HomeMy WebLinkAbout073-110-00873-11-08
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Lower orbestown Rd
Contr: Ernest En evor
+ 'Err�it-#2957-88B;P;-L, (ne singl - fair_ il.y.
73-11- 8 `
Contr: est.Endever
#3495-89B(lst• renewal/2957-88)a"�
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PERMIT NO.
'
'M
' 4 PERMIT EXPIRES
\
GARY BRASEN
OWNER
rnest Endevor
,tCONTR.
73=11=08
• ASSESSOR PARCEL
ILOCATION "
Lower Forbestown Rd
Temp. Power Pole
Called PG&E
^ �`�
cs1�
Temp. Elec. Service
Called PG&E
4,
',Temp. Gas Service
Called PG&E
JOB FINALED (Date)
.. 4 Signature
—'
= OK
0 = Not-OK
' = Not ReadyMOBILEMOBILE HOMES
MISCELLANEOUS -
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- Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing \-
5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete
6. Gas; Location-Test-Wrap: / P' ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures
6. Carports; Windows-Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses -=s , r
9. Siding; Nailing-Veneer-Stucco-Mesh
Card-131 Date Card-131 Date
10. Roof; Shthg-Roofing
Card-61 Date Card-131 Date
11. Ext.; Steps-Doors-Landings
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements
Card-131
Date Card-131 Date
_ - 2. Footings; Size-Spacing-Marriage Line
Card-61
Date Card-131 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
7. Water and Sewer Connected-C/O to Grade-HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card-61 Date Card-B1 Date
Card-131 Date Card-81 Date
-
„Card-B1
Card-131
2. Soils-, Compaction-Structure Stability
3. Pool Structure; Steel-Connections-Thickness-
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries-Terminals-Listed
7. Elec.; Bonding; Metal w/5'-Circulating Equip:-Heater
8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg.
Boxes-Enclosures-Panel boards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test-Water Supply Test
Date Card-131 Date
Date Card-131 Date
k
rm
= OK
0 = Not OK
- = Not Applicable
= Not`Ready
Date UNDEl
RESIDENTIAL (Single and Duplex)
Plans) OK except #'s
co ng-setDacKs;-Casements-rioo lope
tg., Main; Soils-Steel-Elec. G -/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-/Atsy" Ftg. Depth
4. FA., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
7. ed
8. Pier -Fireplac Ftg. teel
way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
t*f Water Pipe; Test -Anchors -Regulator -Service Test
12 ___
13. Plenums ,& Ducts; Clearance-Mat.rial-Su prt-Ins.
rr-►s;�j� dX4 Gird s- -An r Bolts-Joi -Ve _GPP,:tt§
15. Insulation
Card -B lo Dates Card -131 Date
Card -131 Date )l -/X-- Card -B1 Date
Date PLOMBING (Permit) OK except #'s
6. er Ht. Vent -Access -Combustion Air -Baffle
W ter Pipe; Test & Anchors -Nail Protection
W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
Card -B: > Dat - S{ j Card -131 Date
Card -B Date Card -81 Date
Dat ELECTRICAL (Permit) OK except #'s
. FIxture & Transformer Clearance -Ins. Protection
EI . Receptacles Spacing -Lights & Switches at Doors
. Size Boxes & No. of Conductors -Stapled
,9 . Romex Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
.c2T-2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
JAs`ulated Neutral Yes No
Service ser Conductors & Ground -Main Disconnect
31--5-q#. Clearances Panels-Motors-Mech. Equip.
32. Prothes Closet Light -Shower Light -Spa Light
Smoke Detector
Card -B1 Date Card -131 Date
Card -Bt Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
Vent 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 Card -81 Date
Card -B1 Date Card -B1 Date
Date FRA ING (Plans) OK except #'s
3 . • 6; Proper Material & Anchors
Walls Studs -Nailing, Spacing & Bracing—Plates-Sound
• B 'eing Walls over Girders & Floor Nailing
DXft Stop in Walls (rat proof)
re Stops; Furred Ceilings -Stairs -Chases -Tub
Vr4WHe,qt1er & Beam -Size & Bearing
Date FRAI&MIG (Continued)
a gers-Post Caps -Anchors -Connectors
CI . Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
ireplace Ties or Type A Flue -Fireplace Throat Clearance
49`Att!Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
c69-9af
age Fire Protection Framing
perty Line Firewall & Openings
Ex . Doors -One T -Check Garage -3rd story, 2 exits
W. tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
I ood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing Veneer
Ecco Mesh -Drip Screed -Fd. Vents-Underflr. Access
1541�lazing Area -Glass Protection -Skylights -Plastic
58. S ear Walls; Nailing -Bolts
Insulation-Walls-Clg. /�J �!/ �O
60. Infiltration-Walls-Wndws
Card -B1 Date5!�Card-B1 Date
Card -BT Date T:�Card-B1 Date
Date FINAL (P ns) OK except #'s
1. teps-Door & Sidelight Protection -Landings
moke Detector
63 -Ft nice; Vents -Clearance -Comb. Air -Connector -
In age; Above Floor-Ducts-Mech. Protection
ed Exiting
Bath Fixtures & Tub Access -Spa
lec. Trim & Subpanel; Breaker Sizes -Labels
67. 51a(rs & Rails
W. replace or Stove; Clearances -Hearth
Of EleyOutlets at Wood Panel; Int. & Ext.
