HomeMy WebLinkAbout063-100-00763-10-07 92-802 BPEM
ALTHOFF, Thomas & Leslie
15195 Knolls Dr,'Forest Ranch
cont:'harry Koenig Gj 2
new sf / "
07
0193 iO0-10
G
063-10-0-007 93-32 j
ALTHOFF, THOMAS & LESLIE
15195 KNOLLS DR, FOREST RANCH
AgExemption Permit
ffJA -HORSE-STAL: LS`
s
1 �f � � \
j �V- P
.J
BUILDING DIVISION
COUNTY OF BUTTE e DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE = CROVILLE, CALIFORNIA 06906 = TELEPHONE, (916) 638=7641
AGRICULTURAL BUILDING EXEMPTION PERMIT
fe�MIT Nf� ��
Agricultural building Is defined as follows; Agricultural building Is a structure designed and constructed to house farm
Implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. ,13_IQ
ZONING TAV
OWNE
HOM It L-ic-
t_ ��
PH
PHONE NO.
.41 /to - 5— S-�6
1:5,OWNER'S ADDRESS
1 O L
--
p�- a A &Y 545
LQ09CATION OF BUILDING
OO - — =lZ
&k;eTlt+ W , ZOO/
f;20
USE OF BUILDING
6T2.
-.
SIZE OF STRUCTURE
X - _
0._L0 SO. FT.
TYPE OF CONSTRU TION:
WOOD FRAME 17 STEEL
CONCRETE
OTHER (Specify)
TY E OF SIDING
ROOF COVERING
FLOOR TYPE
W000
CzaM .
ESTIMATED COST OF CONSTRUCTION
$ $ ucasco -b 1zw u'
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows:
FRONT 5-D c- SIDES C) f REAR /0( 0r
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG
Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain
any necessary permits, inspections, and approvals to comply with the requirements in effect t that ti ea before occupancy.
Date Signature of was
Permit Fee - $50.00 The above described AG Building is exempt from a building permit.
Receipt No. 1.3 5 (,0 41
FLOOD I PARCELS P.D./ ROOFING I SU
Manager Building Divi 'on
By Date -,J —9
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - QROVILLE, CALIFORNIA95965 -TELEPHONE (916)538-7,541
PERMIT APPLICATION DATA SHE'
OWNER A. P. No. Cn
Proposed Building Use Oj,,<A . 040.6w Building Inspector C f . B4,our, Date . -07(0 -93
At time of permit application, I was advised the following data must be *submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. .............:......................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... .
3_ Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. -=
13. Flood elevation letter (100 year flood) by California Engineer .............. --
14. Sanitation and plot plan approval Health Department. ......... f
15. City of Chico plumbing permit. ........ ..................- . .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:`�-
...
18. Contact Land Development about (A) Improvements (B) Drainage. .......W.;.. .
19. Driveway permit (construction approval required prior to occupancy). ...........>...
Prednspection.requ�-
20. Pre -inspection for required. . to Bufldingdnspector (Date)
21.. Contractor's license information. (No., Name Style, Classification) . .........: . .
22. Certificate of Workmans Compensation Insurance . .......................
23. Owner -Builder Verification (Given to owner , Mail to owner )........
*. .
24. Recorded copy of Agricultural Acknowledgement Statement . ..............
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..................
.......................
29. Documentation of legal access. ............ ..........:................. .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . .............................. ........
32. Plan check list . .....................................................
33.
-34.
When you issue the permit, process as follows: ) Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other X 5(/!T- CG1 S /
Parcel Creation
Acreage Applicaat r/l�7�J_ Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit'for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
4 IDENTIAL
63-10-07 92-802 BPEM
ALTHOFF, Thomas & Leslie
15195 Knolls Dr, Forest Ranch
cont: harry Koenig
new sf
�'�' 1.Fope.l +0 1� I�ol u� IGti�olls Dr,.
r
OFFICE COPY
'Address
•t
GAS Date
Meter By
I ELECTRIC " pate Z
Meter By
�.Qir4*CE�PY �, V
I
Address _i is. t96 K "I is
GAS
Meter By Date��
ELECTRIC a
Meter By Date
JOB FINALE
Signature
J=OK
O = Not OK
Not = t Readyable
N MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch j
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5: Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged t
9. Exits; Insp.-Sketch
' 10. Cert. of Occupancy -1
Date Card B-1 -Date Card B-1
Date Cara'B-1 - Date CardB-1
ti
1
�ti v
- J
«
V
,MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements - -
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI•-
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed "
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval E f
10. Plumb.; Cir. Test -Water Supply Testl 1 1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
I ..
1
v
J
t
I ..
VIII= OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL
=
Date UNDWLOOR (P!,,ins) OK except ff's
Zoyng-S acks-Easement�,*lood-Slope
aefto Main; Soils-Elec. Gr d.-/ /" Ftg. Depth
3,0fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. W.V.; Fall ittin Tesrff Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underqround
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date = j Q„ Card B-1 U Date Card B-1
Date Car B-1 Date Card B-1
Date PLU NG (Permil),OK except N's
Htr.: Vent-A�Ancce-ss--Com-bustion Air -Baffle
--� -- 1_eet�& ater Pipe: T chor-Narl'Protection
-----------------------
1 .; Test- it ' s & Anc - ail Protection
------------------- ------ - ----------------
?-'i� owe an, Test. First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
--------------------------- -
----------------------- ----
.Da je Card B_1 ----------Date
-
Date -1-7 -41t., Card.B-1(/(& Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
- - - - 22 xture & Transformer Clearance -Ins. Protection
-------- --------------------------------------------
2 lec. Receptacles Spacing -Lights & Switches at Doors
--------------
24 ize --Boxes & No. of Conductors -Stapled
--------------- - - -----------------------------------
2 omex Installed Close to Edge of Studs &
----------M-pphance
----------------------------------------------------- ---
--- ip. and made up wrMech. Fastner - and Gas &Water
----- ---------------------Circuts in Kitchen & Conductor SizerGFI
---------- - - - - --------------------------------------------------------
obleeel One
------ --- 22. S--_---- - u or AI-A.C. Wire Size / / ga.
-- --- - ----------------
29. Range Circ. r/ ga Cu or AI -Oven Circ. / / r Al.
- - - Insulated Neutral ❑ Yes �No
------ 30.Service Riser Conductors & Ground -Main Disconnect
- ------------------------------------------------
- - 31txf1uip. Clearances Panels-Motors-Mech. Equip.
---------------------
- --------------
32 I e light -Shower Light -Spa Light
------------------ ---
----------------------------------------------------------
3 .Smoke Detector
------------------------------- --------------
- -- -- ----------------------------------
Date-- ----- (0.3-(/� Card B-14 Date- Card B_1 -
- - ---- -------- ------- ----------
Date Card B-1 Date Card B-1
Date MECFH"ICAL (Permit) OK except P's
3 A.C. Ducts Insulation & Support
------------ - -
_ _____ 35. Vent Fan xhaust above insulation
3ow
6. Conden=ate Drain & Overfl: Size & Grade
-- - - -----------------------
-------------------------------------------------------------------- ----------
----------- P7. F rnance- nt: Access -Comb. Air -Return Air Vent -115 outlet
ttic A ess Platform if Furnance in Attic
------- -------------------------- ------------------------------------
Date -(0-5-1k - Card B_1 V�Date Card -B-1 ---.--Date
----------
Date Card B-1 V-0 Date Card B-1
Date FRA G (Plans) OK except ft's
Slls. Proper Material & n or
------- ----- ------------------------------------
----------------
4 alts Studs -Nailing. Spacing & Bracing -Plates -Sound
------------ --------------------------------------------------------
41ng Walls over Girders & Floor Nailing
- 42. aft Stop In Walls (rat proof)
------------------------------------- -----------------------
Fire tops: Furred Ceilings -Stairs -Chases -Tub
---------- -- - - -------------------
4----
eaders & Beam -Size & Bearing
Single & Duplex)
Date FRAMING (Continued)
Hangers -Post Caps-Anc rs-Connectors
- _�nq. J -Rftr. ties-Purlin-roof Qr russ-Shthng.-Ring.
