit of agricultural operations including, but not limitedL,
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust'-*
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
LOT 230, UNIT 1, KELLEY RIDGE ESTATES SUBDIVISION.
Date: w - Cl .- (TI
PROPERTY OWNERS:
10,
State of California ) On this the 9th day of Octobbr , 19 86 , before
) SS. me, the undersigned Notary Public, personally appeared
County of Monterey )
James L. Henkle
Doris Henkle
Personally known to me./ Proved to me on the basis
of satisfactory evidence.
CFFICIAL SEAL
o be the person(s) whose names) subscribed to
G. L. DALES
. �•.the within instrument and acknowledged that they
�.",'. �'•` NOTARY PUBLIC . CALIFORNIA
PiONC!PAL CFFI(,E IPJ xecuted the same for the purposes therein contained.
r•.I:,:•MY,L•r 000NTY I, N WITNESS WHEREOF, I hereunto set my hand and official seal.
My Gommis.ion'.:'x; i es October 17, 1986_��
'.'� ��a�^'• f::��:G�.c�.W mow' .� � � � � -
• /_1(/� (� lr i`
v Notary Public
Present A. P. No. 69-14-24
ac ��
_. _ ✓ �/ _ A e y _.
TOTAL POINTS
-able 3-1.
ZONE 11
Floor
Points
OWNER //Vk( 7
POINTS
PERMIT
NO .��• 26
ASSIGNED
ACTUAL
1.
SLAB - INSULATION
I tiun I
I
I
2.
RAISED FLOOR - R-19
�.3•
L
3.
CEILING - R-30 •
IV.O
i 4.
WALL - R-19
/Y.00
-�
5.
NORTH GLAZING - 2.4L3.6%
/•8
f ?!
' 6.
EAST GLAZING - 2.5-3.6:
8 • s
-' / D
7.
SOUTH GLAZING - 1.6-3.6%
D• 3
¢ 2
8.
WEST GLAZING - 2.9-3.6%
�• �
�
9.
SKYLIGHT - 0-1.3%
.13-.36
I 3-4
10.
SHADING (Exclude Overhang)
-5 I
-5 I
-5 I
EAST - .66
I 5- 7
O
12 15
I
SOUTH - .19-.42
& &
O
l
WEST - .13-.36�
.13-.36
Q
-s i
I
.SKYLIGHT - .37-.57
-1
is
0
11.
HORIZONTAL SOUTH OVERHANG 2•
I; 20 + I
-3 1
12.
MOVABLE INSULATION - NONE
+1 I
I a9+
13.
INFILTRATION (Standard=0)(Tight=+12)
i
1 0 - 0.5 1 -2 1-
14.
THERMAL MASS SF
1 1.10) 1
0.65).1
15.
'GAS FURNACE (SE) 71-76%
1.10
1 0.65 1
16.
HEAT PU11P (EER) 7.5-7.9%
% S
I
17.
DUAL PACK (SE, SEER) 8.0-8.3/71-76%
WOOD STOVE
11.1 - 1.9 1 -1 1 -2 1
Za
I D
AT P&Hift WATER Y�ATER
+
p
I up to 1.3 1
ATTIC /00• - %
I 0 I
0 I
I 2.0 up I 0 I 0 !
OTHER W4AGfl e q FOIW9,.
2
I +3 1
TOTAL POINTS
-able 3-1.
Slab
Floor
Points
tation
Table 3-2. Raised
Floor Point
I lncgls- I
R -Value of
Insulation I
! R -Value of
I
I tiun I
I
I .20-.36
I 0 ( 0 1 it
I
I Insulation
1 Points
I Depth,
.83 up
i 0 i -1 i -2
( South
( 0 1 3.2 16.4 1 8:0 1 9.6
I
I
( inches I
0-2 13-4
1
5-6 I'
7+ !