Fe"Zit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
ec. Outlets & Receptacles at Kit. Counter
Swing -Landing -Closer
-Damper
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Elec. & Mech. Equip. Listed for Location
(G.F.I.)-Romex Protec.
'm #ki4km;-FcLam_-.Loakad_w Attic ❑ Yes
k Construction -Post Caps
7T. F ents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
84. SW669j 'sh
Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Opp ings.
ater Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
entilation throughout House
8L-b4ess-Protection
ael5brrections from Previous Inpections
a Test Meters Tagged; Gas -Electric
ater ewer Connected -C/O to Grade -HD Approval
1 rgy Compliance Certificate -Other Certificates
of to
Card -131 Date - Card -B1 Date
Card -61 Date Card -131 Date
Card -131 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way. Chico — Phone: 891-2751
7 County Center Drive. Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
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.
-.-\ r---) . # . I A I j f /
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive. Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
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.
Inspector Date—
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
-e- -/ �) / - 5 b -'r
OWNER PERMIT NO.
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
W151"Fo? �,T- MRS
Alz
`7
Inspector Date
Building Owner
Building Location
ENERGY INSTALLATION CERTIFICATE
is Building Permit #
LC9 Al (fZ f ?)R S MM1A j 1QOK� 0
DESCRIPTION OF INSULATION
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material
. Thickness(inches)
CEILING .
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name Q -6J U-7— �l
Thermal Resistance(R Value)
Brand Name
.Thermal Resistance (R.Value) 3-t�>=
Brand Name .
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
r-�
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
--'is consistent -with-.-approved building--depa-r-tment plans and attachments -and--con -
forms with requirements of Chapter 2-53 of State of California Energy Requirement
STATE CONTRACTOR'S LICENSE NO.
1-;t-4161ZL?o
SIG INSTALLATION APPLICATOR DATE
I hereby certify the required features, devices, and equipment, a5 shown on the approved
Building Department plans and attachments have been installed and conform to'the appli�
ance standards and Chapter 2-53 of the State of California Energy requirements.
BUILDING CONTRACTOR/OWNER (Please Print)
(FIRM NAi`4E)
SIGNATURE OF BUILDING CONTRACTOR/OWNER
HVAC FIRM NAME/OWNER (Please Print)
SIGNATURE OF HVAC CONTRACTOR/OWNER
STATE CONTRACTOR'S LICENSE NO.
DATE
STATE CONTRACTOR'S LICENSE NO.
DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988
COUNTY OF BUTTE - D,EPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIONAND PERMIT
%R�LJ� NO.
ASSESSOR PF` l MBE$-
ZO ' G
BUILDING PERMIT
OWNER 4
TELEPHONE
SQ.FT. DCC. BUILDING VALUA ON
OWNS AILI G AD/DRESS
CON RACTOR'S NAMEA V1
TELEPHONE
CON T RA ioT OR AILI OD
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
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS"5=0 g&gftaylv
Permit tee
$/
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
Ko vw-
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF?, Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New Addition ❑r Remo el ❑ UtiIi ies ❑ Installation[] Other D
Describe work: /� �� `
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full llJforce and effect.
License No. ��` �a CIaSSIflCatlOn LS
❑ 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)
❑ ossa (Sete owner, am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR AODNS. ( ACC. BLDGS.
, /20Sgft
NEW CONSTR ULTI.OUTLET
NO N.RESID BRANCH.CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES
20®90Q
BALD 30
FIXED APPLNS.
EX. Occup. OUTLETS ((RESID )REA.)
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 $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permlt 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 said Couin consequence of the granting of this permit.
X Date
Signature of plicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
AL
FEE TOTAL
/
[
HAz
CUA
PARK
FLD
PAR
PD HD Issue
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PER EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date/
ID—1V
Receipt No.
WNITC-D.P.W., TEL LOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
�t
— PERF NO.
ASSESSOR PARCEL NUMBER'
3--11- D -D�
ZO NG �'
BUILDING PERMIT
OWNER���
1
TELEP ONf,
SQ. FT. OCC. BUILDING V UATION
^ .{
EADDRESS
OWNER-:5—MAI LIN
15 W I 4 44- d 4.A—?,-- Joe- J t. I
`
,
C` TRACTOR'S NiVAE /
TELEP ONE
S3
CONTRA/AACCJJTOOR'S MAILING ADDRESS
Fireplace
OER
CONSTRUCTIIIOONQUEN1 —1
UNKNCTWN
Total Valuation is
Filing Fee
$ 10.00
LENDER*S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEE
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
A$.
$ ;
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee - 10.00
`l
d - L6ez),-e–'e—
Each Trap
2.00 46
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00 �'
USE OF STRUCTURE
SF 1741 Duplex❑ Mobilehome❑ Other
T` SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home is G W
10.00 ea
TYPE OF WORK
NeAddition Remodel[:] Utilities❑ Installation[--] Other❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I decl re under penalty of perjury (check -one):
r1W(% I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in ful) force and effect.
� 7 70.3 ?j
License No. i=2 Classification
El 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
NEW CONSTDWELLING O
CCUP.� /QSgftOR ACDNS. /ACC. BLDGS.
