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Home My WebLink About073-280-01673-28-16 .1843-90B,P,E,M BESTLINE'BU ERS 11137 Bree l 'p r /1 (new singl i ) V 73-28-16 2307-90B,P,E,M TICE, Randy & Rose 11137 Breezy Blvd, Clippe s Contr: Bestline Builders A (new sf) u '* 6 RESIDENTIAL 73-28-16 2307-90B,P,E,M TICE, Randy & Rose 11.137 Breezy Blvd, Clipper Mills Contr: Bestline Builders (new sf ). lj • I OFFICE COPY Address GAS Dated//—i/ Meter By EL ' Meter By OFFICE COPY Address 37e I GAS Dates Meter By ELECTRIC pate y Meter By _ . J JOB FINALE Signature J=OK O = Not OK Not ' = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete _1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /'•L"ft./ /"LPG 7. utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 a ' r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing ' 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip'. -Pool Lghtg. Boxes-Enclosures- Panel boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f V OK O=Not OK' - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR Plans OK except #'s n i n g -Setbacks -Ease ments-FI ood-SI ope L�Ffg., Main; Soils-Elec. Grnd. 2C.Ftg. Depth oils-Steel-Elec. Grnd.-/ /" Ftg. Depth g., P rches & Decks; Soils -Steel-/ /Ftg. Depth emwalis, Main; Steel -Bloc kouts-Wrapped 6-z3t9rrrwa"T,-Garage; Steel-Blockouts-Wrapped Fla--Hold-0t7wn9�and Special Anchors a e - rapped iers-Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test 2 Way C/O ewer Test ((1PGas Pipe; Size -Anchors 1 a er Pipe; Test -Anchor -Regulator -Service Test 1?.-Etectriv-, t7nberground 1 s; Clearance -Material -Support -Ins. 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Dat --Z,Z Card B-1 Date Card B-1 Da _/Card B-1 Date Card B-1 Date P� WBING Permit OK except #'s L, -,"IA -water Htr.; Vent -Access -Combustion Air -Baffle 17, Water Pipe; Tegt & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First FlooT=Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FLECTRICAL Permit OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 4. Size Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. 26 uip. Ground made up w/Mech. Fastners-Bond Gas & Water %2 Appliance Circuts in Kitchen & Conductor Size/GFI 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. Insulated Neutral 0 Yes 0 No 0. Service -Riser Conductors & Ground -Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. CI hes Closet Light -Shower Light -Spa Light Smoke Detector DateCard B-11Date Card B-1 Date Card B-1' Date Card B-1 Date MECHANICAL Permit OK except #'s 34. .C. Ducts Insulation & Support 5. Vent Fan; Exhaust above insulation ,. 36. Condensate Drain & Overflow: Size & Grade 7. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sils, Proper Material & Anchors 0. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing 42. aft fop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) . /46. Clna. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. L,_-C'rFireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. a age Fire Protection Framing 51. Property Line Firewall & Openings 2. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 5 wood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer uc o Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. ing Area -Glass Protection -Skylights -Plastic. 58. Shear s; Nailing -Bolts ulation-Walls-Ceilings 60. Infiltration -Walls -Windows Date and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL s OK except #'s Ex eps-Door & Sidelight Protection -Landings Smoke Detector ace; Vents -Clearance -Comb. Air -Connector - in Garage; Above Floor-Ducts-Mech. Protection edr om Exiting 6 . F.I & Bath Fixtures & Tub Access -Spa lac. -& Subpanel; Breaker Sizes & Labels airs & Rails gg.Firepi ace or Stove; Clearances -Hearth lec. Outlets at Wood Panel; Int. & Ext. it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance c. Outlets & Receptacles at Kit. Counter r; wing -Landing -Closer e -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In rage; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location ----Ga-G.F.I.)-Romex Protection insu on -Foam -Looked in Attic 0 Yes 7 uard Rails & Deck Construction -Post Caps 7g -94K. -Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ .es owing instld.; Drive Yes No; Walks 11 Yes o; Planters ❑ Yes No ish onnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings , Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground 86._ fon T.hrouahout House Gas -Electric 92FIWat�v4 Sewer Connected -C/O to Grade -HD Approval 91. nerav Comoliance Certificate -Other Certificates Dated 6 Card B-1 Date Card B-1 Date -.4 f/ Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) ..•�iY \w'.� .. _..` rr.�.,y, ,, � ter-- r-....r-.sv -�••-...+.`y ..-�r�. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, 0roviIIe — 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. I, -�/ --- Date ( _ Inspector . .. _. _ .r�.�.-�--,rte•---' f, ii. - `.�-.-yam... �-. .. n .. �... -- ,y. ..y 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 ='I CS -7 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. DateC/ �!� Inspector r . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 ` CORRECTION NOTICE R 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. t Date r Inspector .Z&2 --4 -- i Owner I.+`,= Permit No. ENERGY CERTIFICATION LOCATION A.P. NO. DESCRIPTION OF INSULATION ROOF MATERIAL THICKNESS EXTERIOR WALL MATERIAL FIBERGLASS THICKNESS j44 CEILING BRAND NAME THERMAL RES. BRAND NAME CERTAINTEED THERMAL RES. 9 BATT OR BLANKET TYPE BRAND NAME CERTAINTEZI) THICKNESS. THERMAL RES. LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED THICKNESS j it THERMAL RES. 'axd FLOOR.,ELEVATED MATERIAL FIBERGLASS THICKNESS d q FLOOR, SLAB MATERIAL THICKNESS WIDTH FOUNDATION WALL MATERIAL THICKNESS BRAND NAME CERTAINTEED THERMAL RES. t BRAND NAME THERMAL RES. BRAND NAME THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. SHASTA INSULATION INC. #530235 �erMebNyAcertifyRthe !! // STATE CONTR. LICENSE NO. I aboverinsl lltoon and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically ap Droved by the State of Calif. ------ V_!_-SlLi ____-----_---- FIRM NAME/OWNER (PLEASE PRINT �\ STATE CONTRACTOR'S LICENSE NO. F GENERAL CONTRA R DATE t'his certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the building. JANUARY 1984 V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 2307-90 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 73-28-1 ZONING BUILDING PERMI OWNi`_R Au TELEPHONE - SQ. FT. OCC. BUILDING VALUATION 46.080 R' MAILING ADDRESS P.0R 72 CONTRACTOR'S NA E TELEPHONE 32 open 160 CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation Is 47.960 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 274.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 137.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 436.00 PLUMBING PERMIT FiIingFee 10.00 Each Trap 8 2.00 16.00 p Solar or heat pump water heater 20.00 LOT NO. 146 SUBDIVISION NAME Merry Mountain Village PARCEL MAP 38-95 Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF aX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK NewEJX Addition[] Remodel[:] Utilities[] Installation❑ Other ❑ Describe work: 2 lhdrm _ Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ef penalty of perjury (check one): I decZ>amlicensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full f e and effect. SQ�_ / 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 this reason NEWCO NST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. SLOGS. '/s¢sgft 28.80 NEW RESID, MULTI -OUTLET NEW CO ID BRANCHCIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES eAL®90 FIXED EX. OCCUp. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 48.80 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. n ytfave 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 FA Propane 6.00 60,000 btu Cooling Hood 3.00 3.00 Ventilation 3.00 Permit Fee $ 22.