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HomeMy WebLinkAbout069-300-042` . ! ' ^ROBERT H. YUILL 69-30742A '5364 Falco Ct, lot 395,KR#4: 0 `ContR: Better Builders Const 0I-jj,P / � » v , � �~ » ' ^ m^ / I T PERMIT NO. 349-89B,P,E,M j190PERMIT EXPIRES 3 OWNER ROBERT H. YUILL CONTR. BETTER BUILDERS CONST. ASSESSOR PARCEL 69-30-42 LOCATION 5364 Falco Ct., Oroville 3��y oK�� Temp. Power Pole Called PG& Temp. Elec.'Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Data) OF Signature = OK 0=Not OK ' MOBILE HOMES MISCELLANEOUS = Not Readyable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements -' 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -131 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -61 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -61 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men:Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 'N. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card Date Card -61 Date 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. -B1 Boxes- Enc losures- Panel board s -Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date = UK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNQERFLOOR (Plans) OK except #'s I Date FRAMING (Continued) t ., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth L3eftg, Garage; Soils -Steel-// P' Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 44Z Date Card -B1 Date Card -B Date Card -B1 Date Date PLP.tMING (Permit) OK except #'s Water Ht. Vent -Access -Combustion Air -Baffle AU,WateFPioe: Test & Anchors Mail Protection 18!D.W.V.; Test-Fttngs & Anchors4Nail Protec, 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 W Dates:/y Card -131 Date Card -B1 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s 22. F ture & Transformer Clearance -Ins. Protection Ped. Receptacles Spacing -Lights & Switches at Doors e Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cy or Al . Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No Y5 -Riser Conductors & Ground -Main Disconnect "quip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Light -Spa Liaht Card -B1 yoj Dates/y]f�/Card-B1 Date Card -B1 Date Card -131 Date Date ANICAL (Permit) OK except #'s 4. A. ucts Insulation & Support gvVent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date and -B1 Date Card -B1 Date Card -61 Date Date FR ING (Plans) OK except #'s Is, Proper Material & Anchors ao Studs -Nailing, Spacing & Bracing -Plates -Sound aring Walls over Girders & Floor Nailing 9110!fv_stop in Walls (rat proof) f F' a Stops; Furred Ceilings -Stairs -Chases -Tub 4 . Header & Beam -Size & Bearing A5!Han ers-Post Caps -Anchors -Connectors �n. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 4 iwigbe Ties or Type A Flue -Fireplace Throat Clearance 49-'ktqjr,oAccess; Size & Romex Protection -Draft Stop -Ins. Baffles Q.- Windows or Exiting Doors -Sill Hgt. & Dimensions 5a,"G__qxage Fire Protection Framing rty Line Firewall & Openings ExI,Dd'ors-One T -Check Garage -3rd story, 2 exits ta' , ` idth- Head room -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. S_4elair Walls; Nailing -Bolts Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B Date Card -B1 Date Card -B Date Card -B1 Date Date 4! L (Plans) OK except #'s 1. Pt -Steps -Door & Sidelight Protection -Landings 6f'qpoiCe Detector Furnace; Vents -Clearance -Comb. Air -Connector - I mage; Above Floor-Ducts-Mech. Protection Be com Exiting 6 . G.F1. & Bath Fixtures & Tub Access -Spa 6 �c'Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 6 ireplace or Stove; Clearances -Hearth 69-flgp:Outlets at Wood Panel; Int. & Ext. 7 it. i) . & Appliance; Grnd. -Air Gap -Cooking Clearance 71 e -Outlets & Receptacles at Kit. Counter 7 . Gar ge Fire Door; Swing -Landing -Closer 7 _G-'buct in Garage -Damper 7 tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 7 b T-Elec. & Mech. Equip. Listed for Location 7 . lec Receptacles in Garage; (G.F.I.)-Romex Protec. 7 . n laton-Foam-Looked in Attic ❑ Yes 7 . Gu rd'Rails & Deck Construction -Post Caps 7� dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor, ❑ Yes 80. Following instld.; Drive es ❑ No; Walks esu❑ No; Planters ❑ Yes ❑ No X84 §Mcco; Brown -Finish . A. . Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 8A!Water Well; Disconnect, Electrical, Plumbing Be_.t erior Elec. Trim; G.F.I. Receptacle -Underground 861Venfilation throughout House from Previous est -Meters Tagged; Gas -Electric er & Sewer Connected -C/O to Grade -HD Approval (40JAnergy Compliance Certificate -Other Certificates Certificate Card -B / Date and -131 Date Card -B1 gW4 Date and -81 Date Card-BDae 7 Card -131 Date Comments at Final: t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSO(Ug PqCEL NUMB`R4a ZONING --1 BUILDING PERMIT - OW ER OWNER'S TELEPHONE SQ. FT. OCC. BUILDING VALUATION MAILING ADDRE55 dzs�s/ozy EA O CO TRA TOR'SNAME TELEPHONE / � n/ g 9 �25"�-7 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ p7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee 10.00 4'7PLUMBING 3 V /i�[.tC Each Trap 2.00 - Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME D PARCEL MAP q113 Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ Other ❑ Describe work:Contractor tl5 T &A6E Z61 _ OF SIT'- 3` '89 Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 170 AMP 2.50 ,XCONTRACTORS LICENSE LAW I declare under pen 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 effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for,itf iy reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , /2Csgft ' NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC 1T5 2.50 ea POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20@a0¢ .ALO 30 FIXED Ex: OCCUp. OUTLETS ( R RESID IEA.P 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE _- I declare and p natty of perjury (check one): ❑ The permit is for 5100.00 va cation) 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. ❑ 1 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 Cooling g 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 Countyof 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 ainst said County in consequence of the granting of this permit. X Date S ature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ iTOT CONST TYPE AL AL FEE $ 1�3�0 • 5 HAz CUA PARK Fro PAR PD HD ISSUE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date ,� ...r tl V9 the applicable provi- resolutions to do have been paid. WORKS Date / Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT n COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 r 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE - 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 ne,ed additional explanation, please contact this office immediately. 1 Inspector Date 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 �CORRECT.ION NOTICE ERMI T N A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 4i t; . e SR w ii Inspector Date 3. PERMIT NO: 6-89 Lake Oroville Area Public Utility District 1960 E4rin street OROVILLE, CALIFORNIA 95966 533-2000 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 Lake Oroville Area Public Utility District, must be submitted to Butte County. J Date: 2/8/89 i Applicant: Robert H. Huill (Better Builders Constr.) Applicant Address: 2468 E. Mission .Rd. , Fallbrook, CA 92028 Applicant Phone No.:589-2547 Property Location (s): 5364 Falco Court A. P. No. (s): Fees due: Application for service Kelly Ridge Estates, Lot 395 - UAit 4C 69-30-42 All Fees Paid. LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made a successful test(s) observed: fF Location:17 T 9S Date: M Lake Oroville .Area Public Utility Distri elease to close permit: Date: �O �/^ y By: .'. f} ,tet,,, Gly 3,.`r,,+ 3 '°' �,�,�, �. • ��4 . y ENERGY C ERT IFICAT LON Fal rn Qt Yit► I I F LOCATION A.P. No. DESCRIPTION OF INSULATION dl� Material Fiberglass Brand Name Thickness(inches) Is�� Thermal Resistance (R Value)_ EXTERIOR WALL material Fiberglass Brand Name Certainteed -- ThLckness(inches) 6,, Thermal Resistance(& Value)_i19 CEILING Batt or Blanket Type Brand Name Certainteed Thickness(inches) Thermal Resistance% Value)_ Loose Fill Type F; b,. r p 1 a G G Brand Name Certainteed Minimum Thicknes (Inches) 11" Number of Bap. Vt. per bag 9 lb. Area covered(ft.) Thermal Resistance(& Value)--" FLOOR. ELEVATED Material_ Fiberglass Brand Name Clertainteed Thickness(inches) Thermal Resistance(R Value)��_ FLOOR, SLAB Material. Brand Name -,- Thickness(inches) Thermal Resistance(& value)_. Vidth(inches) -. FOMMATION HALL - Material Brand Name - - ` Thickness(inches) Thermal Resistance% Value)___ I hereby certify that the above insula tion was installed in the above building-- uilding-._ in in conformance wits Che State of California Energy Requirements. - - .-- Shasta Insulation X530235 FIRM IWWOWhER _ " STATE CONTRACTOR'S LICENSE NO. SIG%%TURE OF INSTALLATION APPLICATOR DATE I hereby certify the al,uve insulation and all required items as shown on the Building Departnauc approved plans and attactm►ents 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 Califon►ia. FIRM,WAH/ (Please print) STATE CONTRACTOR'S LICENSE N0. DATE Q 1�' ( COUNTY OF BUTTE - DEPARtMENT OF PUBLIC WORKS . PE IT N�QYt/ . 