---_ r ace Ties or Type Fireplace Throat clearance
--- Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4 rm. Windows or Exiting ors -Sill Hgt. & Dim ons
----- -- 5 _ arage Fire Protection Framing
---- - 51. Property Line firewall & Openings
- -- 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers
--------------
ding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
_______ 57. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
�60. Infiltration -Walls -Windows
Date�3-
1:'LCard B-1 (/ Date Card B-1
----- .
Date `5 Card B-1 Date Card B-1
Date FIN fans) OK except ft's
__ _ Ext. teps-Door & Sidelight Protection -La gs
--- ---- 6 . m _D_etector_
6 urnace: Vents -Clearance -Comb. Air-Connector-
InIG�G g�age; Above Floor -Ducts -Meeh. Protection
------------ fi ,i edroom Exiting
-----
-
6 I. & Bath Fixtures484-Tdl5-Access-Spa
-------------- --------------
6_6i_ rim & Subpanel: gyedTZ_er Sizes & L els
------------- 67 czf, ,, R Rei Is -- -
6 ire lace or Stove: Clearanc earth
-
_11W-flec. Outlets at Wood Pa nt. &_Ext.
& Appliance: Grnd.-Air _ - ooking CI - ance
71_Zetrbutlets & Recept es at Kit. unter
-------------------------- --------
_age Fire Door: S _- an g-Clo�
--- 7Duct in Garage -Damper
r. Htr Vents -Clearance -Comb. Air -Gonne tor-
- - - In G age: AboveFloor-Mech. Protection
U-ITIb Elec. & Mech. Equip. Listed for Location
- 7 ecc.. Receptacles in Garag_ .F.1.)-Romex P tection
7;�u n -Foam -Looked in Attic � Yews -
7 - Gails & Deck Construction -Post - ap>r s
Win. Vents & Crawl Hole Door -Drainage od-Earth
- Clearan Looked er undFlo Yes
owing instld. Drive Yes 0--N-o: Walks ❑ Yes No;
Pla ters ❑ Yes _
dq tu�cco-Brown-_ ish
-- - - - dill UUonnect. Electrical!Plumbing -
8 . e3�T nts Above Roof: Plbg.- pliance-Fire ce.-Clearance to
Ope ings
------ ------a--- -- - --
--------------------
ater Well: Disconnect, Elec . Plumbing
-------------- ----- ---------- - ----
85 rio Elec. Trim: G. Receptacle -Underground
--------------------
d en ' tion Throughout House
- --- -----------
d Gla Protection --------
----- ---------
I., --- ---
---- - ----
----------------
Corre ns Previous Inspections
04� �i� d9. G T_ -Meters Tagged: Gas-Elleeclric
r & Sewer Conn ected-Cf<Sto Grade -HD Approval- -
Energy Compliance Certificate -Other Certificates-----------------------
-
Date-]-a0-�ja Card B-1 (, _ Date _ _Card B-1 --- T
Date 3 Card-B-1-0,
ard B-1 Card B-1
Dale
-- a -9a ----------- -a .. - ------ --
Date Card B-1 Date Card B-1
Comments at Final
y
' COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, C1 - (91,S) 891-27.51• e•
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
60 e _
p PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If yo a any questions pertaining to this matter, or need additional explanation,
please cont is office immediately.'
n �
• , 231! is
,
r}J�'
Date Inspectory�C,�1Y•
REV 11/91
llpqmftlrq�jlw.._ 1
COUNTY OF BUTTE ?.
i DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle' — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
Q Lha. � v Z 92
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when c,9erection of work is completed. If you have any question pertaining to this
matt94or need additional explanation, please contact this office immediately.
IV p6-1AXI) - B<� ( -L 1��k t J , -�-,
5 67 U•T32&-W,..
Date_ �Inspector
Owner 1e0,,F;4%I
f t•rmi:t 30.
A.f'.
1 ; i.):,
c♦ L
ROOr ,RAID NANtt:
i1ALERIA1 THER;IdL R�5.
THICKN E S
EXTERIOR WALL BRAND NAME CERTAINTEED
MiATERtAL FIBERGLASS
THER^I:CL RES
THICKNESS e �� •
CEILINGCERTAINTEED
BATT OR BLANKE TYPE-Fiber;lasBRAND NAiIE
_ THERMAL RES. v
THICK-NES.S
LOOSE FILL'TY?E IVSUL`SAFF IIITHERIaL,RES CERTAIiTEED
THICKNESS •�
FLOOR,ELEVATEDBRAND NAME CERTAINTEED
MATERIAL FIBERGLASS THERMAL'RES.
THICKNESS
FLOOR, SLAB BRAND NAME
MATERIAL THERMAL RES.
THICKNESS
WIDTH
FOUNDATION WALL BRAND NAME
MATERIAL THERMAL. RES .
THICKNESS -
I HEREBY CERTIFY THAT THE ABOVE INSUTET O�`iCALIFWAS IN ENERGYDREQUIREPtENTSIN THE E
BUILDING IN CONFORMANCE WITH THE STA
62.2184
HAWKINS INDUSTRIES INC.
`( STATE; CON.TR. LICENSE N0.
F Mf Ai
I hereby ertify t
above insulation and all required items as shown_
the Building Depart. approved plans and attachments have been installed
on Requirements.
as required by the State of California Energy d
All equipment, devices and materialsarofof the
are specifically approved by
the StateSTATE CONTRACTOR'S LICENSE NO.
--------------------------------
FIRM NAME/OWNER (PLEASE PRINT)
ATfi OF GENERAL CO
This certificate must be
final inspection approval
ACTOV0
quality prescribe or
?moi
DATE
on file With the BUILDING DEPARTMENT prior to .
and a copy shall be posted within the t $
JANUARY 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
Q
PERMIT NO.
92-802
ASSESSOR PARCEL NUMBER
63-10-007
ZONING
TM 5
BUILDING PERMIX
OWNER
THOMAS LSC LESLIE ALTHOFF
TELEPHONE
895-8809
SO, FT. OCC. BUILDING VALUATION-✓
1756 R 89,556
OWNER'S MAILING ADDRESS
P.O. BOY 238 FOREST RANCH 95942
480) M 8,640
CONTRACTOR'S NAME -
TELEPHONE
72 C 936
CONTRACTOR'S MAILING ADDRESS
Fireplace IIA" 1,500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
15195 KNOLLS DRIVE FOREST RANCH
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 9 5.001 45.00
Solar or heat pump water heater 20.00
LOT NO.
