HomeMy WebLinkAbout065-310-002~
65-31-02 750-91B,P,E,M
POLLARD, Ted ' '
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14840 GoId�o�� Rd, MuoaIiu
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� Cont: Monty Clemmer
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ENERGY CERTIFICATION
LOCATION A:P. NO.
ROOF
Maternal- -_� _
Biand Name
Thickness —
'Thermal Resistance (R Value)
EXTERIOR WALL
-
Material FIBERGLASS
Thickness (Inches)—_____
Brand Name CERTAINTEED _
Thermal Resistance (R Value)-�_
CEILING
Batt or Blanket Type FIBERGLASS—
Brand Name - CERTAINTEED_
Thickness (Inches)_
Thermal Resistance (R Value)
Loose Fill Type__FIBERGLASS-_
--
Brand Name CERTAINTEED
Minimum Thickness (Inches), -Z-9, No . of BagsWeight/Bag_ 5
Area Covered (Sq. Ft.)
_2.5`.1
'Thermal Resistance (R value)3O
FLOOR,ELEVATED
Material --FIBERGLASS
Brand Name CERTAINTEED
Thickness Inches) /o _
_
Thermal Resistance (R Value) fq
FLOOR; SLAB
Material- -
Brand Name
Thickness (Inches) -
__
Thermal Resistance_ (R Value)_
FOUNDATION WALL
Material
Brand Name
Thickness (Inches)
_
_ Thermal Resistance (R Value)__
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALIED IN THE
ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
HawKIr1S__I.N]�iISTS��IG __ 379407 ___
Firm Name/Owner - - State Contractor's License No.
Signature Date
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS
SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS
HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
Firm Name/Owner ^
2-ti-ac�-t—or/6wner
Signatur n.Ge
65-31-02 750-91B,P,E,M
POLLARD, Ted
14M-Ncr:fAwcPll0V i Magalia
Cont: Monty Clemmer
(new sf)
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CS..,
1 41
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OFFICE COPY
Address
GAS
Meter By— Date
ELECTRIC
Meter By \ Date
T'
JOB FINALED (Date)
Signature
i
V OK
O = Not OK
- = Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR Plans OK except #'s
fining -Setbacks -Easements -Fl od-Slope
F g., Main; Soils-Elec..Gr . /ZL" Ftg. Depth
Ftg., Garage; Soils-Steel-Elec. Grnd.-//y" Ftg. Depth
4. Ftg., Porches & Decks Soils -Steel-/ /Ftg. Depth
temwalls, Main; Steel -Bloc kouts-Wrapped
&1�Twalis, Garage; Steel-Blockouts-Wrapped
. Hol Downs and Specdal Anchors
lab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9: D.W.V.; Fall -Fitting -Test -2 Way Of Sewer Test
10. Gas Pipe; Size -Anchor
1+. -Water Pipe; est -Anchor -Regulator -Service Test
12. Electric; Underground
11-Kienums & Ducts; CI arance-Material-Support-Ins.
1A-,C6rders-Sills-An or Bolts -Joists -Vents -Cripples
15. Insulation
Date `1/1--7/ Card B - Date �y- /U- y�
/ Card B-1 C Ji
Date PLUMBLNG (Perr6itl OK except #'s
1 -18! -Water Htr.; Vent-Aca&3-Combustion Air -Baffle
l47'_Wat6r Pioe: Test'& Andhor-Nail Protection
//18/D.W.Vr7eM'�ings &Anchor -Nail Protection
, 19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
Gas Pipe; Size & Anchors
Date,Lj,% -V Card B-1 Date Card B-1
r
Date Card B-1 Date Card B-1—
Date ELECTRICAL Permit OK except #'s
Fixture & Transformer Clearance -Ins. Protection
Q . Receptacles Spacing -Lights & Switches at Doors
G Si a Boxes & No. of Ccnductors-Stapled
G
Rolnex Installed Close :o Edge of Studs & C.J.
0.6-10p. Ground made up w/Mech. Fastners-Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / 3a. Cu or AI-A.C. Wire Size / / ga.