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 SZ .f APPLICATION AND PERMIT (J(�— ASS SPO PAR NUMR ZONI BUILDING PERMIT ' OWN TELEPHON SQ. FT. OCC. BUILDING VALUATION OW E AIL AD SS ` /-^ r® 0 CCt A ORit 5 NA TE E NE — \ CONTRACTOR'S MA NG ADDRESS Fireplacec( b CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 6-36 It FCO Permit fee $ PLUMBING PERMIT Filing Fee 1 10.00 Each Trap N 2.00 IZVU Lk_ Solar or at pump ater heater 20.00 LOTN SUBDI ISION NAME M(/Won PAROL MAP /.3 Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea TYPE OF WORK New [4 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare er penalty of perjury (Check One): B1111 am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Profess* ode y license is in full fore and effect. License No Classification ❑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 Oc OR ADONIS. ACC. BLDGs. 'h0Sgft NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea APPARATUS 61 (SINGLE OUTLET CIR. / EX. OCCUp(OUTLETS OR FIXTURES 20050t e ALO 30 Ex. OCCUp. OUTLETS IXED APP(RLESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. e 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 Jyc Cooling 9 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabil*ties, jud ments, costs, and expenses which may in any way accrue against id Cou in copse u of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent a_ An OSHA permit is required for excavations over 5'0" de n d m 'tion or construct- ion of structures over 3 stories in h ht. ID ZI ' Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE ocCU P. CONST.TTPC 3 JSCN71 FLOOD PARC P D Is9U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PEROWT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -hf Receipt No. IS "1. Q WNITL-D. r. W.. 7lLLO W -Ase LS SO R, FINK -IN 9P LC TOR, a. DfNROD-APPLICANT .f��`+..+r'1�:JR.1�--f1±'i°r ri:,ci..,�.-�r`:'n-.,`.:�:�.:.tt,*ri�.'+4r-"+�c—•`&;'W—..j.�`YJ4�T�''7'�-*�1#"0� :,�.. Fcw z; �:,G?�.. �,..`�,�J.r. j. -r 'rL'� ,.t�`; "'F"'�• `e''"iz '"'t.�;+*' °.: :1 t COUNTY OF BUTTE - DEPARTMENT"OFPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLNg4 T_0,j1 VIIA 95965 - TELEPHONE: 916/538-7541 1 PERMIT APPLICATION DATA SHEET V3 � Permit No. OWNER 1� t' +! V A. P. No. o Proposed Building Use f Building Inspector Date .. f 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation _instruction.................................................... Fees of $ /S. 5,,,, c�-Po•+........ ........... . 10. hico Urban Area fees paid .011. Park fees paid ..................................................... _ School District fees paid ................. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 1 Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 9. Pre -Inspection for required ..... Pre-Insrectos to Buildingg Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Ma' to owner. Mail to contractor. Telephone , f and hold for pickup at office. Deliver w/inspector. Other Applicant /�� .C_� Date -- O Copy of plans sent Health Dept. ,.� Fire Dept., Other Date The following data must be submitted prior to per it issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required:tesi Contractor, designer, owner, was advised of above required data by_phone_—mail counter by Contractor, designer, owner, w^advised of above required data by_phone_mall_cour" by Plans checked by Sets of plans on hold in Copy—DPW Date 2 --23 Plans approved by File cabinet AP folder date date Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance Xo �&,f ��i // owner -5-- 3 ux,-/ /--a /CV C-/ location %- 30- Z AP # Driveway permit A16n,e 14Qele, has been issued for the above property. eat em i!?,47`_ al-7"�' All- 67, 9, si ature date PERMIT NO: 6-89 Lake Oroville Area Public Utility District 1960 E4rin Street OROVILLE, CALIFORNIA 95966 533-2000 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 Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: 2/8/89 Applicant: Robert H. Yuill (Better Builders Constr. ) Applicant Address: 2468 E. Mission Rd., Fallbrook, CA 92028 Applicant Phone No.: 589-2547 Property Location (s): 5364 Falco Court A. P. No. (s): Fees due: Application for service Kelly Ridge Estates, Lot 395 - Unit 4.0 69-30-42 All Fees Paid. LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: M Lake Oroville Area Public Utility District release to close permit: Date: By: h.d..r.7,..