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HomeMy WebLinkAboutB16-1863 042-160-059 (2)A U -S, DEPARTM FED l;tnencENcr n"nANaGaaEDNsraG'�Ncmi� t ' t ELEVATION CERTIFICATE't s roM6 No. 1660;00,06 Natlo�l D Inurrolt c - " NT ' tons On pages 1=9 Eic Iretl L me.- �U(✓ .3�.`4°3�fr�' t �P+oBram IMPORT/l Follow:the iristnic i r a. p M .e ii.0'j:C,r � 5� r r. � •: �. `"' .. . 1 r . ty° to ' jtd _' � f �F � tc T SECTIONrA `= PROPERTY INFORMATION ? r'y FOR INSUf2ANCF C�C]Mi°ANYVE . ., eu1idin w =g* i @Owners Name We:'Schedef;t �e' s ,�. y t 5 * ; _. � , 'NilcyNumber t � ''�e3i t �dre's5 Rnc dji-7 ApL, Unk; Sufte and/or tNdg No:) or PO. Route and Box No jCompony NAIL Nwnbcr - r acramep o Ave .tY fisr*.s a .w,••, ChI State '2IR Code Property ~ ,r .� *;Co omla " 95972 ript16hgLbt and;Block Nt, be(k Tax Parcel Number Legal Description, etc s� :��+rr� }a'- •.. ) APN 042-160-059" - %+� r Building Restd`entlal'(V R S1 ential, i Accessory r !1g' L titu : l l 724 ry tion; Accessory.`etc.) ; • �y de/Lon rude teL E + » „121.8964W A(tach a{ lea C a�phs ofr�e:tiuilding iftheOerUficate`is•be'ing used to obtain flood'Insurance:­--- ,oriiio l Delum:�� NA+D lx�2i7 =Qi AG 7,9$$T �• uf1 di gpjegfam`Numbert 1b k. 8 V Fora bui�dyng wfth a�crawtspace o• enclosure(s):: ,- ~; A9: for a building with an' attacfied game: t 7 a) Square foota ofcre'(ufspace or=enclosure s • p(a r/a Number ` i ' ' O s*ft a) Square footage,of attach ed,garage - sq ?t f'M ;o tpermanent flood opellings in the crawlspace �/a , rb) Number o1 permanent flood openings in .the attached (prage k it s or enclosure(s),wljhln LOW above,• adjacent grade within 1.0 toot above adjacent grade ►Y!a � ' o)��Tok�l net area'�of�ood'openings in AB.b �,_ Na sq'in . c) Total`net area of flood openings In A9.b - n/B sq in n' .fin d :.Engineered flooa�opehings? ❑Yes r ' - - „ TM�y •• , � ti d) Engineered"flood openings? Q Yes � Na �_�'?.''� .�a�,T �a..s; �,�'�`� °,• SECTION B"-FLenn.twcrtaeur_�.RaT�'.nnea,rnaNit rrienoiuerrniu.' - NFIP ComMunit Name & Community Number Butte Co B2. County Name guttea B3: S_ taf� Cagf 06007C - ftMaR��panglfNumbersc !BS Suffix B6° ARM Index Date < , 4$5. �E` January 6, 2011 B7. FlRM•PaneLEffecWe 88. Flood Zones) ',1: B9. Base Flood Elgaailogs Z Qko Revised"Date AO_,_use baso flood depth) , #�, January 6; 2011 A 154.31. uevauuninrti data or Dase noon aeptn enterea In item'B9: " IFlS Profile D FIRM •, ty ®Other` Source , Linear. Interpolation zi p w� ti ❑ . i] Communi Determined / k 8 u ( ate eleJa�ll n datum used for SFE in Item 89: ( NGVD 1929 0 NAVO'1988` p Other/Source: fB12{Isat e bulltling located to a Coastal Barrier Resources System (CBRS) area or 0 • yam :) 1. � �• � „, , } _ }b@(�rotected Area (OPA)7 ❑ Ye$ (Til No . 1�.. " Designation Date j /, []CBRS Q oPA BUTTE COUNTY DEVELOPMENT SERVIC ti sa ° �+ SECTION C —BUILDING ELEVATION.IfVFORMpTION+(SUBIANCE v�C Building elevations are based,on: ❑ Construction Drawingst Q Buil der _Co, sUuctlon*. !I nished pojnstrucaon - t -I.- °Agnew FIevauon CeRificaSe.will berequired when construction of the buliding is comp a . � iC2 ElevatloRs =Zones Al -A30, AE, AH, A (with BfE), VE, V1 -V30, V (nhth BFE); AR, AR/A, AR/AE; AR/A1-A30, AR/AH, AR/AO. CoPp�e tC2 a h�below'according to the building diagram'spec►fled in •Item °A7.,Ip Puerto°Rico only. enter meters. `Serlchmark Utilized:, - BM#465 Butte County.2.5' dia brass' 159.241 USC&GS 3rd Order. _ _ y Vertical' Datum: �,1 f►Adl¢aie U= datum used -for the elevations In items ;a) through h) below. ® NGVD 1929' ,[I NAVD 198.8 p Other/Source: _ g,S� Datum usedlor•building elevations must be the same as that used for the BFE. 3- Check the measurement, used` r ; a)• Top o_ .bo} om Poor (ineiuding basement; crawlspece, or. enclosure floor) 155.45R1feet Q meters r ` b) Tap.ofthe next higher floor n/a` `n/a: O feet p�meters • o),-eottom,of the lowest=horizontal.stnictu►al member (V Zones only) ' ! O feet ❑ meters f d) Attached garage "(top of slab) nla p teen❑meters�y� U, e)' Lowest:elevatfon of `machinery or equipment servicing the building 155 31 ;feet ammeters ( ' /� (Describe v type and location in Comments) Lowest adjacent (finished) next to building (LAG) 154 87 ' f? - a n feet Q meters, .(4 g) ,'H106est:adjo'cent (finished) grade next to building (HAG) 154.87 o ,- �. ; � '99 feet Q meters Lowest adjacent grade a lowest elevation of deck or stairs, includingnla : i] feet,' O meters structural support ' SECTION D SURVEYOR, ENGINEER, OftARCHITECT CERTIFICAT[ON= This cortiffcatIGA is to.bc signed and seated by aland surveyor, engineer; or architect authorized bylaw. to certify elevattorr - ,information. I cefUly that the information on -this Certificate represents my best efforts to Interpret the data available. I bnderStand"that any false statement may be punlshabfe by fine or Imprisonment Under 18 U.,&Code, Section 1001. „� S [] S/(jN (] Che6k'here Ircommenis are provided;on back of form, Were latitude a nd'longitude'ln,Section A pfo lded by a Check here if atfachments ticenseil land surveyoR ❑Yes [� No ��, .Cp� CorUflcrs NameMatt Colwell rcense- Runnier ,0.5217 PLA-_ Tide Civil Engineer Company Name MCCE W HE M Brass Q Chlcoa State CAr ZIP Cod 59 i g�lntur Oatg 9/9/15 ,Televhone 530:321.5429' c ' FEMA Form 08.33 (Rewsed 7(12) See reverse side for eontirivatlon F pew_ "nns, - ' r 1.��� B IC ELEVATION CERTIFICATE, -page 2 rk 4Y• °1 r: - ` P the;corres g 'r ' ANT: in those s aces, copy pondin "informationfrom,Section A: tZ ' �� '.� � IMPORT ':FOR INSURANCE COMPANY USE _ gulid)ng,SU'eet Address'(IncludingApt.; Unit;,Sulte an0/0(Bldg ,No) or PO Route and Boz No " t s Ave":. c ;�, _`} + ''` r� 7 pai��ymrnber.. .� 1 q-:~264.1 �West'Sacramento X= 11 a- r �Qb' ic0 "' State Ca ^:: ZIP Code ,-,959738 Co npam� NAiC Number:' A SECTION ,D SURVEYOR (ENGINEER' OR AR CHITECT°CERTIFICATIONi(CQNTINUED) th sides of this Elevation Certificate for.< 1 comrriunl offlcfal, 2),Insuran ;tio O ty. (_ ce"agent%companyyand (3) 6uildingpwner. Appy Con'ments� M1 • r ' r^-- *-r°Signatur SECTIQN It LDIN6 `ELEVATION 1WPbRMATION,(SURV'EY NaT REQUIRED),FOR AND ZONE A (WITHOUT BFE) --, iia ZONE AO r4 ,a .For Zones AO and A (,without BFE), complete Items-E1-E5:,If'the�Certificate is intentled to support`a,LOMA or LOMR-F request, complete Sections A, Band C. r For Items El -E4, use natural grade, if available: Check the messuremenVused. In Puerto Rico,.only, enter meters. " ` r E1. Provide elevation information for,the following' and.,check the appropriate boxes to show whether the elevation Is, above or 'below the highest adjacent grade (FLAG) and the lowest adjacentgrade,(LAG). 1 14 a) Top of bottom floor pncluding-basement, crawlspacer or enclosure) is ®feet ❑meters lxI above or '❑ below the HAG. b) Top of,bottom floor,Oncluding basement; crawlspace, oc,enclosure).ls 1 14 © feet O meters. © above or O below the LAG. ' E2. For Building Diagrams 6-9 with perrnanentflood openings provided.in Section A Items, 8 and/or 9 (see pages 8-9 of instructions), the next higher floor (elevation C2:b,)n the dlagraM-S) of the building is n�a ❑feet O meters 0 -above or ❑below the HAG. ! x�. E3. Attached garage (top of slab) is- --- O feet :[] meters ❑ above or C] below the HAG: E4. -Top of platform of machinery -and/or eGuipmerit servicing the building is 0.44. ©-feet C1 meters ®above or (]below the HAG. E5. Zone AO only: if no flood depth number is available. Is the top;of the bottom floor elevated in accordance with the. community's floodplain management ordinance? ❑ Yes Q No ' O Unknown. The local official must certify thls�Information in Section G. 'SECTION`IF— PROPERTY'OWNER(OR OWNER'S REPRESENTATNE)•CERTIFICATION The proper owner or owner's authorized representative who completes Sections -A, B, and E for Zone A (without a FEMA4ssued or communityassued BFE) or Zone AO must sign here. The'statements In Sections A, B, and E are correct,to the best of my knowledge. )i i Pioperty owner or Owner's Authorized.Representative's Name Zane Schreder- -Stat _ C e o .itY Chico "CA ZIP Code _95973 Address 2641 West.Sacramento' Date, Telephone signature q -�(, — 2 a / 3U - Z2 i - Comments ❑ Check here if attachments. i SECTION G _ COMMUNITY'INFORMATION,(OPTIONAL) is authorized by law or ordinance to adminlster,the,cbmmbnity's•floodplain management ordinance can complete Sections A. B, C (or E), and The local official who G of this Elevatlon Certificate. Complete the applicable item(s) and sign below. Clieck f ie measurement used in -items G8 -G10. In Puerto Rico only, enter meters in Section C was taken from other documentation.thafhas been signed and sealediby a licensed surveyor, engineer, or archltec in G1. O The information the Comments area below.) law to certify Informatlon: (Indicate the soprce and. date of the elevation data who is authoflzed-by Section E for a-buildinglocated in Zone A (without ayFEMA issued or community issued BFE) or Zone AO. G2: ❑ A Community official completed G4 -G10) IS provided for community floodplain,'management purposes. G3: ❑ The following information (Items G5. Date Permit Issued G6: Date Certificate Of Compliance/Occupancy Issued G4. Permit Number G7.' This permit has been issued for. 0 New Construction ❑ Substantial linprovement O feet O'meters Datum G8, Elevation of as built lowest floor (including'basement).of the building: El feet .[]'meters Datum G9. BFE.or (in Zee AO of flooding at the building site: []meters Datum ❑feet G10.CorttrrnipityS�fesigri flood'dlevation: .� ' ..: Title j Lova Official's'Nar�te ," ` % Telephope �' Qommua ame y� t ------------------ f e o.. oat IP�dtu[b,, a Jf O Check here if attachmentsi - , Replaces ail previous editio w r v^^ 1+ Q' _ i r AL U S cRAI RTMENT 0PHOMELAND SECURfTY 3 r' t o i. tir'� a ?Y A sr� s - NotiO EM AN GEMt1JTAGENCY t,M`r+ =OMB Noir 66C GCg K tRGilcwt�i ELEVATIONitCERTIFICATE �'` ` ` �."g .'f onol Plaut lotumeu'No... A v _ f-•.f� r x , T: a �, r a . ,'` �rT ' EX ifetlOtt�Dttl: L� 3� , .GOJs� > IMPORTANT Follow,the instnretfons.on pagesl' .Al.�° " < SECTION A t PROPERTY INFORMATION - ;FOR INSURANCC tCiv�f ANY U Bulldmg s N Ovyne ame Zane- Schrede— "r `- ; , P '�h ,` JPolrcy.NYfn -n Fig sI"- r "r A2 1. Bui' ll%SVffl, 4ddress'VnpRding ApL UnUnk, SUite and/or Bldg No.) or PO.- Route and Box No: "� �Compeny NAIC Zti4 5acfamep o Avenue ; �;n s j tC y r�ry<� r p:erCtyhi';State e' ZIP,Code A�pro 95973 .. , . D &criptlon:(Lot and Block Numbers Tax ParcePNumber, Legal Description etc ) r ,'APN042-160-059„ A4Building Use -`(e g yResrdenUal° "T Accessory. -'A5 Laiftude7LprjgiWde L 3� enUal Addition, Accessory;121)8964W Ae At ch a`ttea. " '77 Long' ,Horizontal Ditum ,O:NAD 19 [XNAD 7993 �-jA7 Build M 2 photographs-of"the<buildtng-if-the Certificate rs°being used -to obtain lood,, V r surence: " 1b'Nurnber buidirgiwftha crawlspace a enclosures) A9: For a bullding with -an 'a"tt"xched gara'g=e cerencosueof4cra`n/a sqft "i a) Square footage•:of attached garage ft/a sq It t p „ns bJ �Numt3e►.of,oermanent flood openings in.the crawispace 'n/a b) Number of permanent flood openings In the actaChed garage :.. t'or <enciosure(s)=within 1.0'foot above, adjacent grade - - within 1:0 foot above adjacent grade n/a y� C)r To ngt an of; oo�d openings in A8 -b $� Na - sq` n " c)= Totatbnet area of Abod`opcnings. ln`A9.b �� !!a sq In To Engineered flood o enln s? Yes, P g - O Cg No d) Engineered"flood openings? O Yes � �b .1111-14-1 'm v'.�{s c SECTION B �'FLOODINSURANCE.•RATE MAP (FlRM):'INFORMATION'.. ,o �,vrrr community Name & Commune Number h Butte Co 06007C` 82. County Name Butte t - 63: -3:aee Calif ` .- "' 4 Ma Panel?iJumber i85 Suffix W4 P% �485� `,E e6. FIRM Index Date January 6, 2011 87. FlRM Panel Effective% Revlsed,,Datej Bti Flood Zones) s 69., Base Floor Elavetton(s)(Zono AO, use -baste,tead'depth) � dra9S 668 C roe Jahuary.6; 2011 A" 154,3 irsi aAn `res, SlPrntur xr .�, -- •� �,- uoc , ,vw ucvcl i tprcl Geta or Dase n000 oep[n entereo; In item'tj9: - yfs_O FIS Profile 'Q FIRM tQ Community Determined ® Other/Source: Linea r. }`�8Z1 intl cate­ele�ion datum used for BFE in Item E19: NGV!) 1929 ty ® •O N6VD,1988 O Other/Souree: 12 Is;t p building located in a'Coastal Barrier Resources System (CBRS) area or 0 ftRfygq' rotected Area. OPA T ✓ j� DestgnaUorf Date. / ' ' /, • O CBRS OOPA BUTTE COUNTY DEVELOPMENT SERV•: i � ' . • • „ w r - SECTION C - BUILDING ELEVATION INFORMATION:(SUMMe LANCE K G] � BulldQ,'eievations are based on, O, Construction Drawings* O Bull der Construct)on; -�1mrshed i4nstnricti Ara'A new Elevation Certificate mill be required when construction•of, the building is comp, / CZ Elevations- Zones Al -A30, AE, AH, A (with BFE), VE; V1 -V30, V (with BFE), AR, Co p AR/A, AR/AE, AR/Ai-A30, AR/AH, AR/A6. lete l 'C2.a4 below according to the building diagram specHied'in Item A7. In Puerto Rico only 'enter meters. 8enchrimark lJtiltzed: BM#465 Butte Courlty'2.5' dia brass Vertical Datum, 1'59:241 USC&GS;3rd Order. indicafeelevatio4 datum used for the elevations In items a), through h) below. ®NGVO 1929 ,O NAVO 19t38 [] Other/Source: �Daturh used`forbuilding elevations must be the same as that used -for the BFE. Check the measurement used., a)' Top of.bottom floor,(Including basement, crawispace, orenclosure floor) 155.45 feet [)meters b) rTop of the next higher floorri/a - •R,p n/a, � feet p meters , w C)?'BOttQM of the lowest horizontal structural member (V Zones only) ❑feet ❑meters R ,� r n- /ad) Attachettgarage (top of slab) feet .p meters e) LAwest:elevatfon of machlnery:or-equipment servicing the building. 155.31 ® feet O meters d r (Describe type of equipment and location In Comments) Lowest adjacent (finished] -grade next to building (LAG) 154:87 f): iX] teet ❑ meters n g) -'j ilgt+est:ad)acent•(Mished) grade next to building,(HAG) °87` M feet O meters , hj Lowest adjacent�grade at lowest elevation of deck or stairs, including Iva O feet O meters structural support, SECTIOND - S,URVEYOR,'ENGINEER, OR ARCHITECT CERTIFICATION ' This °n is to be signed and seated by a land'sum6yor, engineer, or architect authorised by law}o certify elevation, information. I certify that the information on this Certiltcate represents my best efforts to Interpret the data available. l'undersfana that any, false statement may, be punishable by fine or Imprisonment under 18 LI.S. Code, Sectfon 1001• Q�CF ESQ / O,Check'here It comments are provided on back of form. Werelatftude and longitude 1n Section A provided try a01,� & [] Check he if attachments; licensedaand surveyo(t O Yes NNo �' CortiRer's Name, ;Haft COIWeII' License NumUer o-521.7 '� ��► ➢ Engineer,Company trio C(vil. Name '' MCCE Lu. ti'rJ2 m � dra9S 668 C roe City Chico state CA zlP Cod 59' */2 3; _ ' 6 SlPrntur Date 9/9/15. ` Telephone 530:321.5429 q FEMA Form 086033 (Revised 7/12 See reverse side for continuation y ditions: .e a ELEVATION CERTIFICATE, page 2 R ry ; IMPORTANT: In" these spaces,,copy the;correspondinglnfomlaE-nfto-E1.6n A. ' FOR INSURANCE COMPANY USE �Bu11 lingStreccAddress.(includingApt., Umt; Suite'and/or BldgPO.e and Box No` s '� ,Policy Number: 2641 West:Sacramento Ave _ 'Chico State Ca , - ZIP Code; %95973., +Company NA1C Number: - "� ♦ ^ Yv.!,.m "L �V'. }r J ^1 ?._'. 14 SECTION D SURVEYOR,1'ENGINEEk,,OR ARCHITECT CERTIFICATION (CONTINUED_), rpppy both sides of this Elevation Certificate'for.