Cu or At
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Ins lated Neutral ❑ Yes ❑ No
c3 . Service -Riser Conductcrs & Ground -Main Disconnect
quip. Clearances Panels-Motors-Mech. Equip.
32 -Clothes Closet Light-Sf ower Light -Spa Light
A moke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MEC LAICAL (Permit) OK.except #'s
A.C. Ducts Insulation & Support
Vent Fan; Exhaust abov- insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B -1 -
Date FRAM]NG-i-Plans) OK except #'s
S' , roper Material & Anchors
Wa Studs -Nailing, Spacing & Bracing -Plates -Sound
. Wing Walls over GirdBrs & Floor Nailing
A-2'graft Stop in Walls (rat proof)
AT -Fir ops; Furred Ceilirgs-Stairs-Chases-Tub
Headers & Beam -Size & Bearing
single & Duplex)
Date FRAMING (Continued)
s
45._Hangers-Post Caps -Anchors -Connectors '
Cing. Joist-Rftr. ties -Pullin -roof Brac-Truss-Shthng.-Rfng.
dace Ties or Type A Flue -Fireplace Throat clearance
At 1 cess; Size & Romex Protection -Draft Stop -Ins. Baffles
. Bdr Windows or Exiting Doors -Sill Hgt. & Dimensions
Gara a Fire Protection Framing
r rty Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
airs; Width -Headroom -Rise -Run -Landing -Fire Protection
r.5"p wood on Roof Overhang -Attic Vents -Rafter Outriggers
`ding -Nailing Veneer
—66-StUuco-Mesh-Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic.
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date / Card B-1 - Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL Plans OK except #'s
6.. t. Steps -Door & Sidelight Protection -Landings
Smoke Detector
6.2' Furnace; Vents -Clearance -Comb. Air-Connector-
In.Garaae: Above Floor-Ducts-Mech. Protection
fib" G.F.I. & Bath Fixtures & Tub Access-SDa
6fa! lec. Trim & Subpanel; Breaker Sizes & Labels
67/Stairs & Rails
W. Fireplace or'Stove; Clearances -Hearth
69. Elec,,(Yutlets at Wood Panel; Int. & Ext.
/,1Z$_Ki't.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
'71/ Elec. Outlets & Receptacles at Kit. Counter
7 . Garage Fire Door; Swing -Landing -Closer
I6'. A.C. Auct in Garage -Damper
r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
jQMfAA?lb., Elec. & Mech. Equip. Listed for Location
74� Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77/nsulation-Foam-Looked in Attic e Yes
7r Guard Rails & Deck Construction -Post Caos
7VF016. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80!Following instld.; Drive Yes ❑ No; Walks 91 Yes ❑ No;
, Planters ❑ Yes , 0" No
81. Stucco; Brown -Finish
8 . A.C. Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85: Exterior Elec. Trim; G.F.I. Receptacle -Underground
8C Ventilation Throughout House
87/Glass Protection
88!Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas-Ele ric
9Q/ Water & Sewer Connected -C/O to Grade -HD Approval
9t/Energy Compliance Certificate -Other Certificates
Date 1/-7el Card B-1 C4 ir Date Card B -1 -
Date / Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
v=dk
O=Not OK
-=Not Applicable
Not Ready MOBILE HOMES MISCELLANEOUS
' =
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
'
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L" ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmq; 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
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS , rt
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
,''o LL/d RQ '7S4 - y7
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exi0,4�,�q(kdfil*efr
bove address and should be corrected. Please notify this office
whn of work is completed. If you have any question pertaining to this
mad- additionaexplanation, please contact this office immediately.
v19m,e o- lir Kirrc�e✓
CL c-5;/
64- hr_
/,✓Spee I?
/-V-f C —
Date �" �� Inspector C��L
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise --Phone: 872-6307
COR SECTION NOTICE
ell- 7
co
--y.
zS�
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter�r need additional explanation, please contact this office immediately.
Date Inspector_
COUNTY OF BUTTE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
• matter, or need additional explanation, please contact this office immediately.
22; 1 soc J /a r ,grx-
dO
)IJS 4.) J-Aar� t %
c.