-..-.. .. .. t,.. • .t •. ... v. "'�-�' .-... . ern---•...r.Y`...rr+ti��,.n'.-.�.-, in,W 4'y;Y"'"w•'."- `• .-..r .. _ T1..•, BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM. (One Form . x i,tilding ) � r . A.P. Number `` yr Building Department No. School District City Q County r-71 Jurisdiction OProperty OwnerV�. Le\ 'f Project Location/Address i Subdivision ' I-\ � dm'l Residential Development: # of Living MHI t Units 0") 0t, (W6 Vi Lot Number Sq. Footage (� Addition sd(Group R) r` Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Date • r District 1d/14o+. School District certifies that ( Applicant 7ame) ' ( Phone Number) (Street, Address) •(City) (State) (Zip Code) has complied with the requirements of Resolution o. A_64'7 /�Z_ .Sa by the payment of $ representing -2NS' square feet. School Di t Representative Date PAID BY CHECK NO. / REMARKS BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requ-ires•this acknowledgement be recorded prior to issuance of a building permit. 89-04235 1 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has 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: �ot'''�9�� Cen�f `{�, lCe.l/Y �2��9e .Fst-ates Sec�ia.��v�s�ohi .y,ore Govrirrioh/� - )Ch©w n u5 6'364/ Fa -(co �'�•� Drov%//p�� L%1. _ 'Date: NO\J U 2 1989 :State of ) SS. (County of ) 89-004235 Recorded Official Records County of Butte Candace J. Grubbs Recorder 1:25pm 8 -Feb -89 L• Rec Fee 5.00 Check 5.00 t BG 1 On this the �d day of 11)(Aoi..(�6� 19 KX, before me, the undersigned Notary Public, personally appeared. Personally known to me. / / Proved to me on the basis` of atisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ,/� OMCiAL SEAL Present A. P. No. 9 D- 7 ROLAND C. TACTAY NOTARY PUBLIC -CALIFORNIA PRINCIPAL OFFICE IN SAN DIEGO COUNTY MY CommissW Expires October 2, 1992 OF DOCUMENT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE MIT N L� . _' n ASSE S,IO PAR f NUM R �� �/ owN YL( ZONIt TELEPHON BUILDING PERMIT SQ. FT. O C. BUILDING VALUATION ER'$ AIL AO 55 r r. T- TE E H NE �► «, P..t CONT'7ACTGR.1 � G ADD ESS 2�o J I/� OO.00 /i Fireplace tl y CONSTRUCTION E LNDER UN KNO'NN QO Total Valuation $ Q% i L LENDER'S MAILING ADDRESS. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 10.00 Permit Fee 53 0O $ Plan Checking Fee 2R6. SID $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS F co fi Energy Plan Checking Fee $ Penalty $ Permit fee ' o .so $ PLUMBING PERMIT Filing Fee 10.00 LOT N SL'BDI ISION NAME PAROL MAP / (V 73 Each Trap 2.00 Solar or at pump ater heater 20.00 Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W O.00ea TYPE OF WORK New [ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 blain service 8,001 OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare er penalty of perjury (check one): E i am licensed under provisions of Chapt. 9, Div. 3 of the Business and P(ofeSSl If]`���^Te a y license IS In full forc and effect. License No ^ Classification �� 1, as file 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) El I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) r_1 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.550 NEW CONST. DWELLING OC OR ADDNS. ACC. SLOGS. t�7dSgft — NEW CONSTR TI -OUTLET NON-RESID BRA CH CIRC ITS 2.50 ea / POWER APPARATUS 61 SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 30 5ALa eAL9 so FIXED APPLNS OR EX. OCCUp. . OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 (� Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for 5100.00 (vaivation) or less. rhe 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. ❑ 1 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 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 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, costs, and expenses which may in any way accrue against id Cou. ty in conse u of the granting of this permit. ��°—eL.. X ��� � Date _� Signature of Applicant — Owner❑ Contractor ❑ Agent E_ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion at structures over 3 stories in h ht. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT E 935116$ Occup. CONST.TYPE tR3 scllooL oo PARC P oMISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR TOFi OF PUBLIC WORKS By— Date PERMIT EXPIRES Date. Receipt No. WMITE-O.P.W.; YELLOW -ASSESSOR, PINK -INSPECTOR. GOLorNP.00-APPLICANT /W' l fees Ua / 1C'Ttt�t't f0 �l�pos;-r RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) 8.,,.,Garage door or porch header sizes. %1 Adequate bracing. 10. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. _1-1-.