(1)community*official (2) Insurance"agent/company,:and (3)_buil rig owner Tr 5': of "-$Ignatur•.,.: - •a' ..u_ ....._-t...- _�',�.' ti4Qate-==--- _. +•.. - _ ! .- (' f f SECTIOWI - BUILDING EL`EVATION'INFORMATION'(SURVEY NOT'REQUIRED); FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5: If the.Certdicate-is intended to support'a,LOMA or LOMR-F request, complete Sections A, B,and C. For items. E1-E4, use natural glade, if available. Check the measurementwsed. `In Puerto R(co•only; enter meters. ' El. Provide elevation information for the following and .check the appropriate boxes to show whether the elevation is, above or below the highest adjacent grade (HA%and the lowest adjacent grade,(LAG). 1 14 a) Top of bottom floor�(including basement, crawlspace, or enclosure) is . , © feet ❑ meters ,E] above or ❑ below the HAG. , y . 1.14 b) Top of bottom floor.(including basement; crawlspace, or.enclosure) is, © feet '❑ meters © above or ❑ below the LAG. E2, For Building Diagrams 6-9 wlth•permanent'flood openings provlded in Section A items.8 and/or9 (see pages 8-9 of Instructions), e the next higher floor (elevation C2:b in the dlagrarris) of the buildmg1s, ` rt/a ❑ feet ❑ meters ❑ above or ❑ below the HAG. s' E3: Attached garage (top of stab) is n/a • ❑ feet ❑ meters ❑ above or ❑ below the HAG. ` F4. Top of platform of machinery and equipment servicing the --building is ',x.44.. ❑x feet ❑meters ®above or ❑ below the HAG. E5. Zone AO only: if-no flood'depth number Is available, is the-top-of thei-49ttom floorelevated in accordance with the community's floodplain management ordinance? ❑,Yes ❑,No ❑ Unknown. The local official_ must certify, this information in Section G. ' SECTION F-PROPERTY OWNER (OR'OWNER'S REPRESENTATIVE)=CERTIFICATION The property owner or'owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMAdssued or community-Issued BFE) or c Zone AO,must sign here. The statements IWSections A. B and E are correct to tfte best of my:knowledge. ' Property Owner or Owner's Authorized Representative's Name t Zane Schreder - City e CA ZIP Code 95973 F Address 2841 West Sacramento Chico Stat Signature Date _ 2 0 % TelephoneS 3,0 _ �2 Comments ❑ Check here if attachments. i l' SECTION G _ COMMUNITY'1NFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's ftoodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) arid'sign below. Check the measurement used in Items G8-•G10. In, Puerto Rico only'enter meters Gl. ❑ The information in Section C•was.takerrfrom other documentation that has been, signed and seeled,by a licensed surveyor, engineer, or architect who is authorized bylaw to certify elevation Information.,(Indlcatevthe source and date of the elevation, data. in the Comments area below.) G2. ❑ A community official completed Section E�for a`building located in Zone A (v rithout a' FEMA-issued,or community4ssued_BFE) or Zone AO. G3. ❑ The following information (items G4-GSO) Is provided for community floodplaimmanagement"purposes. G4. Permit Number �G5. Date'Permit Issued G6. Date CeNhaate Of Compliance/Occupancylssued G7..This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) •of the building; ` ❑ feet :. meters Datum s •, feet, .❑'meters Datum G9. BFE or (in Zgne..A01.�fepth of flooding at the building site: ' []meters Oatum GI O. Commt" ity'4 ilesigri flood'elevation: nn ❑ feet 3: Title 1 Offfccial'S Narpe 4�a .. ` • _ Telephove CommuniiVame Date r oni , en is ❑Check here if attachments !� I F ��V Replaces ;allprevious editlo U -S, iiEPAFTM FEDERAL EMERY OF HOMELAND SECURITY Notlawl ): EMERGENCY MANAGEMENT AGENCY food iaarmmc ProVal A1: Building Owners Name .-•:•�-�.__ Zane Schreder ELEVATION CERTIFICATE IMPORTANT- Fallow the instructions on pages 1-9. SECTION,A - PROPERTY INFORMATION OMB No: 1.660 ODDS ' Explratlon Late, July 31, 2C1�°�? �' IN$URANCC COMi)ANY USE Policy Number L' cv+a r�, �� ��•• 6 ^M�•. unit suite, and/or Bldg. No.) or PQ. Route and Box No. company MAIC Nunt4Cr,'� es( acramen o Venue ; City ChiCO state California ZIP Code 43. Property De95973 scription (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 042-160-059 A4 Building Use ' A5. Latitude/Longitude., Residential p�� R $r ential, Addition; Accessory, etc.) Accessory /Longitude: Lat. 39.724N 121.8964W A6. Attach at least 2 photographs of the building if the Certificate Long. sbeing used to obtain flood insurance. Horizontal Datum: ❑NAD 1927. NAD j,083 A7. Building Diagram Number 1b A8, For a building with a crawlspace or enclosure(s): a of crawlspace or enclosure s). n/aA9, Fora building with an attached garage: a) Square footage ( ' sq ff pace a) Square footage of attached garage n/a sqft , b) Number of permanent flood openings in.the crawls or. enclosure(s) within 1.0 foot above adjacent within 1.0 foot above adjacent grade rade n/a b) Number of permanent flood openings in the attached garage g '• C) Total net area of flood openings in AB.b n/a sq in c) Total`net area of.floodopenings in A9.b n/a sq in d) Engineered flood ope'nings? Q Yes O No d) :Engineered flood openings? 0 Yes ®No SECTION 8 -'F7 nnn,luclJoa/J/`C DATC Reno /noew. t$1. NFlP Community Name & Community Number Butte Co 06007C' B2. County Name Butte B3. State Calif 04. Map/Panel Number '85. Suffix B6: FIRM Index Date 87. FIRM Panel. Effective/ 88. Flood Zone(s) B9. Base Flood Elevations) (Zone 485 E January 6, 2011 ' Revised Date . A0, use base flood depth) January,6, 2011, A 154.31 •..- �- �, �. wv ucvauvia torr) oata or case ri000 oeptn entered in Item B9t - _ •., Q FIS Profile Q FIRM []Community Determined' 120ther/Source: Linear Interpolation B11. Indicate elevation datum used for 8FE in item B9: ® NGVD 1929 Q NAVD'1988 Q Other/Source: l 812. Is the building located in a Coastal Barrier Resources System (CBRS)area or OMQjrotected Area (OPA)7 11 Yes ';; i'Sd No ':�""-' J•-' Designation Cate: I / Q CBRS - Q OPA BUTTE COUNTY OMLOPMENRDIIEWIP-171 MR T SERVIC SECTION C - Rim nmr.. Gt ovATrnm iwcnonnerrnu rcnnveiin s r A nrrc C1. Buildingelevations are based on: # * , i • ❑Construction Drawings Q Buil der Construction �,. *A new Elevation Certificate wiil be required when construction of the building is comp a finished instruction `.`� - z " C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 AR, AR/A, AR/AE, AR/Ai-A30, AR/AH, AR/AO. Co p -V30, V (with Bit) �� liens C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: BM#465 Butte County 2.5" dia-brass, Vertical Datum: 159.241 USC&GS. 3rd Order. Indicate elevation datum used for the elevations In items a) through h) below. ® NGVD 1929 :❑ NAVD 1988 Q Other/Source: Datum used for building elevations must be the same as that used for the BFE: t 4 Check the measurement used..' r t a)' Top of bottom floor (including basement, crawlspace or,enciosure floor) 155.45 91 feet Q meters b) Top of the next higher floor n/a n/a ` Q feet Q meters:%:. c) `Bottom of the lowest horizontal structural member (V Zones only) - /e ❑ feet Qmeters I� A Attached garage (top of slab) nQ feet Q meters e) Lowest elevation of machinery or "equipment servicing the building .155.31 .® feet ' Q meters ,(Describe type of equipment and iocation`in Comments) • f) Lowest adjacent (finished) grade next to building (LAG} r 154.87 QCj feet Q meters rt g). Highest adjacent (finished) grade next to building (HAG) 154.87' IN feet Q meters-' h) Lowest adjacent grade at lowest elevation of deck or stairs, including n/a structural support Q feet Q meters SECTION D _-- SURVEYOR, ENGINEER; OR ARCHITECT CERTIFICATION I This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation 1 information. I certify that the Information on this Certificate represents my best efforts to interpret the data available. F i.underrs[and that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. Q?,c)F ESS/ON (],Cheok here if i omments are, provided on back of form. Were latitude and longitude`in Section Aprovided by a Ej Check here if attachments,,,licensed land surveyor? Q Yes [N No �Q� S. CO FZ # Goniee�'mB Matt Coiweil License Number C-5217 co PLA Ci TiUrs C(Vil Ectgineer ' companyNsme ' MCCE W C' 52 H '� �R1 I i dr1495 668 C rolCary Chico ` +` State CA ZIP Cod 59 EV. 3/6 S griotoi r - date 9!9/15 Telephone ,530.321.5429' u FEMA Form 33 (Revised 7/12) See reverse side for continuation. r �A� dttions: ELEVATION CERTIFICATE, page 2 IMPORTANT'- In these spaces, copy the corresponding information from section A. FOR INSURANCE COMPANY USE,. ..� Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or PO. Route and Box No. policy Number: 2641 West Sacramento Ave City. State ZIP Code ' Comoany.NAIC Numbef Chico Ca 95973 �. SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION .(CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. " Common's -7 Signatur Date ,CO � • SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR F7 AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items EI -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, Band C. For Items E1 -E4, use natural grade. If available. Check the measurement used. In Puerto Rico only, enter meters. €1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). - 1.14 a) Top of bottom floor (including basement, crawispace, or enclosure) is © feet C]meter`s Q� above or C1 below the HAG. b) Top of bottom floor (including basement, crawispace', or. enclosure) is •14 e9feet ❑ meters M above or 0 below the LAG, E2. Far Building Diagrams 6-9 with permanent flood openings provided in Section A items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is n/a ❑ feet , ❑ metes ❑ above or '❑ below the.HAG, ' E3. Attached garage (top of slab) is n/a ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0.44. O feet El meters . M above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's. floodplain management ordinance? ❑ Yes . Q No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY,OWNER (OR OWNER'S REPRESENTATIVE), CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B. and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Zane SOhteder a ` Address2641 West Sacramento City Chico State CA, ZIP Code • 95973 ' ._ _ _ _ Telephone -•- Signature Date 6 t` - 2-2 li Comments _. ❑ Check here if attachments. SECTION G -'COMMUNITY INFORMATION (OPTIONAL). III The local official who is authorized by law or ordinance to administer the community's floodplain managementordinance can complete Sections A, B, C (or E), and G of this El6ation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 -G10. in Puerto Rico only, enter meters. G1. ❑ The. information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation Inform ation..(Ind icate the source and date of the elevation data in.the Comments area below.) ,G2. ❑ A community official completed Section E for abuilding located in Zone A (without a FEMA -issued or community issued BFE) or Zone A0: G3. Q The following information (Items G4 -G10) is provided for community floodplain management purposes. 64. Permit Number G�Oate�Permit�sued " G6. Date- Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement= G8: Elevation of as -built lowest floor (including basement) of the building: feet ❑meters Datum ! r G9. BFE or (in ZgDe AOLdiiPth of flooding at the building site: ❑feet ,C) meters Datum ' G10.Commup s+ n flood'elevation: O feet [� meters Datum I` .. Title LoCa t}ifsciai's Nage a x Telephone Communrt�Riame , ,, Date to ". eats r �' d• , r�rgtrti .m ..El theckhereifattachments: €77- Replaces ,� 4�• ���_ - r all previous editioj rp I agttd M )DW aauttulpio ulvl(I p0014 s�,GunOD *Una v turavold t)►x71:1 atll ,Io si)at.put;►a Ruipllnq uinunulut -all) )aaut Ilvys saaniaruis pmoadtul 1 (lli7tti� j, )ua►uawiduu Ivluuti us u au►)pstioa tau iI!m yaom pasodoid *yi Maar► ay €lujs jusittaddu pailptaa it 'ivatuar0aduu atlt to „uolianalsuoa o pins„ ayi wopq aanianus ad o *tib layait► a►It,lt) ".latlt� sp lnv:l ao slimba •s.iva,C isul aql aaA0 0Al1vIt)ttuo aftivawad woulmOAwl 04ill "'I", Wiilauais alaalsN,, a"UQ.Uuugrsap paittrt)# s,ani>ouals atl) apnpaaad )oil lila uolit;.iailt, otp wtp papl,road „aanlana)s alaaisir{„ 9 J uoliumle - ao :stn1itlpuoa RtuAll 3jts aanssv of Aivssaoau Wnwluliu Q,,%P tt)nl.\- pull irla►0 )uatuawolua ;11)01 luaol lit) At aruy gl!gm suoliogpoads *poo Apm, .Ca Ip.q `tlllratl Iraol -w a)uls ao suol)ulol,r Ruaslxa haaac a of aaniait tis u jo ltaatuaAwdtul ao3 iaofoad Atnp," apal:Att %aa•r 4mml -lull scop tuaal a►LI, laom alttdaa lun)au ayl,Ict ssalpitzRaa'.,00gump leptmisgns;'- Irmilcul 0At;y tlaltl.ri a03111311a)s sapnlaul tuaal sit1j, sanaC aAd Rutpt)aaoad mp uly)im pagan= aAay ivy! ptm ttulaq su ArOIXI 1)alstl lou aav Will su3auwAoadau Ilu sapii{aul puu aAllulntuno sl Isoo ivatumoaduaf " it)riur€isgn atl,l ')uauta,roaduu atp to , uollaualstuta ,la uta$„ Ott) *ayiad aaulaiuls aye }o anluA la taiitu :lit) p lua:wad (%) S1111 sp,*,W0 au $luaba Jo ISO,)ayi'an)aNis u,lo luatudop op Aron pasodcud aatpt* as '►tt)l)ll)piz 'uopuilll(Iuttaa Aldo :ssrailoj su p litlop sl ImantAirladwl 1rpuVIsgnS„ :9 ") :gutsy) iulad } :laqu,nN auot{a 'ttiaDilaa luatulfl uniui utuitl pooU tp!m SIdRtoa 0) p:►alttb;)a it)u tilt, l g8tiotllli) Ruipeactt p Isla lit oq 4laut ptttt hhilt)Ii puu gauuc.i da jN `.iquitiN A)jutltuuiO:> "" guts? uau: purzntl 1)()()U 111110tis ul(lllAr palviol 9! oils utpllnq aQ1 ww�u U111 I 'Araiaq pout op sit „lanrua,to.e ing lnrlaws!gaS,, ,lo uolilut;kip oy) pxrm) ac) IItaita lou IIIA+ d° 'VGi ,}u 91111slsuaa lopticuri .10/p III uolllppu tni•lu ttollan ilstiaa ;,yl Y an;J� ... F,t;,rltuti laaat)ci stit)r;)lyt ""moi$ �"iC+a7'uT ;�"f"4 1t F t t7 lt) u()Iluatil kill) i►)� �� lagtuntt uultu;�lltidr, tltua� *11plinq aapun 1,10M tiollanalsuoa pkisWlWd 011110 01110A layaaar otll tuulaIp I NoijLvmviD3aN3V1d 00013 f �ti�t����tn��)��a i�ut•K�ct���)�{��ildttlni,) b 596;b V�)'111JAMC) �aAjJCj jr)uo,).fiuno,) r a MIC") NVId �ao�naki�, iii4�tld�loAa414ia )t!o>;t)a���it� ��u)ln�� a))at"1 , P to Existing -S-tructu",r-e,,-�Vci"l'ue,(ESV):,,,. Improyem, Percentage = TV 4 'ESV "r BUTTE CCU DEPARTMENT OF DEVE t)�r BUILDING PERMIT `-" Rhone: (530) 538-760 0 0 - Website: �L +nti b PLEASE PRINT CLE;�RLY�. , �sy;PROtRdT}FOVyNEF2A1fJFORMA_TION Last Name. First Name L�1 o P,r' I Z. an Mailing Address ,2 6,,44,1 4 r� TO�'' Icity y State Zip �'CA Email "� it I Phone Faz Email Cell .. , s , �t^".+Jt+"CQJY��\iat�RF Name Mailing Address City , State Zip Phone Fax Email "� it Cell License No. Class Address City State Zip Phone Fax Email Cell CA State License No ' I . tId f Pm Last Name . First Name 2 n Mailing Address ��t e SA TO AIX ' City � State � Zip * L Phone � Fax o� Email Cell _ , structures) are Issued by the Slate. Tell staff If this permit is fora Mobile Home. Click Z ' below to see Manufactured Home Alterations and Permit Guidelines at: Is this x Manufactured/Mobile Home (circle one) Yes ! No 6,oNI/L-,Z 1 S HOP TO N om 4 :10.8�YALUATION �(Ertterva'tue{of'lr c►ud�gqM`I rwn,�•c,onmscted, Plusn�`iateriats�`Char'"��'-�� � $ Fc•bT' .aY`Sv r a,aasr 'r"i�'— � �� r � Q COUNTY a , LOf'MENT SERVICES PERMIT NO: FORM NO MPLICATION' 1 Fax (530) 538-7785.' ,DBP -1. uttPco��ri�.re�::dds — - -- BIN NO: . ' .�Ir <� F�.�>��� ��F?ROJEC,T�LOCATION ``�=,�"" ,�,,.