1 0 1 0 1 0 1 O I 0
1 .43-.66
I I
I
I
I
I
I below 3
I -12
I
1.5 j 3.1 i 6.3 i 7.9
0-.12
1 0 1 +1 I +3 1 +6 1 +7
.13-.36
I 3-4
I -8
1 0- 11 1
-5 I
-5 I
-5 I
-5 I
I 5- 7
1 -6
12 15
I
I to I to I to ( to I to
I %of T Sngl,
l
l
1 0 1 +1 1 +3 I +6 I +7
.13-.36
1(116 - 19
-s i
I
-2
-1
is
0
I 13 -
I T2
I; 20 + I
-3 1
-1 I
R I
+1 I
I a9+
I 0
7/7/83
Table 3-3a. Ceiling Insulation
Points
R -Value of Insulation I Points
19 I -4
22 I -2
30 I 0
38 I +2
49 I +4
11 Insulation
R -Value of Insulation I Pointe I
11 1 -7
19 I 0
24 ! +2
30 I +3
3-5. North-FaclnR Claz
I Glazing Type
Total I
2 of Sngl,
Floor ( U -
Area 1 0.66
0.1- 1.2
1.3- 2.3
2.4- 3.6
3.7- 4.8
4.9- 6.1
6.2- 7.3
7.4- 8.2
8.3- 9.7
9.8-10.8 1
10.9-12.0
12.1-13.2
13.3-14.5
14.6-15.3 I
+4 1
+4 !
+1 I
-2 I
-4 I
-9 I
-12 i
-14 I
-17 I
-19 i
-22 I
-24 I
-27 I
- ' v
I U
U
0.42- 10.4
0.65 I dov
T
++4 4
+2 I +2
0 ( +1
-2 I -1
-4 -3
-6 I -5
-6 I -7
-10 I -8
-12 I -10
-14 I -12
-16 I -13
-18 I -15
-20 i -17
Table 3-7. South-FactnR Glazing Pte Table 3-10. Shading Coefficient Points
I Glazing Type
1 Total I I
I Z0 I Sngl, Dbl, Trpl,
I Floor I (U- I (U - I (U - I
I Area 11.10) ! 0.65) 1,0.41)1
I I oints (oints (point -1
T-5 1 +s 1 +3 F +3
up to 1.5 I +2 I +2 1 +2 1
1 1.6- 3.6 1 -1 I 0 1 0 1
1 3.7- 5.2 1 -4 I -2 1 -2 1
1 5.3- 6.5 1 -6 I -4 1 -3 1
1 6.6- 7.7 1 -9 I -6 1 =5 1
1 7.8- 8.9 1 -11 i -8 1 -7 1
1 9.0-10.0 1 -13 ! -10 .1 -9 1
110.1-11.5 I -17 I -13 I -11 i
111.6-13.0 I -21 I =16 1 -14 I
! 13.1-14.5 I -25 I -19 I -16 I,
1 14.6-16.0 I -28 I -22 1 -?9 1
I I I I I
Table 3-8. West -Facing Glazing Prs.
(
I ' Glazing Type
I Total
I
tation
I Z of
I Sngl
Dbl
I Floor
I(U -
!
I Area
I
I
0
up to 1.3
1.4- 2.2
2.S- 2.8
2.9- 3.6
3.7- 4.2
4.3- 5.0
5.1- 5.6
5.7- 6.2
6.3- 6.9
7.0- 7.6
7.7- 8.2
8.3- 8.8
8.9- 9.5
9.6-10.1
10.2-11.0
11.1-11.8
11.9-12.7
12.8-13.5
13.6-14.3
14.4-15.2 I
1.10)
.s
+5
+3
0
-3
-5
-8
-10
-13
-15
-18
-20
-22
-25
-27
-29
-35
-38
-42
-46
-50
(u ' I (u -"I
0.65) 10.41)1
points I ointsl
+6 1 +6
+4 ! +5 1
+1 I +3 1
0 I +1 I
-4 I -2 1
-6 1 -4
-8 1 -6 I
-10 I -7 I
-12 I -9 I
-14 I -11 I
-16 I -13 I
-18 I -15 I
-20 ! -16 1
-23 I -17 I
-26 1 -21 I
-29 i -24' I
-32 I -27 1
-35 I -29 1
-33 I -32 1
I SC by
1
I Orten-
I : Floor Area
tation
I East
I I 3.2 I
I
10-3.1 i to 1 6.4 op
I
I I 6.3 I
1 0 -.19
I 0 I +1 I +2
I .20-.36
I 0 ( 0 1 it
I .37-.66
I 0 I 0 ! 0
I .67-.82
I 0 I 0 I -1
.83 up
i 0 i -1 i -2
( South
( 0 1 3.2 16.4 1 8:0 1 9.6
I
I to I to I" to I to I up
Table 3-6.