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 against said County in consequen lof the granting of this permit. / / X �4 Date [� " Signature of Applicant - Owner ❑ Contractor �Agenr F1work An OSHA permit is required for excavations o er 5'0" dee and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 0L C 3 CONS TOTAL FEE $ 582.80 HAz '-' CUA `- PARK SC FLD P HD ISSUE Th;s permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTO OF PUBLIC By PE IT EXPIRES Date the applicable pr vi - resolutions to do fees have been paid. WORKS Date P_ / ct �- Receipt No. 69997 - 192./0^0 // c a P �` ��" WHITE-D.P.W., YELLOW-A88l SSOR, Nq--INSPECTOR. GOLDENROD -APPLICANT Jj 4"�l-w,. jyr:�"\.-�:�,�r.,y. rva�t._.L • i ., ..� - COUNTY OF BUTTE ='DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 3 7 COUNTY CENTER DRIVE - OROVILLE,,CAL 1�iNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Kit�/U 7 sG�S� �l C A . No. ^Z� -1,� Proposed Building Use � Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5 -,,Hazardous Material Form ............ .................. . . 0911-nergy Design Compliance and supporting documentation 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation.l $ 6instructions . ees of(>.; ..................................... g 11. Chico Urban Area fees paid ....................................... Park fees paid .................................................... /%1 ✓� School District fees paid .............. — 1 anitation approval from 012-0 Health Department � 5. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW iveway permit (construction approval required prior to occupancy) 9 0. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail owner. Mail to contractor. Telephone -moi W64/0 nand hold for pickup at office. Deliver w/inspector. Other ,/I '/ ' Applicant i/ /.I�1e_2�ate - <;0 Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted for to per it, is u n : (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 -1 -phone --mai I —counter by ..date —1- M-96 Contractor, designer, owner, was advised of above required data by_phone_mall_ u r by date Plans checked by Date Plans approved by Date Sets of plans on hold in &Elle cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 7 13t --e Y-,'72 �� 73- owner location AP # Driveway permit 1"e17e_ea eu" has been issued for the above property. date si ature TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 72 tv Owner Location A P# Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Final clearana O.R.. for: Lt,p TO X Clearance forbag bedroom , ome. they HOTS "*—* * Salt-tf arian Water Supply Water Supply Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. n ASSESSORPARCEL N MBB=R/ .:3-2 ZONA BUILDING PERMIT O 1114E � , nOc, �r / �D SO. FT. 0 BUILDING VALUATION OW 'S MAILING AADOR �S`/��/'v� CXT R A C L_ 11 , / UI G/ J� le ✓ ,/T �N7 ✓ IF/ C/jdN A TOr '5 MMAL.Q4G ADDRESS /L /CN A?L D Fireplace QQ CON TRUCTION L ND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ aZ 74h 190 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 137,06 Energy Plan Checking Fee $ ADO ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL7;; G AVSS n j -Z / �L , ^ 5 Permit fee $ 3 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LO T,r�I� /L/// SU BDI VISION NA � PARCEL E� A 3(.JY// Water piping 5.le Each qas water heater or vent 5.jV USE OF STRUCTURE Duplex❑ Mobilehome❑ Other Gas piping system 1 - 5 outlets 5.SFA Building sewer 5.SPECIFY Mobile Home S G W 0.0 ,(d D-UTYPE OF WORK Additiop �gmotilities ❑ ❑ InstallationOther ❑ Describe rk: �>"CJ !r/,J Permit Fee $ , Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aooI00v OR Ess AMP OLR LESS 10.00 00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑NON-RESID 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 this reason NEW CONST. DWELLING OCCUP.& OR ADONS. � ACC. SLOGS. /2csgft NEW CONSTR. ULT' -OUTLET BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (POWER OUTLET CIR. ) Ex. Occu p�OUTLETS OR FIXTURES ;A 9300 FIXED APP LNS, OR Ex. Occup. OUTLETS (RESIO.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building DepartmenteleQ 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 FA PRD V Cooling Hood 3.00 3,0a Ventilation 3,Q Permit Fee $ r e 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. 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavati ns over S' eep and demolition or construct- ion of structures over 3 stories in hei ' Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz cuA PARK scHl FLD PAR Po Ho ISSUE This 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 Receipt No. 100 WN,TE•D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, EgROD-APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires ,this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 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 established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate .in the County of Butte, State of California, described as follows: Lor /y(,, a_& SAoccvlJ.oN -Ilhn,T Ceesia,:J Map rAJ777Led'Mer!-y Mo,'-$ahD V,'ILo-le �uheliv�5/`o!J Up, 7i ma q J 0) xc4 o#ice. oC eec61,de/2 p � `i-h�P Co u,►J7u O-� �t�.77�, .S j lire �� ' }Li`�o>',u.� � p� Tu f✓I a P ) fi ( �� SeCC j 9S A -d Q�. ( X C ePT,',0 There iron, CL S 7-r,, p o L0+-�T a;,�'ta! � /•� ?ho � cel rA/•> d e�ea� �'ro wi �l oll e� To 7xaCo,t,aT� / /�u7Te/ Da Teo/ .ice l y S /9?2 3LT?e Cou,OTy� /� Co-P0 a A/� Aud rz 1 64 ,'c ,'Q L ?Zecords, Poid 2.C✓?�Cord rJ Jc41 I condf d T, I y S t 97 2 i N 73c e /'76-g. Pct e jB� fGrroi- Q No,)-exdc�St �c Qa y ! 07 ) 2� is Book /i�3 l�q / �eto�aS s 7 L TSrBCty 3ll�eJQ Np% 1J iI'OIiN (w b G kT, Lt r•�S 3s ofMaPS,' uc� 'gc 4c�GkSNibfd:1J r,1 v4o+ycs NTtie 6(/oMemawri ! 3Lt,,, Mn,y Mc,wrt AT�ye7G hrr!y M-^ 16L91 NleRec.,Ved,,.jr Ioo(e_ /Jo, q%2avrcke/, u 4ct,l` g8 MRRLS,atFxq¢ of S, Date: ' al9O PROPER/TY OWNERS: State of (� ) SS. County of ��f a On this the I�V_k day of 19 610 before me, the undersigned Notary Public, per ally appeared Ti C -E - OFFICIAL SEAL Personally known to me. ® Proved to me on the basis CARALOUISELAIRD of satisfactory evidence. NOTARY PUBLIC- to be the person(s) whose name(s)�-� r YUBA COUNTY MY COMMISSION EXP OCT 72.1991 subscribed to the within instrument and acknowledged that C executed the same for the purposes therein contained. IN WITN SS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. ��J 0 ��o Notary Public a BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM f (One Form per Building) A.P. Number 73 6 Building Department No. School District L) S D City D County � Jurisdiction Property Owner /,Q-1 -f flow TIG, Project Location/Address %� 7% 6keEZ 7 t91-11� �/w/LLC, Subdivision M Ci49`1 MTti Lot Number /`- 10 Residential Development: 115 / S 2 Sq..Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) i16A'7J Buildirf- Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. .20 7.1'"5 Sch'8ol District certifies that (Applicant,Name) (Phone Number) t Street Aaar&ss ('ty) (State) (Zip Code) has complied with the requirements of Resolution No. f by the payment of $ Z 7!2;7,e /2_ representing 11S-2- square feet. ool D'fstrict Representative PAID BY CHECK NO. BANK NO 90" 7DO y PAID BY CASH 7- Date REMARKS: r white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 73"P8 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS,.TO.LOOK OUT FOR (CONY D) 5/89 47.—Exterior plaster - weep screeds (Sec. 4706). oper roof pitch for roof covering (Chapter 32). R �f covering type - (fire hazard). Rafter ties or bearing ridge beam. 'Garage door or porch header sizes. 9.lAdequate bracing. -19—Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. - ��wo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). tic access and ventilation (Sec. 3205). 1001!�derfloor access and ventilation (Sec. 2516). 14' Combustion air for fuel burning appliances. se requirements on duplexes. 1 e soils - special foundation design. 14! taining walls requiring design. 1 ual shape, size, or split level house requiring lateral design. 119. lashing at all exterior openings. 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER 4756- 7-1 A.P. # GENERAL 4!ning requirements: (sideyards and number of permitted living units). �luation. :lans signed by designer. ergy Design and Compliance. Existing violations on property. 6 Items on data sheet. PLOT PLAN 4,* Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. er buildings or structures. Grading, fills, drainage. S. -**"-Flood hazard. 66/S ecial conditions on -creation map or compliance document. 