{g •�• �-� .,;� • APN 16 16 _r. O 5. i { , Property Address .Q,. City Location must not be in a city limits of Chico, Gridley, Oroville or Paradise. httpl:';_•:;_:•:+.buttec�unt!.netiddsiPlannir, ,e ParcelLockuDTool.asf i t t� Nt ° EN011413 GEMCY Name. Q l,. Mailing Address l - Edy t State Zip rsOESCRIPT�N2COPEOFWgRK ES _ D Mobile Home permits (other than installation, foundation, utilities 8non-attached as�'Y 4. �a,���kCRCHITECNGINEER_�_ E,�,`� Name Mailing : SRA: YES NO NPDES YES ❑CodNO • APPLICW7SIGNATURE�itAN_Q,U„_TE�`e En: YES NO ❑ • Legal Lot: YES ❑' NO . Ar a Occupancy Type Construction. 2- Date: ^i ,� • -� .t s Print Name: ' 'Permit Tech: Date: n 1 1 `When filed, this application and all supporting material be subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. ..� :Cp _ Page i of"t (J . Open Area: Covered Area: + _ • t � t TOTAL SQ: - t C iStructure Built without permits y Proposed Change of Occupancy/Use -Note previous/current use below: ' r lKJ I Zoning: .A — - Flood Zone19 � Zip * L Phone � Fax o� Email Cell _ , structures) are Issued by the Slate. Tell staff If this permit is fora Mobile Home. Click Z ' below to see Manufactured Home Alterations and Permit Guidelines at: Is this x Manufactured/Mobile Home (circle one) Yes ! No 6,oNI/L-,Z 1 S HOP TO N om 4 :10.8�YALUATION �(Ertterva'tue{of'lr c►ud�gqM`I rwn,�•c,onmscted, Plusn�`iateriats�`Char'"��'-�� � $ Fc•bT' .aY`Sv r a,aasr 'r"i�'— � �� r � Q COUNTY a , LOf'MENT SERVICES PERMIT NO: FORM NO MPLICATION' 1 Fax (530) 538-7785.' ,DBP -1. uttPco��ri�.re�::dds — - -- BIN NO: . ' .�Ir <� F�.�>��� ��F?ROJEC,T�LOCATION ``�=,�"" ,�,,.{g •�• �-� .,;� • APN 16 16 _r. O 5. i { , Property Address .Q,. City Location must not be in a city limits of Chico, Gridley, Oroville or Paradise. httpl:';_•:;_:•:+.buttec�unt!.netiddsiPlannir, ,e ParcelLockuDTool.asf i t t� Nt ° EN011413 GEMCY Name. Q l,. Mailing Address l - Edy t State Zip rsOESCRIPT�N2COPEOFWgRK ES _ D Mobile Home permits (other than installation, foundation, utilities 8non-attached as�'Y 4. �a,���kCRCHITECNGINEER_�_ E,�,`� Name Mailing : SRA: YES NO NPDES YES ❑CodNO • APPLICW7SIGNATURE�itAN_Q,U„_TE�`e En: YES NO ❑ • Legal Lot: YES ❑' NO . Ar a Occupancy Type Construction. 2- Date: ^i ,� • -� .t s Print Name: ' 'Permit Tech: Date: n 1 1 `When filed, this application and all supporting material be subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. ..� :Cp _ Page i of"t (J . Open Area: Covered Area: + _ • t � t TOTAL SQ: - t C iStructure Built without permits y Proposed Change of Occupancy/Use -Note previous/current use below: ' r lKJ I Zoning: .A — - Flood Zone19 COUNTY a , LOf'MENT SERVICES PERMIT NO: FORM NO MPLICATION' 1 Fax (530) 538-7785.' ,DBP -1. uttPco��ri�.re�::dds — - -- BIN NO: . ' .�Ir <� F�.�>��� ��F?ROJEC,T�LOCATION ``�=,�"" ,�,,.{g •�• �-� .,;� • APN 16 16 _r. O 5. i { , Property Address .Q,. City Location must not be in a city limits of Chico, Gridley, Oroville or Paradise. httpl:';_•:;_:•:+.buttec�unt!.netiddsiPlannir, ,e ParcelLockuDTool.asf i t t� Nt ° EN011413 GEMCY Name. Q l,. Mailing Address l - Edy t State Zip rsOESCRIPT�N2COPEOFWgRK ES _ D Mobile Home permits (other than installation, foundation, utilities 8non-attached as�'Y 4. �a,���kCRCHITECNGINEER_�_ E,�,`� Name Mailing : SRA: YES NO NPDES YES ❑CodNO • APPLICW7SIGNATURE�itAN_Q,U„_TE�`e En: YES NO ❑ • Legal Lot: YES ❑' NO . Ar a Occupancy Type Construction. 2- Date: ^i ,� • -� .t s Print Name: ' 'Permit Tech: Date: n 1 1 `When filed, this application and all supporting material be subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. ..� :Cp _ Page i of"t (J . Open Area: Covered Area: + _ • t � t TOTAL SQ: - t C iStructure Built without permits y Proposed Change of Occupancy/Use -Note previous/current use below: ' r lKJ I Zoning: .A — - Flood Zone19 ' .�Ir <� F�.�>��� ��F?ROJEC,T�LOCATION ``�=,�"" ,�,,.{g •�• �-� .,;� • APN 16 16 _r. O 5. i { , Property Address .Q,. City Location must not be in a city limits of Chico, Gridley, Oroville or Paradise. httpl:';_•:;_:•:+.buttec�unt!.netiddsiPlannir, ,e ParcelLockuDTool.asf i t t� Nt ° EN011413 GEMCY Name. Q l,. Mailing Address l - Edy t State Zip rsOESCRIPT�N2COPEOFWgRK ES _ D Mobile Home permits (other than installation, foundation, utilities 8non-attached as�'Y 4. �a,���kCRCHITECNGINEER_�_ E,�,`� Name Mailing : SRA: YES NO NPDES YES ❑CodNO • APPLICW7SIGNATURE�itAN_Q,U„_TE�`e En: YES NO ❑ • Legal Lot: YES ❑' NO . Ar a Occupancy Type Construction. 2- Date: ^i ,� • -� .t s Print Name: ' 'Permit Tech: Date: n 1 1 `When filed, this application and all supporting material be subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. ..� :Cp _ Page i of"t (J . Open Area: Covered Area: + _ • t � t TOTAL SQ: - t C iStructure Built without permits y Proposed Change of Occupancy/Use -Note previous/current use below: ' r lKJ I Zoning: .A — - Flood Zone19 0 i BUTTE , �urrF Butte County Department of Development Services COUNTY FORM NO �r:.t,; •, PERMIT CENTER I �� �• 7 County Center Drive, Oroville, CA 95965 JUN 15 2017 DOP-06 IVa Main Phone (530) 538-7601 Fax (530) 538-7785` 1v%v%v.buttecountv.net/dds I dET�O ivtENT PLAN CHANGE, RECHECK, OR RETURN Owner's Name: Zco t^ e_ SC /p d Contact Person Name: Contact email: R_ Zc,,.e- t�P r) ,e r CO h� Contact Phone Number: Date Submitted: I S Permit Number: 16—.1963 Assessor's Parcel Number: ❑ COMPLETE SET OF PLANS ❑ PARTIAL SET OR PAGES OF PLANS (LIST PAGES BELOW) Please check any that apply: ' ❑ Response to Plan Check Letter? ❑ Response to Building Inspection Correction Notice? ❑ Is there additional square footage? ❑ Is unfinished area being in -filled or completed? ❑ Other: LIST OF ITEMS SUBMITTED Zevi S� T=-e\p,$ v 6UI4,w & ++ or� -s 2. 3. 4. 5. Minimum 1 hour plan change fee to be collected at time of submission. Plans Examiner will determine if additional plan checking fees are required: ❑ Minimum $127.00 paid ❑ Additional Fee Amount Due: K:\NEW_WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DBP\DBP- 06_Plan_Change_Form_REV'D_8.13.14_AKM.doc Page I of 1 ' BUTTE COUNTY �urrF Butte County Department of Development Services FORM NO '• '`+"_'•' PERMIT CENTER MAY 10 2017 •count 7 County Center Drive, Oroville, CA 95965 DEVELOPMEN' " DBP -06 Main Phone (530) 538-7601 Fax (530) 538-7785 SERVICES Nmw.buttecounty.net/dds PLAN CHANGE, RECHECK, OR RETURN Owner's Name: 2u n r - Contact Person Name: I_ Contact email: Zan ¢. & 2-u A Sc h r C J el- . 'C o ✓t) Contact Phone Number: !�;30- 22j -t% 33 Date Submitted: Permit Number: Assessor's Parcel Number: 6 GI 2= 14 0s�' ❑ COMPLETE SET OF PLANS ❑ PARTIAL SET OR PAGES OF PLANS (LIST PAGES BELOW) Please check any that apply: COUNTY ❑ Response to Plan Check Letter? i❑ Response to Building'Inspection Correction Notice? MAY 112017 ❑ Is there additional square footage? DEVELOPMENT ❑ Is unfinished area being in -filled or completed? SERVICES 1] Other: 1. 2. 3. El 5. LIST OF ITEMS SUBMITTED Minimum 1 hour plan change fee to be collected at time of submission. Plans Examiner will determine if additional plan checking fees are required: . ❑ Minimum $127.00 paid ❑ Additional Fee Amount Due: K:\NEW_WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DBP\DBP 06_Plan_Change_For m—REV'D_8.13.14_A KM.doe Page 1 of 1 N 1 �uTT Butte County Department of Development Services ,�..;.,...f'.' PERMIT CENTER � 7 County Center Drive, Oroville, CA 95965 cou14 Main Phone (530) 538-7601 Fax (530) 538-7785 www.buttecountv.neUdds PLAN CHANGE, RECHECK, OR RETURN Owner's Name: Z_6 n e_ c. Contact Person Name: Contact email: 4 n z 2,2 ►� .2 S [ l -e r] �/ C O ^, Contact Phone Number: S� � 0 " 2 7 3 Date Submitted: ^ Z G Permit Number: R/6 ,1%6 3 Assessor's Parcel Number: OH2 -140 —0 � j of COMPLETE SET OF PLANS ❑ PARTIAL SET OR PAGES OF PLANS (LIST PAGES BELOW) FORM NO DBP -06 P ase check any that apply: ,Response to Plan Check Letter? ❑ Response to Build ing'Inspection Correction Notice? ❑ Is there additional square footage? ❑ Is unfinished area being in -filled or completed? ❑ Other: 1. 2. I 4. 5. T TCT (lam' T'TRAifQ CT TRAAT'F P1 'n . Minimum 1 hour plan change fee to be collected at time of submission. Plans Examiner will determine if additional plan checking fees are required: ❑ Minimum $127.00 paid ❑ Additional Fee Amount Due: i K:\NEW—WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - Comp1eted\DBP\DBP- 06_Plan—Change_Form_REV'D_8.13.14—A KM.doc Page 1 of I 4, , 2.016 CALGreen ~Residential, Mandator. ; Measures This checklist applies to newly constructed rbuildings, additions or alterations of existing residential buildings where the addition or alteration increases the building's conditioned area, volume, or size. The'requirements shall only apply to`and or within the specific area of the addition or alteration. (2016 CGBSC 301.1.1) ' ' i`� ' ". - - ***Note 2016 CGBSC 301.1.1: On and after 11112014,'residential buildings -undergoing permitted alterations, additions or improvements shall replace noncompliant plumbing fixtures with water- ' conserving,plumbing fixtures. Plumbing fixture replacement is required prior to issuance of .certificate of final completion, certificate of occupancy or final.permit approval by the local building department. " Feature or Measure' Required n A plan'-is�developed and implemented to -manage storm water drainage duringy construction. CGBSC 4.106.2. 6 ,A Construction plans shall indicate how the site grading or drainage system will manage . all surface water flows to keep water from entering buildings CGBSC 4.106.3. (Vo , Provide capability for electric vehicle charging in one and two-family dwellings and in ' townhouses with attached private garages; and 3 percent of total parking spaces, as ; - specified, for multifamily dwellings. - Building meets or exceeds the requirements of the California Building Energy Standards. CGBSC 4.201.1. I I=. - VIEWED �_Water closets. The effective flush volume of all water closets shall not exceed 1.28 gpf. Tank -type water closets shall be certified to the performance criteria of the U.S. EPA WaterSense Specification for Tank -type Toilets. M Note: The effective flush volume of dual flush toilets is defined as the composite, average.flush volume of two reduced flushes and one full flush:. Urinals. The effective flush volume of.wall mounted urinals shall not exceed 0.125gpf - and floor mounted or other urinals shall not exceed'0.5 gpf: Single showerheads. Showerheads shall have a max. flow rate'of not more than 2.0.. , ,gpm at 80 psi.�Showerheads.shall be certified to the performance criteria of the U.S. EPA WaterSense Specification for Showerheads:" Multiple showerheads serving one shower. When a shower is served by more than one showerhead, the combined flow rate of all,the showerheads and/or other''shower • outlets controlled by a single valve shall not exceed 2.0 gpm at 80,psi, or the shower .shall. be designed to allow only one shower outlet to be in operation at a time.' ,- Residential lavatory faucets. The max. flow rate of residential lavatory faucets shall ,, not exceed,1.2 gpm at 60 psi.'The min. -flow rate.of residential lavatory faucets shall - not be less than 0.8 gpm at 20 psi. Metering faucets. Metering faucets when installed in residential buildings shall not "gallons deliver more than 0.25 per cycle. Kitchen faucets. The max. flow rate of kitchen faucets shall not exceed 1.8 gpm at 60 " .. psi. S Checklists\Green Building . - • .. - s,, � . - ' - • Via, _ ...ti - ' , f Page 1 of 3 02/10/2017 2016 CALGreen Residential Mandatory Measures Check.list' (Cont'd) Feature or Measure Required .. r' . ,.;..... ........:...,_- ; ._ ,..,--,. z -�: ra = ' '" , r :.. &�t� 72 . � , •:a.'� '� .fid y," - �`.::: • - '" ; - (, trxj:. r �.___.< .>_ �:?i.r 4,: s:.. ��•usc-.x9:`, r-ir,::::% e�cxtx,.•:! t i Mrd New residential developments with an aggregate landscape area equal to or greater than 500 sq ft shall comply with one of the following options: 1. A local water efficient landscape ordinance or the current California Department of Water Resources Model Water Efficient Landscape Ordinance (MWELO), whichever more stringent; or t/ 2. Projects with aggregate landscape areas less than 2,500 sq ft may comply with the MWELO Appendix D Prescriptive Compliance Option. W, LIM Rodent proofing. Annular spaces around pipes, electric cables, conduits, or other openings in sole/bottom plates at exterior walls shall be protected against the passage , /{ l/ of rodents by closing such openings with cement mortar, concrete masonry or similar method acce table to the enforcing agency. Recycle and/or salvage for, reuse a minimum of 65 percent of the nonhazardous construction and demolition waste in accordance with one of the following: .-- 1 -Comply -with -a -more --stringent local -construction -and demolition-waste------------- managementordinance; or 2. A construction waste management plan, per Section 4.408.2; or 3. A waste management company, per Section 4.408.3; or 4. The waste stream reduction alternative, per Section 4.408.4. MINE O&M Manual: An operation and maintenance manual shall be available in the building at the time of final inspection. Recycling by Occupants: Where 5 or more multifamily dwelling units are constructed on a building site, provide readily accessible area(s) that serves all buildings on the site and is identified for the depositing, storage and collection of non -hazardous materials for recycling, including (at a minimum) paper, corrugated cardboard, glass, j plastics, organic waste, and metals, or meet a lawfully enacted local recycling ordinance, if more restrictive. See exception for rural jurisdictions. ti IN.. _ Any installed gas fireplace shall be direct -vent sealed -combustion type. Any installed woodstove or pellet stove shall comply with U.S EPA New Source Performance Standards (NSPS) emission limits as applicable, and shall have a permanent label indicating they are certified to meet the emission limits. Woodstoves, pellet stoves and fireplaces shall also comply with applicable local ordinances.' i. _ " ..fir.. _'!__, . rl� n — - - ; :::i • a _ _... _,: ` n .r . , i . 1 n: Duct openings and other related air distribution component openings shall be covered ✓' during construction. Adhesives, sealants and caulks shall be compliant with VOC and other toxic compound limits Aerosol adhesives and smaller unit sizes of adhesives and sealant or caulking compounds shall comply with statewide VOC standards and other requirements. Paints, stains and other coatings shall be compliant with VOC limits. 4.504.2.2 ChecklistslGreen Building Page 2 of 3 02/10/2017 'Checklists\Green Building Page 3 of 3 , 02/10/2017 e. 1 2016 CALGreen Residential Mandatory Measures Checklist (Cont'd) Teature'or.Measure Required Aerosol paints and coatings shall be compliant with product weighted MIR limits for and other o o - - Carpet and carpet systems shall be compliant with VOC limits. 4.504.3 At least 80% of floor area receiving resilient flooring shall comply with specific.VOC criteria. . Hardwood plywood, particleboard and medium density fiberboard (MDF) used on interior or exterior of the building shall comply with formaldehyde emission standards. Documentation shall be provided to the City building inspector verifying that compliant have been used. 11materials .',..x�•„riiji'zili'�, xi. .�4 : � 1 f�� I .~`�-?_ 1' �4?