2
SUBDIVISION NAME
PARCEL MAP
45-55
Water piping 7.00 7.00
Each pas water heater or vent 7.00 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00 5.00
Building sewer 15.00 15.00
Mobile Home S I G I W I @ 15.00
TYPE OF WORK
New [p Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 3 BDRM _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200V OR LESS
00A OR LESS 18.50 18.50
Main service 200ATO1000AI
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
Erl, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
_37.50
NEW CONST. / DWELLING OCCUPM 3.64 sq
OR ADDNS. \.ft. 78.25
ACC. SLOGS. I
NEW CONSTRULTI.OUT LET
NON-RESID BRANCH CIRC ITS I @ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 @ 76
FIXED APLNS.JAL
Ex. Occup. OUTLETS I_RESID IREA.) I 3.00
Temporary service 15.00 15.00
Mobile Home Facilities 15.00
Misc. byirin g '15.00
Permit Fee $ 126.75
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
!Heating
SPI IT
Cooling
g
Hood 6.50
Ventilation
Permit Fee $ '
--ontractor
I certify that I have read this application and state that the above information Mobile Home Installation Fee $
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $
Butte to enter upon the above-mentioned property for inspection purposes. )T/TYPE
I also agree to save, indemnify and keep harmless the County of Butte against -� N TA FEES 253.25
all liabilities, judgments costs, and expen s which may in any way accrue r,Az OF IMP FL00 CDf PARCE4 PO H s E
�againss County in n eq ce of h anting of this perm - l _ Date 3 x� 9 Z. This permit is hereby issued under the applicable provi-
❑ cions of the County ode and/or resolutions to do
Signature of Applicant - Owner Contractor Agent
%fin OSHA permit is required for excavations over 5'0" deep and demolition or construct- JVOrk/indi/at!M(above r hich fees have been paid.
ion of structures over 3 stories in height. C F PUBLIC IRKS
By -�� Date
Receipt No. P MI EXPI S Date
WHITE-D.P.W.. TELLOW LESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-75L'1
APPLICATION AND PERMITIII ew
ASSESSO P CEL N'
j--- rLJ R R
ZONING
BUILDING PERMIT
OWNER
TELEPHONE�
O, FT. I OCC I BUILDING VALUATION
co
O N R'S MAILING C ESS_ / 0fl—
S 5"912
C O. tJ�T R/1�C T OR•S NAME�� t �1 ��
E EPHONE
74
2
CON A6OR'5 MAILING ADDRESS�,Y
(X a 4
Fireplace
Q
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
J 7�
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER -71
CENSE NO.
Plan Checking Fee
§ 1
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSy/� J
✓A ✓mss
Permit fee
§
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.001
Solar or heat pump water heater
20.00
LOT NO.
2
SUBDIVISION NAME
PARCEL MAP
_-'
J �J �
Water piping
7.00 0 ig
'
Each qas water heater or vent
7.00 7,.9 Q'
USE OF STRUCTURE
SFA Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
I 5.00
Building sewer
15.001 ,0
Mobile Home S G W
@ 15.00
TYPE OF WORK
New, j Addition ❑ Remodel ❑ U//tti�i li,ties ❑ Installation ❑ Other ❑
Describe work:__ w/
Permit Fee
§ 00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200V OR LESS
00AOR LESS
18.50 190
Main service 200A TO t000A1
37.501
CONTRACTORS LICENSE LAW
I declare under penalty of perjury check one):
p y per I y ( )
[✓ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License ;Jo. Classification
I, as the owner, Or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, a th(Sece owner, am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST, DWELLING OCCUP. g\
OR ADONIS. ( ACC. BLOCS. I
3.5C sq.ft. '
NO N.R ESIO CONSTR.NEW MULTI-OUTLEBRANCH CIRCUITSITS
5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURESRAO
7 6 d
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESIO.) EA.)
I 3.001
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
§
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
E]I have placed on file with the County of Butte Building Department
a, Certificate of Workmen's Compensation Insurance or a Certificate
/of Consent to Self -Insure.
fill I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 1 15.00
Heating
Cooling
g
Ron
Hood
6.50
Ventilation
Permit Fee
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permi
X Date
Si nature of Applicant _ OWner
9 PP ❑ Contractor ❑ Agent ❑
An OSHA
ion of structures toverr 3gstorriesoineheighttions over $'0" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee rj , •2
OCC
CONST TYPE
TOTAL FE ,.Q
I HAz
I OF S 1M4 FLOOD CDF
PA CEL PO O
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
BOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
��'' '',, Permit No.
OWNER�-''U% S �-� �- I y �� A. P �! �� ` 0P7
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
All items have been submitted. ...
lot plans in duplicate/triplicate, signed by preparer of plans. / tkwt:_,i�
Complete plans in duplicate/triplicate, signed by preparer of plans
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8, Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
Park fees paid School
District
paid ..............
G- (% �� School District fees paid .
Sanitation approval from� // C 0 Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for ether requirements)
17. Planning approval for (A) Use: (B) Parking: .
18. rovements hiay be required. Contact Land Development Section DPW
riveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..
LZ -24 --Recorded copy of Agricultural Acknowledgment Statement .........
6. etter of Jg�l ature th Izatio .......... .
27.
When you sue the permit process as follows: Mai, t owner. Mail to contractor.
elephone Ind hold for pickup atWoffice. Deliver w/inspector.
Other
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted p for to per, •t issuance' (Cily ircl new item not checked above).
1. Index permit for above items No.
2. Additional items required: I
Contractor, designeragD, was advised of above required data by_�ne___naiI—counter by �K-date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter b1y/ date c7
Plans checked by Date'�1j6 1L Plans approved by� (� Date -D-9�
Sets of plans on hold in v File cabinet AP folder
COPY—DPW
W
,r
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for 3 bedroom. e. home. Other
NOTE "
y—/ -9L
Date
Sanitarian
�-
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
owner location AP #
• Driveway permit 42 ww has been issued for the above property.
�Z
si ature 4AI date
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # 92- SOIL
OWNER A. P. # 3 - JZ) - O-'7
Plan Checker XZW, 3-25-1:91'L
GEN�ERALL
1� oning requirements: (sideyards and number of permitted living units).
Z. Va uation.
3tl fans signed by designer.
C4,/ Proper description of work on application.
d5_t�ems
isting violations on property.
on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
--recorded notice of violation.
PLOT P P.V. PI -DT
14--*' Complete parcel size and dimensions.
2r! Setbacks, sideyards, easements, etc.
Other buildings or structures.
fir. —Grading, fills, drainage.
54-'�`Flood hazard.
Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
7. FAU & FAS road setback.
8 Building or utilities across lot lines (Record form).
FLOOR PLAN
11 Co Tete to scale plan with dimensions.
equi.red windows for.light and ventilation (Sec. 1205).
T. Reouired windows for second exit. (Sec. 1204).
ghts (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
cuired room sizes, ceiling heights (Sec. 1207).
7�. G Is in baths, garage, kitchen, and exterior outlets (Article 210-8).
8 Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
*---Locations of water heater, heating and cooling equipment, other electrical
or 'gas equipment.
14!Garage firewall, door size, and closer (Sec. 503(d)(3)).
lull = 3'0" exterior exit door (sec. 3304 (f).
12 -.'Fireplace and wood stove location, alcoves, and clearance.
Doke detectors (Sec. 1210).
14i. lumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS °
Y��Standard bracing or engineered design (Table 25V)
�r�'usual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
�nr'ee- story building requiring engineered calculations and plans.
5�!Foundation plan complete enough to construct building.
64--__F� oor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building
Roof construction details complete enough to construct building.
lace construction details and calcs if necessary.
Rafter ties or bearing ridge beam.
1 Garage door or porch header sizes.
121Stud heights.
Adobe soils - special foundation design.
14 Retaining walls requiring design.
15. Special Inspection required.
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
4--�--St-arrway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
�-- drail details (Sec. 1711 & 3306(j).
3--;- or stone veneer (Chapter 30).
xeez°5.or plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof convering (Chapter 32).
61l Roof covering type - (fire hazard).
insulation - protection.