7&!FAU & FAS road setback. FT.nnR PLAN .plete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). 3---re-quired windows for second exit (Sec. 1204). --4----Sk lights (Chapter 34 & Sec. 5207). .Human impact glass (Sec. 5406). squired room sizes, ceiling heights (Sec. 1207). !CIs in baths, garage, and exterior outlets (Article 210-8). Z�, L1ght fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. &--'fo—cations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. gage firewall, door size, and closer (Sec. 503(d)(3)). Y -Y1 - 3'0" exterior exit door (Sec. 3304(e)). fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 11'->- undation plan complete enough to construct building. 42! Floor construction details complete enough to construct building. ievations and wall construction details complete enough to construct building. d/ Roof construction details complete enough to construct building. -Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR �! Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 2-.-"G--uardrail details (Sec. 1711 & 3306(j)). ,3 -,Brick or stone veneer (Chapter 30). 4 90 yel, eev d 9% � Owner: Permit No. ENERGY 'CERT IF ICAT ION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose'Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of Californ9i.a.Ener; Requirements. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - D£PARIMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. _I o V_" ASSESSOR PARCEL NLIER 73-28-16 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1152 R 46-080 OWNER'S MAILING ADDRESS o l3 E vED 440 M 6,16a CONTRACTOR'S NAME TELEPHON-E-- C90 coy 800 CONTer RACTOR'S MAILING ADDRESS Fireplace "All 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation Is 549040 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 149.00 Energy Plan Checking Fee $ 15-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Breezy Blvd. Permit fee $ 472.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap q 1 2.00 Clinppr Mills Solar or heat pump water heater 20.00 LO& I SUBOIV I N NAME V PARCEL✓� / AP Water piping 5.00 5-00 Each qas water heater or vent 5.009-00 USE OF STRUCTURE SF bd Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 1 9_00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK NewU Addition[] Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: 2 bdrm _ Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare u r penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full f ce a d effect. License No. �B� Classification Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& OR ADDNS. ACC. BLDGS. , 28 .80 /2¢Sgft O NEW CONSTR.ULT'-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occu p�OUTLETS OR FIXTURES 20@50t .030 FIXED PR Ex. Occup. OUTLETS 1RESID.IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The it is for $100.00 (valuation) or less. FQhave 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 FA ro ane 6.00 60,000 BTU Cooling Hood 3.00 3.00 Ventilation 3.00 Permit Fee $ 22.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 against said County in consequen of the granting of this permit. .�,/� / 5F X / // Dat �� / 0 Signature of Applicant — Owner ❑ Contractor gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 o xl'S CONST PE TOTAL FEE 616.80 HAz PW— QUA PARK ` SCHL FL PAR Nr PD Ho ISSUE This 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 Receipt No. 66534 — 204.00 // WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLICC`N 6RKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLIa► CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 4 o t • Permit No. OWNER r2elMuylk Euajjup A. P. No. 73- 28'IG Proposed Building Use Sr62 - 2 lae&QTY�I Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ............................................... . ,e" 10. Fees of $ 412.80 ......._ .. • ............. . 11. Chico Urban Area fees paid ....:................................. 12. Park fees Raid .............. 13.tJ2School District fees paid .............. G""' • 14. Sanitation approval from 020U( LLQ Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW ✓ 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... _ 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ V Telephone f and hold for pickup at OrM office. Deliver w/inspector. Other 63 -1040 G Applicant. ��ate-�- Copy of Haz-Mat form sent Health Dept. Fire Dept. fir Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new ite not checked above). 1. Index permit for above items No.T T�T'- 2. Additional items required: Con , designer, owner, was advised of above required data by_phone---nail-counter by�-5�'.date 4:LaW Contractor, designer, owner•;,was advised of above required data by -phone _mall -counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy -DPW 0(p4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS IM �,"�°..,.(1LW County Center Drive - OroviTte, California 95965 - Telephone: 916/538-7541 ��`��,�, APPLICATION AND PERMIT PERMIT NO. AS ESSOR PARCEL NUMBER --f 2 - 1j2 ZONING BUILDING PERMIT OWNER` '^ f TELEPHONE SO. FT. OCC. BUILDING VALUATION LL 2 hS Q OWNER'S MAILING ADDRESS CONTRACTOR'S NAME �'ll�- TELEPHONE S d 8X0 CONTRACTOR'S MAILING ADDRESS Fireplace i' r CONSTRUCTION LENDER UNKNOWN Total Valuation Is S404() Filing Fee $ 10_00 LENDER'S MAILING ADDRESS Permit Fee $ 2qO.LSb ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ I49r. 0 Energy Plan Checking Fee $ 15,68 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS i40 13r-C_C3!4 Y3LUdw Permit fee $ �' UV PLUMBING PERMIT Filing Fee 10.00 137) Each Trap 2.00 j (,,W 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 �j•pU USE OF STRUCTURE SF[,!4 Duplex❑ Mobilehome❑ Other Gas piping system 1 - 5 outlets 5.00 5 6a Building sewer 5.00 5,6oSPECIFY Mobile Home S G W O.00e TYPE OF WORK New'50 Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: agA&J Permit Fee $ AL a Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service Boo`100AMP OR LORESS ESS L 10.00 Ip,� Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty p I y (check one): I declare under of perjury El am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ 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 this reason NEW CONST. DWELLING OCCUP.e, OR ADDNS. ACC. SLOGS. h¢sgft Zg soenalt NEW CONSTR. MULTI.OUTLET NON-RESIO BRANCH CIRC ITS 2.50 ea /POWER APPARATUS t1 (SINGLE OUTLET CIR. 200301 Ex. Occup OUTLETS OR FIXTURES SALO30 FIXED PR EX. Occup. OUTLETS IRESID IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 463, 80 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating - (y�rSp 601ob AV) Cooling Hood 3.00 Ventilation .8 3 Permit Fee $ 2 -fes Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.6D occ CONST TYPE TOTAL FEE $ HAz CUA PARK scHL fLD PAR Po HD ISSUE This 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 resolutions have WORKS Date provi- to do been paid. / Receipt No./Lj Z04,,Oy 4- &&u& !� WHITE-D.P.W.. ELLOW-ASSF350R, PINK -INSPECTOR. GOLDENROD -APPLICANT CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: . SUBMIT CLAIM t 01 eoua* ot J'Oufte OROVILLE, CALIFORNIA GENERAL CLAIM TO DEPARTMENT RECEIVING GOODS OR IMPORTANT: SEE INSTRUCTIONS ON REVERSE SIDE SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO .AVOID DELAY) AMOUNT TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .........1 .................... day of ........1G C/Y 19 C�O, et..... ..zo .............. Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de. livered and that there is a Budget AppropriationFI or Specific Board Approval (Check one) for the same. Datedthis .................................... day of ............................. 19......, at .............................. , Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FLWD DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service tendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) terior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). 7. after ties or bearing ridge beam. Garage door or porch header sizes. tA. Adequate bracing. iving area over garage - complete 1 -hour separation required on garage side • including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances. 