---T o exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1Q -"-Attic access and ventilation (Sec. 3205). 1&-� Underfloor access and ventilation (Sec. 2516). 1j/Wood stoves, clearances,.alcoves & 1 -hour shafts. 4'r -'Combustion air for fuel burning appliances. _16,Noise. requirements on duplexes. dobe soils - special foundation design. CIDRetaining walls requiring design. 19. Unusual shape, size or split level house requiring lateral design. le c. beGt�S LI�� s Por J,� 7/85 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 3'1R - OWNER A. P. # �-, q - 73 O '- GENERAL 1�! oning requirements: (sideyards t2 Valuation. Plans signed by designer. 4. nergy Design and Compliance. Existing violations on property. and number of permitted living units). PLOT PLAN Complete parcel size and dimensions. sideyards, easements, etc. V'setbacks, then buildings or structures. P-ading, fills, drainage. 5.. Flood hazard. Special conditions on creation map or compliance document. FLOOR PLAN 1, ----Complete to scale plan with dimensions. �jRequired windows for light and ventilation (Sec. 1205). 3/ Required windows for second exit (Sec. 1204). �ylights (Chapter 34 & Sec. 5207). /human impact glass (Sec. 5406). 6! -Required room sizes, ceiling heights (Sec. 1207). ►Y.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). i/ GLight fixtures, switches, receptacles, and exterior receptacles for mechanical equipment. 7/85 maintenance of V! Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1/Garage firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (Sec. 3304(e)). 1 fireplace and wood stove location. 1 Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 1400"Foundation plan complete enough -.to construct building. Floor construction details complete enough:to construct building. evations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. -.-,--F-fireplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISSC/CELLANEOUS ITEMS TO LOOK OUT FOR xposure I plywood on exposed locations and overhangs. !/'Guardrail / Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). !/ Guardrail details (Sec. 1711 & 3306(j)). 4�Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). oper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOg Pfc- NUMB`R�a [� ZONING I BUILDING PERMIT OW�,ER OWNER'S TELEPHONE SO. FT. OCC. BUILDING VALUATION MAILING ADDRESSq ' Dey07kod o /,C/o CO RA TOR'S NAME TELEPHONE / b CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ p7� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ EUILDING ADDRESS Permit fee $ ' PLUMBING PERMIT Filing Fee 10.00 3 v/LLE Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME / '� PARCEL MAP 9// 3 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.006 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Instal lation❑ Other ❑ Describe work: �15 T /CENF�rJ�1 . OF SIT" 3` `89 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ONTRACTORS LICENSE LAW I declare under pen 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 effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for dilreason Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADONIS. ACC. BLDGS. I yzQsgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS e1 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 200300 SAL@ 30 Ex. Occup. ouTLETS �RESID 1REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE _ I declare and p nasty of perjury (check one ., ❑ The permit is for $100.00 va uation) 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 Sainst said County in consequence of the granting of this permit.This Date ature 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 g occ CONST TYPE TOTAL FEE $ a3(o - 5 HAz CUA PARK SCHL FLD PAR PD HD IssuE permit is nereby 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 lf,L_9� Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR• PINK -INSPECTOR. GOLDENROD -APPLICANT .Certificate of Compliance: Residential Climate Zone 11 `' + Mandatory Measures Checklist: Residential MF -1R Project Title,a - i NOTE: Lowrise residential buildings subject to the Standards must contain these gy�auea roRardles of the compliance ��� C o 3 Q 81 approach used Items marked with an asterisk (•) may be sea y perseded by more stringent compliance requucmcnts listed 3 CalBuildin it # on the Cenifiwe of Compliance. When this checklist is incorporated into the permit documents• the features noted shun be considered by all parties as binding minimum component performance specifications for the