8.`_36" halls and stairways.
iving area over garage - complete 1 -hour separation required on garage side
inc ng supporting walls and posts, etc.
xits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
1 Attic access and ventilation (Sec. 3205).
l��f loor access and ventilation (Sec. 2516).
1 Combustion air for fuel burning appliances - L.P.G. requirements.
requirements on duplexes.
1-1r. Energy design.
1(7,Flashing at all exterior openings.
lA!CDF responsible area requirements.
-
� 0 4--
E L Q tJ��(► GCjNZRPCTOIL Wl� w� ��pA�ht NFO
r�Lp�� . 5 u P POaT
27' v2z_ Mnvt�r+�E�rr,
W ll.l. P�
1
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 2 — 1 3 8 4 7
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.L of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
I
lbe pr.opert.y described herein is adjacent 92-013847 1 Ree Fee 5.00
to land or included within an area zoned I Cash 5.00
for agr.ic.ul.t.ural purposes, and residents Recorded
of this propc•rLy may he stibjecL to incon- Official Records
veiiioncos or discomfort arising from the County of
use of agr.icult.ural chemicals, including, Butte
but not I.imiLed to herbicides, pesticides, Candace J. Grubbs
and ferL.i l firers; and from the pursui t Recorder
of agr.i.cult_ural. ope:raLi.ons including, 2:16pm 31 -Mar -92 1 PUBL XX 1
but noL lima Lcd to cultivation, plowing,
spraying, pri.in:ing, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has estrtbI1shed agricu.l-
Lur.al zones which have as a priority use for productive agricultural. purposes, and residents
within said zones and on adjacent property should be prepared to accept such i nconven•i.ericc
or discomfort from normal, necessary farm operations.
All. that real property situate in the CounLy of Butte, State of California, dcscri.bod Lis
follows:
LC»' Lr �`j `fit►ocJrJ 0'\J T�-V'T C.Eev\,A) t?Pc24-CL �-lA�, -�Ie6c)"eO i"J 71�c
O F T �E60Z S OF T+ .E C6 J c\J T J () F3 v ti �C� s"� �. E a,F
GPS--� �o'��JI �. � d � r�� y'zi.. r\ ►�� � � �►1.3 . � � 300 � y S o � anr�pS r � � �� (S� � S ,
l N(7 L�
L—OT- pS 51,000 0 U 7 \.A.T
%VJ THE %C P->✓CCe- � of= r*�
tel -13 l63 300N<
S d� r4\
T'�� � CL -c2; p, , J FV bN - EiCC .�.3� t 11G �� E N -C -S �o•1Z. �7 Ami � �v� �--� L iJ'i , t--� T'"1
-c-eo
vl!o
� a�� ZI, t 1�-; f
Date: PROPE TY OWNERS:
State of 1P \ 40 ) On this the -'day of 19-9,)-, before me,
) SS. the undersigned Notary Public, personally appeared
County of _ I -}- ) r ✓✓ �j
A -✓1c' OY a _S /� r)L I/ C)E
f�i
Personally known to me. � Proved to me on the h<isis
KATHI C. hAMf Fiof satisfactory evideii(.-c.
NOTAAY PUHTaIArQAI,IP4�l3Ylbe t:he persons) whose names)bscribed to the within instrument and acknowled�cd that C PAINCIPAL OPPICI1 1N geBUTTS ecuted the same .for the purposes therein contained. (IN Cwmfimion fxpife5 Alowft 17, 19EREOF, I hereunto set my hand and (ficial seal..
AxF"W�
Present f\.P- No.0�Od Notary Public:
END OF DOCUMENT
n
I
30.M
CT)
OM
> a
'CC
ZLL
O
EX:
C_.
0 F=
UW
C:r
0
n
I
$.. t'w+v'�" �':. �.'n-:. N'rK.w.kr'-'� ., : ,,,..:;Cc,rt;...qu��i,•P.•� :v..ar:i:r.+�,::..sa,-4,. a:-n�,r..•-.,..:^�''C'•4•t'✓T."o.O^.tv-^'n^''•:''�'4G�,$ffarR+Ms7++rs+��^'�ii'i'•�:jY.•n^r_"f!'--`r ...+r. F,7`i
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form .per Building)
A.P. Number i,j"%U....aJ� Building Department No.
School District C LA; D City D County [� Jurisdiction
1-7 --
Property Owner
Project Location/AddressQ� 4�
Subdivision Lot Number
Residential Development:
a E:1 Sq. Fbotage
# of Living MHI Addition (Group R)
Units
Commercial /Industrial: D F-1 Sq. Footage
New Addition (Including Exterior
Roofed Areas)
f
s _
Building Aeipart ent Representative �' Date
.r
i
(Floor Plans reviewed by School District Personnel)
District Id No. 9D
School District certifies that
(Applicant Name) (Phone Number)
�L/ %
(Street Address)
(City) (State) `5, -(Zip Code)
has complied with the requirements of Resolution No. 1-1,626% /
�'AV
by the payment • of $ , `77-1 y representing 175(o square feet.
IQ
School District Representative D to
PAID BY CHECK NO.
BANK NO
_ &- �z
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
F I
Return co DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT /
FOR RES•IDENTTAL DEVELOPMENT /
V Section 26-8.1 of the Butte County Code
State of California, dc:scribed as
follows:
requires Lhis acknowledgement be recorded
prior to issuance of a building permit.
I
�c OF Tti 4G SZ E�c� 1x' 0 F T+ -E Cb J sv T -(
1'he properc.y clescri.bed herein is adjacent
92-013847 1 Ree Fee
5.00
to land or i.ncluded within an area zoned
I Cash
5.00
for agric•uh ural. purposes, and residents
Recorded
6ti As-,fLcW-1 1913, 1rQ 3coK
of this properLy rimy he suh.jecL to incon-
Official Records I
vc•n.i.rncc s or d i.scomfurt arising from the
County of
us.e of agric•u1t..ural chemicals, including,
Butte 1
E1D�' MT•�i ,'�••► O E `°�J c c�n��,' PC�eF.�n ;�'
but. not 1 imiLed to herbicides, pesticides,
Candace J. Grubbs I
and fert.i I irers; and from the pursuit
Recorder I
of, agr.icul tural opera Lions including,
2: 16pm 31 -Mar -92 I PUBL
XX 1
but not. lim.it.cd to cultivation, plowing,
spraying;, pri.ining, and harvesting which
occasionaLl.y generate dust, smoke, noise, and odor. Butte County has estobIished
ogricuI-
Lural zones which have as a priority use for
productive agricultural. purposes, and
residents
within sai.d zones and on adjacent property
should be prepared to accept such inconvenience!
or discomforL from normal, necessary farm operations.