'poise requirements on duplexes. . Adobe soils - special foundation design. . Retaining walls requiring design. nusual shape, size, or split level house requiring lateral design. Flashing at all exterior openings. 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # QO OWNER bovq A.P. # GENERAL 5�oning requirements: (sideyards and number of permitted living units). vzv "ation. ./Plans signed by designer. �• Energy Design and Compliance. —5----F,xisting violations on p-roperty. 4!P Items on data sheet. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. :rading, fills, drainage. .��GFlood hazard. Special conditions on.creation map or compliance document. FAU & FAS road setback. PT.nnp PT.A N Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). �� uman impact glass (Sec. 5406). �,.Required.room sizes, ceiling heights (Sec. 1207). ,F'CIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. image firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (Sec. 3304(e)). 2. F' and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). J��uardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). OWNER'S NAME: fi /_/ ,A & RECEIVED PERMIT NUMBER: j� `� 3 �C/ A. P. #: �� DATE z �� RESIDENTIAL NON RESIDENTIAL RECEIVED BY TIME a ---------------- --- --- -- — ----- — — — — — — — — — REQUIRED PRIOR TO PERMIT ISSUANCE FROM DATA SHEET REQUESTED BY PLAN CHECKER OTHER r --------------------------------------- REQUESTED BY CORRECTION NOTICE F-1 YES E] NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: --------------------------------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address) Mail to contractor (Name and Address) Call and hold for pickup at office. Deliver with next inspection. REVISED PLAN CHECK FEES PAID: $15.00 $30.00 d`� ditional Fees Not Required 1. Ceiling Insulation U -value -14 Number of stories -- R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 - 0 0 0 U -value -17 -8 -5 0.50 -176 -84 -54 0.30 -102 -49 732 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 -7 -5 R-5 -4 2. Wall Insulation 3 R-11 -2 Single- Single - R-19 -1 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 3 ' F2 factor 22 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 3 8 Insulation in Floor 16 -20 0 Number of stories 9 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -14 -48 -- - ___..0.60. -144 -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 0.08 -11 -6 -4 0.06 -6 4.:. -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -20 -12 Number of stories 5 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 - 46 Number of Stories -7 R-valuo Ono Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 ' F2 factor 22 37 -9 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. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total -14 -48 -- ENective Percent Glass U -value 16 Percent (percent glur x SC) -59 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16• 18 20 7. Shading (Shade Open) -14 -48 -- ENective Percent Glass na 16 -12 (percent glur x SC) -59 Effective na 14 -10 %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 na = not allowed .9 1' l3. Shading (Shade Closed) 1 1 1 Effective Percent Glass 0 2 3 (percent glad x SC) 3 Effective Nodi East South West Sky%ht 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 • rat allowed 9. Interior Thermal Mass Interior Slab Floor Raised Floor SEER Mass Stories Stories /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 . 3 Exterior Single- Single - 7.0 0 Wall 0 Family Family Multi 8.0 Mass 8 6 Detached Attached Family 0.00 9.0 0 0 0 9 0.20 5 3 2 1 19 16 0.40 10 5 4 3 26 0.60 15 8 6 4 12.0 0.80 26 22 10 8 5 9 1.00 33. 13 10 7 15 1.20 1.6 13 12 8' Z2 1.40 i. j 12 13 9 6 1.60 3 10 13 11...., .. 1.80 i 10 12 12 5.3 2.00 S.8 10 11 _ 13 -5 11. Heating System -3 -2 -2 Two + SE or HSPF 3 2 2 2 (assumes ducts In attic) Single -Family Detached and Attached 3.4 3.6 t Unit Size (sQ _ Sum of 1.6 Water _ ;199 : 12M 1700 -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 2699 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 2 2 Effective SE or HSPF POU 8_ 5 (SE or HSPF x duct efficiency) 3 Effective -25 or -24 to -14 b -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 .24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 -9 Zonal Control Adjustment Solar System Type 3 3 4.7 Resistance 10 9 7 6 4 3 Other S.9 6 5 4 3 2 2 12. Cooling System SEER (assume; ducts In attic) Interior Mass/CFA Stm of 7-10 -25 or -24 to r-14 to -4 b +6 to 16 or SEER less -15 i 3 +5 +15 more 8.0 -14 .12 -10 -8 -6 -4 f o , 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 0.2 0.4 Effedlve SEER 0.8 1.1 1.3 (SEER xduct efticlency) 1.9 Zt 2.3 Stan of 7-10 27 2.9 Effective -25 or -24 to -141D -410 +6 b 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 1.6 Zonal Control Adjustment 2 Z2 Z4 i. j 10 8 7 6 4 3 3.9 No Cooling System Installed i _Stories 5.1 5.3 S.6 S.8 40Y. One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached 3.4 3.6 t Unit Size (sQ 4 Water 4.5 ;199 : 12M 1700 2200 2700 Heater Credit or q to to to or Type Type less -;1699 2199 2699 more SG None 0 i; 0 0.. 0 0 or Solar 12 " 8 6 5 4 HP -HWR 8 5 4 3 3 55% WSB 5 3 3 2 2 2 POU 8_ 5 4 3 3 SE None -37 -24 -18 -15 -12 4.5 Solar -1 -1 -1 0 0 5.8 HWR -18 -12 -9 -7 -6 1.4 WSB -25 -16 -12 -10' -8 2.7 POU .40 _-12 -9 _7 -6 IG None -5 -3 -2 -2 -2 5.2 Solar 7 • 5 .4 3 2 65% POU 3 2 1 1 1 IE None =28 -19 14 -11 -9 3.4 Solar 8 5 4 3 3 4.7 POU -10 -6 -5 4 -3 S.9 Multi -Family (Individual`units) 6.4 70% 1.2 1.4 Unit Size (s 1.8 2 Water 2.5 699 700 1200 1700 2200 Heater Credd or b to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4.2 WSB 9 4 3 2 2 5.5 POU 9 5 3 2 2 SE None 45 -23 -15 -11 -9 2.4 Solar 2 1 1 0 0 3.7 HWR -23 -12 -8 -6 -5 4.0 WSB -25 -13 -8 3 -5 6.2 _ EQU _23 ._12 -8 -6 -5 IG None -8 4 .3 -2 1 -2 - Solar 6 3 2 1 1 4.4 POU 1 0 1 0 0 0_ IE None 30 AS _ -10 -8 -6 90% Solar 18 9 6 4 4 Z6 POU -8 4 9 .3 -2 -2 Point System Summary: Climate Zone 11 . SCORE CARD Measures 1. Ceiling Insulation 9 3'0 or R -value [381 U -value [0.030] 2. Wall Insulation g 14f or R -value [11] U -value [0.098] 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12: Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value [ 191 U -value [0.0371 or R -value 101 F2 factor [0.77] Standard p Type [double] U -value [0.651 % Total Glass [ 16] % Glass SC EffEff. % Glass X . ,�► I • X = /.07 X = U X % Glass S Eff. % Glass Q • 3 X _ _ X = ,. X = m TYPE 1 MASS AREA B 9terioflv`1ss/CFA GOND. FLOOR AREA TYPE 2 MASS AREA $ Exterior Wall Mass ND. L OR AREA '7A X SE or HSPF Duct Efficiency 10.781 Effective SIE or [0.72/6.6] HSPF [0.5615.151 n - X SE [9.5]°[9.5J� Duct Efficiency 10.741 Effective SEER [7.031 M7 Type [SG] Credit [none] Point Scores 0 / Sum 1.6 Point Total. r 1 Sum 7-]0 _�_3 0-3 Interior Mass/CFA �t.twtwc•..t� IucMew .t_b1 I TYPE I KASS (UIHC + 4.2. le■ sed e: posed slab) S% 10Y. 15% 20% 25%• 30% 3S% 40% 45Y. 50% 55% 60% GN 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125!- 25`OY. 01/4 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 Zt 2.3 ZS 27 2.9 3.2 9.4 3.8 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 2.1 2.3 ZS Z7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6-4.8 5 5.2 S.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 Z4 2.7 Z9 3.1 9.3 3.S 3.7 3.9 4.1 4.3 4.5 4.8 5 S.2 5.4 56 30% 0.S 0.7 0.9 1.1 1.4 1.6 1.8 2 Z2 Z4 ZB U. 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.6 S.8 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 Z4 Z6 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 S.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 Zt Z3 25 Z7 3 32 3.4 3.8 3.8 4 42 4.4 4.6 4.8 5.1 5.3 S.S 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 Z4 2.6 Z8 3 3.2 3.5 3.7 9.9 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 Zt Z3 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 6.6 S.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 3.5 3.8 4 4.3 4.5 4.7 4.9 5.1 S.3 5.5 5.7 S.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 S 5.2 5.4 5.6 S8 6 6.2 64 7S% 1.3 1.5 1.7 1.9 Z1 23 ZS Z7 3 3.2 3.4 8.6 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 BOY. 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.t 4.3 4.5 4.7 4.0 5.1 5.4 S.