13.1 16.3 17.9 19.5 I
1 0 -.18
1 0 1 +1 1 +2 i +2 I +3
I .19-.42
1 0 1 0 1 0 1 O I 0
1 .43-.66
1 0 1 -1 I -2 I T2 -3
I .67 up
'
,)
1 0 1 -2 I -4 I -4 I -6
West
I .1 1 1.6 13.2 1 6.4 ! 3.0
I I
I to I to 1 to I to I up
I
1.5 j 3.1 i 6.3 i 7.9
0-.12
1 0 1 +1 I +3 1 +6 1 +7
.13-.36
1 0 1 0 1 0 1 0 1 6
.37-.57
I 0 1 -1 1 -3 I -6 I -7
.58-.82
( -1 I -3 1 -6 1 -12 ! -15
.83 up
I -2 I -4 I -8 I -16 1 -20
I I I I I
Skylight
1 .1 1 .8 1 1.6 1 3.2 14.0
I to I to I to ( to I to
I %of T Sngl,
1 7 1`5 I 3.1 1 3.9 1'5.2
0-.12
1 0 1 +1 1 +3 I +6 I +7
.13-.36
1 0 1 0 1 0 1 0 1 0
.37-.57
1 0 1 -1 I -3 I -6
.58-.82'.1
-1 1 -3 1 -6 1 -12 1 -.
.83 up
1 -2 1 -4 i -8 i -16 i -20
I I
I I
I
Table 3-11. Horizontal South
'
Overhang Point!
Table 3-9. Skylight
Points
South Glazing
Table 3-6.
East-Facin
GlazingPts.
I Length Out i Area. Z of Floor I
I I
Glazing Type
I
I from Wall I I
I
I Glazing
Type
I
I Total I
I
I ft T-
'-'-
I Total
I
I
I %of T Sngl,
I Dbl, I
Trpl,
I 1 0-6.3 1 6.4 up I
I 2 of
I Sngl, I Dbl, I Trpl,J
I Floor I
U-
l U- l
U- I
I i I ' I
I Floor
1 (U - I
(U - I
(U - I
I Area 1
0.66-
1 0.42- 10.41
i
1 0 - 0.5 1 -2 1-
T
I Area
1 1.10) 1
0.65).1
0.41)1
1 1
1.10
1 0.65 1
down 1
1 0.6 - 1.0 1 -2 1 -� I
I
I
I!PRi�ts ! oints
! ointal
11.1 - 1.9 1 -1 1 -2 1
I
I D
I+ 4
+
r4�
I up to 1.3 1
-1
I 0 I
0 I
I 2.0 up I 0 I 0 !
I
I up to 1.3
I +3 1
4 1
+4 1
I 1.4- 2.2 I
-3
1 -2 1
-1 I
1 1 I 1
T
1 1.4- 2.4
I +1. 1
+2 1
+2 1
I 2.3- 2.8 I
-6
1 -4 I
-3 1
Table 3-12. Movable Insulation
1
1 2.5- 3.6
1 -2 1
O 1
0 1
I 2.9- 3.6 I
-9
1 -6 I
-5 (
Points
1
1 3.7- 4.6
1 -5 1
. -2 1
-1 I
I 3.7- 4.2 1
-11
1 -8 1
-6 I
1
1 4.7- 5.6
1 -8 1
-4 1
-3 I
1 4.3- 5.0 1
-14
i -10 I
-8 (
1 Moveable Insulatlon'l I
1
1 5.7- 6.7
I -10 I
-6. 1
-5 1
1 5.1- 5.6 I
-16
I -12 I
-10 1
I Area, t of Floor ( Points I
1
1 6.8- 7.7
i -13 1
-8 1
-7 I
1 5.7- 6.2 I
-19
I -14 !