A1.1 that real property situar.e in the County of Butte,
State of California, dc:scribed as
follows:
LLT Z � 5 t ►n W n� brj TkAFt T CZ_21fltry ?pP(ZC.E(_
-l?.7� I�EC.U��� i �J Tf•1E
�c OF Tti 4G SZ E�c� 1x' 0 F T+ -E Cb J sv T -(
OF 3 v�� I ST F-- e=:- Orr
cloy -\ F012-AJ1 R , cri s -A: \2i t A vel 1q -13 t �? 1�0 �L LA'5 C J*.,e (S) 5•S,
,
P 94-\4�, OF Etta C v Ee
L. c T l Pis 5 MOO Q o U -TN.A.T
C.E�.TA c +•� ppc+'1.-EL. �� (ZECO2JE t v.: Tt-iE > LC OF E P-�CC� cF TT*c
CC. V 1VT`1 OF 7j30TTC --TON- QF
6ti As-,fLcW-1 1913, 1rQ 3coK
r t
t 1b Z4 04E-5cC �5EC_-)
1 N Ti- -T Lcc Pt m; C t=
E1D�' MT•�i ,'�••► O E `°�J c c�n��,' PC�eF.�n ;�'
2.1 lei -1L--
3co
Da Le : PROPEjTY
OWNERS: J
Slate of
SS
BUILD!NG DEPT
MAR 3 1 1992
On this the day of 19 he fort mc,
the undersigned Notary Public, persona..11y appeare(l
l..LtAt e_ (�,s �,(+hoFF A-rtcl _% omc s %q - ()L74.,Tr -
tnuutmimmimumonmm�tnatnnmunnnumtunt:Itmulllllpllllll Personally known to me.•. ® Proved uo me on the h.itiiv
KATHI C. LAMBERT of s. tisfactory evitiont•c�.
rroTAAY PUBLIC -CALIFORNIA c� be the person(s) whose name(s)
�tl"
PRINCIPAL OFFICE IN ubscri.hed to the within instrument and acknowledged Lh,ct
BUTTE COUNTY xecuted the same for the purposes therein conta i.nc d . I N lJ l'I' ESS
My Commission Expires November 17, 1992 HEREOF, I hereunto set my hand and official. seal .
Present. A. P. No. G 3— 100—D 0-;7 Notary Puhl is
Certificate of Compliance: Residential Climate Zone 11
15p:` P
ProjectTlue
1-6N
/
1-6NC)LBuilding Permit 0
r21� 3-25-92
Project Address K --,
By / Daug
Documentation Author Telephone Frforoement Agency Use only
Glazing . Area Glass Type Interior - . • Exterior Overhang Framing Type
Orientation (SO (single, double) (oUer blind, etc.) (shadc=een, etc.) (yes/no) (metaVu clod)
North
North
East ( ) 3Z
East (-)
South ( )
South ( )
West ( ) �—
West ( )
Skylight....... o
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed tile. etc) (Sf) (inches) Location/Description (kitchen, bath, etc.)
VIPYL- /!oro LavNOQ-ter �A.-r,�► �t�s
�•ti✓D. 2�� /GTu-§FN DIE�11V6 �—•ALL. GPITTL-�
- -�7Vuo STorA7E � wove E'
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
�uRi►1 . a 72 4T cc- 5-7
fit- Ge $r9 ArT'i IG %.
Maximum Furnace Heating Output: l� 333 Btuh RTMNY
HOT WATER SYSTEMS Tank Manufacturer/Model # A lD Pe
nnVED_ Svstem Type (storage gas etc) Capacity (or approved equal) Special INQ
SPECIAL FEAT URES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -IR
NOTE. Lowrssc ruidcnual buildings subject to the Standards must Craniata tMCSe mrsaares n:gardless of the compliance
approach usrA Items muted wan an asncrat (•) may be suporwdod by more stnngau compluna: tequve nunu listed
on Use Cwfaca, o(Complunc, Whish utas cheekha is incorporated into tome permit documents. tome feuums noted small
be consusced by all parues as banding muumaum componentpctformw= spourc=au for the ffUUAwory.mcasures
whetha trey arc shown elsewhere in ume documents or on this checklist qtly.
DESCRJPr10N DESIGNU I FNFORCEMEYT
Building Envelope Measures
• §I.5352(a): Minimum ceiling insulation R-19 weighted avenge.
42.5352(br. Loose rill insulation manufacurrct's labeled R -value.
• §2.5352(c): Minimum wall insulation in framed walls R-11 wcithttd average (does not apply to
exterior mass walls).
12.5352fk): Slab edge insulation - waren absorption rate no ptuer than 0.3%. wucr vapor
transmission rate no Voter crura 2.0 permfinch.
12.5311: Insulation specified or insW kd macs California Eregy Commission (CECT quality
standards Indicate type and form.
12.5352(1): vapor banters mandatory in Climate Zones 14 and 16 only.
§2.5317: )nfiltratwNEafnitntionControls
a Doors and windows between condhtsoncd and unconditioned space designed to limit sit
leakage -
b. Doors and windows certirwA
c. Doors and wuhdows weathcrsuippcd*. ail pints and pemeastias caulked and sealed.
12-5352(e)., Special inf lows on barrier insWkd to comply with 12-5351 meets CEC quality
standards
12.5352(dr Installation of Fae7l3ces
1. Mason' and faesory-built fnreplaces have:
a. Tight rating. closeable metal or glass door
b. outside sit intake with damper and corhtrot
c Flit damper and control
2. No continuous burning gas pilots allowed. _.
HVAC and Plumbing System Measures
52.5352(;) and 2-5303: Space conditioning equipment siting: attach calculations.
12-5352(h) and 2.5315: Sethaek thermostat on all applicable healing syswms.
•
12.5316(a): Duan cortmucted. installed and insulated per Chapin 10. 1976 UMC.
62.5316(b): Eshaust sysLemt have damper controls. /
V -5314(e): Gas -lard spars heating equipment has interminrsu ignition devices.
12.5314: HVAC equipment, water heuers. showerheads and faucets certified by the CEC
§2.53520: Water heats insulation bb nket (R.12 or greater) or combined intcrior/wuuSot
insulation (R. 16 at greats): fust 5 fee of pipes closest to tarts insulated (R-3 of gaiter).
§2.5312(Esception lx Pipe insulation on steam and steam co dere= renin & recirculating
piping.
§2-53 19(d): Swimming Pool Heating
1. System has:
a. Ordofr switch on heater.
b. weatherproof instruction plate on heater.
e. Plumbed to allow for solar.
2. 75 percent thermal efrmcicncy. _
3. Pool cover.
4. Tnmc clock.
5. Directional water inlet.
Lighting and Appliance Measures
h
12.53520: Lighting - 25 lumens/vvan or greater for gerheral lighting in kitchens and bathrooms.
§2.5314(er Gas rued appliances equipped with intermittent ignition devices.
12.5314(a): Refrigerators, mfrigrrator-frm=rs. fr =cm and nuorereedt lamp ba)Lmu certified
by the CEC. Indicate make and model number.
Glass Area
% Glass
BUILDING DATA
North
t 33
Conditioned Floor Area (-7Flo
Number of Stories 1
East
3 Z
/.a
Slab/Raised Floor SLS
Number of Units
South
//¢
4-.5
[g Single Family Detached (SFD)
(] Addition Alone
West
/ 2
0• i
(J Single Family Attached (SFA)
[ J Existing Building
Skylight
Total
e>
2Q/
[ ] Multi -Family (MF)
(] Existing-Plus-Addidon
BUILDING SHELL INSULATION
Component Insulation Locafion/Comments
Type R -Value (attic, to
garap, etc.)
POINT- TOTAL_
Wall ..............
Wall ..............
-}-�
Roof ............. -38
Roof .............
Floor .............
Floor .............
Slab Edge.....
GLAZING
Shading Devices
Glazing . Area Glass Type Interior - . • Exterior Overhang Framing Type
Orientation (SO (single, double) (oUer blind, etc.) (shadc=een, etc.) (yes/no) (metaVu clod)
North
North
East ( ) 3Z
East (-)
South ( )
South ( )
West ( ) �—
West ( )
Skylight....... o
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed tile. etc) (Sf) (inches) Location/Description (kitchen, bath, etc.)
VIPYL- /!oro LavNOQ-ter �A.-r,�► �t�s
�•ti✓D. 2�� /GTu-§FN DIE�11V6 �—•ALL. GPITTL-�
- -�7Vuo STorA7E � wove E'
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
�uRi►1 . a 72 4T cc- 5-7
fit- Ge $r9 ArT'i IG %.