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 4.6 S 5.2 54 5.6 5.9 6.1 6.3 65 67 90% 1.5 1.7 2 2.2 2.4 Z6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 '4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 *4.1 4.3 4.6 4.6 S 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 SS 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 Z8 3 3.3 3.5 3.7 3.9 4.1 4.3 43 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6.8 7 110% 1.9 2.1 2.3 2.5 27 29 .9.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 S.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 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.t 7.3 M% 21 2.3 Z5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 . SCORE CARD Measures 1. Ceiling Insulation 9 3'0 or R -value [381 U -value [0.030] 2. Wall Insulation g 14f or R -value [11] U -value [0.098] 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12: Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value [ 191 U -value [0.0371 or R -value 101 F2 factor [0.77] Standard p Type [double] U -value [0.651 % Total Glass [ 16] % Glass SC EffEff. % Glass X . ,�► I • X = /.07 X = U X % Glass S Eff. % Glass Q • 3 X _ _ X = ,. X = m TYPE 1 MASS AREA B 9terioflv`1ss/CFA GOND. FLOOR AREA TYPE 2 MASS AREA $ Exterior Wall Mass ND. L OR AREA '7A X SE or HSPF Duct Efficiency 10.781 Effective SIE or [0.72/6.6] HSPF [0.5615.151 n - X SE [9.5]°[9.5J� Duct Efficiency 10.741 Effective SEER [7.031 M7 Type [SG] Credit [none] Point Scores 0 / Sum 1.6 Point Total. r 1 Sum 7-]0 _�_3 0-3 :Certificate of Compliance: Residential Climate Zone 11 Project Tide 464 Building -Permit M _a Project Address 5 a Chedted By / Date Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA ea -- Number of Stories a WFly Number of Units tached (SFD) [I Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition BUILDING BUILDING SHELL INSULATION. Component Insulation LocatiinnlCAmments Type R -Value (at ..tta garage t• iaal, Wall .............. Glass Area % Glass North0.3 Roof ............. East Roof ............. South _(0 4- West :5 Skylight Slab Edge..... Total GLAZING Wall .............. -/q Roof ............. 773L -T— Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (Zoller blind, etc.) (shadescreen, etc.) (yes/no) (metallwood) North ( )_ L North ( ) East East ( ) South Sou th ( ) West ( ) West ( ) Skylight....... �— THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf)_ _ (inches) Location/Description (kitchen. bath, etc.) HVAC SYSTEMS Type (furnace, air conditioner, heat vumAi Minimum Duct + r; Efficiency Location Duct Output Manufacturer / Model # E, SEER,HSPF) (attic, etc.) R--VVa_lu'e (Btuh) (or approved equal) 6C, Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # Svstem TvDe (storaee Pas. etc.) Capacity (or approved equal) Speci, ��tureb)%z 2 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Hi Mandatory Measures Checklist: Residential , MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measure regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents, the features noted shall be considered by all panics as binding minimum component performance specifications for the mandatary mcasurcs whether they arc shown c scwhae in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures '§2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. '§2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352 ft Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perm(u)ch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. 12.5317: Infiltration/Exfilcmdon Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstrippcd: all joints and penetrations caulked and sealed §2.5352(e): Special infiltration barrier installed to comply with §2.5351 moots CEC quality standards. §2-5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.5352(h) and 2.5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heats insulation blanket (R-12 or greater) or combined interio0exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 52-5352(j): Lighting - 25 lumcns/wait 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 fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMFJVT This certificate of compliance lists ft bua�ding features and performance specifications needed to comply with Mile 24, Chapter 2-53 and Title 20, Cin Wr 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 Name: t TideJi'um: I Addmss: 1 Telephonic Lic. N: (signature) Documentation Author Name: ride/Firm: m: Address: (date) Building Owner -� Tckphonez Al r i 0 �. Enforcement Agency Name: Aeettcy. Tekphonc 1. Ceiling Insulation Single- Single - Insulation in Floor Number of stories Family R -value One Two Three R-0 -120 -59 -40 R-19 -10 -5 -3 R-30 -2 -1 -1 R-38 0 0 0 U -value 0.50 -132 -100 0.50 -200 -99 -66 0.30 -118 -59 -39 0.10 -32 -16 -11 0.08 -23 -11 -8 0.06 -14 -7 -5 0.04 -5 -2 -2 0.02 5 2 2 0.00 14 7 4 2. Wall Insulation Multi - Family -51 -5 -4 0 -107 -67 -07 -6 -2 1 4 8 11 3. Raised Floor Insulation Single- Single - Insulation in Floor Family Family R -value Detached Attached R-0 -102 -77 R-11 -11 -8 R-13 -8 -6 R-19 0 0 U -value 1 i U -value 0.80 -212 -160 0.50 -132 -100 0.30 -74 -56 0.10 -11 -8 0.08 -5 -3 _ 0.06 2 1 0.04 9 6 ' 0.02 15 11 . 0.00 22 16 Multi - Family -51 -5 -4 0 -107 -67 -07 -6 -2 1 4 8 11 3. Raised Floor Insulation -34 Slab Floor Insulation in Floor Total i Number of stories (percent glass x SC) R -value One Two Three R-0 -24 -12 -8 R-11 -5 -2 -1 R-19 0 0 0 R-30 4 2 1 i U -value -190 -85 " 0.60 -218 -103 37 0.50 -180 -85 -55 ' g 0.40 -142 -67 -44 0.30 -103 -49 -32 .0.20 -64 -31 -20 0.10 -24 -12 -8 0.08 -17 -8 -5 0.06 -9 -4 -3 0.04 -1 -1 0 0.02 6 3 2 0.00 14 7 5 Controlled Ventilation Crawlspace -29 Number of stories -6 R -value One Two Three R-0 -15 -10 -7 R-5 -4 -5 -4 R-11 -1 3 -2 R-19 0 -2 -2 t 4. Slab Edge Insulation 25 -70 Number of Stories -11 R -value One' Two Three R-0 -13 -8 -4 R-5 -1 -1 0 R-7 0 0 0 F2 factor -7 2 0.90 -19 -13 -6 0.80 -14 -9 -5 0.70 -9 -6 3 0.60 -4 3 -1 0.50 0 0 0 0.40 5 3 2 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss -34 Slab Floor Raised Floor Total Skylight Stories (percent glass x SC) 18 U -value -30 Percent One Two .51 to .41 to .31 to 0.30 0 Glass Single Double .60 .50 .40 less 50 -190 -85 -63 -41 -20 1 40 -141 -59 -42 -25 -8 8 35 -117 -46 -31 -17 -2 12 30 -93 -34 -21 -9 3 15 29 -88 -31 -19 -7 5 16 28 -84 -29 -17 -6 6 17 27 -79 -26 -15 -4 7 17 26 -75 -24 -13 -3 8 18, 25 -70 -22 -11 -1 9 19 24 -65 -19 -9 1 10 19 23 -61 -17 -7 2 11 20 22 -56 -14 -5 4 12 21 21 -52 -12 -3 5 13 22 20 -47 -9 -1 7 15 22 19 -43 -7 1 8 16 23 18 -39 -5 3 10 17 24 Interior Thermal Mass arterior -34 Slab Floor Raised Floor Mass Skylight Stories (percent glass x SC) 18 Stories -30 /CFA One Two Three One Two Three 0.0 -10 -6 -4 -2 -1 -1 0.1 -9 -5 -3 -1 0 0 0.3 -8 -4 -2 0 1 1 0.5 -7 3 -1 1 2 2 0.7 -6 -2 -1 2 2 3 0.9 -5 -1 0 2 3 4 1.1 -5 -1 1 3 4 4 1.3 -4 0 2 4 5 5 1.5 -3 1 3 5 6 6 2.0 -1 3 4 6 7 8 2.5 0 4 6 8 9 9 3.0 1 5 7 9 10 10 3.5 2 6 8 10 11 12 4.0 3 7 9 11 12 13 4.5 4 8 10 12 13 14 5.0 5 9 11 13 14 14 5.5 6 10 12 14 15 15 6.0 7 11 12 15 16 16 6.5 7 11 13 15 16 16 7.0 8 12 13 16 17 17 7.5 8 12 14 16 17 17 8.0 8 12 14 16 17 18 8.5 9 13 14 17 18 18 17 -34 -2 4 11 18 24 Skylight -59 (percent glass x SC) 18 t 16 -30 0 6 13 19 25 -36 %Glass 16 9 15 -25 2 8 14 20 26 14 7 6 10 14 13 -21 -17 5 10 16 7 12 17 21 22 26 27 10. Exterior Wall Thermal Mass, 12 -12 9 14 19 23 28 '. Exterior Single- Single - 8 11 -8 12 16 20 24 28 Wall Family Family Multi 10 -4 14 18 21 25 29 Mass Detached Attached Family 9 8 0 4 16 19 23 18 21 24 26 27 30 30 0.00 0 0 0 Sum of 1-6 7 2 3 5 0.20 2 2 1 6 2 3 4 3 0.40 5 4 2 1 2 3 2 6 0.60 7 6 4 1 2 1 6 0.75. 0.80 10 8 5 7. Shading (Shade Open) 5 0.80 1.00 13 10 6 -3 -2 4 0.85 7.79 16 15 13 12 10 9 1.20 16 12 8 -3 Effective Percent Glass 0.90 8.25 21 19 17 15 13 11 1.40 1.60 19 22 14 16 9 11 -6 0 (percent glass x SC) 8.71 26 24 21 19 16 14 na = not allowed 1.80 22 19 12 Eff Effective SE or HSPF Solar -2 -1 -1 -1 -1 4.8 2.00 22 21 14 ectrve %Glass North East South West Skylight -59 (percent glass x SC) 18 10 6 12 4 na -36 %Glass 16 9 6 11 4 na 11. Heating System 14 7 6 10 4 na -27 39 12 6 6 9 4 na -31 na 11 5 5 8 4 na 11 SE or HSPF 10 4 5 8 4 4 -14 (assumes ducts in attic) 9 4 4 7 4 5 -15 -54 8 3 4 6 4 5 7 Sum of 1-6 7 2 3 5 3 5 -6 -25 or -24 to -14 to -4 to +6 to 16 or 6 2 3 4 3 6 SE HSPF less -15 -5 +5 +15 more 5 1 2 3 2 6 0.72 6.60 0 0 0 0 0 0 4 1 1 2 1 6 0.75. 