mandatory measures Project Address v a Z( whether they are shown elsewhere in the documents or on this checklist only. Chedced By I Date r Documentation Author Telephone Enforoanent Agency Use Only DESCRIFnON - . _ Building Envelope Measures 'i BUILDING DATA Glass Area % Glass , • §2.5352(a): Minimum ceiling insulation R-19 weighted average. NOM �_ '7 §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. Conditioned Floor Area AMT Number of Stories 2 East 63 v. ' §2-5352(c): Minimum wall insulation in framed walls R• 1 I weighted average (does not apply to exterSlab/Raised Floor Number of .Units South s I 2.3 -535 ( mStab ass walls). bion rate no greater than 0.356, water vapor tt 3 West 3 S § uansmiss)ion rate no insulation greaterthan2 0 pe a [a�Single Family Detached (SFD) [ ]Addition Alone �. y t� permrtt,<k• [ ]Single Family Attached (SFA) . [ ]Existing Building Skylight O a 12.5311: Insulation specified or installed meets California Energy Commission (CEC) quality [. ] Multi -Family (MF) [ ] Existing -Plus -Addition Ton 9 4 . S / 3. ` standards. Indicate type and font,. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/ExfiltmdonControls i B UELDING SHELL INSULATION a. Doors and windows between conditioned and unconditioned spaces designed to Emit air leakage. # b. Doors and windows certified. { Component Insulation - - L=ation/Comments - ... _ _ _ _.� _ �.� c. Doors and windows weatherstrippcd: all joints and penetrations caulked and sealed Type R -Value (stde, to garage, typical, etc.) - �� §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality Wall . .. . _ .... _ . _ ...- - _-- � standards. }?</ f _ � I §2-5352(d): Installation of Fueplaces wau .............. _ — 3� s«L,��. I� • 1. Masonry and factory -built fueplaces have: a , a. Tight fitting, closeable metal or glass door Roof ............. b. Outside air intake with damper and control m ie it/J c. Flue damper and conunl Roof ............. r q 4.ij`. z Nocontinuous Duminggas pilouallowed. 4Floor ............. ' _ AOS HVAC and Plumbing System Measures Floor....... �' 2-5352(8) and 2-530 S conditioning equipment ' _ '•• t : , i § 3: pace conditi g eq pment sizing: attach calculations. Slab Edge ..... i 12-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. _ T 2 531 6(a). Ducts r GLAZING _ ___._ . Shading Device$ _ _y.., _,,.° . ,: .�, HVAC SYSTEMS Minimum Duct § - constructed, rnsLalled and insulated per Chapter 10, 1976 UMC. i, :f' §2-5316(b): Exhaust systems have damper controls. Glazing Area Glass Type Interior Exterior Overhang ; Framing Type t R-�Value (Btuh) §2-5314(c): Gas -rued space heating equipment has intermittent ignition devices. �' §2-5314: HVAC ' Orientation -- (Sf) (single, double) (yeller blind. etc.) (shttdescreen, ete.) _ (yeshw) (Metallwood) v g • s1 goy . equipment, water heaters. showerheads and faucets certified by the CEC. I Maximum Furnace Heating Output: 3 Btuh , HOT WATER SYSTEMS - Tank Tank Manufacturer/Model # §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior - ^' North equal) Special Feature(s)I insulation (R-16 or greater): fust 5 feu of pipes closest to Lank insulated (R-3 or greater). _ _ North ( ) L{, SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) rt z- §2-5312(Eacepdon p: Pipe insulation on steam and steam condensate retum & recirculating _._., piping- East (_)_- - _ a.Y §2-5318(d): Swimming Pool Heating East ) M1 "• {, 1. System has: a. On/off switch on heater. /( South s I b. Weatherproof instruction plate on heater: SOU Ih _ e. Plumbed to allow for solar. : 2.75 percent thermal efficiency. West ( ) 31. S �' 3. Pool cover. i 4. Time clock. w West ( ) _.. _.. _ S. Directional water inlet.- Skylight...::::._-�' o _....._ .� .. - Lighting and Appliance Measures - THERMAL MASS ... :' - 1 1 r 12-53520): Lighting - 25 lumenstwatt or greater for general lighting in kitchens and bathrooms. Type/Covering _ Area Thickness "` §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. (slab/exposed, tile, etc.) (sf) (inches) LoeatioNDescriDtion (kitchen. bath. ett-A 12.5314(a): Refrigerators, refrigerator -freezers• fit esus and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. DESIGNER I ENFORCEMENT l ` COMPLIANCE STATEMENT g This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer ° Building Owner Narne: Name: Tule unx •rum Address: Address: Telephone: Tekphone: Lic. 0: (signatum) (date) (signature) (dart) Documentation Author Enforcement Agency Name: Natne r1dc Firm: Agency. Address: Tekphone: HVAC SYSTEMS Minimum Duct ' Type (furnace, air Efficiency . Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R-�Value (Btuh) (or approved equal) - Fi�wwwct b • �r�aa.— �_ G— 3I g•, N g • s1 goy I Maximum Furnace Heating Output: 3 Btuh , HOT WATER SYSTEMS - Tank Tank Manufacturer/Model # System T (stora a as, etc.) Capacity or approved equal) Special Feature(s)I SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) DESIGNER I ENFORCEMENT l ` COMPLIANCE STATEMENT g This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer ° Building Owner Narne: Name: Tule unx •rum Address: Address: Telephone: Tekphone: Lic. 0: (signatum) (date) (signature) (dart) Documentation Author Enforcement Agency Name: Natne r1dc Firm: Agency. Address: Tekphone: 1. Ceiling Insulation 2. Wall Insulation Single- Single - Family Family Multi- ' R -value Detached Attached Number of stories R-0 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 -47 -36 -24 0.10 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 Single- Single - Family Family Multi- ' R -value Detached Attached Famil R-0 -68 -51 -34 ' R-11 0 0 0 R-13 2 2- 1 R-19 8 6 4 3 U -value 0.30 -69 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 5 3 -58 -20 -12 Insulation In Floor -4 3 Number of stories 0.80 < R -value One Two Three ' R-0 -17 -8 -5 l R-11 3 -2 -1 •) R-19 0 0 . 0 R-30 3 1 1 1 U -value unmate Gone n : Slab Floor Number of stories --- 0.60 . 444 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 i 0.08 -11 -6 -4 I 0.06 -6 -3 -2 l 0.04 -1 0 0 0.02 4 2 1 - 0.00 10 5 3 y Controlled Ventilation Crawispace unmate Gone n : Slab Floor Number of stories Mass R -value One Two Three R-0 -11 -7 -5 : R-5 4 4 3 R-11 -2 -2 .2 R-19 -1 -2 -2 4. Slab Edge Insulation 40 -90 37 Number of Stories -14 ' R -value Oris Two Three • R-0 0 0 0 ' R-5 8 5 2 R-7 8 6 3 F2 factor -58 -20 -12 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total unmate Gone n : Slab Floor Effective Pes cntt Glass Mass U -value (percent glass x SC) Percent = Stories .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 .1 7 14 25 -46 -14 .7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 ' 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 11 7 10 14 18 i 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) unmate Gone n : Slab Floor Effective Pes cntt Glass Mass Effective Percent Glass (percent glass x SC) Family Family = Stories (percent glass x SC) /CFA Effective ' ' Nom East %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na - 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 .1 -1 -1 -1 2 0 -1 -2 -4 -2 0 t na = not allowed -1 -9 1 IB. Shading (Shade Closed) unmate Gone n : Slab Floor Effective Pes cntt Glass Mass South (percent glass x SC) Family Family Effective Stories Detached Attached /CFA One Two %Glass Nom East South West Sltyfight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 37 na 11 -7 -26 -36 -33 - na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 .2 -9 -11 -10 -30 4 .1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na • not allowed 3 7 8 10 9. Interior Thermal Mass Interior unmate Gone n : Slab Floor Raised Floor Mass South Stories Family Family Mutt Stories Detached 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 1.80 -1 1 2 2 0.9 -51 9.5 0 2 3. 3 1.1 -4 1 1 3 4 4 1.3 -3 10.5 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 .13 14 15 10. Exterior Wall Thermal Mass unmate Gone n : Exterior Single- Single - ,.. South Wall Family Family Mutt Mass Detached Attached Family 0.00 0 0 0 / q 0.20 3 2 1 +6 to 0.40 5 4 3 -6 0.60 8 6 4 ! 0.80 10 8 5 -8 1.00 13 10 7 -9 1.20 13 12 8 I 1.40 12 13 9 f 1.60 10 13 11--I -2 1.80 10 12 12 -3 200 10 11 13 9.5 11. Heating System 0 0 0 SE or KSPF 0 10.0 4 (assumes ducts In attic) 3 2 2 Sum of 1-6 10.5 7 6 25 or -24 to -14 to -4 to +6 to _ 16 or i 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 (SEER Effective SE or HSPF t (SE or HSPF x duct efficiency) ' Effective -25 or -24 to -14 b -4 to +6 In 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 -75 -17 -4 0.56 5.13 0 0 0 0 01 0 1 0.60 5.50 5 5 4 3 3 2 1 0.70 6.42 17 15 13 11 Il' 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System Point System summary: unmate Gone n : SCORE CARD SEER ,.. South Measures West (assumes ducts In attic) II or - Y / R -value [381 Sum of 7.10 2. Wall Insulation / q _ or -25 or -24 b -14to, -4b +6 to 16 or SEER less -15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 ,.. 