Maximum Furnace Heating Output: l� 333 Btuh RTMNY
HOT WATER SYSTEMS Tank Manufacturer/Model # A lD Pe
nnVED_ Svstem Type (storage gas etc) Capacity (or approved equal) Special INQ
SPECIAL FEAT URES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -IR
NOTE. Lowrssc ruidcnual buildings subject to the Standards must Craniata tMCSe mrsaares n:gardless of the compliance
approach usrA Items muted wan an asncrat (•) may be suporwdod by more stnngau compluna: tequve nunu listed
on Use Cwfaca, o(Complunc, Whish utas cheekha is incorporated into tome permit documents. tome feuums noted small
be consusced by all parues as banding muumaum componentpctformw= spourc=au for the ffUUAwory.mcasures
whetha trey arc shown elsewhere in ume documents or on this checklist qtly.
DESCRJPr10N DESIGNU I FNFORCEMEYT
Building Envelope Measures
• §I.5352(a): Minimum ceiling insulation R-19 weighted avenge.
42.5352(br. Loose rill insulation manufacurrct's labeled R -value.
• §2.5352(c): Minimum wall insulation in framed walls R-11 wcithttd average (does not apply to
exterior mass walls).
12.5352fk): Slab edge insulation - waren absorption rate no ptuer than 0.3%. wucr vapor
transmission rate no Voter crura 2.0 permfinch.
12.5311: Insulation specified or insW kd macs California Eregy Commission (CECT quality
standards Indicate type and form.
12.5352(1): vapor banters mandatory in Climate Zones 14 and 16 only.
§2.5317: )nfiltratwNEafnitntionControls
a Doors and windows between condhtsoncd and unconditioned space designed to limit sit
leakage -
b. Doors and windows certirwA
c. Doors and wuhdows weathcrsuippcd*. ail pints and pemeastias caulked and sealed.
12-5352(e)., Special inf lows on barrier insWkd to comply with 12-5351 meets CEC quality
standards
12.5352(dr Installation of Fae7l3ces
1. Mason' and faesory-built fnreplaces have:
a. Tight rating. closeable metal or glass door
b. outside sit intake with damper and corhtrot
c Flit damper and control
2. No continuous burning gas pilots allowed. _.
HVAC and Plumbing System Measures
52.5352(;) and 2-5303: Space conditioning equipment siting: attach calculations.
12-5352(h) and 2.5315: Sethaek thermostat on all applicable healing syswms.
•
12.5316(a): Duan cortmucted. installed and insulated per Chapin 10. 1976 UMC.
62.5316(b): Eshaust sysLemt have damper controls. /
V -5314(e): Gas -lard spars heating equipment has interminrsu ignition devices.
12.5314: HVAC equipment, water heuers. showerheads and faucets certified by the CEC
§2.53520: Water heats insulation bb nket (R.12 or greater) or combined intcrior/wuuSot
insulation (R. 16 at greats): fust 5 fee of pipes closest to tarts insulated (R-3 of gaiter).
§2.5312(Esception lx Pipe insulation on steam and steam co dere= renin & recirculating
piping.
§2-53 19(d): Swimming Pool Heating
1. System has:
a. Ordofr switch on heater.
b. weatherproof instruction plate on heater.
e. Plumbed to allow for solar.
2. 75 percent thermal efrmcicncy. _
3. Pool cover.
4. Tnmc clock.
5. Directional water inlet.
Lighting and Appliance Measures
h
12.53520: Lighting - 25 lumens/vvan or greater for gerheral lighting in kitchens and bathrooms.
§2.5314(er Gas rued appliances equipped with intermittent ignition devices.
12.5314(a): Refrigerators, mfrigrrator-frm=rs. fr =cm and nuorereedt lamp ba)Lmu certified
by the CEC. Indicate make and model number.
coma,LIANCE STATEMFTIT
This certificate of compliw= lists the building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20, Chapter 2, Subchapter4. Article 1 of the Califontia Administrative code. This
certificate has been signed by the individual with overall design' responsibility and the building owner, who shall
retain a copy of it and trar=nit the eerdficau to any subsequent purcimser of the building_
Designer
Name
Tu1rJFu=
Addm=:
• Tekplaone
(si�rhaturc) (date)
i .
Documentation Author
Name:
Tmk/Fum
Add:za:
Building Owner
Name -
TitkJi-inn
Address: •
TekpSonc
(s attic) (ditc)
Enforcement Agency
Name
Agcper.
Telephone
i
coma,LIANCE STATEMFTIT
This certificate of compliw= lists the building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20, Chapter 2, Subchapter4. Article 1 of the Califontia Administrative code. This
certificate has been signed by the individual with overall design' responsibility and the building owner, who shall
retain a copy of it and trar=nit the eerdficau to any subsequent purcimser of the building_
Designer
Name
Tu1rJFu=
Addm=:
• Tekplaone
(si�rhaturc) (date)
i .
Documentation Author
Name:
Tmk/Fum
Add:za:
Building Owner
Name -
TitkJi-inn
Address: •
TekpSonc
(s attic) (ditc)
Enforcement Agency
Name
Agcper.
Telephone
1. Ceiling l2ksulati00
2. Wall Insulation
-
Numcer of stones
Single-
Famdy
R -value
One
Two
Threw-..
R-0,
.103
.49
32
R-19
-8
-4
-2
R-30
•2
.1
-i
R-38
0
0
0
U -value
.114
.76
0.50 -91
0.50
-176
-84
.54
0.30
-102
.49
32
0.10
-26
-13
-8
0.08
-18
-9
4
Us
-11
-5
-4
0.04
-4
•2
.1
O.C2
4
2
1
0.00
11
5
3
2. Wall Insulation
-
Number of stories
Single-
Famdy
Single-
Family
Multi -
R -value Detacned
Attacned
Family
R-0 -68
-51
-34
R-1 t 0
0
0
R-13 2
2
1
R-19 8
6
4
U -value
1
1
0.80 -153
.114
.76
0.50 -91
-68
_416
0.30 -47
-36
•24
0.10 0
0
0
0.08 4
3
2
30
0.30
-69
0.04 4
11
7
0.02 19 - -
14
10
0.00 24
18
12
•5
0.08
-11
3. Raised Floor Insulation
Insulation In Floor
--
-
Number of stories
Number of stories
R -value
One
Two
Three
R-0
-17
-8
•5
R-11
3
.2
-1
R-19
0
0 - .
0
R-30
3
1
1
U•value
4. Slab Edge Iasulation
37
-26
0.60 .
-144
-70
R -value
0.50
-120
.58
38
0.40
•95
-46
30
0.30
-69
_U
.22
0.20
-43
•21
.14
0.10
•17
-8
•5
0.08
-11
4
-4
0.06
-6
.3
.2
0.04
•1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
-4
3 .1
Number of stories
-1
R -value
One
Two
Three
R-0
.11
-7
.5
R-5
-4
.4
3
R-11
.2
.2
.2
R-19
.1
.2
•2
4. Slab Edge Iasulation
37
-26
-14
Number of Stories
` 35
R -value
One
Two
Three
' R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-4
3 .1
0.80
-1
.1 0
0.70
2
2 _ 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
S. Infiltration (Air Leakage)
Speafx-at1on Points
Standard 0
6. Glass Heat Loss
Total
Slab Floor
Sipple.