6.88 4 4 3 3 3 2 3 0 0 0 0 5 0.80 7.33 11 10 9 8 7 6 2 -1 .2 -3 -2 4 0.85 7.79 16 15 13 12 10 9 1 -1 -4 -6 -3 3 0.90 8.25 21 19 17 15 13 11 0 -2 -6 -11 -6 0 0.95 8.71 26 24 21 19 16 14 na = not allowed POU 9 6 4 3 3 SE None 39 -26 -19 -15 -13 Effective SE or HSPF Solar -2 -1 -1 -1 -1 4.8 HWR -18 -12 -9 -7 -0 0% 10% WSB 2 2 1 1 (SE or HSPF x duct efficiency) 0.6 POU -18 -12 -9 -7 . -6 IG None -2 -1 -1 .1 -1 1.9 Effective -25 or -24 to -14 to -4 to +6 to 16 or 3 25 POU 7 5 3 3 •2 IE None -28 -19 -14 -11 -9 SE HSPF less -15 -5 +5 +15 more 8. Shading (Shade Closed) 2.75 -94 -85 Effective Percent Glass -68 -59 (percent glass x SC) na Effective -57 -52 -46 -41 -36 %Glass North East South West Skylight 18 -9 -32 -46 -45 na 16 -8 -27 39 -38 na 14 -6 -23 32 -31 na 12 -5 -18 -25 -24 na 11 -5 -16 -22 -21 na 10 -0 -14 -19 -18 -63 9 -4 -13 -16 -15 -54 8 -3 -10 -14 -13 -46 7 -3 -8 -11 -11 -38 6 -2 -6 -8 -8 -30 5 -1 -4 -5 -6 -23 4 -1 -2 -3 -3 -17 3 0 -1 , -1 -1 -11 2 0 1 1 2 -7 1 1 2 3 4 -3 0 1 4 4 6 0 na = not allowed Credit or to to to or Type Type less 1699 2199 2699 more 0.30 2.75 -94 -85 -76 -68 -59 -50 na 3.41 -57 -52 -46 -41 -36 -31 0.40 3.67 -43 -39 -35 31 -27 -23 0.50 4.58 -13 -12 -11 -10 -8 -7 0.56 5.13 0 0 0 0 0 0 0.60 5.50 7 6 6 5 4 4 0.70 6.42 21 19 17 15 13 11 0.80 7.33 32 29 26 23 20 17 0.90 8.25 40 37 33 29 25 22 1.00 9.17 47 43 38 34 30 25 20 16 12 8 4 Zonal Control Adjustment 23 18 14 9 5 0 System Type 25 ' 20 15 10 5 0 _ Sum 1-6 Zonal Control Adjustment Resistance 10 9 7 6 5 3 Other One 6 5 4 4 3 2 2. Cooling S/,ytem Climate Zone 16 SEER ._.� .. SCORE CARD (assumes ducts in attic) - Sum of 7.10 Point Scores -25 or -24 to -14 to -4 to +6 to 16 or 'EER less -15 -5 +5 +15 more 8.0 -6 -5 -3 -2 -1 0 8.5 -2 .2 -1 -1 0 0 8.9 0 0 0 0 0 0 9.0 1 0 0 0 0 0 9.5 3 3 2 1 1 0 10.0 6 4 3 2 1 0 10.5 8 6 5 3 2 0 11.0 10 8 6 4 2 0 12.0 13 10 8 5 3 0 13.0 16 13 9 6 3 0 Effective SEER -2 R -value 1191 (SEER x duct efficiency) U -value 10.0371 Sum of 7-10 ffective-25 or -24 to -14 to -4 to +6 to 16 or SEER less -15 -5 +5 +15 more 5.0 -16 -13 -10 -6 -3 0 6.0 -5 -4 -3 -2 -1 0 6.6 0 0 0 0 0 0 7.0 3 2 2 1 1 0 8.0 9 7 5 4 2 0 9.0 13 11 8 5 • 3 0 10.0 17 14 10 7 3 0 11.0 20 16 12 8 4 0 12.0 23 18 14 9 5 0 13.0 25 ' 20 15 10 5 0 _ Sum 1-6 Zonal Control Adjustment 10 8 6 4 2 0 _Aro Cooling System Installed Stories 0% S% One 0 0 0 0 0 0 Two+ 5 4 3__.2 1 _ 0_� 13. Water Heating 4S% Single -Family Detached and Attached" W% 6Sk Unit Size (sQ 75% Water 1199 1200 1700 2200 2700 Heater Credit or to to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 9 6 4 3 3 23 WSB 17 12 9 7 6 29 POU 9 6 4 3 3 SE None 39 -26 -19 -15 -13 42 Solar -2 -1 -1 -1 -1 4.8 HWR -18 -12 -9 -7 -0 0% 10% WSB 2 2 1 1 11 0.6 POU -18 -12 -9 -7 . -6 IG None -2 -1 -1 .1 -1 1.9 Solar '10 7 5 4 3 25 POU 7 5 3 3 •2 IE None -28 -19 -14 -11 -9 17 Solar 10 7 5 4 3 4.4 POU -7 -5 -3 -3 -2 S Multi -Family (individual units) 5 4 20% Unit Size (sQ 0.6 Water 699 700 1200 1700 2200 Heater Credit or to to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 3 3 HP HWR 10 5 3 3 2 4.1 WSB 29 14 10 7 6 4.8 POU 10 5 3 3 2 SE None 46 -23 -15 -12 -9 0.5 Solar 2 1 1 0 0 1.1 HWR .23 -11 1.6 1.8 78 5 4 WSB 22 24 POU -223 _11 -8 -6 -5 IG None .2 -1 -1 0 0 17 Solar 11 6 4 3 2 4.3 POU 8 4 3 2 2 IE None -28 -t4 -9 -7 3 5.5 Solar 22 11 7 6 4 Q7 POU -4 2 1 1 1 Point System Summary: Climate Zone 16 _ ......_ ._.� .. SCORE CARD Measures - Point Scores 1. Ceiling Insulation Interior Mass/CFA or�-- R.-value (38) U -value (0.0301 2. Wall Insulation or^�- R-value J 19 U -value 10.0661 3. Raised Floor Insulation or -2 R -value 1191 '11. 1"t.C•.. 71 U -value 10.0371 4. Slab Edge Insulation or L Tye I PASS WINO s 4.2, 1st exposed slab) R -value 17) • - S. Infiltration Standard le.n.a.a .Lal 6.. Glass Heat Loss 1506/.5 �� Type [double] U -value 10.651 % Total Glass (161 _ Sum 1-6 7. Shading (Shade Open) _. % Glass 0% S% to% 15% 20% 2S% 30% 35% 411% 4S% 50% SS% W% 6Sk 70% 75% 80% 8576 90% .95% iM% 105% 110% 11S% 120% 125`. 0 0.2 0.4 06 0.8 1.1 1.3 1.5 1.7 1.9 211 23 2S 27 29 32 14 3.6 3.8 4 42 44 4.6 4.8 5 S3 0% 10% 0.2 0.4 0.6 0.6 1 1.2 1.4 1.5 1.9 21 23 25 27 2.9 11 33 15 17 4 4.2 4.4 46 4.8 S 52 5 4 20% 0.3 0.6 0.8 1 12 1.4 IA 1.8 2 22 24 27 29 3.1 3.3 15 17 3.9 4.1 4.3 4.5 4.8 5 52 5.4 S6 30% 0.5 17 09 1.1 1.4 1.6 1.8 2 22 24 26 28 3 3.2 3.S 17 3.2 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 S3 40% Q7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 IS 18 4 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 59 -8- 11 1.5 1.7 1.9 21 23 ZS 27 3 32 14 16 18 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 "6.1.. 50% 0.9 1.1 SS% 0.9 1.1 1.4 1.8 1.8 2 22 24 2.6 26 3 32 3.5 7.7 39 4.1 4.3 4.5 4.7 4.9 5.1 53 56 56 6 62 60% 1 12 1.4 1.7 1.9 11 23 25 27 19 3.1 13 3S 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 22 24 26 26 3 12 14 35 3.11 4 4.3 4.S 4.7 4.9 S.1 5.3 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 ZS 27 2.9 11 13 15 3.7 3.9 4.1 4.3 4.6 4.8 S 52 5.4 5.6 56 A 62 64 75% 1.3 Is 1.7 11 21 23 25 21 3 12 14 16 18 4 4.2 4.4 4.6 4.6 5.1 5.3 5.5 5.7 5.9 6.1 6.3 63 1.4 i.s 1.6 2 22 2.4 26 2.8 3 3.3 3.5 17 39 4.1 4.3 4.5 4.7 4.9 5.1 54 5.6 58 6 62 94 66 box 1.7 1.9 2.1 23 ZS 2.7 29 3.1 33 3.5 18 4 42 4.4 4.6 4.8 S 52 54 5.6 S9 6.1 63 6S 67 85% 90% 1.4 1.S 1.7 2 2.2 24 26 28 3 32 14 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 53 55 5.7 5.9 62 64 66 68 1.6 1.8 2 22 25 2.7 2.9 3.1 33 3.5 17 19 4.1 41 4.5 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 9s% 2.1 2.3 25 28 3 32 3A 18 18 4 42 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.S 6.7 1 100% 1,1 19 105% 1.8 2 22 2.4 26 28 3 3.3 3.S 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 66 so 7 110: 1.9 21 2.3 2.5 27 29 11 13 3.6 3.8 4 4.2 4.4 4.5 4.8 5 5.2 '5.4 5.7 5.9 til 6.3 6.5 6.7 69 7.1 115% 2 22 2.4 - 2.6 28 3 3.2 14 3.6 3.8 4.1 4.3 4.5 4.1 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 5.6 6.8 7 7.2 120% 2 2.3 25 2.1 29 3.1 13 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 S.4 5.5 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 23 25 2.8 3 12 3.4 16 18 4 4.2 4A 4.6 4.9 5.1 53 SS 5.7 5.9 6.1 6.3 65 ' 6.7 7 7.2 7.4 Point System Summary: Climate Zone 16 _ ......_ ._.� .. SCORE CARD Measures - Point Scores 1. Ceiling Insulation 3 or�-- R.-value (38) U -value (0.0301 2. Wall Insulation or^�- R-value J 19 U -value 10.0661 3. Raised Floor Insulation or -2 R -value 1191 U -value 10.0371 4. Slab Edge Insulation or - R -value 17) F2 factor (0.51] - S. Infiltration Standard 6.. Glass Heat Loss 1506/.5 �� Type [double] U -value 10.651 % Total Glass (161 _ Sum 1-6 7. Shading (Shade Open) _. % Glass Sc . _ . Eff. % Glass _ a. North . 3 x b. East - X1.9 x < 7 c. South x d. West a, 2 x - e. Skylight .0--. x = �" 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North x . G _ f b. East U.S x / G = 3-o',3 c. South x . G = 3. a 3 d. West ,2 . x , G _ e. Skylight x -a-- _ 9. Interior Thermal Mass TYPE 1 MASS AREA InteriorN�ss/CFA COND. FLOOR TYPE 2 MASS AREA AREA �^ / 10. Exterior Wall Mass EAterior Wall Mass ND. FLOOR AREA Sum 7-10 11. Heating System .72.2- x Zonal Control? (Y / N) F (o or HSPF Duct Efficiency (0.781 EffectiveSE or HSPF 12. Cooling System x = Zonal Control? ( Y / N) SEER 18.91 Duct Efficiency [0.741 Effective SEER (6.591 13. Water Heating ISr,, -8- Type [SG1 Credit (nonel Lertilicate of Compliance: Residential Project TIUe f //!37 6oeTza-z up, Project Address Documentation Author Telephone BUILDING DATA - \ Conditioned Floor AreaI�� Number of Stories t' Slab/Raised Floor � Number of Units [Wo5ingle Family Detachrd (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (M) [ ] Existing -Plus -Addition B UELDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical etc.) Wall .............. �— Roof ............. 