-` �• _ � _ lC Concrete Slab Foundations: Vapor retarder and capillary break is installed at slab- / on -grade foundations. V Moisture content of building materials used in wall and floor framing shall not exceed 19% before enclosure. Moisture content shall be verified in compliance with CGBSC 4.505.3. Indoor Air Quality and Exhaust (4.506) , Bathroom exhaust fans shall be ENERGY STAR rated and ducted to terminate outside. Unless functioning as a component of a whole house ventilation system, bathroom exhaust fans must be controlled by a humidity control adjustable between a relative humidity range of 50% - 80%. Duct systems are sized, designed, and is selected using thefollowing -equipment methods: �• I. Establish heat loss and heat gain values according to ANSI/ACCA 2 Manual J-2011 or equivalent. -, 2. Size duct systems according to ANSI/ACCA 1,ManuaFD-2014 or equivalent: -._ ; r /� 3.Select heating and cooling equipment according to ANSI/ACCA 3 Manual S- 2014 or equivalent. : ci lex'. yyo r x cf .r ' • is� .-rit . ,.Y '�i56r ... .`x HVAC system installers are trained and certified in the proper installation,of HVAC systems. Special inspectors employed by the enforcing agency -must be qualified and able to V demonstrate competence in the discipline they are inspecting. .i::i9: ` :...k?}T. ....._ •. _u:-�:. ,...._ _ .a:... y: s •• 4 ..4! a ;1, - :;r,y.; , : ' : ' ' r :. ! { 6 c E:;F.:!I ... Fs*". ' • •F:} . .a , • r .. ":� �a ' si�'' ..11lir� ri:!F:=:=•' ii? ;t'c.. •.tE %e:f. 4 r:::,:V�er�fi aio. aQ3: t,.... _�,; '. ril 4.:: t _ ,:tl��:•- n:•::.r::::•:r.:.... ... .�. ..n•: :...:1�( r_:_n. �•:._{r;- .,., _ ._c.¢, 5xail• °• ,ri;-. _ t_h: 4`;. �rF.i+�ra:.. ;�o• NMI r}x. r Spy xI Verification of compliance with this code may include construction documents, plans specifications builder or installer certification, inspectiori reports, or other methods acceptable to the enforcing agency, which show substantial conformance. 'Checklists\Green Building Page 3 of 3 , 02/10/2017 e. 1 SCHREDER, ZANE 2641 W SACRAMENTO AVE CHICO, CA 95926 Assessor Parcel Number: 042-160-059 Building Permit Number: B16-1863 Plan Check #2 Description: CONVERT SHOP TO SFD (1462) Occupancy Classification: R-3 paragraph. BUTTE GENERAL COMMENTS: COUNTY 1. Complete. MAY 26 2017 2. Complete. DEVELOPMENT SERVICES 3cPlease provide a North Arrow indicator on the Site Plan. PC2. No response provided. NON-STRUCTURAL COMMENTS: 2013 CRC Section R313.2 One- and two-family dwellings automatic fire systems. An automatic residential fire sprinkler system shall be installed in one- and two- family dwellings. Exception: An automatic residential fire sprinkler system shall not be required for additions or alterations to existing buildings that are not already provided with an automatic residential sprinkler system. A permit application and plans shall be required to be submitted prior to four building categories (rough frame) inspection. PC2. No response provided. Permit has been approved for Sprinklers—mac kJole; 2013 CRC Section R313.2.1 Design and installation. Automatic residential fire sprinkler systems shall be designed and installed in accordance with Section R313.3 or NFPA 13D. PC2. No response provided. Permit has been approved for Sprinklers 6-9.Complete. XPlease provide a detail for the weather-stripping around the existing roll -up shop door. PC2. No response or detail provided. Per general note on plans--- ' /Ze?vr'-Cl- At least one window in loft bed room'shall'provide the following egress requirements per 2013 CRC Section R310.1: (i.e. The 2-6 x 4-0 window does not provide the minimum openings required) a. Minimum opening shall have a minimum net clear opening of 5.7 square feet. b. Minimum net clear opening height shall be 24 inches. c. Minimum net clear opening width shall be 20 inches. d. Bottom of the clear opening not greater than 44" AFF. PC2. Elevation does not show casement window as specified on floor plan. Per Floor plan 12-14. Complete. lease provide and show on the plans the location of the required Smoke and Carbon Monoxide alarm(s). Refer to 2013 CRC Sections R314 & R315 for the requirements and their required locations. PC2. No response provided and alarms still missing, A9p4-. 16-20. Complete. f Provide a switched light for the spiral stairway. 2013 CEC Art. 210.70. (I.e. 3 -way) PC2. No response provided. Shown on plan --po�_ 57tol..�JA, Please specify Arc -Fault Circuit -Interrupter Protection to all 120 -volt, single phase, 15 and 20 -amp branch circuits supplying outlets installed in dwellings. (Throughout) 2013 CEC Art. 210.12 (A). PC2. Note was added to electrical plan, but plan still shows GFCI outlets. Please coordinate. Note has been stricken AComplete. Please clearly identify all lighting fixture types. PC2. No response provided. Interior light fixtures are not in the legend. All lighting shall be LED can lights 25. Complete. 26. Complete. Receptacles shall be installed so that no point measured horizontally along the floor line in any wall space is more than 6 -feet from a receptacle. Any wall space 2 -feet or more in width and unbroken along the floor line by doorways and similar openings shall have a receptacle. 2013 CEC Art. 210.52 (A). Please review all wall receptacle locations. PC2. No response provided. Outlets still required in mudroom and by entry. added 28. Complete. lease provide two or more 20 -ampere small appliance branch circuits evenly proportioned in the kitchen, pantry, breakfast room, dining room or similar area to severe all wall and floor receptacle outlets. Such circuits shall have no other outlets per 2013 CEC Art. 210.52 (B). PC2. Still missing. Please see note 30-32. Complete. X, Please clearly show the luminary fixture type or control type complying with the mandatory energy lighting requirements throughout. Refer to the Mandatory Measures for Residential Lighting Measures attached to the California Energy Commission, Mandatory Measures, form MF -1R. PC2. No response provided. All interior lights. Please see legend all lights to be LED Please clearly show the luminary fixture type or control type complying with the mandatory energy lighting requirements throughout. Refer to the Mandatory Measures for Residential Lighting Measures attached to the California Energy Commission, Mandatory Measures , form MF -1R.. Provide either High Efficacy lights, or if low efficacy such as incandescent lights are installed they must have Dimmers controls and/or Manual -on vacancy sensors. Photocell with motion sensor on incandescent exterior lights. This mandatory requirement also includes the "U" occupancy. PC2. No response provided. Still not clear on the plans for all interior. lights. Please see legend 35-36. Complete. Provide and show the kitchen lighting complying with 2013 CeC Section 150(k)(3). PC2. No response provided. Using lights from room per lighting plan LED can lights 38. Complete. *Please show how the minimum requirement for the Indoor Air Quality ventilation is being met. 2013 California Energy Standards Section 150(0). Refer to the Mandatory Measures for Residential Space Conditioning attached to the Energy Compliance Documentation. (Refer to Table 4-7 of the Residential Energy Compliance Manual for sizing the "Continuous Wholebuilding Ventilation Rate". If "Intermittent Whole -building Ventilation" is specified you must provide a calculated cfm rating.) PC2. No response provided. Please provide safety glazing in the bathroom window. Refer to 2013 CRC Section R308.4.7 for galzing and wet surfaces. PC2. No response provided. Plans still do not show safety glazing. Safety glazing also required at windows in the stairway. Shown on revised plan Please submit a (2013 CalGreen Code) Residential Mandatory Measures Check list. Please identify mandatory compliance. (A copy can be obtained at the building counter.) PC2. Still missing. Please provide a Construction Waste Management form. (Obtain from Building Department Counter) 2013 CalGreen Section 4.408. PC2. Still missing STRUCTURAL COMMENTS: Vo Wci��e R��EaO� C�^`IT r�� �a 4 GARY HAWKS N S A FR C H I T S C T F (530) 892-2700 3045 Ceres Avenue, Suite 135 Fax (530) 893-0532 Chico, CA 95973 info@ghachico.com June 16, 2015 Butte County Building Division 7 Country Center Drive Oroville, CA 95965-3397 RE: Schreder Residence 2641 W. Sacramento Ave Chico, CA 95973 Bldg Permit #: B16-1863, Plan Check #1 GHA Job#: 15-091 BUTTE COUNTY MAY .112017 DEVELOPMENT SERVICES .516-1$63 Following is an itemized list of replies to the individual comments from the Butte County Building Department's review: NON STRUCTURAL COMMENTS: #6. The energy calculations reflect the window values which were installed. See attached for verification, provided by the owner. #7. Slab and roof area have been revised on the energy calculations to reflect 1,235 square feet as referenced on sheet A-2. #8. The 0.63 value has been revised to 10 sf. #9. See detail attached for slab edge. If you have any questions, please feel free to contact my office. Sincerel 41 Gary Hawkins Gary Hawkins Architect SU7TE COUNTY DIVISION APPROVED ?-"4J't•iF { �� iii �� a R'd .t: .:f''vr pa]:._ v:. ��'�-S.r."�.. Y c r:7k�Q�-'.�^;:,�;�,trwa�:r� iz,"r ri?•'� a :�[ A.__...����i':. _�a .:�3.•41'ie,. . �ii°.''�'�'?,��, �` :ae��., �1e.4ae,.��y�: �t..���,_�+:.,fzyL-3t .a y�a#'y j"`�:1: a!sd "�. it�'k�'L" �l_ r [V���w�.a;. �?� �.�°`-Y .:;L. ..,.�.. ,_� .aw `d.' .. .-� .• �.� , .. ""s�Fi �'_r:uL ". ,. .FS :t �:. �i..,.tb.;.;-�. t: '$� x,._ '.. �f�'fsr'_�"h a._: '�^,}:k_�.-. ::.0 r'�i. �!�.�'_'4 'T. ,.. .ra°'.S'� '. "►Y:.. .A '' s 001 05 INTERIOR BEARING - NON SW REV: 05—OL-13 PERIMETER—SOG-011_A SCALE: 1" = 1'-0" Qr z SHEARWALL — SEE PLAN ' SHEAR PT MUDSILL — 2 x EXCEPT ' SPT MUD; WHERE NOTED — SEE PLAN FOR CONC. SLAB — SIZE AND SPACING OF WHERE I SIZE A SEE PLAN ANCHOR BOLTS ANCHC 24 I" EPS INSULATION #3 12)— DOWELS 1" EPS AT 36" O/C EN } i ism T rq -� I -III IIEEE]_lEl I I ,Ll ; CONT. #4 BAR TOP AND — BOTTOM U.O.N. ON PLANS ` II ALAN -1I I =1 11- I i 12" MIN. CONT. BOTTC TYP. U.O.N. 002 0.4 INTERIOR BEARING; - AT SW ro1 .I" = I'—O" _ S-5.1 REV: 05-06-13 PERIMETER—SOG-011—A SCALE: 1" = 1'-0" S-5.1 f 001 _ O - = 1'-0" SHEARPLY - SEE PLAN 4 ` CONC SLAB • PT MUDSILL - 2 x EXCEPT SEE DRAWINGS - WHERE NOTED - SEE PLAN FOR i' I SIZE AND SPACING OF 6° ANCHOR BOLTS tt3 122-4 AT OWELS I"- EPS INSULATION 3611- O/C q z c F.G. n a _ 3" CLR. Of CONT. 44 BAR TOP AND BOTTOM U.O.N. ON PLANS C 12" MIN. e _ TYP. U.O.N. 002 001 roi TYPICAL PERIMETER = I'—O",5-5.1. REV: 05-06-13 - PERIMETER—SOG_010—A SCALE: I" = I'—O" of - REVISION DATE: • 05-06-13 Structural calculations Date: April 28, 2017 . � BUTTE C0VISI®� BUILDING DI Project description: APPROVED, Zane Schreder Butte County, CA Additional notes: New interior stairs Frank M Glazewski - Architect NSED y� PO Box 8066 Chico, California 95927 �� s Tel 530.894.5001 Fax 530.894.8164 C-27470 email: frank@fmgarchitect.com ' RE 8-31-17 BurrE . COUNW �,gTFOF C0Q` MAY :112017 ®ELOPMWT ---------i i 5,—in 51-4. e. r --r---------------57< --- --- r---t A DESK � I 1 (N) WALLS 1 1 1 - --- UP It. RISERSI �I � T ^ 1 I , I ------4 1 1 HANDRAIL AT I I }---+ STAIRS - SEE - - - NOTES rzi - - - Nc Section A LRU21OZ AT STRINGER (2)2 x 8 - LUS28-2 TO BEAM TODBL 2x8 1 1/80 P -- Y ------------- TREAD 2 x L DF#2 AT IL• O/C (3)2 x 12 STAIR STRINGERS 2 x L LEDGER - (2Hid NAILS FINISH USABLE PER STUD SPACE UNDER STAIRS WITH LUS24 VY GYPSUM BOARD TYP. (E) 5' THICK - CONC. SLAB Section A M RESIDENTIAL GUARD AND HANDRAIL NOTES 1. Guards shall be not less than 42" high, measured vertically from top of finish floor to top of guard. CBC 1015.3. 2. Guards on the open sides of stairs shall have a height not less than 34 inches, measured vertically from a line connecting the leading edges of the stair treads. (Group R-3). CBC 1015.3(1). 3. Where the top of the guard also serves as a handrail on the open side of the stairs, the top of the guard shall be not less than 34 inches, and not more than 38 inches, measured vertically from a line connecting the leading edges of the stair treads. (Group R-3). CBC 1015.3(2). 4. Required guards shall not have openings which allow passage of a sphere 4 inches in diameter from the walking surface to the required guard height. The triangular openings at the open sides of a stair, formed by the riser, tread and bottom rail shall not allow the passage of a sphere 6 inches in diameter. CBC 1015.4. 5. Guardrails, handrails and their connections shall be designed to support a 2001b load in any direction at any point. CBC 1608.8.1.1. 6. Handrails shall be provided at all stairways with more than 3 risers (Group R-3). CBC 101 1.11. 7. Handrails shall not rotate within their fittings. CBC 1014.5. 8. Handrails within a dwelling unit that is not required to be accessible need extend only from the top riser to the bottom riser. CBC 1014.6(1). 9. Handrails with a circular cross section shall have an outside dimension of not less than 1 '/4 inches, and not greater than 2 inches. Where the handrail is not circular, it shall have a perimeter dimension of not less than 4 inches, and not greater than 6 '/4 inches, with a maximum cross-sectional dimension of 2 '/4 inches, and a minimum cross- sectional dimension of 1 inch. Edges shall have a minimum radius of 0.01 inch. CBC 1014.3.1. 10. Handrails shall return to a wall, guard, or the walking surface or shall be continuous to the handrail of an adjacent flight of stairs. CBC 1014.6. 11. Handrails within dwelling units are permitted to be interrupted by newel posts or other obstructions. CBC 1014.4. 12. Clear space between a handrail and a wall or other surface shall be not less than 1 '/2 inches. A handrail and a wall or other surface adjacent to the handrail shall be free of any sharp or abrasive surfaces. CBC 1014.6. L. RESIDENTIAL STAIR NOTES - 1. All stairways shall have a minimum finished width of 36". CBC 1011.2(1). 2. The maximum rise shall be 7 3/, inches and minimum tread depth shall be 10 inches. A nosing projection not less than 3/4 inch but not more J than 1 '/4 inches shall be provided on stairways with solid risers where the tread depth is less than 11 inches. CBC 101 1.5.2(3): 3. Refer to RESIDENTIAL GUARD AND HANDRAIL NOTES for additional information regarding guards and handrails. 4. Projections into the required width of stairways at each side shall not exceed 4'/2 inches at or below the handrail height. CBC 1014.8. , 5. , Projections such as trim and similar decorative finish items may project into the required width not more than 1 '/z" on each side. CBC 1005.7.2. - 6.. Landings shall have a dimension in the direction of travel no less than the width of the stairway. CBC 1011.6. •7. All stairways shall have a finished head clearance dimension of not less than 80 inches measured vertically from a tangent line at the, tread nosing. CBC 101 1.3. 