Raised %or
Etfective PCs ^eeot Class
U -value
Percent
Muff
(Percent glass x SC)
.51 to
.41 to
.31 to 0.31
Glass
Single
Double
.60
.50
.40 le;
50
-121
-S3
-39
-24
-10 i
40
-90
37
-26
-14
3 1
` 35
-75
-29
-19
-9
1 1
30
-61
-21
-13
-4
4 1
29
-58
-20
-12
3
5 1
28
-55
•18
-10
-2
5 1
27
-52
-17
-9
.2
6 1
26
-49
-15
-8
•1
7 1
25
-46
-14
-7
0
7 1
24
-43
.12
.5
1
8 1
23
-40
-11
-4
2
8 1
22
-37
-9
3
3
9 1
21
-34
-7
-2
4
10 1
20
-31
4
0
5
10 1
19
-29
-4
1
6
11 1
18
-26
•3
2
7
12 1
17
-23
•1
3
8
12 1
16
-20
0
4
9
13 1
15
-17
1
6
10
14 1
14
•14
3
7
10
14 1
13
-12
4
8
11
15 1
12
-9
6
9
12
15 1
11
-6
7
10
13
16 1
10
-3
9
11
14
17 1
9
.1
10
13
15
17 2
8
2
12
14
16
18 2
7. Shading (Shade Open)
Slab Floor
Sipple.
Raised %or
Etfective PCs ^eeot Class
Etfted ve Percent Class
S10neS
Muff
(Percent glass x SC)
(percent glass x SC)
EJective
Effective
One
-
Three
One
% Glass
North
East South West
Skylight
18
5
1 4
1
na
16
4
2 5
1
na
14
4
2 5
1
na
12
3
3 5
2
na
11
3
3 5
2
na
10
2
3 5
2
1
9
2
3 5
2
2
8
2
3 5
2
2
7
1
3 4
2
2
6
y
3 4
2
3
5
'1
2 r4
2
3
4
0
2 3
1
3
3
0
1 2
1
3
2
0
1
0
3
1
•1
1-0-
•1 -1
1
2
0
.1
-2 -4-2
.16
0
na . not allowed
•1
.2
•1
�!. Shading (Shade Closed)
Slab Floor
Sipple.
Raised %or
Etfective PCs ^eeot Class
Famt7y
S10neS
Muff
(Percent glass x SC)
Stones
EJective
1CFA
One
Two
Three
One
X lots
North
East
South
Wast
Skyfight
18
-14
_A8
-69
-64
na
16
•12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
4
•29
.40
•37
na
11
-7
-26
-36
•33
ria
10
-6
-23
31
.29
-74
9
•5
-20
-27
-25
45
8
•5
•17
-23.
.21
-56
7
-4
.14
-19
-18
-47
6
-3
.11
.15
.14
•38
52
�
.9
-11
.10
30
4
.1
4
%8
-7
.23
3
0
-4
-5
-4
.16
2
1
•1
.2
•1
•9
1
1
--1
1
1
-4
0
2
3
4
3
0
rta . not slowed
7
8
10
11
9. Interior Thermal Mass
Interior
Slab Floor
Sipple.
Raised %or
Mass
Famt7y
S10neS
Muff
Mass
Stones
Attached
1CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
.2
-1
.1
0.1
-8
-5
3
-1
0
0
0.3
.7
-4
•2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
.1
1
2
2
0.9
.5
-1
0
2
3
3
1.1
-4
•1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
SE HSAF
less
-15
-5
+5
+15
more
25
-T-
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
S
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior
Single.
Sipple.
Sum of 1.6
Wall
Famt7y
Family
Muff
Mass
Dela-W
Attached
Family
0.00
0
0
a
0.20
3
2
1
. 0.40. _
5
4
3
0.60
8
6
4 .
0.80
10
8
5
1.00
13
10
7
1.20
13
12
8
1.40
12
13
_ 9
1.60
10
13
11 . .
1.80
10
12
12
2C0
10
11
13
11. Heating System
SE or RSPF
(assumes ducts In attic)
12. Cooling Syst'm
North
b.
Sum of 1.6
^'
Water
SEER
1139
.25 or -24 to
-14 to -4 to
+610
16 or
SE
HSPF
less
-15
•5
+5
+15
more
0.72
6.60
0
0
0
0
0
0
0.75
6.88
3
3
3
2
2
1
0.80
7.33
8
7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
17
15,
13
11
9
7
0.95
8.71
20
18
. 15
13
11
8
10.5
,
Elfective SE or HSPF
4
3
(SE or HSPF x duct
eMciene7)
10
Effective -25 or
-24 to -1410
-4 to
+610
16 or
SE HSAF
less
-15
-5
+5
+15
more
0.30
275
-73
44
-56
-47
.38
•30
na
3.41
-e5
-39
-34
-29
•24
.18
0.40
3.67
-34
-30
-26
.22
•18
-14
0.50
4.58
-10
-9
-8
-7
.5
.4
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
3
3
2
0.70
6.42
17
15
13
11
6
8 6
7
0.80
7.33
25
22
19
16
13
10
0.90
825
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15
14
Zonal
Control Adjustment
33
_ 29 _ 24
System Type
15
10
Saiar
it
7
5
Resistance
10
9
7
6
4
3
Other
2
6
5
4
3
.2
2
12. Cooling Syst'm
North
b.
Unit Size (sq
^'
Water
SEER
1139
1200
1700
2200
(assumeiducts
In attic)
Credit
or r
to
Som of 7-10
to
"
Type_
Type_
-3 er
-2410 -410
-410
+6 to
16 or
SEER
less
15 4
.5
+15
more
8.0
-14
.12 -10
-8
•6
-4
8.5
•9
.7 -6
-5
-4
-3
8.9
-5
.4 .4
3
-2
.2
9.0
•4
.3 .3
.2
. -2
-1
95
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
- 120
15
13 11
9
7
5
13.0
20
17 14
12
9
6
-12
•9
ERecllreSEER
-6
IG
None
(SEER x duct efticiency)
-3
.2
-2
Sum of 7--10
06
Solar
Effecive-25 or
-24 to •1410
-At*
+6 to
16 or
SEER
less
.15 4
+5
+15
more
5.0
-30
.25 -21
-17
-13
-9
6.0
•12
-11 -9
-7
-6
-4
6.6
.5
.4-d
3
-2
-2
7.0
0
0
0
0
0
8.0
9
6
8 6
S
4
3
9.0
16
14 12
9 '
7
5
i 10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
120
30
26 22
18
14
9
13.0
33
_ 29 _ 24
20
15
10
I Stories
One -
Two .
Zonal Control Adjustment
10 8 7 6 4
No Cooling System Installed
-4 -4 3 -2
3 3 2 2 2
3
Slagle-FamOy Detached and Attached
Interior Mass/CFA
. nn 7 .mss
North
b.
Unit Size (sq
c.
Water
d.