NEW CONSTR U 2.50 ea
NO N•R ESID BRANCCHH CCIRCRCU ITS
POWER APPARATUS e\
SINGLE OUTLET CIR. /
EX. OCCUp(OUTLETS OR FIXTURES .20@030
zAL930
Ex. Occup. OUTLETS P(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.
II 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
FiIingFee 10.00
Heating
d�
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 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
t.
against said County in nsequ of the granting of this pe4--12,�
X Date
Signet of Applicant – Owner ❑ Contractor 9 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 PE MIT FEE
occuP.
Ill
cmPr PE
F
PA L
P
ND ssuE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
—Date��
d
Receipt No. ��o
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
k
PLAN VIEW
CIACULAA STAIRWAY
ISECTION 3306 (a))
PLAN VIEW
UMITATIONS: 1. LIMITED TO SERVING AS EXIT FOR 400
SOUAAE FEET MAXIMUM.
2. APPLIES TO A-3 OCCUPANCY AND
PRIVATE STAIRWAYS IN R-1 OCCUPANCY
SPIRAL STAIRWAY
(SECTION 3306 (1))
x =
E MAXIMUM 9'1 -INCH
0-
RISE BETWEEN T , REAOS
THE LARGEST TREAD WIDTH
4
Or. R!SER HEIGHT WITHIN ANY
14Y
-
FLIGHT OF STAIRS SMALL
<
7" MIN.
NOT EXCEED THE SMALLEST
z
0.
By MORE THAN 7�% IIN
a
PLAN VIEW
CIACULAA STAIRWAY
ISECTION 3306 (a))
PLAN VIEW
UMITATIONS: 1. LIMITED TO SERVING AS EXIT FOR 400
SOUAAE FEET MAXIMUM.
2. APPLIES TO A-3 OCCUPANCY AND
PRIVATE STAIRWAYS IN R-1 OCCUPANCY
SPIRAL STAIRWAY
(SECTION 3306 (1))
COUNTY OF BUTTE - DEPARTMENT `OF'PUBLIC WORKS - BUILDING DIVISION
t
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATIOWDATAWISHEET
Permit No.
OWNER �2�SPe1 A. P. No.
Proposed Building Use Building Inspectoret�Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1' All items.have been submitted. . . . . . . . . . . .
Plot plans in duplicate./tri.plicate, signed by preparer of plans.
t
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. . . . . .
`36. School District "Fees Paid" Stamp on Floor Plan.
X71 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . , . , , , ,
Ne9: Letter of signature authorization. . . . . . . . . .
0. Sanitation approval from 5�' Health Dept.
11. Planning approval for (A) Use: (B) Parking: :S
12. -Certificate of Workmen's Compensation Insurance. . . . . .
13•. Contractor's License Information (no., name style, classif.)
x_14. Owner -Builder Verification (Given to owner0, Mail to ownerE])
_15. Improvements may be required. . . . . , . , . , ,
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to Date) i
17. Pre -Inspection for Required. Building Inspector 7�i
18. Recorded copy of Agricultural Acknowledgment Statement. 5
19. Driveway Permit.
20. Plot plan approval from city of
_ 21. Engineered trusses in dIi ate (requir d prior to plan check).
When you issue the permit, process as follows: Mailo�w�ner, Mail to contractor.
Telephoneand hold for pickup 1' office, Deliver w/inspector.
My�
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by hone_�ou
nail_"cnter by � date—Z
Contractor, designer, owner, was advised of above required data by_phone_mall_c inter by date
v*ft
Plans checked byq57 Date Plans approved by /) Date
-42LSets of plans on hold in"Ile cabinet AP folder
Copv—DPW
9
r
TO: Building De partment
FROM: Encroachment Permit Section
RE: Driveway Clearance
13r, 5 04 —LI10-0z-1
f owner location
- ;;, � -11-OR
AP
Driveway permit has been issued for the above property.
SiA4ature date
TO Buildina DeP'artment
FROM: Environmental Health
SUBJECT: Sanitation Clearance
er
Plan Approved for:.
Location
Sewaqe Disposal
, Nold final for:.
.,,Final clearance O.K. for:
Clearance for _C2,bedroom mobile
6� -other
-7 00 F`
AP#
Water Supply
Water Supply
Water supply
t
o.
t, BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number /J- //•- 0 -QUO Building Department No.
School District/0_*7/_L , � City Q County
� _ V
Property Owner
Jurisdiction
V
Project Location/Address
Subdivision Lot Number
LResidential Development: A!
Sq. Footage 9a U
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
District' Id No. 004,�r
Z!
School District certifies that
(AP li(dant Name) (Phone Number)
r, >a
(Street Address)
Q,161,1� d
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
ou
by t 10 payment of representing 9 00 square feet.
Xwe"o P,
School v *rict Representative Date
PAID BY CHECK NO. REMARKS
BANK NO S -.S" - ( .3
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
C, 0 Ael /A 1/1 � /le T 0 - -
14o,
-;20
/0 s-.2
q (
-73 6 S -Fr
,� -,-> - (, Y -4 72,77
OP! 1�-692 THIS DWC. PREPARED F
,OT CHORD �XG FIR-LAIRCH #1
WEBS ZX4 FIR -LARCH STANDARD� EXCEPT AS SHOWN
:Tt-ZXE FIR -LARCH *2 ::WI -2X4 FIR -LARCH 01
P1 ATES MItST FIE INSTAtLE0 IN ACCORDANCE WITH
tEoijwmEmrs OF i.c.s.e. RESEARCH REPORT 92949-
kLL PLATES ARE TO BE CENTERED ON THE JOINT. LEFT TO RIGHT AND
ICIP TO BOTTOM. EXCEPT WHEN LOCATEO BY CIRCLE OR DIMENS10fl.