-12 I
I I I
1 7.8- 8.7
I -15 1
-10 1
-Q 1
1 6.3- 6.9 1
-21
I -16 (
-13 I
--T
1
! 8.8- 9.7
I -1.7 1
-12 1
-10 1
1 7.0- 7.6 (
-24
1 -13 1
-15 1
I 0- 5.5 I 0 1
( 9.8-11.2
I -21 I
.-15 1
-13 1
1 7.7- 8.2 I
-26
I -20 (
-17 I
1 5.6 - 11.5 I +2 I
111.3-12.7
I -25 1
-18 •1
-15 1
1 8.3- 8.8 I
-28
( -22 1
-19 I
I 11.6 - 17.5 I +4 1
112.8-14.0
1 -28
-21 I
-18 1
1 8.9- 9.5 1
-31
1 -24 1
-21 I
1 17.6 - 23.5 I +6 I
1
14.1-15.3
_)
1 -32 I
-24 I
-20 1
1 9.6-10.1 1
-33
1 -26 I:
-22 I
,
I `23.6+ 1 +8 I
Table 3-13- Lnffltzation Control
Feetvres Points
I Con:rol Features 1 Points I
I I I
I Standard i 0 I
I I 1
10.9 air changes per hr I 1
I I I
r-
Tight i +12
10.6 air changes per hr I' I
I i i
Table 3-15. Gas Furnace Without
RefrlReratlon Cool_r.e Points
1 Seasonal Efficiency I
Points I
I (SE), i 1
I
T-
-71 - 76 1
71
0 1
I 77 - 82 1
+2 I
I 83 - 88 I
+4 I
I 89 - 9: I
+6 1
I 95 up I
+8 1
11
Table 3-16.
Peat Pump
Points
Energy Efficiency
I Ports 1
I Ratio
(EER)
i 1
i I
I 7.5
- 7.9
I +3 1
I 3.0
- 8.3
1 +6 I
I 8.4 -
8.7
I +9 1
I 8.8
- 9.1
I +12 1
I 9.2 -
9.6
I +15 I
I 9.7 -
10.2
I +18 i
I 10.3 -
10.9
1 +21 I
I 10.9 -
11.5
I +24 I
1 11.6 -
12.3
1 +27
I 12.4 -
I
13.2
1 +30 i
I I
Table 3-17. Gas Furnace With
Refriverstion Coollne Points
'Refrigeracloni Gas Furnace I
i Cooling I SE % I
I171 -177-i 83- 89- 95
I 1 761 821 881 941 up I
1 0.0 - 8.3 1 01 +21 +'41 +61 +8 I
1 8.4 - 8.7 1 +21 +41 +61 +91+10 1
1 8.8 - 9.2 1 +41 +61 +81+lot+12 I
1 9.3 - 9.7 1 +61 +81+101+121+14 1
I 9.8 - 10.3 1 +31+101+121+141+16 1
1 10.4 - 10.9 I+1Gi+l2j+Is1+16i+18 I
1 11.0 - 11.5 1+111+1:1+161+'181+20 1
I I I I I I
7/7/83
LONE 11
1AElE 3-11 (ADAPTED) INTERIOR THERNAL MASS POINTS
!f ASS DWELLING AREA SQUARE FOOT
AREA 1,000 1.5002,000 2,500 I 3,000 I 3,500 1,000 I I,SGO 6,000 i
SQ. FT. i A 8 C D A 8 C 0 A B C D A 8 C D 1 A 8 C D A 6 C O A I C D I A 6 C 01 A I C�
J I JI
50 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0, 0 0 0
'.00. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0. 0 0 0 0
ISO 6 6 6 4 4 4 4 2 2 •2 2 2 2 2 2 2 2 2 2 2 2 2 2. 2 2 2 2 a 2 2 2 0 2 1 2 0
200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2-2 2 2 2 2 2 2 2 2 2 2 2 . 2 0
250 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 '
300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2" 4 4 2 2 2 2 2 2 2 2 2 7 2. 2 2 2
350 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 1 2
400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 4 4 2 2 4 4 2 1
503 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 2 4 4 4 2 4 4 4 j
600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 6 6 8 8 6 4 8 C 6 4 6 6 6 4 6 6, 4 2I 6 6 4 2 1
t
)79 ' 24 21 20 14 18 16 11 10 1/ 11 12 8 10 10 10 6 10 10 8 6 6 e 6 < 8 S. 6 1 6 A 6 11 6 6
130 26 24 22 16 20 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 8 4 I ! 6 6 4 8 6 6 II 6 6 6 s
900 18 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 O 8 '8 4 8 8 6 4 E a 6 [ i