8. Spaces under stairs serving and contained within a single residential dwelling unit in Group R-2 or R-3 shall be permitted to be protected on the enclosed side with '/2 inch gypsum board. CBC 1011.7.3. BUILDING ENERGY ANALYSIS /REPORT PERMIT# BUTTE COUNTY DEVELOPMENT SERVICES REVIEWED FOR CODE COMPLIANCE M1DATE BY PROJECT: Schreder Residence 2641 W. Sacramento Ave Chico, CA 95973 Project Designer: Frank Glazewski Architect/Structural Design P.O. Box 8066 Chico, CA 95927 (530) 894-5001 Report Prepared by: Jessica Hawkins Gary Hawkins Architect 3045 Ceres Avenue Chico, CA 95973 (530) 892-2700 lam cOUSTY . � 1�11N 15 201 �gVELOpM�N`P Job Number: sr'RV10ES 15-091 Date: 6/14/2017 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2013 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC www.energysoft.com. Ener Pro 6.7 Fy—EnergySoft User Number: 30024 ID: 15-091 TABLE OF CONTENTS Cover Page 1 Table of Contents 2 Form CF -1 R -PRF -01-E Certificate of Compliance _ 3 Form RMS -1 Residential Measures Summary 15 Form MF -1 R Mandatory Measures Summary 17 HVAC System Heating and Cooling Loads Summary 21 Zone Load Summary 22 Room, Load Summary 23 EnergyPro 6.7 by EnergySoft Job Number: ID: -15-091 User Number: 30024 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Shreder Residence Calculation Description: Title 24 Analysis Calculation Date/Time: 10:31, Wed, Jun 14, 2017 Input File Name: 15-091 Schreder (plan check #2).xml CFI R -PRF -01 Page 1 of 12 GENERAL INFORMATION 01 Project Name Shreder Residence 02 Calculation Description Title 24 Analysis 03 Project Location 2641 W. Sacramento Ave 04 City Chico 05 Standards Version Compliance 2015 06 Zip Code 95973 07 Compliance Manager Version BEMCmpMgr 2013-4 (744) 08 Climate Zone CZ11 09 Software Version EnergyPro 6.6 10 Building Type Single Family 11 Front Orientation (deg/Cardinal) Cardinal 12 Project Scope Newly Constructed 13 Number of Dwelling Units 1 14 Total Cond. Floor Area (ft2) 1462 15 Number of Zones 1 16 Slab Area (ft2) 1235 17 Number of Stories 1 18 Addition Cond. Floor Area N/A 19 Natural Gas Available Yes 20 Addition Slab Area (ft) N/A 21 Glazing Percentage (%) 16.7% COMPLIANCE RESULTS y.r„–may 01 Building Complies with Computer Performance , ! ( It U Ii N-)1 6� 02 This building incorporates features that,retquire fieid'testing and/cr venfcatiohrby_a certified HERSirate Lnder the supervision -of a CEC-approved HERS provider. 03 This building incorporates one or more Special Featdres" shown below < P R � 1i \/'�- t F Q p This compliance analysis is valid only for permit applications through December 31, 2016 I Registration Number: 215-N6336592C-000000000-0000 Registration Date/Time: 2017.06-14 16:01:52 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2017-06-1410:33:06 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Shreder Residence Calculation Date/Time: 10:31, Wed, Jun 14, 2017 Calculation Description: Title 24 Analysis Input File Name: 15-091 Schreder (plan check #2).xml CF1 R -PRF -01 Page 2 of 12 REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. • Insulation above roof deck • Window overhangs and/or fins • Exposed slab floor in conditioned zone Registration Number: 215-N6336592C-000000000-0000 Registration Date/Time: 2017-06-14 16:01:52 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2017-06-1410:33:06 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance Percent (kTDV/ft2-yr) Design Design Margin Improvement Space Heating 30.79 25.02 5.77 18.7% Space Cooling 60.81 52.73 8.08 13.3% IAQ Ventilation 1.18 1.18 0.00 0.0% Water Heating 16.66 9.96 6.70 40.2% PV Credit ---- 0.00 0.00 --- North Facing Compliance Total 109.44 88.89 20.55 18.8% Space Heating 30.79 23.49 7.30 23.7% Space Cooling 60.81 58.75 2.06 3.4% IAQ Ventilation 1.18 1.18 0.00 0.0% Water Heating 16.66 9.96 6.70 40.2% PV Credit -- 0.00 0.00 -- East Facing Compliance Total 109.44 93.38 16.06 14.7% Space Heating 30.79 21.83 8.96 29.1% Space Cooling IAQ Ventilation 60.81 56-53 X�1.118 :18 1 4.28 0.00 7.0% 0.0% Water Heating �16 66111 _ILEPRTX9:96�� 6.70 40.2% PV Credit South Facing - P p O.t00 �t 0.00 -- Compliance Total 109.44 89.50 19.94 18.2% Space Heating 30.79 23.99 6.80 22.1% Space Cooling 60.81 62.74 -1.93 -3.2% IAQ Ventilation 1.18 1.18 0.00 0.0% Water Heating 16.66 9.96 6.70 40.2% PV Credit -- 0.00 0.00 -- West Facing Compliance Total 109.44 97.87 11.57 10.6% REQUIRED SPECIAL FEATURES The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis. • Insulation above roof deck • Window overhangs and/or fins • Exposed slab floor in conditioned zone Registration Number: 215-N6336592C-000000000-0000 Registration Date/Time: 2017-06-14 16:01:52 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2017-06-1410:33:06 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD CF1R-PRF-01 Project Name: Shreder Residence Calculation Date/Time: 10:31, Wed, Jun 14, 2017 Page 3 of 12 Calculation Description: Title 24 Analysis Input File Name: 15-091 Schreder (plan check #2).xml HERS FEATURE SUMMARY The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional detail is provided in the building components tables below. Building -level Verifications: • IAQ mechanical ventilation Cooling System Verifications: • Minimum Airflow • Fan Efficacy Watts/CFM HVAC Distribution System Verifications: • Duct Sealing • Low -leakage Air Handling Unit Domestic Hot Water System Verifications: • -- None -- ENERGY DESIGN RATING This is the sum of the annual TDV energy consumption for energy use components included in the performance compliance approach for the Standard Design Building (Energy Budget) and the annual TDV energy consumption for lighting and components not regulated by Title 24, Part 6 (such as domestic appliances and consumer electronics) and accounting for the annual TDV energy offset by an on-site renewable energy system. Reference Energy Use Energy Design RatingMargin Percent Improvement Total Energy (kTDV/f2-yr)* 166.03 � t.... 154.46 11.57 7.0% includes calculated Appliances and Miscellaneous E`� ` Use (AMEU) L ft t BUILDING - FEATURES INFORMATION 'ti ` P R R A\ t 'n F R 01 02 03 04 05 06 07 Project Name Conditioned Floor Area (ft2) Number of Dwelling Units Number of Bedrooms Number of Zones Number of Ventilation Cooling Systems Number of Water Heating Systems Shreder Residence 1462 1 2 1 0 1 ZONE INFORMATION 01 02 03 04 05 06 07 Zone Name Zone Type HVAC System Name Zone Floor Area (ft2) Avg. Ceiling Height Water Heating System 1 Water Heating System 2 Conditioned Zone Conditioned HVAC Systeml 1462 9 DHW Sys 1 Registration Number: 215-N6336592C-000000000-0000 Registration Date/Time: 2017-06-14 16:01:52 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2017-06-1410:33:06 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Shreder Residence Calculation Date/Time: 10:31, Wed, Jun 14, 2017 Calculation Description: Title 24 Analysis Input File Name: 15-091 Schreder (plan check #2).xml CFI R -PRF -01 Page 4 of 12 OPAQUE SURFACES 01 02 03 04 05 06 07 08 Name Zone Construction Azimuth Orientation Gross Area (ft2) Window & Door Area (ft2) Tilt (deg) Front Upper Wall Conditioned Zone R-19 Vertical Siding 0 Front 451.9 164 90 Front Lower Wall Conditioned Zone R-19 Metal Siding 0 Front 145.5 45 90 Left Upper Wall Conditioned Zone R-19 Vertical Siding 90 Left 406.7 63 90 Left Lower Wall Conditioned Zone R-19 Metal Siding 90 Left 110 9 90 Back Upper Wall Conditioned Zone R-19 Vertical Siding 180 Back 450.5 75.1024 90 Back Lower Wall Conditioned Zone R-19 Metal Siding 180 Back 145.5 90 Right Upper Wall Conditioned Zone R-19 Vertical Siding 270 Right 406.7 83 90 Right Lower Wall Conditioned Zone R-19 Metal Siding 0 Front 110 9 90 Roof Conditioned Zone R-30 Metal Deck Roof 1235 ATTIC 01 02 w 03 ty r,� .,y 1 041 ,� _ 05, 06 07 08 Name Construction ^ Type,C I iv ,Roof Rise I I ,"oof Reflectance,,'I-Roof Emittance Radiant Barrier Cool Roof Attic Conditioned Zone Attic RoofConditioned Zone,Ventilated 0.1 ! 0.85 No No HERS PV1D Registration Number: 215-N6336592C-000000000-0000 Registration Date/Time: 2017-06-14 16:01:52 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CFiR-08252015-744 Report Generated at: 2017-06-14 10:33:06 r CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD - t' Project Name: Shreder Residence Calculation Date/Time: 10:31, Wed, Jun 14, 2017 Calculation Description: Title 24 Analysis Input File Name: 15-091 Schreder (plan check #2).xml CFI.R-PRF-01 Page 5 of 12 WINDOWS 01 02 03 04 05 06 07 08- 09 10 Name Type Surface (Orientation -Azimuth) Width (ft) Height (ft) Multipli er Area (ft) U -factor SHGC Exterior Shading 3050 SH Window Front Upper Wall (Front -0) 3.0 5.0 1 15.0 0.32 0.35 Insect Screen (default) 3050 SH 2 Window Front Upper Wall (Front -0) 3.0 5.0 1 15.0 0.32 0.35 Insect Screen (default) 3050 SH 3 Window Front Upper Wall (Front -0) 3.0 5.0 1 15.0 0.32 0.35 Insect Screen (default) 3050 SH 4 Window Left Upper Wall (Left -90) 3.0 5.0 1 15.0 0.32 0.35 Insect Screen (default) 3050 SH 5 Window Left Upper Wall (Left -90) 3.0 5.0 1 15.0 0.32 0.35 Insect Screen (default) 2640 SH Window Left Upper Wall (Left -90) 2.5 4.0 1 10.0 0.32 0.35 Insect Screen (default) 2020 Fx' Window Left Upper Wall (Left -90) 2.0 2.0 1 .4.0 0.32 0.24 Insect Screen (default) 2020 Fx 2 Window Left Upper Wall (Left -90) 2.0 2.0 1 4.0 0.32 0.24 Insect Screen (default) 2020 Fx 3 Window Left Upper Wall (Left -90) `2.0 2.0 1 4.0 0.32 0.24 Insect Screen (default) 2626 Case Window Back Upper Wall (Back -180) 2.5 2.5 1.008 6.3 0.32 0.35 Insect Screen (default) 2626 Case 2 Window Back Upper Wall (Back -180) 2.5 2.5 1.008 6.3 0.32 0.35 Insect Screen (default) 2626 Case 3 Window Back UpperWall (Back -e180) t-, 2.5 .1 1.008 6.3 0.32 0.35 Insect Screen (default) 3050 SH 6 Window ,Back Upper Wall (Back -1 80) l 3;0 1AZ wx 5.0 11 NN f r -f5.0 0.32 0.35 Insect Screen (default) 3050 SH 7 Window 1 Back UppI-- Il (BaGi 180) 0 f j-= JJ 1. 3"0 ?,1 .5, 0 L V 1 U 1, x.1,5-0 0.32 0.35 Insect Screen (default) 2428 SH Window 1. Back UpperMaIL(Back� 80)<Z C' P 2-.3 27 ,- 0.997( 0.32 0.35 Insect Screen (default) default) 2640 SH 2 Windows Back Upper Wall (Back -180) 2.5 4.0 1 10.0 0.32 0.35 Insect Screen (default) 2640 SH 3 Window Back Upper Wall (Back -180) 2.5 4.0 1 10.0 0.32 0.35 Insect Screen (default) 3050 SH 8 Window Right Upper Wall (Right -270) 3.0 5.0 1 15.0 0.32 0.35 Insect Screen (default) 3050 SH 9 Window Right Upper Wall (Right -270) 3.0 5.0 1 15.0 0.32 0.35 Insect Screen (default) 3050 SH 10 Window Right Upper Wall (Right -270) 3.0 5.0 1 15.0 0.32 0.35 Insect Screen (default) 3050 SH 11 Window Right Upper Wall (Right -270) 3.0 5.0 1 15.0 0.32 0.35 Insect Screen (default) 2020 Fx 4 Window Right Upper Wall (Right -270) 2.0 2.0 1 4.0 0.32 0.24 Insect Screen (default) 2020 Fx 5 Window Right Upper Wall (Right -270) 2.0 2.0 1 4.0 0.32 0.24 Insect Screen (default) 2020 Fx 6 Window Right Upper Wall (Right -270) 2.0 2.0 1 4.0 0.32 0.24 Insect Screen (default) Registration Number: 215-N6336592C-000000000-0000 -• Registration Date/Time: 2017-06-14 16:01:52 HERS Provider: " CaiCERTS Inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2017-06-1410:33:06 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Shreder Residence Calculation Date/Time: 10:31, Wed, Jun 14, 2017 Calculation Description: Title 24 Analysis Input File Name: 15-091 Schreder (plan check #2).xml CFI R -PRF -01 Page 6 of 12 DOORS 01 02 03 04 Name Side of Building Area (ft) U -factor 12090 Garage Door Front Upper Wall 108.0 0.70 3038 Door Front Upper Wall 11.0 0.50 12030 Garage Door Front Lower Wall 36.0 0.70 3030 Door Front Lower Wall 9.0 0.50 3038 Door 2 Left Upper Wall 11.0 0.50 3030 Door 2 Left Lower Wall 9.0 0.50 3038 Door 3 Right Upper Wall 11.0 0.50 3030 Door 3 Right Lower Wall 9.0 0.50 CiC"�RTS, nk co HERS PROVIDER Registration Number: 215-N6336592C-000000000-0000 Registration Date/Time: 2017-06-14 16:01:52 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2017-06-14 10:33:06 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Shreder Residence Calculation Date/Time: 10:31, Wed, Jun 14, 2017 Calculation Description: Title 24 Analysis Input File Name: 15-091 Schreder (plan check #2).xml CF1 R -PRF -01 Page 7of12 OVERHANGS AND FINS 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Overhang Left Fin Right Fin Window Depth Dist Up Left Extent Right Extent Flap Ht. Depth Top Up DistL Bot Up Depth Top Up Dist R Bot Up 3050 SH 1.5 3.25 6 30.5 1 0 0 0 0 0 0 0 0 3050 SH 2 1.5 4.25 7.5 27.5 1 0 0 0 0 0 0 0 0 3050 SH 3 1.5 1.75 7.5 2.5 1 0 0 0 0 0 0 0 0 3050 SH 4 0.75 9.25 4.25 11 1 0 0 0 0 0 0 0 0 3050 SH 5 0.75 10.25 7.25 8 1 0 0 0 0 0 0 0 0 2640 SH 1.5 1.5 13.25 7 1 0 0 0 0 0 0 0 0 2020 Fx 1 0.75 10.75 16.75 1 0 0 0 b 0 0 0 0 2020 Fx 2 1 2.75 13.75 13.75 1 0 0 0 0 0 0 0 0 2020 Fx 3 1 1.75 10.75 16.75 1 0 0 0 0 0 0 0 0 2626 Case 1.75 1.5 4.5 31.5 1 0 0 0 0 0 0 0 0 2626 Case 2 1.75 1.05 ,/...9.5 n 26.5 y1 � _�..0; r'-" 0" 0 0 0 0 0 0 2626 Case 3 1.75 A1.05 ! 9.5�� I€ 26.5 " 1 0) 11 01, ' Olt r 0 0 0 0 0 0 3050 SH 6 1.5 t�4.25 26Q 11 '9 5, i Lf Or,_Jrl 0){ � - � f 0� � 0 0 0 0 0 3050 SH 7 1.5 ''.,3.25 j,29.25r- rrfi.5C p1y r- r -Q ! A "{I 9''N I!.- on 0 0 0 0 0 2428 SH 1.75 0.75 - "7 ` -18 ` 1 "0 ` 0" 0' k 0 0 0 0 0 2640 SH 2 1.75 0.75 11 11 1 0 0 0 0 0 0 0 0 2640 SH 3 1.75 0.75 16 6 1 0 0 0 0 0 0 0 0 3050 SH 8 1.5 0.75 5.25 20.5 1 0 0 0 0 0 0 0 0 3050 SH 9 1.5 0.75 8.25 17.25 1 0 0 0 0 0 0 0 0 3050 SH 10 1.5 0.75 18 7.5 1 0 0 0 0 0 0 0 0 3050 SH 11 1.5 0.75 21.25 4.5 1 0 0 0 0 0 0 0 0 2020 Fx 4 1 1.75 1 10.75 16.75 1 0 0 0 0 0 0 0 0 2020 Fx 5 1 2.75 J 13.75 13.75 1 0 0 0 0 0 0 0 0 2020 Fx 6 1 1.75 1 16.77 10.75 . 1 0 0 0 0 0 0 0 0 Registration Number: 215-N6336592C-000000000-0000 Registration Date/Time: 2017-06-14 16:01:52 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2017-06-1410:33:06 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Shreder Residence Calculation Date/Time: 10:31, Wed, Jun 14, 2017 Calculation Description: Title 24 Analysis Input File Name: 15-091 Schreder (plan check #2).xml CFI R -PRF -01 Page 8of12 OPAQUE SURFACE CONSTRUCTIONS 01 02 03 04 05 06 07 Total Cavity Winter Design Construction Name Surface Type Construction Type Framing R -value U -value Assembly Layers • Cavity / Frame: no insul. 12x4 Top Chrd • Roof Deck: Wood Siding/sheathing/decking 2x4 Top Chord of Roof Truss @ 24 Above Deck Insulation: R19 Sheathing Attic RoofConditioned Zone Attic Roofs Wood Framed Ceiling in. O.C. none 0.048 Roofing: Light Roof (Asphalt Shingle) • Inside Finish: Gypsum Board • Cavity/Frame: R -19/2x6 • Exterior Finish: Wood R-19 Vertical Siding Exterior Walls Wood Framed Wall 2x6 @ 16 in. O.C. R 19 0.069 Siding/sheathing/decking • Inside Finish: Gypsum Board • Cavity/Frame: R -19/2x6 • Exterior Finish: Wood R-19 Metal Siding Exterior Walls Wood Framed Wall 2x6 @ 16 in. O.C. R 19 0.069 Siding/sheathing/decking • Inside Finish: Gypsum Board Ceilings (below Cavity/Frame: R-9.1 /2x4 R-30 Metal Deck Roof attic) Wood Framed Ceiling 2x4 @ 24 in. O.C. R 30 0.032 Over Floor Joists: R-20.9 insul. R-0 Floor No Crawlspace Interior Floors < \Wood Framed Flogr - 2x12 ;1F6 in. O.C. l))none @ tl 0.