'Roof ...........» Floor ............. Floor ............. Slab Edge..... GLAZING. Shading Devices I Glazing Area Glass Type Interior • Exterior Overhang Framing Type' Orientation (sf) (single, double) (lolls blind., etc.) (shadescreen, etc.) (yesino) (metal/wood) North ( ) _ Q 0f- Noesis East East South Sou th ( ) West West ( ) 1 Skylight......... THERMAL MASS Type/Covering Area - Thickness - (Slab/exposed. we, etc.) (sf) (inches) Location/Description (kitchen bath etc.) HVAC SYSTEMS Minimum Duct Type (ftmvkc,-, air Efficiency Location Duct Output _ Manufacturer / Model # i conditioner, heat pump) (SE, SEER•HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Climate Zone 16 Butldyf$ P�tait Qtedc('edd+By/ Data Fnforve nent Agency Use Only Gl= Area %3asz North , East_ South SG West .25- Skylight &-- Total ,477— /j, 31— lu/f.4 T . 7 ; , - C. S. 7 • ?VD O!_ Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) SDecial Feature(s) 7116—AJK = 60-3 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -111 NOTE Lowrise residential buildings subjou to the Standards mutt caitain these measures reprdk= of the compliance approach used. ltrrnts maned nth an asterisk (-) may be superseded by matt ssringrnt compliance ropuurmwts lined On the Cerurlc - of Compliance When this chccklis is incorporated into the perms doeurftmM the features owed shag be considered by all parties as binding minimum component pcdonnw= sp=rXAtiorts for the mandatory measures whether they are shown elsewhere in the documents or on this dw-Ust only. DESCU TION Building Envelope Messurrs . 12.5352(s): Minimum ceiling nuutuion R-19 weighted avenge. 42.5352ft Loose fill iruutation manufactutu's labeled R -Value. ' 12.5352(c): Minimum wall insulation in framed walla R-11 weighted average (does not apply to cstenor mass walls). 12.5352(kr Slab edge insulation - water absorption rale no greater than 0-3%. water vapor transmission rate no greater than 2A pe m/ir ch. 12.5311: Insulation specified or installed meets California Energy Commission (CEL) quality standards Indictee type and form. 12-5352(fr Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: InfiltruiaVEsrdtntion Controls a. Doors and windows between conditioned and unconditioned spaces drsipxd to limit air leakage. b. Doors and windows culirrA e Doors and windows-mftrsaippcd: all joints and penct anions caulked and scald 12.5352(e): Special infiltration barrier installed to comply with 42-5351 n w -u CFC quality standards. §2.5352(d)•. Installation of Fnrcptaces 1. Masorwy and factory -built fueplaces have x Tight fitting. eloseabl metal or glass door b. Outside air intake with damper and control c Flue damper and control 2. No continuous burning ger pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. §2-5316(1): Duca constructed. installed and insulated per Chapter 10. 1976 UMC 52.5316(b): Exhaust systems have dampercontrols. §2.5314(c): Gas -rued space heating equipment has intermittent ignition devices 62-5314: HVAC equipment. water heatrn, showerheads and faucets certified by the CEC §2.53520 Water heater imtdation blanket (R-12 «greats) or combined into ior/uterior ' insulation (R-16 or praw): fuss 5 feet of pipes closest to Lank insulated (R-3 or greater). - _ §2-5312(Eaception D: Pipe insulation on steam and steam condensate return & recirculating piping §2-5318(d)r 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 efl-eeieney. - 3. Pool cover. 4. Timc clock. 5. Directional water inlet. Lighting and Appliance Measures ' 12-53520): Lighting • 25 lumens/wau or greater for general lighting in kitchens and bathrooms. §2.5314(e): Gas fired appliances equipped with intermittent ignition devices. . 12-5314(1): Refrigerators. refrigerator -freezers, freaers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMENT This certificate of compliance lists the budding foam= and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chapter 2. Subchapter. 4. Article I of the California Administrative code- TT certificateorn has bsigned by the individual with overall design responsibility and the building owner, who shall Main a copy of it and transmit the create to any subsequent purchaser of the building_ Designer Name Tukffivm: Address: Tekpisorte: Lic. 9: Building Owner Namc Tak/Fsmt: Address: Telephone: (sirnawre) - (date) (signanne) (date) Documentation Author Enforcement Agency Name Name: Trtk/Ftm: A&cncr- Address: Tekpttotte 1. Ceiling Insulation r Single- Number.of stories -120 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 4 -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 R -value R-0 R-11 R-19 R-30 U -value -.0.60 . . 0.50 . 0.40 . 0.30 0.20 0.10 0.08 0.06 0.04 0.02 0.00 Insulation in Floor Number of stories One Two Three -17 -8 -5 -3 -2 -1 0 0 0 3 1 1 -144 Single- Single - -120 .58 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 1 10 5 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 -55 14 11 7 I0.04 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation R -value R-0 R-11 R-19 R-30 U -value -.0.60 . . 0.50 . 0.40 . 0.30 0.20 0.10 0.08 0.06 0.04 0.02 0.00 Insulation in Floor Number of stories One Two Three -17 -8 -5 -3 -2 -1 0 0 0 3 1 1 -144 -70 -46 -120 .58 -38 -95 -46 30 -69 34 -22 -13 -21 .14 -17 -8 -5 -11 -6 -4 -6 .3 -2 -1 0 0 4 2 1 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 -64 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 A 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. Infiltration (Air Leakage) Specification Points Standard e 6. Glass Heat Loss I Total -14 -48 -69 -64 U -value East Percent :West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 •2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 `^8- 2 12 14 16 - 18 20 7. Shading (Shade Open) ----EfifeetlYe Percent Glass (percent plass x SC) Effective -14 -48 -69 -64 %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 na = not allowed 2 3 4 3 iB. Shading (Shade Closed) Effective Pereeut Glue (percent lusts x SC) %Gctim lass Nall East South West Skylight 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 9. Interior Thermal Mass Interior Single- Slab Floor. Raised Floor Mass Femly Stories Mutt Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 .,-4 -2 -1 -1 0.1 -8 -5 -3 .1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 - 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 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 1-6 Wall Femly Family Mutt Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 ...... . 1.80 10 12 12 2.00 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 i 12. Cooling Syst,!tn SEER (assume ducts In title) Stm of 7-10 -25 or -24b x•14 to -410 Sum of 1-6 16 or __ _ less -15 I .6 -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 IS— 15 13 11 8 6 5 Effective SE or HSPF 2 2 (SE or HSPF x duct efficiency) _ 8 5 Effective -25 or -24 to .14 to .4 to +610 16 or SE HSPF less -15 -5 +5 +15 more less 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 .5 .4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 .28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 i 12. Cooling Syst,!tn SEER (assume ducts In title) Stm of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed 'r -Stories -25 or -24b x•14 to -410 +6 to 16 or SEER less -15 I .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 5 3 Etfiedive SEER 2 2 30% (SEER xauet efficiency) _ 8 5 4 Sum of 7-10 •3 SE Effective -25 or -24 to -14 to -4 to +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 -0 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 2 22 19 16 13 10 7 11.0 26 23 19 15 12 8 I10.0 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 'r -Stories or R -value [38] U -value [0.030] or R -value [1I] One -5 -4 -4 -3 -2. -2 Two+ _ 3 3 2 2 2 1 Single -Family Detached and Attached d. West Unit Size (sQ = Water e. Skylight 1199 1200 '1700 2200 2700 Heater Gredd or •� b to to or - Type Type less ,1699 2199 2699 more SG None O t t 0 0.. 0 0 or Solar 12 '' 8 6 5 4 HP -HWR 8 •5 4 3 3 WSB 5 3 3 2 2 30% POU _ 8 5 4 3 •3 SE None -37 -24 -18 -15 -12 �j Solar -1 -1 .1 0 0 1.1 HWR -18 -12 -9 -7 -6 2.5 WSB.- -25 -16 -12 -10' -8 i POU -18 __-12 4.6 -9 -7 -6 IG None =5 -3 -2 -2 -2 1.4 Solar 7 • 5 •4 3 2 2.9 POU .3 2 1 1 1 IE None 28 19 14 .11 -9 0.3 Solar 8 5 4 3 3 1.8 POU -10 -6 -5 -4 -3 3.3 Multi -Family (Individual units) 3.9 4.1 4.3 4.5 UnR Size (s 5 5.2 Water 56 699 700 1200 1700 2200 Heater Credit or b to to a Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3.2 WSB 9 4 3 2 2 4.7 POU 9 5 3 2 2 SE None -45 -23 -15 .11 .9 Zi Solar 2 1 1 0 0 3.6 HWR -23' -12 .8 -6 --5 5.1• WSB -25 -13 -8 -6 .5 _QQU;23 1.1 -12 .8 -6 .5 IG None • -8 -4 -3 .2 if -..2 J Solar 6 3 2 1 1 -- . POU_ 1.. 