1,010 30 :O 26 18 ?2 20 20 14 18 16 16 10 14 1/ 12 8 12 12 10 6 12 10 10 6 I10 TD 8
1.1.00 .12 32 28 20 ?t 24 22 14 20 20 itl 10 16 16 14 8 I1{ 1{ 12 6 li 12 10 6 10 10 10 6 ID 10 8 6 !J C C ;
11200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 12 8 12 12 10 6 10 10 a 6 If)In 8 6 i
1.300 34 34 32 22 28 26 24 16 22 22 20 12 18 18 16 10 lu 14 11 8 14 12 12 B 112 12 10 6 12 10 10 6� 10 110 F. o
1"00 34 34 32 24 28 28 26 18 24 24 20 It 120 20 18 12 18 16 14 10 11 14 12 8 14 14 12 8 12 12 :G E, ,0 10 13 S 1
1,500 136 34 34 21 30 30 26 18 21 21 22 14 22 20 18 12 18 18 16 10 16 16 14 8 14 14 12 8 17 12 10 61 1.7 12 1: 0 1
2,000 I 34 34 32 22 30 30 26 16 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 16 16 i4 6I 14 14 12 E i
2.500 34 34 30 22 30 30 26 18 26 26 24 16 24 24 22. 14 I22 22 19 :2 20 20 16 I;• 19 15 It :J
J.CGO 34 32 30 22 30 30 26 18 28 :6 24 16 !24 24 22 14 21 22 20 141 :: .3 lb 12
3,500 32 32 30 20 30 30 26 la 26 28 24 16 26 24 2214 ! '3 -4 20 14 :
_4'090 32 32 30 20 130 30 16 IS' 78 28 24 lE 76 ZS 2: if
1,500 32 32 28 20 3U 30 26 It itl ?= ;E
5.003 112 l7 V 201 13 0 76 1= I
A) 1. 3y' Concrete Slab: HC•8.93; R-.29;. Factor -7.3
2. 3 3/4' Thick Common Brick: IIC-7.125; R-.13; Factor -7.3
11 1. 54' Concrete Slab: NC -14.106; a -.45B; Factor•7.1 wood stove #33 p
C 1. 8' so11a F111ea Block: He.20.63; R-1.93; Factor -6.1 points'(no back u )
2. 9' Mid Filled 81oc4 With Both Sides Exposed To Conditioned All. casablanea fan + l.point
NOTE: Use all square footage directly exposed to conditioned air
for Thermal'Mass Area: NC -10.164; 8-.966; Factor -6.1
01 1' Thick Concrete/Tile: KC-2.SS; R-.083; Factor! -3.7
Table 3-19. zonally Controlled
Eleetrtc Reslstanee
Space Heatinq Points
Points for this measure v!11 Table 3-20. Solar Water HeatingWith Cas Backu Points ,
I be completed after the CEC I
I has approved an Alternative I
1 Component Package for Resistance 'I
I Beat.
Table 3-15. Active Solar Space
Heatinq witn Oas Points
Net Solar Fraction ( Points
(ASF), z I
i
Multifamily (per unitpoints)
Floor Area
Net Solar Fraction (NSF). ;
I 0-6
1
0 1
7 - 14
I
+2 1
1 15 - 23
1
+4 I
I 24 - 30
I
+6 I
I 31 - 39
I
+8 i
I 40 - 47
I :
+10 I
48 - 55
I
4-12 I
I 56 - 63
i
+14 I
I 64 - 71 I
+17
+18 I
I 72 up (
I
I
+20 I
I
Multifamily (per unitpoints)
Floor Area
Net Solar Fraction (NSF). ;
per unit,
ft1.
Eeatlnq
Pts.
T
1 System Type I
Points
I
I I
0.9
)8 -ii
2„29
30-39
40-49
50-59
60-69
70-79
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1,499
0
+2
+4
+6
+8'
+10
+12
+14
1,500-1.999
0
+1
+3
+4
+6
+7
+8
+10
2.1100 and up
0'
+1
+2
+4
+5
+6
1 +7
+9
All others (pe building, points)
800-899
0
+5
+10
+14
+19
+24
_
+29
+34
900-999
0
+4
+9
+13
+17
+il
+26
+30
1,000-•1,199
0
+4
+7
+11
+15
+19
+22
+26
1,20(,1,499
0
+3
+6
+9
+12
+15
+18
+21
1,500-I,g99
0
+2
+5
+7
+9
+12
+14
+16
2,000-1,999
0
+2
+3
+5
+7
+8
+10
+11
3,000 ar.d uo
0
+1
+3
+1
+5
+1
+9
+10
1
Table 3-21. Other Water
Eeatlnq
Pts.