-196; Floor Surface: Carpeted Floor Deck: Wood Siding/sheathing/decking Cavity/ Frame: no insuly� 2x12 CeilingBelow Finish: Gypsum Board SLAB FLOORS 01 02 03 04 05 06 07 Name Zone Area (ft), Perimeter (ft) Edge Insul. R -value & Depth Carpeted Fraction Heated Slab -on -Grade Conditioned Zone 1235 170 R-5, 16 inches 0 Yes BUILDING ENVELOPE - HERS VERIFICATION 01 02 03 04 Quality Insulation Installation (QII) Quality Installation of Spray Foam Insulation Building Envelope Air Leakage CFM50 Not Required Not Required Not Required -- WATER HEATING SYSTEMS 01 02 03 04 05 06 Name System Type Distribution Type Water Heater Number of Heaters Solar Fraction (%) DHW Sys 1 - 1/1 DHW Standard DHW Heater 1 1 .0% Registration Number: 215-N6336592C-000000000-0000 Registration Date/Time: 2017-06-14 16:01:52 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2017-06-1410:33:06 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Shreder Residence Calculation Date/Time: 10:31, Wed, Jun 14, 2017 Calculation Description: Title 24 Analysis Input File Name: 15-091 Schreder (plan check #2).xml CF1 R -PRF -01 Page 9of12 WATER HEATERS 01 02 03 04 05 06 07 08 Name Heater Element Type Tank Type Tank Volume (gal) Energy Factor or Efficiency Input Rating Tank Exterior Insulation R -value Standby Loss (Fraction) DHW Heater 1 Natural Gas Small Instantaneous 0 0.88 199900-Btu/hr 0 0 WATER HEATING - HERS VERIFICATION 01 02 03 04 05 06 07 Name Pipe Insulation Parallel Piping Compact Distribution Point -of Use Recirculation Control Central DHW Distribution DHW Sys 1 - 1/1 Zonally Controlled -- -- --- HVAC Systeml Other Heating and,Cooling Syster-9-1 t SPACE CONDITIONING SYSTEMS 01 02 03 04 05 06 SC Sys Name System,Type l Rr Heating UnityName: 1Cooling Unit Name Fan Name Distribution Name HVAC Systeml Other}Heatingland Cc#§Iin�g System !" 1 e. 3 4 ! ' �Co- t �►o ent I keabng� omPf1 Zonally Controlled ((c i n) None None HVAC Systeml Other Heating and,Cooling Syster-9-1 t S ' $' ) �C,poliI C pon%e`�nt 1 HVAC Fan 1 Air Distribution System 1 HVAC - HEATING UNIT TYPES 01 02 03 Name Type Efficiency Heating Component 1 CombHydro - Water heating system can be gas storage 89 AFUE HVAC - COOLING UNIT TYPES 01 02 03 04 05 06 07 Efficiency Multi -speed Name System Type EER SEER Zonally Controlled Compressor HERS Verification Cooling Component 1 -hers -cool Cooling Component 1 SplitAirCond 11 13 Not Zonal Single Speed Cooling Component 1 -hers -cool Registration Number: 215-N6336592C-000000000-0000 Registration Date/Time: 2017-06-14 16:01:52 HERS Provider: CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF111-08252015-744 Report Generated at: 2017-06-14 10:33:06 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Shreder Residence Calculation Description: Title 24 Analysis Calculation Date/Time: 10:31, Wed, Jun 14, 2017 Input File Name: 15-091 Schreder (plan check #2).xml CFI R -PRF -01 Page 10 of 12. HVAC COOLING - HERS VERIFICATION 01 02 03 04 05 06 Name Verified Airflow Airflow Target Verified EER Verified SEER Verified Refrigerant Charge Cooling Component 1 -hers -cool Required 350 Not Required Not Required Not Required HVAC - DISTRIBUTION SYSTEMS 01 02 03 04 05 06 07 Name Type Duct Leakage Insulation R -value Duct Location Bypass Duct HERS Verification Deeply Buried Ducts Low -leakage Air Handier Air Distribution System 1 -hers -dist Required,X no ducts None t Required ` Air Distribution System 1 DuctsAttic Specified Lower Leakage Target 6 Attic None Air Distribution System 1 -hers -dist HVAC DISTRIBUTION - HERS VERIFICATION 01 02 03 04 05 06 07 08 Name Duct Leakage Verification �,, Duct Leakage ,� Target (%) Verified Duct r—, Location. rr Verified Duct 7 Design Tj Buried Ducts Deeply Buried Ducts Low -leakage Air Handier Air Distribution System 1 -hers -dist Required,X 6.0 I if 1 rNot Required I I t Required ` NoYRequired Not Required Required d"\ N 1ti . 1F__l I t 1 1111.-_.. 1 t I i 11 3 f .-....Pl ri Ir M d i 4,% - HVAC -FAN SYSTEMS... ..� 4W1.. 02 03 Name Type Fan Power (Watts/CFM) HERS Verification 06 Dwelling Unit HVAC Fan 1 Single Speed PSC Furnace Fan 0.58 HVAC Fan 1 -hers -fan HVAC FAN SYSTEMS - HERS VERIFICATION 01 02 03 Name Verified Fan Watt Draw Required Fan Efficiency (Watts/CFM) HVAC Fan 1 -hers -fan Required 0.58 IAQ (Indoor Air Quality) FANS 01 02 03 04 05 06 Dwelling Unit IAQ CFM IAQ Watts/CFM IAQ Fan Type IAQ Recovery Effectiveness(%) HERS Verification SFam IAQVentRpt 37.12 0.25 Default 0 Required Registration Number: 215-N6336592C-000000000-0000 Registration Date/Time: 2017-06-14 16:01:52 HERS Provider: CaICERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF1R-08252015-744 Report Generated at: 2017-06-14 10:33:06 F CERTIFICATE OF COMPLIANCE -RESIDENTIAL PERFORMANCE COMPLIANCE METHOD �'CF1R-PRF-01 -' Project Name: Shreder Residence Calculation Date/Time: 10:31, Wed, -Jun 14,'2017= Page 11 -of 12 4 'Calculation Description:: Title 24 Analysis° 'Input File Name: 15-091 Schreder (plan check #2_ ).xml _ PROJECT NOTES AP# 042-160-059-000 ' 1 7 r - s i u J. r •... - - --•• r r L.:.i,t '; }I,S'•€"+4 —• — - _. _ , •-- •-i-y� t -T. CE- RT -5 ....-.. '_ - •__ _ •-•.. ,-.�..+... - .- / ., a. . I � r t .rte• ~ oR�� ` , Gw ,, ....'1Y,, - • r - - - •. - - .. • Registration Number: 215-N6336592C-000000000-0000 + Registration Date/Time: + 2017-06-14 16:01:52' - HERS Provider: = CaiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance . _'_Report Version - C17111-08252015-7 { ` „ Report Generated at: 2017,06-14 10:33:06 CERTIFICATE OF COMPLIANCE - RESIDENTIAL PERFORMANCE COMPLIANCE METHOD Project Name: Shreder Residence Calculation Date/Time: 10:31, Wed, Jun 14, 2017 Calculation Description: Title 24 Analysis Input File Name: 15-091 Schreder (plan check #2).xml CFI R -PRF -01 Page 12 of 12 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Jessica Hawkins Company: Signature Date: Gary Hawkins Architect 2017-06-14 10:37:43 Address: CEA/HERS Certification Identification (If applicable): 3045 Ceres Avenue, Suite 135 City/State/Zip: Phone: Chico, CA 95973 530-892-2700 RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. 2. 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 3. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to -the enforcement.agency,for approval with this building permit application. Responsible Designer Name: L B31 11 L It Responsible Designer Sigj6tur[e:� Frank Glazewski Company: �* Date Signed: 4V ER 0 Frank M Glazewski -Architect 7 06-14 6:01:52 Address: License: PO Box 8066 C-27470 City/State/Zip: Phone: Chico, CA 95927 530-894-5001 ❑:�,' ❑ Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document, and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-N6336592C-000000000-0000 Registration Date/Time: 2017-06-14 16:01:52 HERS Provider: CoiCERTS inc. CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version - CF111-08252015-744 Report Generated at: 2017-06-1410:33:06 RESIDENTIAL MEASURES SUMMARY RMS -1 Project Name Schreder Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 6/14/2017 Project Address 2641 W. Sacramento Ave Chico California Energy Climate Zone CA Climate Zone 11 Total Cond. Floor Area 1,462 Addition n/a q of Units 1 INSULATION Construction Type Cavity Area ft2 Special Features Status Slab Heated Slab -on -Grade R 5 1,235 Perim = 170' New Wall Wood Framed R 19 1,331 New Door Opaque Door no insulation 144 New Door Opaque Door no insulation 60 New Wall Wood Framed R 19 448 New Roof Metal Framed Attic R 30 1,235 Rigid=R-19.0 New Demising Wood Framed w/o Crawl Space - no insulation 267 New FENESTRATION Orientation Areaft2 I Total Area: 244 Glazing Percentage: 16-7%1 U -Fac SHGC Overhang Sidefins New/Altered Average U -Factor: 0.32 Exterior Shades Status Front (N) 15.0 0.320 0.35 1.5 none Bug Screen New Front (N) 15.0 0.320 0.35 1.5 none Bug Screen New Front (N) 15.0 0.320 0.35 1.5 none Bug Screen New Left (E) 15.0 0.320 0.35 0.8 none Bug Screen New Left (E) 15.0 0.320 0.35 0.8 none Bug Screen New Left (E) 10.0 0.320 0.35 1.5 none Bug Screen New Left (E) 4.0 0.320 0.24 1.0 none Bug Screen New Left (E) 4.0 0.320 0.24 1.0 none Bug Screen New Left (E) 4.0 0.320 0.24 1.0 none Bug Screen New Rear (S) 6.3 0.320 0.35 1.8 none Bug Screen New Rear (S) 12.6 0.320 0.35 1.8 none Bug Screen New Rear (S) 15.0 0.320 0.35 1.5 none Bug Screen New Rear (S) 15.0 0.320 0.35 1.5 none Bug Screen New Rear (S) 6.2 0.320 0.35 1.8 none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status 1 Combined Hydronic see DHW Split Air Conditioner 13.0 SEER Setback New HVAC DISTRIBUTION Location Heating Cooling Duct Location Duct R -Value Status HVAC System Radiant Floor Ducted Attic 6.0 New WATER HEATING Ot . Type Gallons Min. Eff Distribution Status 1 Small Instantaneous Gas 0 0.88 Standard New Ener Pro 6.7 by Ener Soft User Number: 30024 RunCode: 2017-06-14T10:35:18 ID: 15-091 Pae 15 of 23 RESIDENTIAL MEASURES SUMMARY RMS -1 Project Name Schreder Residence Building Type m Single Family ❑ Addition Alone ❑ Multi Family ❑ Existing+ Addition/Alteration Date 6/14/2017 Project Address 2641 W. Sacramento Ave Chico California Energy Climate Zone CA Climate Zone 11 Total Cond. Floor Area 1,462 Addition n/a # of Units 1 INSULATION Construction Type Cavity Area (ft)Special Features Status FENESTRATION Orientation Area fie I Total Area: 244 Glazing Percentage: 16.7% New/Altered Average U -Factor: 0.32 U -Fac SHGC Overhang Sidefins Exterior Shades Status Rear (S) 10.0 0.320 0.35 1.8 none Bug Screen New Rear (S) 10.0 0.320 0.35 1.8 none Bug Screen New Right (160 15.0 0.320 0.35 1.5 none Bug Screen New Right (lq 15.0 0.320 0.35 1.5 none Bug Screen New Right (lM 15.0 0.320 0.35 1.5 none Bug Screen New Right (lq 15.0 0.320 0.35 1.5 none Bug Screen New Right (M 4.0 0.320 0.24 1.0 none Bug Screen New Right (lM 4.0 0.320 0.24 1.0 none Bug Screen New Right (tM 4.0 0.320 0.24 1.0 none Bug Screen New HVAC SYSTEMS Ot . Heating Min. Eff Cooling Min. Eff Thermostat Status HVAC DISTRIBUTION Location Heating Cooling Duct Duct Location R -Value Status WATER HEATING Ot . Type Gallons Min. Eff Distribution Status Ener Pro 6.7 by Ener Soft User Number: 30024 RunCode: 2017-06-14T10:35:18 /D: 15-091 Pa a 16 of 23 2013 Low -Rise Residential Mandatory Measures Summary NOTE: Low-rise residential buildings subject to the Standards must comply with all applicable mandatory measures listed, regardless of the compliance approach used. Exceptions may aDDly. Review the respective code section for more informatinn_ Building Envelope Measures: §110.6(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. §110.6(a)5: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient SHGC and infiltration that meets the requirements of §10-111(a). §110.7: Exterior doors and windows are weatherstripped; all joints and penetrations are caulked and sealed. §110.8(a): Insulation specified or installed meets Standards for Insulating Material. Indicate type and include on the CF2R. §110.8(i): The thermal emittance and aged solar reflectance values of the cool roofing material meets the requirements of §110.8(1) when the installation of a cool roof is specified on the CF1R. §110.80): A radiant barrier shall have an emittance of 0.05 or less when the installation of a radiant barrier is specified on the CF1R. Minimum R-30 insulation in wood -frame ceiling; or the weighted average U -factor shall not exceed 0.031. Minimum R-19 in a §150.0(a): rafter roof alteration. Attic access doors shall have permanently attached insulation using adhesive or mechanical fasteners. The attic access shall be gasketed to prevent air leakage. §150.0(b): Loose fill insulation shall conform with manufacturer's installed design labeled R -value. §150.0(c): Minimum R-13 insulation in 2x4 inch wood framing wall or have a U -factor of 0.102 or less (R-19 in 2x6 or 0.074 maximum U - factor). §150.0(d): Minimum R-19 insulation in raised wood -frame floor or 0.037 maximum U -factor. §150.0(g)l: In Climate Zones 14 and 16 a Class II vapor retarder shall be installed on the conditioned space side of all insulation in all exterior walls, vented attics and unvented attics with air -permeable insulation. §150.0(8)2: In Climate Zones 1-16 with unvented crawl spaces the earth floor of the crawl space shall be covered with a Class I or Class II vapor retarder. In a building having a controlled ventilation crawl space, a Class I or Class II vapor retarder shall be placed over the earth floor of §150.0(8)3: the crawl space to reduce moisture entry and protect insulation from condensation, as specified in the exception to Section 150.0(d). §150.0(1): Slab edge insulation shall: have a water absorption rate, for the insulation material alone without facings, no greater than 0.3%; have water vapor permeance rate is no greater than 2.0 perm/inch, be protected from physical damage and UV light deterioration; and when installed as part of a heated slab floor meets the requirements of §110.8 §150.0(q): Fenestration, including skylights, separating conditioned space from unconditioned space or outdoors shall have a maximum U - factor of 0.58; or the weighted average U -factor of all fenestration shall not exceed 0.58. Fireplaces, Decorative Gas Appliances and Gas Log Measures: §150.0(e)lA: Masonry or factory -built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §150.0(e)1B: Masonry or factory -built fireplaces have a combustion outside air intake, which is at least six square inches in area and is equipped with a readily accessible, operable, and tigbt-fitting damper or a combustion -air control device. §150.0(e)1C: Masonry or factory -built fireplaces have a flue damper with a readily accessible control. §150.0(e)2: Continuous burning pilot lights and the use of indoor air for cooling a firebox jacket, when that indoor air is vented to the outside of the building, are prohibited. Space Conditioning, Water Heating and Plumbing System Measures: §110.0-§110.3: HVAC equipment, water heaters, showerheads, faucets and all other regulated appliances are certified to the Energy Commission. §110.3(c)5: Water heating recirculation loops serving multiple dwelling units meet the air release valve, backflow prevention, pump isolation valve, and recirculation loop connection requirements of §110.3(c)5. Continuously burning pilot lights are prohibited for natural gas: fan -type central furnaces, household cooking appliances (appli- §110.5: ances without an electrical supply voltage connection with pilot lights that consume less than 150 Btu/hr are exempt), and pool ands a heaters. §150.0(h)l: Heating and/or cooling loads are calculated in accordance with ASHRAE, SMACNA or ACCA using design conditions specified in §150.0(h)2. §150.0(h)3A: Installed air conditioner and heat pump outdoor condensing units shall have a clearance of at least five feet from the outlet of any dryer vent. §150.0(i): Heating systems are equipped with thermostats that meet the setback requirements of §110.2(c). §150.06)lA: Storage gas water heaters with an energy factor equal to or less than the federal minimum standards shall be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. §150.00)1B: Unfired hot water tanks, such as storage tanks and backup storage tanks for solar water -heating systems, have R-12 external insulation or R-16 internal insulation where the internal insulation R -value is indicated on the exterior of the tank. For domestic hot water system piping, whether buried or unburied: the first 5 feet of hot and cold water pipes from the storage tank, all piping with a nominal diameter of 3/4 inch or larger, all piping associated with a domestic hot water recirculation system §150.00)2A: regardless of the pipe diameter, piping from the heating source to storage tank or between tanks, piping buried below grade, and all hot water pipes from the heating source to kitchen fixtures must be insulated according to the requirements of TABLE 120.3- A. §150.00)2B: All domestic hot water pipes that are buried below