8.5 -9 .7 -6 -5- -4 -3 , 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 .3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 1.1 1.3 Effective SEER 1.7 1.9 2.1 (SEER x dud eMclency) 2.7 2.9 3.2 Sum of 7-10 3.6 3.8 Effective -25 or -24 to -1410 .4to +6 b 16 or SEER less -15 -s +S +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 3 .. 4 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 i Zonal Control Adjustment 4.9 5.1 10 8 7 6 4 3 1.1 No Cooling System Installed 1.5 f I 1 Stories 2.2 24 2.6 2.8 3 3.2 One -5 -4 -4 3 -2 -2 Two+ : 3 3 2 2 2 1' Single -Family Detached and Attached Y 1.1 1.3 1.5 Unit Size (sQ 1.9 Water 23 1199 1200 1700 2200 2700 Heater Credit or 1 b to to or Type Type less : 1699 �0 2199 2699 more .1 SG None 0 1.6 0.. 0 0 or Solar 12 8 6 5. 4 HP HWR 8 5 4 3 3 5.3 WSB 5 3 3 2 2 1.2 POU 8 5 4 3 3 SE None 37 -24 -18 ,5 -12 - Solar -1 -1 .1 0 0 5.6 HWR -18 -12 .9 -7 .6 1.5 WSB . -25 -16 -12 -10- -8 _ POU 18_:12 -9 i7 -6 IG None --s -3 -2 -2 -2 . 5.75.9 Solar 7 5 .4 3 2 1.6 POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 4.6 Solar 8 5 4 3 3 6 POU -10 -6 -5 -4 .3 1 1.9 Muld-Famgy (individual units) 2.3 25 2.7 3 Unit Size (sQ 3.4 3.6 Water 4 699 700 1200 1700 2200 Heater Credit or b to t0 Or TYPO TYPO 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 1.4 WSB 9 4 3 2 2 2.9 POU 9 5 3 2 2 SE None -45 -23 -15 -11 .9 5.9 Solar 2 1 1 0 0 1.7 HWR -23 -12 -8 3 -5 3.2 WSB -25 -13 -8 -6 -5 -PQU _23 -12 -8 -6 -5 IG None -8 -4 -3 -2 1 -2 1.8 Solar 6 3 2 1, 1 3.3 POU 1 _ 0 - 00 4.3 4.6 IE None -30 -15 -10 _ .8 --6 _0 6.2 Solar 18 9 6 4 4 21 POU -8 -4 .3 -2 .2 Point System summary: unmate Gone n : SCORE CARD East ,.. South Measures West 1. Ceiling Insulation - II or - Y / R -value [381 Interior Mass/CFA 2. Wall Insulation / q _ or a' R -value [11] _ U -value (0.0981 3. Raised Floor Insulation Eff. % Glass r7Pe 2 loss ' R-value[19) -` U -value [0.037] 4. Slab Edge Insulation O or -- • - - R -value [01 F3 factor [0.77) 5..- Infiltration Standard X = O TYPE 1 MASS AREA COND. --f•-�= InteriorNas FLOOR AREA TYPE 2 MASS AREA $ 11.7.YIK�1.21 Ie6ryeted .1_bl Exterior Wall Mass ND. L OR AREA G►� x -93 = S•y�Y t TYPE '1 MASS (UIMC • 4.27 !e: exposed slab) HSPF [0.56/5.151 g. 9 x . s� _ -7 . (Sy SEER [9.51 Duct Efficiency 10.741 Effective SEER [7.03] 7 0970 5% 10% 15% 201/6 25% 30Y. 35% 40% 45% 50% 55% 60% 6tt 70% 75% 80% 85% 90% 95% 100% 105% 1101/6 115% 120% 125` OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 101/. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.8 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 21 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 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 • 4 4.3 43 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 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 SS% 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 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.6 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.75.9 6.1 6.4 701/. 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 S.S 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 6.3 65 67 901/. 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.8 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5,5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 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 68 7 1101/. 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.8 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 3.8 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 '6.8 6.8 7 7.2 120% 2 2.3 2.S 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 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: unmate Gone n : SCORE CARD East - South Measures West 1. Ceiling Insulation - II or - Y / R -value [381 U -value [0.030) 2. Wall Insulation / q _ or a' R -value [11] _ U -value (0.0981 3. Raised Floor Insulation Eff. % Glass or ' R-value[19) -` U -value [0.037] 4. Slab Edge Insulation O or -- • - - R -value [01 F3 factor [0.77) 5..- Infiltration Standard Point Scores 2. - 6. Glass Heat Loss bl� - �- 3 9. Tvve fdoublel U -value 10.651 9. Total G1as l (161 lz- 1 -A 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating % Glass SC Eff. % Glass X = s. ;t -!J x = Z . 277 2.3 X _ / O x a' % Glass SC Eff. % Glass X c = y. _- 2.; x 2.3 x = x X = O TYPE 1 MASS AREA COND. --f•-�= InteriorNas FLOOR AREA TYPE 2 MASS AREA $ Exterior Wall Mass ND. L OR AREA G►� x -93 = S•y�Y SE or HSPF Duct Efficiency [0.78] Effective SE or (0.72/6.6] HSPF [0.56/5.151 g. 9 x . s� _ -7 . (Sy SEER [9.51 Duct Efficiency 10.741 Effective SEER [7.03] 7 Type [SG] Credit [none] 4-3 Point Total: '; ��