T
1 System Type I
Points
I
I I
I
I Gas Only I
I
0
;
1
I Beat P'MP I
I
0
I
I
I
I Solar with Electric I
I
( Reitstance Iackup I
0
I Martine the Require- 1
1
I iments to Part 2 I
o
i
I I
I Electric Reststence I
I
I
I Only i
I I
-d0
1
1
FORM
/ RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
Owner Jgil/�s Climate Zone Permit No. 3006.-J06
Flood' Area -/753
Compliance path: Package ❑ A ❑ B ❑ C 13�-_int System ❑ Budget 0'010her r9B 3
MIN R -VALUE DESCRIPTION
REQ'.D
INSTALLED ITEMS (1) INSULATION:
Q� Roof/Ceiling 30.06
Wall /3.00
❑ Slab Floor Perimeter
( Raised Floor /3, Do
(2) INFILTRATION•
❑ (A) A vapor barrier is required in climate zones, 1,14 & 16.
(� (B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑
(D)
Continuous infiltration
barrier
❑
(E)
Electrical outlet plate
gasket
❑
.(F)
Air-to-air heat exchanger
(3)
GLAZING:
(A)
Location
Area Glazing
%Floor Area
Single Double Triple
[�
Total Bldg Z/.S 60
/24o
r/
Q�
North 3/. t 0
/.110
�—
(301
East 15-0.00
d •So
✓
®'
South SOD
0.30
Q�
West
Q�
Skylights
(B)
Shading
Shading
Coefficient Description
Q�
East G 6
[�
South
ly
West .L G
❑
Skylights
(C)
South Overhang
Length of projection
Z ft. Description
64 vE
❑
(D)
Moveable insulation: Area ft
Description
(E)
Thermal mass
❑
Type
- Area
Ft.2 HC=
R=
MC= Location
❑
Type
- Area
.Ft. HC=
R=
MC= Location
❑
Type
- Area
Ft.2 HC=
R=
MC= Location
❑
Type
- Area
Ft.7 HC=
R=
MC= Location
❑
Type
- Area
Ft. T HC=
R=
MC= Location
❑
Type
- Area
Ft.Z HC=
R=
MC= Location
7/83
1 FORM 1
❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM
(A)..:.Heating
❑ Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity) _
Heat Pump. 7•J
(brand and model number) -AQQf SE
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
r
*1
❑
—
E
9
M.
7/83
rated slope
Other !�%OO ri isLA9,� IA
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number)
Btu/hr
(cooling capacity at 95°F)
Electric Heat Pump
Btu/hr
(cooling capacity at 95°F)
Other
(seasonal EER)
7.S-
EER
SEER
(describe)
(C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second.stage, shall be required for heat pumps.
(D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E) AN.INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be idsulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
2
FORM 1
(6) DOMESTIC WATER SYSTEM
❑ -f�)-- Gas Only Gallons
(brand and model number) (tank size);
Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
Q * Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft2
:(backup heater type, brand and'model number) (collector area
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
... /
(Describe)
1� :(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
t� (C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam.and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than'25 lumens per'
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature 061- °, elevation ��� ', heating load gftM BTU
elevation factor 1.6o x heating load = maximum outlet capacity gas furnace
Z5 Ze�O BTU
Cooling: Summer design temperature °, cooling load Z� BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 SIGNATURE OF BUITJANG DESIGNER OR APPLICANT
3
3046-86
PERMIT NO. 681-87B,
PERMIT EXPIRE -S -----L( 12
OWNER JAMES HEBKL/
CONTR. Better Bldrs
ASSESSOR PARCEL 69-14-24
LOCATION 110 Kristee P1 Oro
Temp. Power Pole
Called PG&E
Temp. Elec. Sery , 1ci
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
J = OK
0 = Not OK
xS - = Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements-Setbacks-Easemerits _
2. Footings; Size -Depth -Spacing -Connectors
!
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6.Carports; Windows -Doors
7. ,Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except H's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single and Duplex)
M
Date
UNDERFLOOR Plans OK except H's
Date
FRAMING (Continued)
1.
_2.
Zoning requirements -Setbacks -Easements
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
48.
49.
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; Soils -Steel- / /'' Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection {
4.
Ftg., Porches & Decks: Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_
7.
Piers -Fireplace Ftg.-Steel
54.
-
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
_
10.