Date— <f4/
Inspector
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
fo L L A4 10 75b - cj-XD
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
• matter, or need additional explanation, please contact this office immediately.
22; 1 soc J /a r ,grx-
dO
)IJS 4.) J-Aar� t %
c.
Date— <f4/
Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
%S�/--
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, o/need additional explanation, please contact this office immediately.
Date ��/ / / Inspectors
COUNTY OF BUTTE• DEPARTMENT OF PUBLIC WORKS
7 County Cont®r DrIVo - OroVillo, Collfornlo 0998$ - Tolophonoc 010/630.7841 ®�
APPLICATION MD PERMIT
65-31-02
BUILDING PERMIT
Ted Pollard ` 873-1566
$0. FT. OCC. BUILDING VALUATION
1524 R 60 760.00
N
14840 Goldcon Dr., Ma alfa 95954
510 M 7,140.00
CONTRACTOR
Mt. Celemmer Constr.
Q HONQ
873-1459
300 open 1,500.00
CONTRACTOR'S MAILING ADDRESS
13965 Jarvis Cr., Ma alia
Fireplace "A" 1,000.00
CONSTRUCTION LENDER -
None
UNKNOWN
Total Valuation $ 70, 00.00
Filing Fee
g $
10.00
LENDER'S MAILING ADDRESS
Permit Fee $ 346.00
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee $ 173.00
Ener Plan Checking Fee
Energy g $
15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
14840" Goldcon Rd. Ma alfa
Penalty $
BUILDING ADDRESS /
Permit fee $ 544.00
PLUMBING PERMIT FllingFee
10.00
_
Each Trap 2.00
16,00
`G C7
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAPWater
3S� Jo
piping, _ 5.00
5.00
Each qas water heater or vent 5.00
5.00
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
' SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
5.00
Mobile Home I S I G JW I 10-00ea
TYPE OF WORK
New Addition 2a Remodel❑ Utilities Installation❑ Other ❑
Describe work: $R
$
41.00
Connactor
Contractor
ELECTRICAL PERMIT Filing Fee 1
10.00
Main service 000V OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions -Code and my license is in full force and effect.
J 15/
License No. ;2- �� %� / 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, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUP.5d,
OR ADONS. % ACC. SLOGS. /4sgft
90.85
NEW CONSTR ULT"OUTLET
NON•RESID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. /
(
Ex. Occup\OUTLETS OR FIXTURES 2AL930
eL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $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.
EB-�shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee
10.00
Heating
G
99'
Cooling 3 Ton
g
11.00
Hood 3.00
3.00
Ventilation
6.00
permit Fee $
3 .00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County i consequence of the granting of this permit.
X �- �� Date
Signature of Appl cont - Owner Contractor ®Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
cc
co ST TYPE
TOT FEE $ 724 35
HAL CUA- PARK
I scH FLD cDF
PAR
I PD
J HD.
I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
df- - 9
P IT EXPIRES Date �
Receipt NO. 88203-$724.35
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
TO Buildina Department C
FROM: Environmental Health
SUBJECT: Sanitation Clearance
NOTE *:*
Date
San to
10
31-0
Owner
Location
AP#
Plan Approved for:
n
Sewacpe Disposal
Water
Supply.
Water
Supply
Hold final for:
Final clearance O.K. for:
Water
Supply
Clearance for bedroom
. home. Other
NOTE *:*
Date
San to
TO: Building Department
.FROM: Encroachment Permit Section
RE: Driveway Clearance-
( l--eboy,& P f�
owner
We, W��MW
location
Driveway permit ���� ,�� d �� has been issued.for the above property.
si ature date
COUNTY OF BUTTE - DEPARTMENT.O.,F PUBLIC ORKS~- BUILDING DIVISION
7 COUNTY CENTER DRIVFF OROVTLLE, CALIFORNIA 96965 - TELEPHONE:-�916/536-7541
rtKMIT APPLIUATI A SHEET
Permit No. / 7
OWNER, �LC �i, �OL L A 40 A. P. No. -1� S ' `J —d
Proposed Building Use S 6 Building Inspector �Q–_ Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED k. APPROVED
1. All items have been submitted . ........................ ..........
2, Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet'signature on plans ..