grade must be installed in a water proof and non -crushable casing or sleeve that allows for installation, removal, and replacement of the enclosed pipe and insulation. .2013 -Low -Rise Residential Mandatory Measures Summary §150.06)2C: Pipe for cooling system lines shall be insulated as specified in §150.00)2A. Piping insulation for steam and hydronic heating systems or hot waters stems with pressure > 15 psig shall meet the requirements in TABLE 120.3-A. §150.06)3: Insulation is protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind. Insulation exposed to weather shall either be rated for outdoor use or installed with a cover suitable for outdoor service. For §150.00)3A: example, protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation protected as specified or painted with coating that is water retardant and provides shielding from solar radiation that degrades the material. Insulation covering chilled water piping and refrigerant suction piping located outside the conditioned space shall have a Class I §150.00)3B: or Class II vapor retarding facing, or the insulation shall be installed at the thickness that qualifies as a Class I or Class II vapor retarder. Systems using gas or propane water heaters to serve individual dwelling units shall include: a 120V electrical receptacle within 3 feet of the water heater; a Category III or IV vent, or a Type B vent with straight pipe between the outside termination and the §150.0(n)l: space where the water heater is installed; a condensate drain that is no more than 2 inches higher than the base of the installed water heater, and allows natural draining without pump assistance; and a gas supply line with a capacity of at least 200,000 Btu/hr. §150.0(n)2: Recirculating loops serving multiple dwelling units shall meet the requirements of §110.3(c)5. §150.0(n)3: Solar water -heating systems and collectors shall be certified and rated by the Solar Rating and Certification Corporation (SRCC) or by a testing agency approved by the Executive Director. Ducts and Fans Measures: All air -distribution system ducts and plenums installed are sealed and insulated to meet the requirements of CMC §601.0, §602.0, §603.0, §604.0, §605.0 and ANSI/SMACNA-006-2006 HVAC Duct Construction Standards Metal and Flexible 3rd Edition. Supply -air and return -air ducts and plenums are insulated to a minimum installed level of R-6.0 (or higher if required by CMC §605.0) or enclosed entirely in directly conditioned space as confirmed through field verification and diagnostic testing (RA3.1.4.3.8). Connections of metal ducts and inner core of flexible ducts are mechanically fastened. Openings shall be sealed §150.0(m)l: with mastic, tape, or other duct -closure system that meets the applicable requirements of UL 181, UL 181A, or UL 181B or aerosol sealant that meets the requirements of UL 723. If mastic or tape is used to seal openings greater than V4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. Factory -Fabricated Duct Systems shall comply with specified requirements for duct construction, connections, and closures; joints §150.0(m)2: and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. §150.0(m)3-6: Field -Fabricated Duct Systems shall comply with requirements for: pressure -sensitive tapes, mastics, sealants, and other requirements specified for duct construction; duct insulation R -value ratings; duct insulation thickness; and duct labeling. §150.0(m)7: All fan systems that exchange air between the conditioned space and the outside of the building must have backdraft or automatic dampers. §150.0(m)8: Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers except combustion inlet and outlet air openings and elevator shaft vents. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not §150.0(m)9: limited to the following: insulation exposed to weather shall be suitable for outdoor service. For example, protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation. §150.0(m)10: Flexible ducts cannot have porous inner cores. When space conditioning systems use forced air duct systems to supply conditioned air to an occupiable space, the ducts shall be §150.0(m)ll: sealed and duct leakage tested, as confirmed through field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. Mechanical systems that supply air to an occupiable space through ductwork exceeding 10 feet in length and through a thermal §150.0(m)12: conditioning component, except evaporative coolers, shall be provided with air filter devices that meet the requirements of §150.0(m)12. Space conditioning systems that utilize forced air ducts to supply cooling to an occupiable space shall have a hole for the placement of a static pressure probe (HSPP), or a permanently installed static pressure probe (PSPP) in the supply plenum. The §150.0(m)13: space conditioning system must also demonstrate airflow> 350 CFM per ton of nominal cooling capacity through the return grilles, and an air -handling unit fan efficacy <_ 0.58 W/CFM as confirmed by field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. Zonally controlled central forced air cooling systems shall be capable of simultaneously delivering, in every zonal control mode, §150.0(m)15: an airflow from the dwelling, through the air handler fan and delivered to the dwelling, of> 350 CFM per ton of nominal cooling capacity, and operating at an air -handling unit fan efficacy of:5 0.58 W/CFM as confirmed by field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. All dwelling units shall meet the requirements of ASHRAE Standard 62.2. Neither window operation nor continuous operation of §150.0(0): central forced air system air handlers used in central fan integrated ventilation systems are permissible methods of providing the Whole Building Ventilation. §150.0(o)lA: Whole Building Ventilation airflow shall be confirmed through field verification and diagnostic testing, in accordance with Reference Residential Appendix RA3. Pool and Spa Heating Systems and Equipment Measures: Any pool or spa heating system shall be certified to have: a thermal efficiency that complies with the Appliance Efficiency §110.4(a): Regulations; an on-off switch mounted outside of the heater that allows shutting off the heater without adjusting the thermostat setting; a permanent weatherproof plate or card with operating instructions; and shall not use electric resistance heating. ,2013. Low -Rise Residential Mandatory Measures Summary §110.4(b)l: Any pool or spa heating equipment shall be installed with at least 36 inches of pipe between filter and heater or dedicated suction and return lines, or built-up connections for future solar heating. §110.4(b)2: Outdoor pools or spas that have a heat pump or gas heater shall have a cover. §110.4(b)3: Pools shall have directional inlets that adequately mix the pool water, and a time switch that will allow all pumps to be set or pro - ammed to run only during off-peak electric demand periods. §110.5: Natural gas pool and spa heaters shall not have a continuous burning pilot light. §150.0(p): Residential pool systems or equipment shall meet specified pump sizing, flow rate, piping, filters, and valve requirements. Lighting Measures: §110.9: All lighting control devices and systems, ballasts, and luminaires shall meet the applicable requirements of §110.9. §150.0(k)lA: Installed luminaires shall be classified as high -efficacy or low -efficacy for compliance with §150.0(k) in accordance with TABLE 150.0-A or TABLE 150.0-B, as applicable. §150.0(k)1B: When a high efficacy and low efficacy lighting system are combined in a single luminaire, each system shall separately comply with the applicable provisions of §150.0(k). The wattage and classification of permanently installed luminaires in residential kitchens shall be determined in accordance with §150.0(k)1C: §130.0(c). In residential kitchens, the wattage of electrical boxes finished with a blank cover or where no electrical equipment has been installed, and where the electrical box can be used for a luminaire or a surface mounted ceiling fan, shall be calculated as 180 watts of low efficacy lighting er electrical box. §150.0(k)1D: Ballasts for fluorescent lamps rated 13 watts or greater shall be electronic and shall have an output frequency no less than 20 kHz. Permanently installed night lights and night lights integral to installed luminaires or exhaust fans shall be rated to consume no §150.0(k)lE: more than 5 watts of power per luminaire or exhaust fan as determined in accordance with §130.0(c). Night lights do not need to be controlled by vac ncy sensors. §150.0(k)1F: Lighting integral to exhaust fans (except when installed by the manufacturer in kitchen exhaust hoods) shall meet the applicable requirements of §150.0(k). §150.0(k)2A: High efficacy luminaires must be switched separately from low efficacy luminaires. §150.0(k)2B: Exhaust fans shall be switched separately from lighting systems. §150.0(k)2C: Luminaires shall be switched with readily accessible controls that permit the luminaires to be manually switched ON and OFF. §150.0(k)2D: Controls and equipment are installed in accordance with manufacturer's instructions. §150.0(k)2E: No control shall bypass a dimmer or vacancy sensor function if the control is installed to comply with §150.0(k). §150.0(k)2F: Lighting controls comply with applicable requirements of §110.9. An Energy Management Control System (FMCS) may be used to comply with dimmer requirements if: it functions as a dimmer §150.0(k)2G: according to §110.9; meets Installation Certificate requirements of §130.4; the EMCS requirements of §130.5; and all other requirements in §150.0(k)2. An Energy Management Control System (FMCS) may be used to comply with vacancy sensor requirements of §150.0(k) if: it §150.0(k)2H: functions as a vacancy sensor according to §110.9; meets Installation Certificate requirements of §130.4; the EMCS requirements of §130.5; and all other requirements in §150.0(k)2. §150.0(k)2I: A multiscene programmable controller may be used to comply with dimmer requirements of this section if it provides the functionality of a dimmer according to §110.9, and complies with all other applicable requirements in §150.0(k)2. §150.0(k)3A: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. Kitchen lighting includes all permanently installed lighting in the kitchen except internal lighting in cabinets that illuminate only §150.0(k)3B: the inside of the cabinets. Lighting in areas adjacent to the kitchen, including but not limited to dining and nook areas, are considered kitchen lighting if they are not separately switched from kitchen lighting. §150.0(k)4: Permanently installed lighting that is internal to cabinets shall use no more than 20 watts of power per linear foot of illuminated cabinet. §150.0(k)5: A minimum of one high efficacy luminaire shall be installed in each bathroom; and all other lighting installed in each bathroom shall be high efficacy or controlled by vacancy sensors. §150.0(k)6: Lighting installed in attached and detached garages, laundry rooms, and utility rooms shall be high efficacy luminaires and controlled by vacancy sensors. §150.0(k)7: Lighting installed in rooms or areas other than in kitchens, bathrooms, garages, laundry rooms, and utility rooms shall be high efficacy, or shall be controlled by either dimmers or vacancy sensors. Luminaires recessed into ceilings shall: be listed for zero clearance insulation contact (IC) by Underwriters Laboratories or other nationally recognized testing/rating laboratory; have a label that certifies that the luminaire is airtight with air leakage less than 2.0 CFM at 75 Pascals when tested in accordance with ASTM E283; be sealed with a gasket or caulk between the luminaire housing §150.0(k)8: and ceiling, and shall have all air leak paths between conditioned and unconditioned spaces sealed with a gasket or caulk; and allow ballast maintenance and replacement without requiring cutting holes in the ceiling. For recessed compact fluorescent luminaries with ballasts to qualify as high efficacy for compliance with §150.0(k), the ballasts shall be certified to the Energy Commission to comply with the applicable requirements in §110.9. For single-family residential buildings, outdoor lighting permanently mounted to a residential building or other buildings on the same lot shall be high efficacy, or may be low efficacy if it meets all of the following requirements: i. Controlled by a manual ON and OFF switch that does not override to ON the automatic actions of Items ii or iii below; and §150.0(k)9A: ii. Controlled by a motion sensor not having an override or bypass switch that disables the motion sensor, or controlled by a motion sensor having a temporary override switch which temporarily bypasses the motion sensing function and automatically reactivates the motion sensor within 6 hours; and iii. Controlled by one of the following methods: ,2013 -Low -Rise Residential Mandatory Measures Summary a. Photocontrol not having an override or bypass switch that disables the photocontrol; or b. Astronomical time clock not having an override or bypass switch that disables the astronomical time clock, and which is programmed to automatically turn the outdoor lighting OFF during daylight hours; or c. Energy management control system which meets all of the following requirements: At a minimum provides the functionality of an astronomical time clock in accordance with §110.9; meets the Installation Certification requirements in §130.4; meets the requirements for an EMCS in §130.5; does not have an override or bypass switch that allows the luminaire to be always ON; and, is programmed to automatically tum the outdoor lighting OFF during daylight hours. For low-rise multifamily residential buildings, outdoor lighting for private patios, entrances, balconies, and porches; and outdoor lighting for residential parking lots and residential carports with less than eight vehicles per site shall comply with one of the §150.0(k)9B: following requirements: i. Shall comply with §150.0(k)9A; or ii. Shall comply with the applicable requirements in §110.9, §130.0, §130.2, §130.4, §140.7 and §141.0. §150.0(k)9C: For low-rise residential buildings with four or more dwelling units, outdoor lighting not regulated by §150.0(k)9B or 150.0(k)9D shall comply with the applicable requirements in §110.9, §130.0, §130.2, §130.42 §140.7 and §141.0. §150.0(k)9D: Outdoor lighting for residential parking lots and residential carports with a total of eight or more vehicles per site shall comply with the applicable requirements in §110.9, §130.0, §130.2, §130.4, §140.7 and §141.0. §150.0(k)10: Internally illuminated address signs shall comply with §140.8; or shall consume no more than 5 watts of power as determined according to §130.0(c). §150.0(k)11: Lighting for residential parking garages for eight or more vehicles shall comply with the applicable requirements for nonresidential garages in §110.9, §130.0 §130.1, §130.4 §140.6 and §141.0. In a low-rise multifamily residential building where the total interior common area in a single building equals 20 percent or less of §150.0(k)12A: the floor area, permanently installed lighting for the interior common areas in that