Water Pipe: Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums &_Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
-
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
DateCard-BI Date
Date
FINAL jP4a"n'sLXrK except N's
Card -BI Date Card -BI Date
Date
Card -BI
Card -BI
PLUMBING (Permit) OK except q's
14. Water Ht.: Vent -Access -Combustion Air
15. Water Pipe: Test & Anchors -Nail Protection
16. D.W.V.: Test-Fttngs & Anchors -Nail Protection
17. Shower Pan: Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe: Size & Anchors
Date _Card -BI Date
Date - Card -BI Date
56.
xt. ps-Door & Sidelight Protection -Landings
57
oke Detector
58.
Furse: Vents -Clearance -Comb. Air -Connector -
In �arag or- uc -Meth. Protection
5 -
9
60
ath Fixtures & Tub Access
6
Trim & Subpanel; Breaker Sizes -Labels
6
6
tairs & Bails
ce or Stove; Clearances -Hearth
64.
ec. Outlets a aej; Int. & Ext.
65•
xt. &Appliance: Grnd.-Air Gap -Cooking Clearance
6
c. Outl Ls R RacaptacIes at Kit. Counter
Date
E •E
RIC(Permit) OK except q's
67--Ga-rage
Fire Door; Swing -Landing -Closer
in arage-Damper
Cara B -I
Gard B -I
_
�Fure ransformer Clearance -Ins. Protection
2ReceptacesSpacing-Lights &Switches at Doors
& No. of Conductors -Stapled
x Installed Close to Edge of Studs & C.J.
2. Ground made up w/Mech. Fasteners_ -Bond Gas 8 Water
23Z2Apliance
2 Circuits in Kitchen & Conductor Size
26. Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al'
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral Yes ::L -_ __-_ -_ -
28. Service -Riser Conductors & Ground -Main Disconnect-
29. Equip. Clearances: Panels-Motors_Mech. Equip. --_
30. Clothes Closet Light -Shower Light --
Y Date / Card BI Date
f Date Card -BI Date --
69. -Wtr. „te-^o a,o„ce=Eomb. Air-Connector-P.R.V.-
In rage; Above Floor-Mech. Protection
70. Ib., Elec. &Mech. _Location2Boxes
71Iles in Garage; (G.F.I.)-Romex Protec.
72. Insul tion -Foam -Looked in Attic ❑Yes
73. Gu rd Rails-& Deck Construction -Post Caps
74. Fd .Vents &Crawl tole Door -Drainage &Wood -Earth Clearance
`Lo ked under Floor ❑ Yes
75. Follow ing instld.: Drive ❑ Yes ❑ No: Walks ❑Yes E]NSA;
Plant s ❑Yes ❑No
76.
Stucco; rown-Finish
77.
_
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
- - 78• Vents Abovk Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s.
79.
Water Well; isconnect, Electrical, Plumbing
80. Exterior Ele . Trim; G.F.I. Receptacle -Underground
81. Ventilation t oughout House
82.
Glass Protect on
Date
M
ANICAL (Perrr•it) OK except q's
83.
_
Corrections f m Previous Inspections
84.
Gas ;est -Me ers Tagged; Gas -Electric
Card -BI
Card -BI
31. A.C. Ducts- Insulation & Support -
32. Vent Fan: Exhaust above Insulation _
33. Condensate Drain & Overflow: Size -& Grade _
34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _
35. Attic Access &7 Platform if Furnace in Attic
/GW Date q -J' - (Card -BI Date
Date Card -BI Date
85.
Water & Sew4r Connected -C/O to Grade -HD Approval
86.
Energy CotHance Certificate -Other Certificates
-- -- -- -
--- - ---
Card -BI -
Card BI
Dat Card -BI Date ----
date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except p's
Com tents at Final:
36.
37.
38.
39.
40.
41
42.
43.
44.
45.
46.
47.
Sills, Proper Material & Anchors
Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops. F - urred Ceilin s -Stairs -Chases -Tub _
Header & Bem-Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnp.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access. Size & Romex Protection -Draft Slop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
_
_
(NOTE Anentrymust be made each time youvisit jobsile)
RVA
s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPER IT N^O/.