3EE DRAWING [3# FOR -PLATE LOCATIOWS ON TYPICAL JOINTS."
NLL BOTTOM CHORD SPLICES OCCURRING BETWEE"
PANF1 �'O%NTS ARIE TO BE LOCATEII, AT A13PRIJXIMATELY
1/4 OF PANEL tENGTH FP(W PANEL POINT IVITHIR 12*t AND
�,Un4jj P Ajr !� Of -r4!0 fM pAl4r.! 4Z 14IFYT Tn 6 0j,"F1 Pn I 83T -ZPL !4�4:
N07E: PLATES ARE DEr
,If_ -NFD WITH A DURATIOM FACTOR OF 1.99.
(A) Refer to drawi-'ng 3,027.999 for &able fill
de -tail aad required bracing. 28 -0-1
(B) This area of truss to support 24"
top chord outlookers. 3-1/2"
x
'17
f R)
_X14
R_PIG50 if- :1.150 -
TYPE - -ALP Iw_
C--_, C=
7 r__ I
k= t= q= C=3 CZ3 C=3
22-0-0
-0-0 OVER 2 SLFPORTS-
SEON--225858 FURNISH Q CDPY OF T141S DESE
' ULLWixo "men, I#C- Ifts
**1MP`[)RTANT%* 9"ft"tawt or 0"wwwc FIR ;w URNING III
1KTMf1rr4 ICA TPUZ 'Wt.$VTfMfW-W_, W 4W OWTO-ItUP FWF-n VX- I W. - -W 'M 1 -A
utt:,, rj'%1[w fA off U-Nituft TWO ourt]) Fw_ I.-azz M vm 199wwf. tumm1mv FPV f*13
it, 144 w nom -i iv wNum- nnmtAk- vT m - mpiw- cumPIEEPUFM (4!5 OU;W9 COR I
rVE cnwffw.uwa Irm m cmqt;F 16M wmrm s4m EK!7z, wul mmaw 6matm
EPTOINWISE SmmN, IE'ETj#Z WGL'jRM`1ffS W F610 fX46 A. goo. UP Em000 !
wpo cnmnxm To mm HiCES RT 0" Ann — '0mrE ffs 91 IN -vjv%_1LT ATI
!;pCW ffopr VWTW SW q- WnIlIft, tP&E--; 4-IdERYM SHXc. .1. 0 mm) off"
VII;j EfftlESIML. ORN"10M, OF K; TX100 GM
TVMMFkftrE 11614"VE. *M - AMIML aESVAI SPEZITIMFUM FM
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX &'MISC. ONLY) "
7/85
Aldg -Permit #�f�Iflge
OWNER A.P. #
GENERAL
Zoning requirements: (sideyards and number,of'permitted living units).
Valuation.
Plans signed by designer.
4. Energy Design and Compliance.
.-000'- Existing violations on property. ;
PLOT PLAN
Complete parcel size and dimensions.
�Z. Setbacks, sideyards, easements, -etc.
�ther buildings or structures.
4. Grading, fills, drainage.
5. Flood hazard.
Special conditions on creation map or compliance document.
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205) -,r-
Required windows for second exit (Sec. 1204). 44O%L%P-
Skylights (Chapter 34 &' Sec.. 5207). /7,12—
-fy! Human impact glass (Sec. 5406).r�
Required .room sizes, ceiling heights (Sec. 1207.).a -4l
--.I G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8).,,110 7*7--1v-7
8�Light fixtu"res, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment. -/J07
-9.—. Locations of water heater, heating and cooling equipment, other electrical or gas
equipment, and. plumbing fixtures. oK 407"W7/-
I..r Garage firewall, door size, and closer (Sec. 503(d)(3)). 17,E-1
-14�- 1 - 3'0" exterior exit door (Sec. 3304(e)).OT
Joe! Fireplace and wood stove location. jam,
1g! Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
1. Foundation plan complete enough -:to construct building.
2. Floor construction details complete enough:to construct building. 1,,%4 7g5r�'
3. Elevations and wall construction details complete enough to construct building.00OP/07it:9y
4. Roof construction details complete enough to construct building. /w9t57?,,
5. Fireplace construction details and calcs if necessary./7:tk,
6. Sufficient data and details to satisfy energy requiremen
o+� ,gfuS � -
MISCELLANEOUS�`��
ITEMS TO LOOK OUT FOR /�
-Exposure I plywood on exposed locations and overhangs.'X D* vvo �,�jG�'
'20.7 Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306)-�
.$:r- Guardrail details (Sec. 1711 & 3306 (j)) . ,—,,e-
brick or "stone veneer (Chapter 30). 1,'A' -
Exterior plaster - weep screeds (Sec. 4706).
groper roof.pitch for roof covering (Chapter 32)..r'- .