1139
1200
1700
2200
2700
Heater
Credit
or r
to
to
to
"
Type_
Type_
less
1699
2199
2699
more
ISG
Nona
0(
0
0
0
0
or
Solar
12 '
8
6
5
4
HP
HWR
8
5-
4
3
3
91 Total Glass 1161
WS8
5
3
3
2
2
I
POU
8
5
4
3
3
SE
None
37
-24
-18
-15
-12
'i
Solar
-1
•1
.1
0
0
i
14WA
-18
-12
•9
•7
-6
i
WS8
-25
-16
-12
-10'
-8
60%
POU
. -18
-12
•9
-7
-6
IG
None
-S
-3
.2
-2
-2
06
Solar
7
5
4
3
2
21
POU
3 _
_2
1
1
1
lE
None
-28
-199
14
-11
-9
S
Solar
8
5
4
3
3
1
POU
-10
-6
-S
-4
.3
2S
Muhl -Family (Individual
units)
3.1
33
15
17
Unit Size (sl)
42
Water
46
1699
700
1200
1700
2200
Heater
Credit
or
b
to
to
or
TYPO
T1Pe
lass
1199
1699
2160
more
SG
None
0
0
0
0
0
or
Saiar
it
7
5
4
3
HP
HWR
9
5
3
2
2
22
WS8
9
4
3
2
2
3.7
POU
9
5
3
2
2
SE
None
.45
-23
-1S
-11
.9
1.1
Solar
2
1
1
0
0
26
HWR
.23
.12
.8
4
-5
4
WS8
-25
-13
•8
4
-5
5.5
_F_QU
:23
_12_
8
4
-5
IG
None-
4
-4
-3
•2
f -2
3
Soiar
6
3
2
1
1
4.4
POU
1 -
_ 0
0
0
0
E
None
.30
-15
t0
-8
-6
Solar
18
9
6
4
4
POU
.8
1
-3
.2
-2
Interior Mass/CFA
. nn 7 .mss
North
b.
East
c.
South
d.
West
e.
Skylight
8. Shading (Shade Closed)
a.
North
b.
East
c.
South
d.
West
e.
Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
TYPE 2 MASS
R -value 1191
Exterior Wall Mass
U -value 10.0371
tl•9wt!•`•71
X
or
SE or HSPF
R -value (01
Effective SE or
F2 fact" (0.771
_
t Tyrt I MASS
(U214C
6 4.2.
let e.00■ed
SEER 19.31
.1_b)
Effective SEER 17.031
Type (doublet
S
91 Total Glass 1161
% Glass
SC
Eff. % Glass
X
t 77
.8
/• 8
X
=
I- r7--
15,
S'
x
=
157.0
O17
X
= DS-
O•
X
•--
= o
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
W%'55%
60%
6514
717%
75%
80%
817.
9C%
95%
IW% 105% 110%
1157: 120% 12`
0%
0
0.2
04
06
0.8
1.1
1.3
1.5
1.7
1.9
21
23
2.S'
2.7
2.9
32
3.4
36
38
4
4.2
44
46
4.8
S
S:
10%
0.2
04
06
06
1
12
1.4
1.6
1.9
ZI
Z3
2S
2.7
2.9
3.1
33
15
17
4
42
44
46
48
S
52
St
20%
0.3
06
06
1
1.2
1.4
1.5
1.6
2
2.2
24
Z7
29
3.1
3.3
SS
17
39
4.1
43
4.5
48
5
52
54
SE
30%
0.5
0.1
09
1.1
t.4
1.6
1.8
2
22
24
26
26
3
3.2
3.S
3.7
3A
4.1
4.3
4.5
4.7
49
S.1
53
S 6
S t
407.
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.6
3
32
34
35
3.8
4
4.3
4.5
4.7
49
51
53
5.5
57
55
50%
0.9
1.1
1.3
13
1.7
1.9
Z1
23
25
27
3
32
3.4
3.6
3.1
4
42
4.4
4.6
4.1
5.1
S.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
32
35
37
3.9
4.1
4.3
4.5
47
49
5.1
S3
56
58
6
6:
W%
1
1.2
14
1.7
1.9
21
2.3
2.5
2.7
29
3.1
33.
35
3.6
4
4.2
4.4
46
48
S
52
54
56
5.9
61
6:
65%
1.1
1.3
iS
1.7
1.9
22
2.4
26
2.6
3
3.2
34
36
31
4
4.3
4.S
4,7
4.9
5.1
53
SS
57
5.9
61
64
70%
1.2
1.4
1.6
1.1
2
22
2.5
Z7
29
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
S
52
54
56
58
6
62
64
75%
1.3
1S
1.7
1.9
ZI
25
ZI
3
3.2
S4
3.5
3.6
4
42
4.4
4.6
4.8
5.1
5.3
5S
U
5.9
6.1
6.3
6_
60%
1.4
1.6
18
2
2.2
24
26
21
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
S.1
54
56
51
6
62
64
66
65%
1.4
1.7
1.9
2.1
2.3
25
27
2.9
3.1
33
3.5
34
4
42
44
46
41
S
52
54
56
59
6.1
63
65
67
90%
1.5
1.7
2
2.2
24
26
28
3
32
34
3.6
36
4.1
4.3
4.S
4.7
4.9
5.1
53
SS
5.7
59
62
64
66
61
95%
1.6
1.1
2
22
ZS
27
2.9
3.1
33
3.5
27
3.9
4.1
4.3
4.6
41
S
5.2
5.4
56
58
1
6.2
6.4
67
69
100%
1.7
to
Z1
2.3
ZS
21
3
3.2
3.4
3.6
3.6
4
4.2
4.4
4.6
4.9
i1
5.3
SS
5.7
19
[t
6.3
63
6.7
7
105%
1.8
2
2.2
2.4
2.6
21
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
S.1
5.4
56
$6
1
6.2
64
66
68
7
1107:
1.9
ZI
23
2.S
27
29
3.1
3.3
36
38
4
4.2
4.4
4.6
4.4
S
5.2
5.4
5.7
5.9
61
6.3
65
6.7
69
71
its%
2
22
24
2.6
2.8
3
32
34
3.6
3.6
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
59
62
6.4
66
61
7
7:
120%
2
23
25
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.6
S
5.2
5.4
5.6
511
6
62
6S
6.1
6.9
7.1
7:
125%
Z1
23
2.5
Z1
3
32
3.4
3.6
3.8
4
42
4.4
4.6
4.9
5.1
13
5.5
5.7
5.9
6.1
6.3
65
. 6.7
7
7.2
14
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
4. Slab Edge Insulation
S. Infiltration
6. Glass Heat Loss
7. Shading (Shade Open)
a.
North
b.
East
c.
South
d.
West
e.
Skylight
8. Shading (Shade Closed)
a.
North
b.
East
c.
South
d.
West
e.
Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N )
- 12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
Measures
SC
Eff. % Glass
%4S. X
.�
or
1
=
R -value 1381
-
1.1 -value 10.0301
O. 7 X
or
0. 5
O X
R -value (111
5-1
U -value (0.0981
AREA Z�1i
InteriorM-ias/CFA
or
TYPE 2 MASS
R -value 1191
Exterior Wall Mass
U -value 10.0371
AREA
X
or
SE or HSPF
R -value (01
Effective SE or
F2 fact" (0.771
_
Standard
h9 X
-
= 7,3
SEER 19.31
Duct Efficiency(0.74)
Effective SEER 17.031
Type (doublet
U -value 10.651
91 Total Glass 1161
% Glass
SC
Eff. % Glass
X
t 77
.8
/• 8
X
=
I- r7--
15,
S'
x
=
157.0
O17
X
= DS-
O•
X
•--
= o
% Glass
SC
Eff. % Glass
%4S. X
/.w X
=
t
�.5 x
=-
O. 7 X
=
0. 5
O X
^----- = 4P
5-1
TYPE 1 MASS
AREA Z�1i
InteriorM-ias/CFA
COND. FLOOR AREA •
TYPE 2 MASS
AREA �lDa
Exterior Wall Mass
ND. FLOOR
AREA
X
SE or HSPF
Duct Efficiency (Dill
Effective SE or
10.72/6.61
_
HSPF 10.5615.151 .
h9 X
.g2
= 7,3
SEER 19.31
Duct Efficiency(0.74)
Effective SEER 17.031
Type (SGJ
Credit (noael
Point Scores
D _-
0
Sum 14
Point
Point Total
SUM 7
eco