5. Hazardous Material Form ...........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8..,Engineered truss details and layout in duplicate (required prior to plan check)
9r Mobilehome installation data including manufacturer's installation
6; instructions.......................................................
�,.
Al 0. Fees of ........................
11. 'Chico Urban Area fees paid_ .......................................
12. Park fees paid ....................................................
13. P A a o4 D/:S r= School District fees paid ...............
4. Sanitation approval from ' Health Department
15. City of Chico plumbing permit ............. • ......................
16. Plot plan and business license approval from ICity of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
OK / 19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for` required Pre-Inspec. request to
*Building Inspector (Date)
21. Contractor's license information -(No., Name Style, Classifications .. .
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) . .
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ........................... ......
26. '
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
_ Telephone S and hold for pickup at office. Deliver w./inspector.
Other
t
Applicant �r Date 8 r"i
Copy of !-Iaz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent —.---Health Dept. Fire Dept. Other Date By 1
The following.data must be submitted pri t permit is uance: (Circle new item not checked above).
1. Index permit for above items No `-
2. Additional item`s required: /SG
Contr or, designer, owner, was advised of above required data by phone__nail—counter by ..date�Z�
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by T Date Plans approved by T,YYI Date 441
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538 -7541
-APPLICATION -AND PERMIT
ASSESSOR PFi
6C�UMB ER 'f
5 /
ZONING
BUILDING PERMIT
OwN Ek j I D
Ho7�SO.
FT. OCC. B ILDtNG VAL ATION
�1
OWNER'S MAIL ODR ESS
z U 6a_IziGoyU
C d
CO TR AC TOR'SON AME— �� O,` TEL HONE
' OQ
CONTRACTOR'S MAILINGADDRESS
S -J- P—(// 5 G%i�. lig (,� ,¢ `
Fireplace777
CON TRUCTION LENDER
UNKNOWN
Total Valuation3
D C
Filing Fee
3 X0.00
LENDER'S MAILING ADDRESS
P�r^ti: Fae
$ 3
ARCHITECT OR �.� :I:.EE=
LICE.`:SE r, o.
Plan Che::xing Fee
Energy Plan Checking Fee
5_0 0
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee I
$ .o
PLUMBING PERMIT I
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
G
5.00 v�T,
Each qas water heater or vent
5.Q0 S
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 73Y�
SF�Duplex❑ Mobilehome❑ Other
SPECIFY
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
NewE5---Addition❑ Remo el Utilities[] Installation❑ Other ❑
Permit Fee
$
Describe work: f�
Contractor
"ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOO ORORSLESS
10.00
Main service EA. ADO'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification,
❑ 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)
NEW CONST.(DWELLING Occu .y
OR ADONS. ACC. SLOGS.
NEW CONSTR. U TI.OUTLE
NON-RESID BRANCH CIRC ITS
_ POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(o OR FIXTURES
FIXXEEDD APP LHS. OR
A
Ex. Occup. OUTLETS (RESID.) EA.)
Temporary service (�'
Mobile Home Facilities
I/z¢sgftb �J
2.50 ea
I
zooeoe
SALO 300
1 2.00
10.00
15.00
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Misc. Wiring
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑, I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any,manner so as to become subject
to the W. C. laws of California. I
MECHANICAL PERMIT
Heating
Cooling �Q
Hood
Ventilation
Filing Fee 10.00
/rC)
�l� 0
3.00 30 v
(�
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.
–Permit Fee
Contractor
$ ? p O
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor ❑ Agent❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $ 38 C)o
occ
CONST TYPE
TOTAL FEE S t
HAz CUA
I PARK 1 SCHL
I FLO I GDF I PAR I Po
i Ho. ISSUE
This permit is hereby issued unser the appllcaole provl-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
' ° G�
Receipt No.
wNITE-D.P.W.. YELLOW-Ase[»OR. PINK -INSPECTOR. GOLDENROD -APPLICANT
By
PERMIT EXPIRES Date
Date
Qc:il��L
- Jac �`jil
RESIDENTIAL PLAN CHECKING GUIDE .12/90
(S..F ,•DOPLEX MISC: ONLY)
OWNER � ����� Bldg. Permit # %S D-
A. P. # (_, 56 /— D 2 -
Plan
Plan Checker
GENERAL
1! oning reauirements: (sideyards and number of --permitted living units).