,7- -Rafter ties or bearing ridge beam. /2oT
RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85
MISCELLANEOUS ITEMS TO LOOK OUT FO,R•(CONT'D)
,,T'Ga age door or porch header sizes.
Adequate bracing.
.;1C" --riving area over garage - complete 1 -hour separation .required on ,garage side
including supporting walls and posts, etc. 1%•/L
.two exits on three-story dwellings'(Sec. 3303 & see Mezannines 1715). rJ>/Z
otic access and ventilation (Sec. 3205).—
Under floor
205).--Underfloor access and ventilation (Sec.
Wood stoves, clearances, alcoves & 1 -Dour shafts.
mbustion air for fuel burning appliances.
,Noise requirements on duplexes. ---�
adobe soils - special foundation design. —�
TS�rRetaining walls requiring design.
Unusual shape, size or split level house requiring lateral design.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916;'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
— �� — C30P
ZONI G
U
BUILDING PERMIT
owNE�.
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAI LIG_A(�DyP ESS'
-
.. 1... C %)LtN -L-V-7✓ i //-.c—CO
t�TOR'S NA �//
' -If 4 L_-,!� i .
TELEPHONE
'
C014, ACTOR' MAI ING ADDRESS
"-/ 9 57
Fireplace
CONSTRU TION L&NDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S AILING ADDRESS
Permit Fee cab2-
$ Z, )-7
ARC HITE T OR ENGINEER
tll it C_
LICENSE NO.
I
Plan Checking Fee
$
Ener Plan Checking Fee
Energy g
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 7l • .S�
PLUMBING PERMIT
Filing Fee 10.00
c ✓
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [y Duplex❑ 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 Rr Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other z
Describe work:
7 d f P✓.►� i (�yZG%.J ��'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
—r �'—
Main service 100 1 OR AMP ORSLESS
10.00
Main service EA.. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and 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-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.DWELLING OCCUP.a
OR ADDNS. (ACC. BLDGS.
,
�22SQft
CONST
NEW RES1D. BRANCH
NON .R ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20@COQ
eAL(P30
FIXED APLNS
Ex. Occup. OUTLETS P(RESID )REA.)
1 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.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
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
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 represent at i ves,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 said County in consequence of the granting of this permit.
X Date
i Signature of Applicant - Owner
g pp ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
_
TOTAL FEE $
HAZ
I CUA
PARK
scHL
Fro
PAR
PD
HD IssuE
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 aid.
p
DIRECTOR OF PUBLIC WORKS
By Date
oc�±n- cvalnc; n.,to / !I — /%-9A
Receipt No.
r
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00,
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'�/.. /, . /�/,.tj��.��•�6f/fsr ' /��yr,.O�_ � ��/�stl � .tea w /�' <.. .. ,
/�,' �/� 1 r.•�._�. it-�_ .. ." . j!���—.._ i . .
op
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�", �' � � � ��.�L_ ��� ����,.C�=mac'
- � � , „ .. � •�//-AV/ LSM
INSTRUCTIONS FOR RECORDING AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
1. Insert the legal description of the property in the space provided
on the attached form. The legal description is the narrative
description of the property - which will be on your deed. If you don't
have access to the deed the Recorder's Office can provide this
information. (The description may be handwritten or typed in the space
provided or attached on a separate sheet if more space is required.)
2. Property owners must sign the, form in the presence of a Notary Public
and have the form notarized.
3.. Make a copy of the f orm and then take the original and copy to the
Recorder's Office at 25 County Center Drive, Oroville . (the
Administration Center building). The Recorder will record both the
original and copy. They will keep the* original and return th.e copy
to you. Just bring the copy back to the Building Department at 7 County
Center Drive. (If -you don't have access to a copier the Recorder's
Office can1make the copy for an additional charge.)
RECORDER'S FEES: $5.00 - lst Page
$2.00 - Each Additional Page
$1.00 - To Make a Copy
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
z� FOR RESIDENTIAL DEVELOPMENT
Sec_'t�i..on 26-8. 1. of the Butte County, -Code
requires Lhis acknowledgement be recorded
prior to issuance of a building permit.
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 incon-
veniences 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 esLab.l:i.shed ogr.icii]
Lural zones which have as a priority use for productive agricul.Lur.al. purposes, and rotiidens
within said zones and on adjacent property should be prepared to accept such inc()nvei(icn( o
or disconf:orm from normal, necessary farm operations.
All that real property situate in the County .of Butte, State of Califor.n:i.a, descr.ihcd is
follows:
50u71�u,�s7_ gc�a�iT�22
�e�Tl04/ //, iocAilt/s�{J,� r9
CVT� 6dxge
Date: PROPERTY OWNERS:.
e^
State of. CJA ) On this the L day of , 19-&, before, me,
�rrre > SS. the and rsigned Notary Public, pefsonally appeared
County of )
4 OFFICIAL SEAL Personally known to me. 12( Proved to me on the basis
sJa ......;y
CARTER PATSY L
W m of satisfactory evidence. NOTARY PUBLIC - CALIFORNIA be the person(s) whose name(s)
Faa�,N BUTTE COUNTY
My comm. expires MAY 13, 1992 bscribed to the within instrument and acknowledged Chat. _
1680 QMHecuted the same for the purposes therein contained. I.N W1.TNFSS
' I' CA 964" WHEREOF, I hereunto set my hand and off.ici.al. seal..