7 County Center Drive - Oroville, California.,95965 - T-elephone 916/534-454 O
APPLICATION AND PERMIT
9PAR/� NUM R
,7SO
A SS:,
zot
BUILDING PERMIT
O07
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
191,
OW A I -L IN ADD R�Es.S-S
V F Ci C 1U017 It)
CON A R'S NAM
E HE
C A T R'S AIL NG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ L
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS //IK'r p p
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 �p
A,
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00 S
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [g( Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ model ❑ UtitKies ❑ Ipstallatio�[� Other ❑
Describe work: J T I V1 14
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
rt -1 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. —+�►.0.2-f Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
oa ADDNST ACCLBLDGSC'/z2sgft1135
NEW CONSTR.ULTI.OUTLI-
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUSe
SINGLE OUTLET CIR.
20050t
EX, OCCUp OUTLETS OR FIXTURES 1.20
AL@30
Ex. Occup. OUTLETS ((RESID )REA.) 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
6ger
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 id County in c in quence of the granting of this permit.
Signature o pplica — 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 $
TOTAL PERMIT FEE $ QD.
oe UP.
CONST.TYPc
I
F ,TARVI
PD J__ND 39UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By.
I
P EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
7
Date
�r 4���
Receipt No.
WHITE-O.P.W., YELLOW-ASSrSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
LaYf.• 5�/r; �, .+.r.'. ,y� rT yt... . ±�-".,.-+w'.'iT 7. 4: Y , . 1-- .t , . i Y { f
COUNTY OF BUTTE - DEPARTMENT, OF PURLI.0 WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, C,°A11FORNIA 95995 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET --�
Permit No. !
OWNER K . C - r * ° A. P. No.
Proposed Building Use Building Inspector Date
g�
At time of permit application, I was advised the fol wing data must be submitted prior to permit processing
andJor * Aance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . .
blot plans in duplicate./triplicate, signed by preparer of plans. _
� Complete plans inplicate./ riplicate, signed by preparer of plans.
rW 0-t-
4. Complete engineer d`plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: - (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.) `
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑•),
_15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . . ..
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20 Plot Ian a royal from cit of
(Date)
• p pp y
21.
22.
When you issue the p rmit, proces as fol lows: Mai I to caner, Mai i to contractor.
Telephone and hold for pickup at� ffice, Deliver w/inspector..
Other
Applicant Date -82
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Indeyermit for above items No.
2.itional items required:
Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date Plans approved by—_ate
Sets of plans on hold in File cabinet �-AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
Copy—DPW 1
A
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
FORM '7
PERMIT NO. - PACKAGE "A" (Additions)
NAME E SQUARE FOOTAGE
JOB ADDRESS - Le Existing Residence /7573
TYPE OF WORK C 11, — I_10,y& New Addition 11-74-
New
i%4New Total 27—Z7
The following information sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans for additions. to dwellings.
Additions to dwellings Anclude room additions,.converting garages and patios to living
areas, house moves that add footage and attic conversions, and any space that is ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
ZONE
11
Z E
INSTALLED APPLIES TO
NEW AREA
CEILING
v-30
R-
WALL
R-11'.
R- 1
FLOOR
R-11
1
SLAB
R- 7
-11
f
GLAZING
.65
.65
SHADING
SOUTH -OPTIMUM
OVERHANG
or
.36 S.C. ,
WEST - .36 S.C.
LOOSE FILL INSULATION (Density)
$INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UMC - Ch. 10
I LIGHTING KITCHEN &•BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS -REMOVED GLAZINGt6 ,
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
13
❑
❑ *2
DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) (tank size)
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU p'
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form #5) toy document sizing of,
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNAT OF B LDING DESIGNER OR APPLICANT
*1
''HEATING, VENTILATING. AIR CONDITIONING SYSTEM
_
(A) Heating
❑
Central Gas Furnace
%
(brand and model number)
SE
Btu/hr
(heating capacity)
❑
Heat Pump
(brand and model number)
ACOP
Btu/hr
(heating capacity at 47°F)
❑
Active Solar
type (liquid or air) Collector
brand and
ft2
model number solar fraction collector area
collector
orientation collector tilt rated y -intercept
rated slope
❑
Other
' (describe)
*1
(B) Cooling
❑
Electric Air Conditioner
(brand and model number)
(seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑
Electric Heat Pump
'
EER
Btu/hr
(cooling capacity at 95°F)
❑
Other
(describe)
13
❑
❑ *2
DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) (tank size)
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU p'
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form #5) toy document sizing of,
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNAT OF B LDING DESIGNER OR APPLICANT
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