�aluation.
Plans signed by designer.
11!!: Pj• LPjeX rlocrri j)t; - t i s
YY
Items�onatasheet.(W.C., fees, Health, Developer Fees, License law, etc).
Z-. R� �o �•-d ed--�i c -e -e €-t�ra�-z ems- -
PLOT PLAN
Y Complete parcel size and dimensions.
Setbacks, sideyards,-easements ,-etc
.
�-A*�-_-�...: , �, .,,. �.• tet,- ,.t. ,-oma
b '
Flood hazard.
a con i -
• v a vuu �c�ua�.a•
• or orm .
-FLOOR PLAN
Complete to scale plan with dimensions.
equir,ed windows for,light.and ventilation (Sec.,1205).
Required windows for second.exit (Sec. 1204)•
5 ) . Ar ,
45an impact glass (Sec. 5406).
equired room sizes-,' ceiling heights (Sec: 1207).
TF in baths, garage, kitchen, and exterior outlets (Article 210-8)•.
fight fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
10�gLo ations of water heater, heating and cooling equipment, other electrical
as equipment.
" Garage firewall, door size, and loser (Sec. 503(d)(3)).
I 3'0" exterior exit door ec. 3304 (f).
1 /�F1'r.epIwce--a+-cased stov ocation, alcoves, and clearance.
15%Sffioke detectors (Sec. 1210).
M Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS,-
StandarA6abor engineered design (Table 25V)
2 -
ndation plan complete enough to construct building.
/l!K loor construction details complete enough to construct building.
,_ eevvations and wall construction details complete enough to construct building.
K. Roof construction details complete enough to construct building.
after ties or bearing 'ridge beam. �/Li�Ssts
Garage door or porch header sizes.
laud heights.
Ll ddo�ig cni 1 c �pAeia= �o�.au-ci�ii uca •
1 b •-
Q Srcri al T., +rt ' rcn i rcr�
12/90
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
/(Sec. 3306).
L2 Guardrail details (Sec. 1711 & 3306(j).
r s one ven ap e
,17
oper roof pitch for roof cony ring (Chapter 32).
�-�Roof covering type - (fire ; zard).
77—F � i =n .
halls and stairways.
T4"ice - complete 1 separation required on garage side
including supporting walls and posts, etc.
716).
11 c access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
Energy design.
lashing at all exterior openings.
0 /�C' -A10 7r s
S.
X73_
,
A
Page 20,
BUTTE COUNTY
Date: 08/09/,90
Road listing Report
la
+'
-From/To-Crossing-Roads----------
Surf
Road No Road Name
Dist
Road No
Road Name Milepost
Mapsheet
Coord
Class Type
Mileage
53195-M CORONADO DR
3
59195-H
WATERFORD DR
0.00
OIE3
03E
MU
0.28
59195-L
CIMARRON DR
--------------------------------------------------
0.2$
-----------------------------------------------------
49205-D COSBY AVE
3
END
0.00
03A3
OIB
MR
0.73
•
END
0.73
Remarks:
.32 W. TO .41 E LONE PINE
AVE
-------- ------- -------------------------------------------------------------
57225-8 COTTAGE AVE
3
57225-J
COTTAGE CIR
0.00
01E3
04H
MU
0.11
i------------------------------------
57225-E
NORTH AVE
0.11
-------------------------------------------
57225-J COTTAGE CIR
3
------------------------------------
END
0.00
OlE3
04H
MU
0.16'
END
0.16
'
Remarks:
.055 S. TO .105 N COTTAGE
AVE
-
---=---------------------------------
32362-1 COTTONWOOD RD
--------------------------------------
2
SH99
0.00
----------------------------
03D5
O1D
SR
4.84
SH70
4.84
--------------------------------
32362-2 COTTONWOOD RD
6
SH70
--------------------------------------
4.84
04D1
OlA
5R
0.16
30465-A
TABLE MT BLVD
5.00
58185-M COUNTRYSIDE LN
----------------------=---------------------------
3
END
0.00
----------------------
lE3
04D
MU
0.19
58185-C
W SHASTA AVE
0.19
�.