building shall be high efficacy luminaires or controlled by an occupant sensor. In a low-rise multifamily residential building where the total interior common area in a single building equals more than 20 percent of the floor area, permanently installed lighting in that building shall: §150.0(k)12B: i. Comply with the applicable requirements in §110.9, §130.0, §130.1, §140.6 and §141.0; and ii. Lighting installed in corridors and stairwells shall be controlled by occupant sensors that reduce the lighting power in each space by at least 50 percent. The occupant sensors shall be capable of turning the light fully On and Off from all designed paths of ingess and egress. Solar Ready Buildings: Single family residences located in subdivisions with ten or more single family residences and where the application for a §110.10(a)1: tentative subdivision map for the residences has been deemed complete, by the enforcement agency, on or after January 1, 2014, shall comply with the requirements of §110.10 through §110.10(e). §110.10(a)2: Low-rise multi -family buildings shall comply with the requirements of §110.10 through §110.10(d). The solar zone shall have a minimum total area as described below. The solar zone shall comply with access, pathway, smoke ventilation, and spacing requirements as specified in Title 24, Part 9 or other Parts of Title 24 or in any requirements adopted by a local jurisdiction. The solar zone total area shall be comprised of areas that have no dimension less than 5 feet and are no less than 80 square feet each for buildings with roof areas less than or equal to 10,000 square feet or no less than 160 square feet each for §110.10(b)1: buildings with roof areas greater than 10,000 square feet. For single family residences the solar zone shall be located on the roof or overhang of the building and have a total area no less than 250 square feet. For low-rise multi -family buildings the solar zone shall be located on the roof or overhang of the building or on the roof or overhang of another structure located within 250 feet of the building or on covered parking installed with the building project and have a total area no less than 15 percent of the total roof area of the building excluding any skylight area. §110.10(b)2: All sections of the solar zone located on steep -sloped roofs shall be oriented between 110 degrees and 270 degrees of true north. §110.10(b)3A: No obstructions, including but not limited to, vents, chimneys, architectural features, and roof mounted equipment, shall be located in the solar zone. Any obstruction, located on the roof or any other part of the building that projects above a solar zone shall be located at least twice §110.10(b)3B: the distance, measured in the horizontal plane, of the height difference between the highest point of the obstruction and the horizontal projection of the nearest point of the solar zone measured in the vertical plane. §110.10(b)4: For areas of the roof designated as solar zone, the structural design loads for roof dead load and roof live load shall be clearly indicated on the construction documents. The construction documents shall indicate: a location for inverters and metering equipment and a pathway for routing of conduit §110.10(c): from the solar zone to the point of interconnection with the electrical service (for single family residences the point of interconnection will be the main service panel); a pathway for routing of plumbing from the solar zone to the water -heating system. §110.10(d): A copy of the construction documents or a comparable document indicating the information from §110.10(b) through §110.10(c) shall be provided to the occupant. §110.10(e)1: The main electrical service panel shall have a minimum busbar rating of 200 amps. The main electrical service panel shall have a reserved space to allow for the installation of a double pole circuit breaker for a §110.10(e)2: future solar electric installation. The reserved space shall be: positioned at the opposite (load) end from the input feeder location or main circuit location, and permanently marked as "For Future Solar Electric'. HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY Project Name Schreder Residence Date 6/14/2017 System Name HVAC System Floor Area 1,462 ENGINEERING CHECKS SYSTEM LOAD Number of Systems 1 COIL CFM Total Room Loads 894 Return Vented Lighting Return Air Ducts Return Fan Ventilation 0 Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD 1 COOLING PEAK COIL HTG. PEAK Heating System Sensible Latent CFM Sensible Output per System 0 17,889 671 547 27,557 Total Output Btuh 0 0 Output Btuh/s tt 0.0 1,043 0 Cooling System 0 0 Output per System 46,300 0 0 0 0 Total Output Btuh 46,300 0 1,043 19,974 671 0 Total Output ons 3.9 0 Total Output Btuh/s tt 31.7 Total Output s ft/Ton 378.9 27,557 Air System CFM per System 0 HVAC EQUIPMENT SELECTION Alrflow cfm 0 Generic 4T 41,196 0 0 Alrflow cfm/s ft 0.00 Airflow cfm/Ton 0.0 0 Jan 1 AM Outside Air % 0.0% Total Adjusted System Output (Adjusted for Peak Design conditions) TIME OF SYSTEM PEAK 41,196 0 Aug 3 PM Outside Alr cfm/s ft 0.00 Note: values above given at ARI conditions I HEATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating Peak 22 OF Outside Air 0 cfm 68 OF 68 OF 115 OF Heating Coil 115 °F ROOM 68 OF COOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling Peak 102 / 71 OF Outside Air 0 cfm 76 / 62 OF 76 / 62 OF 55 / 54 OF Cooling Coil 56 / 54 OF 46.5% ROOM i .. .1- 75 / 62 OF EnergyPro 6.7 by EnergySoft User Number: 30024 RunCode: 2017-06-14710:35:18 /D: 15-091 Page 21 of 23 ZONE LOAD SUMMARY Project Residence Date 611412017 System Name HVAC System FloorSchreder ., ZONE LOAD NAME Conditioned Zone (BLOCKSYSTEM LOAD) ROOM LOAD SUMMARY Schreder Residence 6/14/2017 System Name Floor Area HVAC System 1,462 ROOM LOAD SUMMARY ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK Zone Name I Room Name Mult. I CFM Sensible I Latent CFM I Sensible Latent CFM I Sensible Conditioned Zone I House 1 1 8941 17,8891 671 8941 17,8891 671 5471 27,557 PAGE TOTAL TOTAL ' 894 17,889 671 547 27,557 894 17,889 671 547 27,557 Total includes ventilation load for zonal systems. Ener Pro 6.7 by Ener Soft User Number. 30024 RunCode: 2017-06-14T10:35:18 ID: 15-091 Pace 23 of 23 e Department of Development Services Tim Snellings, Director r Pete Calarco, Assistant Director 7 County Center Drive T: 530.538.7601 Buttecounty.net/dds Oroville, California. 95965 F: 530.538.7785 .DEVELOPMENT SERVICES Building Permit Checklist Name: SCHREDER, ZANE Location: 2641 W SACRAMENTO AVE, CHICO Assessor's Parcel Number: 042-160-059 Permit Number: B16-1863 , X 1. 3 copies site plan X 2. 3 sets building plans . x 3. 1 set energy calcs (if applicable) 4. 1 set truss calcs (if applicable) 5. 1 set structural calcs (if applicable) 'z 6. Intake Packet x a. signed permit application, b. owner builder (if applicable) ; ' c. notice to' builders d. fee summary e. fire handout f. NPDES form Y ; g. data sheet x h. PW Notification for 26-12 , i. Hazardous Material Form (commercial) . Accessibility Worksheet (commercial) X' k. Plan Check Sq Ftg Verification, 7. Flood Certificates (if applicable) 9. Completed by: Date: 09k • T . I Department of Development Services Tim Snellings, Director . Pete Calarco, Assistant Director 7 County Center Drive T: 530.538.7601 Buttecounty.net/dds Oroville, California 95965 F: 5301538.7785 DEVELOPMENT SERVICES ' National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN.1 ACRE] Reference Number: B16-1863 Date: 8/24/2016 Location: 2641 W SACRAMENTO AVE By: JMD Parcel Number: 042-160-059 Sub Type: SFD-CUSTOM/MODEL Owner Name:'SCHREDER, ZANE Phone: 5302289733 Description: CONVERT SHOP TO SFD (1462) By signing below, I the project owner/owners' agent, certify that this project WILL NOT 'DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Board. Signed,.1t. Date 8/24/2016 Title O CJ Department of Development Services Tim Snellings, Director Pete Calarco, Assistant Director 7 County Center Drive T: 530.538.7601 Buttecounty.net/dds Oroville, California 95965 F: 530.538.7785 NOTICE TO BUILDERS** Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances ' and approvals. There are some things you can do to expedite your permit: Make sure your application is complete. Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void'if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit (per Butte County Code Chapter 26, Article 1, Section 263.1). A permit may be renewed (for a fee) prior to expiration a maximum of two (2) times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY** Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. The current refund processing fee is $127.00. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ *"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Permit Number: B16-1863 Date: 8/24/2016 Parcel Number: 042-160-059 Location: 2641 W SACRAMENTO AVE, CHICO Phone: 5302289733 Owner Name: SCHREDER, ZANE Description: CONVERT SHOP TO SFD (1462) Signature of Applicant: ��nR� Date: 8/24/2016 Department of Development Services Tim Snellings, Director Pete Calarco, Assistant Director 7 County Center Drive T: 530.538.7601 Buttecounty.net/dds Oroville, California 95965 IF: 530.538.7785 PERMIT APPLICATION DATA SHEET Reference Number: B16-1863 Date: 8/24/2016 Location: 2641 W SACRAMENTO AVE By: JMD Parcel Number: 042-160-059 Sub Type: SFD-CUSTOM/MODEL Owner Name: SCHREDER, ZANE Phone: 5302289733 Description: CONVERT SHOP TO SFD (1462) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. YES SEWER DISTRICTS ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 — 530.533.0740 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 — 530.533.2000 ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 — 530.879.6700 ' PARKS & RECREATION DISTRICTS (form will be available after plans have been reviewed by building department) 9 Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926— 530.895.4711 ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 — 530.345.1921 ❑ Feather River Recreaction & Park District, 1875 Feather River Blvd, Oroville CA 95965 — 530.533.2011 ' ❑ Paradise Parks & Recreation, 6626 Skyway Road, Paradise CA 95969 — 530.872.6393 SCHOOL DISTRICTS (form will be available after plans have been reviewed by buildiM department) ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 — 530.868.1281 0 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 — 530.891.3006 ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 — 530.895.4675 ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 — 530.846.4723 ,❑ Marysville School District; 1919 B Street, Marysville CA 95901 - 530.741.6000 ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 — 530.532.3000 ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 — 530.538.2300 Ext: 105 ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 — 530.872.6400 OTHER R Recorded copy of Agricultural Acknowledgment Statement - See Attached Instructions ❑ City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 — 530.868.5447 ❑ FEMA Flood Elevation Certificate (required within 48 hours or permit will be placed on hold until.received) ❑ Other: 'When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: Date: 8/24/2016 Butte County Fire Department Fire Prevention Bureau Residential Building Requirements 176 Nelson Ave, Oroville, CA 95965, 530.538.7888, 530.538.2105 Fax 530.538.6226 Inspection Line Permit Number: B16-1863 Date: 8/24/2016 Location: 2641 W SACRAMENTO AVE By: JMD Parcel Number: 042-160-059 Sub Type: SFD-CUSTOM/MODEL Owner Name: SCHREDER, ZANE Phone: Description: 025.30 AC PTN LOTS 39 & 40 BIDWELL 2 To meet the requirements of Government Code section 51182, Butte County Fire department requires a pre -construction inspection to provide the below building and site requirements to the property owner. Your property is located within the Butte County Fire Departments response area and must meet' the below requirements: ❑ Public Resources Code 4290 (emergency access, signing/addressing, fuel modification standards) ❑ Public Resources Code 4291 (defensible space) ❑ California Fire Code LPG tank protection ❑ Butte County Improvement Standards Requirements prior to. scheduling the pre inspection: Full plan submittal to Butte County Development Services Building Division To request an inspection call 530.538.6226; this is Fire Prevention Bureau's recorded inspection line; you will need the information at the top of this page. Inspection request that come through any other phone numbers will cause a delay in processing your permit. For the pre inspections, the property owner or authorized agent (contractor) is required to meet the inspector at the construction site. have read and understand the above pre inspection requirements. Signature: Date: 8/2412016 v I 1 Department of Development Services Tim Snellings, Director Pete Calarco, Assistant Director o 7 County Center Drive T: 530.538.7601 Buttecounty.net/dds -^ Oroville, California 95965 F: 530.538.7785 DEVELOPMENT SERVICES PLAN CHECK SQUARE FOOTAGE VERIFICATION Permit Number: B16-1863 Owner's Name: SCHREDER, ZANE Assessor's Parcel Number: 042-160-059 Date .of Application: 8/24/2016 Square Footage Verification , At Application: Change To: Living Area 1462 Garage Area 1 60 Covered Area 0 Open Area 0 Butte County Department of Development Services PERMIT CENTER 7 County Center Drive, Oroville, CA 95965 Main Phone 530.538.7601 Fax 530.538.7785 1a-w�a-butiecoun t�-.n et:'.Ids IMPORTANT! NOTICE TO PROPERTY OWNER FORM NO I -13 -04 -al . Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at t We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify that you understand or verify this information. 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 4L2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Cdntractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. /V__ 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. • '- r } 7.,I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them 3 for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 0%1-i Page 1 of 2 Revised 7.20.2015 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal nrjuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800- 321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. `g 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: q 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner - Builders as well as employers. !1 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you willbe responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to he presented when the permit is issued to verify the property owner's signature Signature of property owner: ��,r �-, Date: Note: The following Authorization Form is required to be completed by the property owner only, when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: �' �o`-�T 1 tiL �a M 11^ _+0 Name of Authorized Agent: Ztrn,r, SC �/�J1r/ / Tel No: '']�0- L2 8 -1-7 33 Address of Authorized Agent: d d 9 pn ac C h, c v CA I declare under penalty of perjury that I am the property owner for the address listed above and I Sti 7 personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify. the property owner's signature. Property Owner's Signature: Date: 8-2-9-16 YV Revised 7.20.2015 Page 2of2