.Present A.P.- No. �� �/ Notary Public
Certificate of Compliance: Residential
446111.
Climate Zone 11
Building Permit Al
I Checked By/ Date
Enforcement ARencv Use Onlv
BUILDING DATA G ea �' 1
• North se .
Condition Floor Area -Q�- w Number of Stories East
Number of -Units South , . O
Sla 's oor 9 ��
[ Single Family Detached (SFD) [ ] Addition Alone West
[ ] Single Family Attached (SFA) [ ] Existing Building Skylight
[ l Multi -Family (MF) [ ] Existing -Plus -Addition Total
BUILDING SHELL INSULATION
Component Insulation Location/Comments
Type R -Value (attic. to garage, typical, etc.)
Wall ..............
Wall .............
Roof .............
Roof .............
Floor .............
Floor .............
Slab Edge.....
GLAZING
Glazing
Shading Devices
Area Glass Type Interior Exterior Overhang Framing Type
North
�
Notch
East ( )
L
��C
/ ✓
✓
( )
EastSouLh
Sou th ( )
West ( )
,�7 G
/.?1�x�i� y'
,/
,✓
West ( )
Skylight.......
THERMAL MASS
Type/Covering
Area
Thickness
(slab/exposed. tile. etc.) 00
(inches) Location/Description (kitcheru
bath. etc.)
HVAC SYSTEMS Minimum
Type (fumace, air Efficiency Location
conditioner, hetet pump) OF, SEER,HSPF) (attic, etc.)
Duct Output Manufacturer / Model #
R -Value (Btuh) (or anoroved eaual)
Maximum Furnace Heating Output: _
HOT WATER SYSTEMS Tank
Btuh
Manufacturer/Model # V
04 V
�
(or aonroved eaual) - Soecial;Featu? (s) .oft
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these meastm regardless of the willoiance
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements fisted
on the C.enireratr of rrvnldiv P. urnan this sheckhat is;mu,Waul biw die vomit nnctillwit, thi:Ickums no" shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIMON I DESIGNER I ENPORCEMENf I
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
42.5352(b): Loose rill insulation manufacturer's labeled R -Value.
• §2-5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (toes not apply to
exterior mass walls).
§2-5352(k): Slab edge insulation - water absorption tate no greater than 03%. water vapor
transmission rate no greater than 2.0 petmfutch.
§2-5311: Insulation specified or installed mats California Energy Commission (CECT quality
standards. Indicate type and form.
§2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiltration/Exftltntion Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed
12.5352(e): Special infiltration barrier installed to comply with §2-5351 meets CFC quality
standards.
12.5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have
a. Tight fitting, closeable metal or glass door
b. Outside air intake with stamper and control
e. Flue damper and control
2. No continuous burning gas pilots aWwed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2.5352(h) and 2.5315: Setback thermostat on all applicable heating systems.
• §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC.
12-5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas -fuel space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
§2-5352(i): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior
insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.3312(Exception p: Pipe insulation on steam and steam condensate return & recirculating
piping.
§2.5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
e. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2-5352(1): Lighting - 25 lumcnstwatt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators. refrigerator -freezers, freezers and nuorewent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
•Title 24. Chapter 2-53 and 'I itle 20. Chapter 2. Subchapter 4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with ove mU design responsibility and the building owner, who shall
retain a copy of it and tray mit the certificate to any subsequent putclta.ser of the building.
Designer
Name:
Addren:
Telephone:
t.ic. g:
Documentation Author
Name:
Tide urn;
Address:
Building Owner
Name
Address:
Telephone:
(date) p (signal=)(. .)
Enforcement Agency
'Name:
Atertcy:
Telephone
1. Ceiling Insulation
2. Wall Insulation
Single-
Number of stories
-46
R -value
One
, Two
Three
R-0
-103
-49
32
R-19
-8�
-4
-2
R-30
2
-1
-1
R-38
0
0
0
U -value
8
6
4
0.50
-176
-84
-54
0.30
-102
-49
-32
0.10
-26
-13
-8
0.08
-18
-9
-6 .
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
3. Raised Floor Insulation
Insulation in Floor
Number of stories
R -value One Two Three
R-0 -17 -8 -5
R-11 3 -2 -1
R-19 0 0
R-30 1 1
U -value
0.60
Single-
Single -
-46
0.50
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
34
R-11
0
0
0
R-13
-17
2
1
R-19
8
6
4
U -value
-6
-3
-2
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
A7
36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
'19
14
10
0.00
24
18
12
3. Raised Floor Insulation
Insulation in Floor
Number of stories
R -value One Two Three
R-0 -17 -8 -5
R-11 3 -2 -1
R-19 0 0
R-30 1 1
U -value
0.60
-144
-70
-46
0.50
-120
-58
38
0.40
•95
-46
30
0.30
39
34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
4. Slab Edge Insulation
-14
Number of stories
- - Number of Stories
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
-14
-48
- - Number of Stories
-04
R -value One
Two
Three .
R-0 0
0
0
R-5 8
5
2
R-7 8
6
3
F2 factor
.40
less
0.90 -4
3
-1
0.80 -1
-1
0
0.70 2
2
1
0.60 6
4
2
0.50 9
6
3 .