17onarkce
_19 S. SHASTA AVE
aj.
...................DATE._.:�/... SU JECT..!_L....,........_. SHEETNO................... OF..................
CHKD. 6Y ...................... DATE ........................ ...��� JOB NO................................................... �7
......_................................................-............ ._--.....
--.............. ............................... :.................................. pOGGzl .. / �P o... OlLOCO,�E .e.4G✓.4..........................._.............
y .......... ...... ........- . .------�
F L T ENGINEERING
5790 CLARK RD.
PARADISE, CA 95969
(916) 872-0254
Tom. s�.e✓�,- o.� _ j-tr�rE- G•f-�S /s �� L,�r�.�G ��7���
/70Y zl-loc
;woof
GG
7x A 3X /J -x /O
autTE 00tJNiY
Bea
0EPAq"Lrf4r
APPROVED
Q�pF ESS/pN9
w
o.3 m
CIVIV1 71
— �� _ ( 7 F10 /t -t v; r z /,r f s'l=
OIrX ZOO
/ed- — Ax = Z. a�/. /o dux 3 -s
7-0
;.1
SHEET NO.......Z......OF.....�.......
JOB NO....._...�& ........... ............
. O/Zx /I- OlOxtp ,Z6�, 4>�
6
-
C,�4S.S'
S T R U C. T U B A L
C A L C U L A T I O N S
F 0 R
�0IT1
APPROVED
�-gy 41s/9/
TYPICAL RESIDENTIAL FOUNDATIONS
MONTY CLEMMER - GENERAL CONTRACTOR
13965 JARV I S CIRCLE
MAGAL I A, CA 95954
CALCULATIONS ARE IN COMPLIANCE WITH THE 1988 EDITION OF THE UEC
SIGNED --------- �_ _ 111, -
DATE __-i--1r��/---4S4
F L T ENGINEERING
5790 CLARK ROAD
PARADISE, CA 95969
(916) 872-0254
FLT ENGINEERING
SUBJECT: TYPICAL RESIDENTIAL FOUNDATIONS 5790 CLARK ROAD
PARADISE, CA
BY: FLT DATE: 4/91 JOB NO.: 1070
PROJECT: MONTY CLEMMER — GENERAL CONTRACTOR SHEET 1 OF 4
13965 JARV I S CIRCLE, MAGAL I A, CA 95954
DESIi�N i=�RITERIA:
STUD WALL, FLOOR & ROOF ARE SUPPORTED BY CONC. RETAINING—BEARING WALL
FOUNDATIONS. CONCRETE WALLS ARE SUPPORTED @ TOP BY CONCRETE SLAB AND
AT THE BOTTOM BY A i=ONTINUOUS FOOTING.
CODE 1988 UBC
SUPERIMPOSED LOADS:
MIN. DL = .010 x (0+8) = .11 k:/1
MAX. LL = .030 x 15 +.010 x (15-0) +.008 08 x 15 +.050 x 3.5 = . 86 k:/1
LOADING PER ABOVE IS CRITICAL FOR BOTH — BEARING (INCLUDES DL+LL)
AND SLIDING RESISTANCE (MIN. DL ONLY),
MAX. LL — ROOF SNOW + ADDIL LIGHT ROOF DL + ADD'L HEAVY ROOF DL +
FLOOR DL+LL
SURCHARGE OF 2000# WHEEL LOAD @ APPROX. 31 FROM WALL —
.0/6"2 = .056 KSF" -- 1' SURCH.