0 0 0 0 IE None -30 -15 .10 -8 6 2.5 Solar " 18 9 6 4 4 4 POU -8 -4 .3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) or R -value [38] U -value [0.030] or R -value [1I] U -value [0.098] SC or R -value [ 191 U -value [0.037] x Interior Mass/CFA R -value [0] F2 factor [0.77) Standard x = U -value [0.65] % Total Glass [ 161 Type [double] x = d. West x = e. Skylight x - 9. Interior Thermal Mass TYPE 1 MASS AREA = % Interiorlv`iss/CFA COND. FLOOR AREA 10. Exterior Wall Mass rpettMc`\.:, TYPE 2 MASS AREA g Exterior Wall Mass ND. L OR AREA 11. Heating System t TYPE I KMS WIMC & 4.2, ie: exposed Slab) = Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or l'12. [0.72(6.61 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% ~2.3 60% 6St 70% 75% 80% 85Y. 90% 95% 100% 105% 110Y. 115% 120% 125• OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 X1.9 2.1 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 1W. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 Z5 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 Z4 2.7 Z9 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 Z2 2.4 Z6 2.8 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 SOY. 0.9 1.1 1.3 1.5 1.7 1.9 Zi 2.3 2.5 2.7 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 55% 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 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.8 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 3.8 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 3.5 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 iS 1.7 1.9 21 2.3 Z5 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% 1.4 1.6 1.8 2 2.2 2.4 Z6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9' 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 63 65 67 WY." 1.5 1.7 2 2.2 2.4 Z6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 Z1 2.3 2.5 Z8 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.S 4.7 4.9 S.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6 8 7 110Y. 1.9 2.1 2.3 2.5 2.7 Z9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 5 8 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 ZS 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 S.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 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North x = _ b. East x = c. South x = d. West x = e. Skylight x = 8. Shading (Shade Closed) or R -value [38] U -value [0.030] or R -value [1I] U -value [0.098] SC or R -value [ 191 U -value [0.037] x Or R -value [0] F2 factor [0.77) Standard x = U -value [0.65] % Total Glass [ 161 Type [double] % Glass SC Eff. % Glass a. North x = _ b. East x = c. South x = d. West x = e. Skylight x = 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North x = b. East x = c. South x = d. West x = e. Skylight x = 9. Interior Thermal Mass TYPE 1 MASS AREA = % Interiorlv`iss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA g Exterior Wall Mass ND. L OR AREA 11. Heating System x = Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or l'12. [0.72(6.61 HSPF 10.5615. 151 Cooling System x = Zonal Control? ( Y / N) SEER [9:5] Duct Efficiency [0.74) Effective SEER [7.03] 13. Water Heating Type [SG) Credit [none] Point Scores n Point Total. Sum 1.6 Sum 7-10 Certificate of Compliance: Residential Climate Zone 11 Project Title Building Permit # Project Address Checked By / Date DocumentalJon Author Telephone Enforcement Agency Use Only SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by mote stringent compliance requuements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all panics as binding minimum component performance specifrrations for the mandatory measures whether they are shown elsewhere in the documents or on this chocUst only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). ' §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 pemtfrnch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: lnfiltration/Esfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit air leakage. b. Doors and windows certified. C. Doors and windows weatherstripped: all joints and penetrations caulked and scaled 6 2-5352(c): Special infdtration barrier installed to comply with §2.5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fueplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas piles allowed. HVAC and Plumbing System Measures 62-5352(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 eonsuucted, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition deviel= §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(i): Wates heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(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: c. Plumbed to allow for solar. 2 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas ftrrA appliances equipped with interminent ignition devices. 12-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT 0 This ccmficate of compliance lists the building featut» and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Cbaptrr2, Subchapter4. 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 ptuch=r of the building. Designer Name Address: Telephone: t.ic. N: k (si t ) (date) Documentation Author Name: TitkJFirrre Address: Building Owner Nuns Tttk/Ftm - Address: Tekphone: (signature) (date) Enforcement Agency Name: Agency: Tekoxmc. m Glass Area % Glass . BUILDING DATA North Conditioned Floor Area Number of Stories East Slab/Raised Floor Number of .Units South (] Single Family Detached (SFD) [ ] Addition -Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight (] Multi -Family (MF) [ ] Existing -Plus -Addition Total BUELDING SHELL INSULATION. Component Insulation L.oca4inn/Comments Type R -Value (tutic..ra :rage, r ical, iter.) Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior . Exterior Overhang Framing Type Orientation (SO (single, double) (roller blind. etc.) (shtldeacreen, etc.) (yes/no) (metal/wood) North ( ) North ( ) East ( ) East ( ) South SOU th ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (So (inches) Location/Description (kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Eff iciency Location Duct Output Manufacturer / Model # conditioner, heat pomp) (Sl?, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by mote stringent compliance requuements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all panics as binding minimum component performance specifrrations for the mandatory measures whether they are shown elsewhere in the documents or on this chocUst only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). ' §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 pemtfrnch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: lnfiltration/Esfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit air leakage. b. Doors and windows certified. C. Doors and windows weatherstripped: all joints and penetrations caulked and scaled 6 2-5352(c): Special infdtration barrier installed to comply with §2.5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fueplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas piles allowed. HVAC and Plumbing System Measures 62-5352(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 eonsuucted, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition deviel= §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(i): Wates heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(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: c. Plumbed to allow for solar. 2 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas ftrrA appliances equipped with interminent ignition devices. 12-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT 0 This ccmficate of compliance lists the building featut» and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Cbaptrr2, Subchapter4. 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 ptuch=r of the building. Designer Name Address: Telephone: t.ic. N: k (si t ) (date) Documentation Author Name: TitkJFirrre Address: Building Owner Nuns Tttk/Ftm - Address: Tekphone: (signature) (date) Enforcement Agency Name: Agency: Tekoxmc. m