0.40 12
8
4
S. Inriltration (Air Leakage)
Specification Points
Standard ' 0
6. Glass Heat Lass
Total
-14
-48
-69
-04
U -value
%Glass
Percent
East
South
.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
3
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
12
4
9
13
17
15
-17
`T
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
Effective Percent Glass
(percent Blass x SC)
Effective
-14
-48
-69
-04
na
%Glass
North
East
South
West
Skylight
18
5
1
4
1
na
16
4
2
5
1
na
14
4
2
5
1
na
12
3
3
5
2
na
11
3
3
5
2
na
10
2=
3
5
2
1
9
2
3
5
2
2
8
2
3
5
2
2
7
1
3
4
2
2
6
1
3
4
2�
3
5
1
2
4
1
3
4
0
2
&P
1
3
3
0
1
2
1
3
2
0�
0
1
0
3.0
1
-1
6
-1
-1
'9
0
1
5
4
2
V3
na = not allowed
4.0
3
6
8
& Shading (Shade Closed)
Effective Percent Glass
(percent Shia x SC)
Effective
Gteu NoM East South West SkAht
18
-14
-48
-69
-04
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�
0
7
-23
4
5
1.5
-3
1
2
2
(q1/
5
2.0
-1
-9
1
5
6
1
1
1
-4
0
2
7
4
3
3.0
9. Interior Thermal Mass
Interior
Single-
Stab Floor
Raised Floor
Mass
Family
Stories
Multi
Mass
Stories
Attached
/CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
4`
-2
-1
-1
0.1
-8
-5
-3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
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
Exterior
Single-
Single -
Sum of 14
Wall
Family
Family
Multi
Mass
Detached
Attached
Family
0.00
0
0
0
0.20
3
2
1
0.40
5
4
3
0.60
8
6
4
0.80
1.00
10
13
8
10
5
7 -
1.20
13
12
8
1.40
12
13
9
1.60
10
13
11
1.80
10
12
12
200
10
11
'
13
11. Heating System
SE or RSPF
(assumes ducts In attic)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
•
12. Cooling System
SEER
(aswmes ducts In attic)
Sum of 7-10
-25 or -24 to -14 to
-410
Sum of 14
16 or
SEER
less
-i5 •5
-25 or -24 to
-14 to
-4 to +6 to
16 or
SE
HSPF
less
-15
-5
_ +5
+15
more
0.72
6.60
0
0
0
0
0
0
0.75
6.88
3
3
3
2
2
1
0.80
7.33
8
7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
17
15
13
11
9
7
0.95
8.71
20
18
- 15
13
11
8
12
9
Effective SE or HSPF
-1
-1
Effective SEER
(SE or HSPF x duct efficiency)
Effective -25 or -24 to -14 b
.4 to
+6 b 16 or
SE
HSPF
less
-15
-5
+5
+15 more
0.30
2.75
-73
-64
-56
-47
-38
-30
na
3.41
-45
-39
-34
-29
-24
-18
0.40
3.67
-34
-30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
-7
-5
-4
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
3
3
2-
0.70
6.42
17
15
13
11
9
7
0.80
7.33
25
22
19
16
13
10
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
•
12. Cooling System
SEER
(aswmes ducts In attic)
Sum of 7-10
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Detached and Attached
-25 or -24 to -14 to
-410
+6 t0
16 or
SEER
less
-i5 •5
+5
+15
more
8.0
-14
-12 -10
-8
-6
-4
8.5
-9
-.7 -6
-5
-4
-3
8.9
-5
-4 -4
-3
-2
-2
9.0
-4
.3 -3
-2
-2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
12.0
15
13 11
9
7
5
13.0
20
17 14
12
9
6
-1
-1
Effective SEER
0
HWR
(SEER
x dud efficiency)
-9
-7
-6
Sum of 7-10
WSB
-25
Effective -25 or
-24 to -14 to
-410
+610
16 or
SEER
less
-15 •5
+5
+15
more
5.0
-30
-25 -21
-17
-13.
-9
6.0
-12
-11• -9
-7
3
4
6.6
-5
-4 -4
3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 - 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
Stories
One -5 -4 -4 -3 -2 -2
Two + 3 3 2 2 2 1
Single -Family Detached and Attached
Interior Mass/CFA
srise I Puss
% Glass
Unit Size (sQ
Eff. % ILVS
Water
,.I
1199
1200
1700
2200
2700
Heater
Credit
or
to
to
to
or
Type
Type
lass
1699
2199
2699
more
SG
None
0
0
0
0
0
or
Solar
12
-8
6
5
4
HP
HWR
8
5
4
3
3
Effective SE or
WSB
5
3
3
2
2
POU
8
5
4
3
3
SE
None
-37
-24
-18
-15
-12
Solar
-1
-1
-1
0
0
HWR
-18
-12
-9
-7
-6
30%
WSB
-25
-16
-12
-10
-8
659.
POU
-18
_ -12
-9
-7_
-6
IG
None
-5
-3
-2
-2
-2
1.1
Solar
7
5
-4
3
2
2.5
POU
3-
_2
1
1
1
IE
None
-1.8
-19
-14
-11
-9
10y.