CALCIS PROVIDED FOR: 49-0" HIGH WALL — SHEETS 2 & 0
CONSTRUi_TION DETAIL — SHEET 4
MATERIALS:
CONCRETE — ULTIMATE COMPRESS. STRENGTH — f1c = 2000 PSI @ 28 DAYS,
REINFORCING ASTM A615, GRADE 40,
WELDED WIFE MESH ASTM A185, 6x6 — W1.4 x W1.4 (10/10),
ALLOWABLE SOIL BEARING PRESSURE — 1500 PSF,
ALLOWABLE LATERAL BRG. PRESSURE — 200 PSF.
I
. . . .
' FLT ENGINEERING
PROJECT : MONTY CLEMMER - GEN. CONTRACTOR 5790 CLARK ROAD
JOB NO. : 1073 PARADISE, CA
DATE : 4/1991 (916) 872-0254
CALCIS BY : FLT SHEET 0 OF If
..
SUBJECT: CONCRETE RETAINING - BEARING WALL
. _____________________________
-
WALL DESIGN:
-------------
ALL CALCULATIONS ARE IN UNITS/LN. FT.
GRADE SLOPE RATIO: LEVEL
SOIL EQUIVALENT FLUID PRESSURE (PSF): 30
SURCHARGE (FEET): 2000# WHEEL LOAD 1
YIELD STRENGTH REINF. (KSI): 40
ULTIMATE COMPRESSIVE STRENGTH OF CONCRETE (PSI): 2000
GRAVITY LOAD - DEAD LOAD (KIP) 0.11
- LIVE LOAD (KIP) 0.86
OVERALL HEIGHT OF THE WALL - Hw (FEET): 4
OVERALL HEIGHT OF THE SOIL - Hr (FEET): 4.67
THICKNESS OF WALL - T (INCHES): 6
COEFFICIENT - a : 1.46
TOTAL EARTH PRESSURE - Fhr (KIP): 0.33
REACTION @ TOP OF WALL - Rt (KIP): 0.13
REACTION @ BOTTOM OF WALL - Rb (KIP): 0.20
HEIGHT OF 10' SHEAR - Ho (FEET): 2.24
MOMENT - Mw (FT -KIP): 0.16
AREA REINF. (IN^2) 'dl(IN) SIZE & SPA (IN)
------------------------------------------------
0. 029
_______________________________________________0.029 ' 3.75 #4 @ 81.4
MIN. VERTICAL REINF. - .15 % (IN^2): 0.108
MIN. HORIZONTAL REINF. - .25 % (IN^2): 0.180
DESIGN REINF. _ VE
- HORIZONTAL:
COMBINED STRESSES @ WALL 0.10 < 1.0
po
PROJECT : MONTY CLEMMER - GEN. CONTRACTOR
JOB NO : 1073
DATE : 4/1991
CALCIS BY : FLT
FOOTING DESIGN:
DENSITY OF SOIL (PCF):
100
DENSITY OF CONC:ERTE (PCF):
1 50
ALLOW. SOIL. BEARING PRESSURE (PSF) :
1500
ALLOW. LATERAL BEARING PRESSURE (PSF) :
2i �0
FRICTION COEFFICIENT - Fc:
0.35
BEARING PRESSURE REDUCTION (PSF) :
i
NET. ALLOW. BEARING PRESSURE (PSF) :
1500
PRELIM. FOOTIMG - WIDTH (INCHES):
11.613
- DEPTH (INCHES):
6.00
DESIGN FOOTING - WIDTH (INC:HES):
12.00
- DEPTH (INCHES) :
6.0(*.')
TOTAL GRAVITY LOAD - Pv (KIP) :
1.46
INCREASE OF ALLOW. SOIL PRESSURE
i . o
ACTUAL SOIL PRESSURE - 0 (PSF) :
1462 < 15i 0
SLIDING RESISTANCE - Fr (KIP) :
SLAB REINFORCEMENT:
------------------
REINF C TOP OF WALL ( BAR #):
MAX. HORIZONTAL SPAN OF WALL (FEET):
DESIGN HORIZONTAL SPAN (FEET):
SLAB THICKNESS (INCHES):
SLAB WIDTH REQUIRED (FEET):
DESIGN AREA CF SLAB REINF. (IN'2/LF):
ALLOW. TENSILE STRESS OF REINF. (KSI):
LENGTH OF DOVELS (INCHES):
0. 31 .> 0. 20
4
8.65
4
4
7.7
0. 029
24
8.78
FLT ENGINEERING
5790 CLARK ROAD
PARADISE, CA
(gin e72-0254
SHEET .3 OF `�
• ®Y_..__ T DATE 19� Sua.�ECT _.TYP/C/¢� _ cow CIe•C %�.- SMEET NO r.. OF. �....