Solar
9
5
4
3
3
1.4
POU
-10
-6
-5
-4
-3
2.9
Multi
-Family (individual
3.5
units)
4
4.2
4.4
4.6
Unit Size (sQ
5
Water
5.4
699
700
1200
1700
2200
Heater
Credit
or
10
to
to
or
Type
Type
kiss
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
3
WSB
9
4
3
2
2
4.5
POU
9
5
3
2
2
SE -.
None
-45
-23
-15
-11
-9
1.9
Solar
2
1
1
0
0
3.4
HWR
-23
-12
-8
-6
-5
4.9
WSB
-25
-13
-8
6
-5
0.9
_sou
23
-12
-8
-6
-5
IG
None
-8
- -4
-3
-2
i -2
9.8
Solar
6
3
2
1
1
5.3
POU
1
_0
0
0
0
IE
None
30
-15
-10
-8
-6
2.6
Solar
18
9
6
4
4
4.1
POU
-8
-4
-3
5.1
-2
Interior Mass/CFA
srise I Puss
% Glass
SC
Eff. % ILVS
a. North
,.I
x
G G =
Q•
b. East
A 7
x
- ler 6 =
�•/
c. South
d. West
X/
x
_���•--�����
---- _
e. Skylight
x
--- _
-=�-
--~
9. Interior Thermal Mass
/--
11•MiNC-4."
TYPE 1 MASS AREA _ $
AREA
InuriorMnss/CFA
COND. FLOOR
10. Exterior Wall Mass
Exterior Wali Mass
4 TYPE I
KASS
WIMC a 4.2,
lo: exposed slab)
x
Zonal Control? ( Y / N)
SE or SPF
Duct Efficiency [0.78]
Effective SE or
Ic-peted slab)
-[0.72/6.61
HSPF [0.56/5.151
12. Cooling System
x
=
Zonal Control? ( Y / N)
SEER [9.51
Duct Efficiency [0.74]
Effective SEER [7/03]
-P--
�:�
cv-2G
Type [SGJ
Credit [none]
0%
5%
1095
15%
201/.
2S%
30%
35%
40%
45%
So%
55%
60%
659.
70%
75%
8o%
85y'.
00%
95%
100% 105% )toy- 115% 120% 125`
0y.
0
0.2
0.4
0.6 '
0.8
1.1
1.3
1.S
1.7
1.9
2.1
23
2.5
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.3
10y.
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21
23
25
2.7
2.9
3.1
3.3
3.5
9.7
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
22
24
26
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
40Y.
0.7
0.9
1.1
1.3
1.5
-1.7
1.9
2.2
24
28
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
2.5
21
3
3.2
3.4
3.6
9.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
'65%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
3.2
3.5
3.7
3.0
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
23
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
6.3
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.4
70%
1.2
1.4
1.6
1.8
2
2.2
2.5
27
2.9
3.1
3.3
3.S
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
1.0
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
5.5
5.7
5.9
6.1
6.3
6.5
80%5
1:4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
2.5
2.7
'2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
54
5.6
5.9
6.1
6.3
6S
67
90Y.
1.5
1.7
2
2.2
2.4
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
68
95%
1.6
1.8
2
2.2
25
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
21
2.3
25
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
.5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7 '
105%
1.8
2
2.2
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
6.4
6.6
68
7
110Y.
1.9
2.1
2.3
2.5
27
29
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.S
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
7.2
120%
2
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.8
4.8
5
5.2
5.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
21
2.3
25
2.8
3
3.2
3.4
3.8
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation /1" or
R -value [38] U -value [0.030]
2. Wall Insulation /2 /y or
R -value [ 111 U -value [0.098]
3. Raised Floor Insulation %.Z � • or
R-value[191 U -value [0.037]
4. Slab Edge Insulation O or
R -value 101 F2 factor 10.77]
S. Infiltration Standard
6. Glass Heat Loss 1��L" /, � - a
Type [double] U -value [0.65] % Total Glass (16]
7. Shading (Shade Open)
% Glass SC Eff. Oat Glass
a. North x --7 _ J
b. "East /,Of x 7 % = 1011,
C. South .1 Ay X • % % =-2-15 4.4
d. West 46.117 x • 7_ _
e. Skylight x =
8. Shading (Shade Closed)
Point Scores
- Z
0
Sum 1.6
W,
f 2
Point TotaL•( T,, '
% Glass
SC
Eff. % ILVS
a. North
,.I
x
G G =
Q•
b. East
A 7
x
- ler 6 =
�•/
c. South
d. West
X/
x
_���•--�����
---- _
e. Skylight
x
--- _
-=�-
--~
9. Interior Thermal Mass
/--
TYPE 1 MASS AREA _ $
AREA
InuriorMnss/CFA
COND. FLOOR
10. Exterior Wall Mass
Exterior Wali Mass
TYPE 2 MASS AREh �
ND. L OR AREA
11. Heating System
x
Zonal Control? ( Y / N)
SE or SPF
Duct Efficiency [0.78]
Effective SE or
-
-[0.72/6.61
HSPF [0.56/5.151
12. Cooling System
x
=
Zonal Control? ( Y / N)
SEER [9.51
Duct Efficiency [0.74]
Effective SEER [7/03]
d Water Heating
�:�
cv-2G
Type [SGJ
Credit [none]
Point Scores
- Z
0
Sum 1.6
W,
f 2
Point TotaL•( T,, '