C:•KD. S" riATE.-�OUND/4TI0NS .___. ....... JOB NO. /073 _
L OA D/1/6' PF'P
SflEE T /
NOrrP�POIi/DF ,,",y0A-z/�t/G Ol= Comm N/•4LL cwrlG
BUTTE COUNTY Tf1E ColvC. O/= S4,4,8 /S cue&.
IBUILDNG DPAAT L"9P
F.Hoye/z.
.A.PPAOVED
IF LT M[�C�D�JMEROM
5790 CLARK RD., PARADISE; CA. 95969 (916) 872-0254
/O � O N /`9��✓.
CU,eB OPT/O�V� L - /�
%'LBfl�ie Tf/.4N 6"rEXTEN�
YERT, iV�fLL RF/it/P. /NTD
6 x 6 - /0�/O •6S/.:•t/. �
C//RB - '�c3 0 • � • H�4x ,
OAC¢
� � � '�¢ x —�/2 DDiVEGS a ¢$ o•c,
OR Sell D AV 4L 7'0 SLA&
c, a s►'
SES' /VOTE
#¢ c� /3 m -c, Hoeiz
`¢ 2¢ c. c . 1/&R;7
2 CG EA,e
COMP.q CTGSo
B ACKF/�L
(�514C-e ro/54C6)
Q�pfESSIpNq
•
. �
-
Q4
a,• NATURAL
GLADE
rn
LCL
ow No. 4:
3 E4.P
a �
cl NX
qlF
. �` �• �
OF CAUF��
* f CONT. 3 z DOWELS TO MATCH VERT.
- wAL L i eIM= - 0PT/OM4 L
/2 GAP SPC /CE '2¢"f1/N.
ic0LWAOA.7'/01/
19FrW&
/Z T. S,
NOrrP�POIi/DF ,,",y0A-z/�t/G Ol= Comm N/•4LL cwrlG
BUTTE COUNTY Tf1E ColvC. O/= S4,4,8 /S cue&.
IBUILDNG DPAAT L"9P
F.Hoye/z.
.A.PPAOVED
IF LT M[�C�D�JMEROM
5790 CLARK RD., PARADISE; CA. 95969 (916) 872-0254
OWNER'S NAME:
,¢/e 42
RECEIVED
—z,
PERMI,T NUMBER:
A . P . # :
DATE S/
RESIDENTIAL
NON RESIDENTIAL BY _
❑ RECEIVED
TTAlE
---------------------------------------
REQUIRED PRIOR
TO PERMIT ISSUANCE
❑ FROM DATA
SHEET REQUESTED
BY PLAN CHECKER
❑ OTHER
---------------------------------------
REQUESTED BY CORRECTION NOTICE ❑ YES Q--N--O ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
---------------------------------------
WHEN APPROVED, PROCESS AS FOLLOWS:
Mail to owner
(Address)
Mail to contractor
(Name and Address)
Call and hold for pickup at office.
Deliver with next inspection.
REVISED PLAN CHECK L�7Additional PAID:
$15.00 - $30.00 Fees Not Required
'�� .. ,�r'`L�,...-"�.'1*'.�� ,.�,r.. ,x, .-,.,.�.ff.+YyY,,,�sl e•'ti.`v� ''•``�"ri��i�'}F;v'+"�"x"�v�Fa LAR'�='ti;i-"`bY'.i'$t..:-;fh7��,::;dtr�.�t'j�"y*�•c ye 'i'Me�. �.f �Q�_ fj::��]h'Tj i�*"
IBUTT�E COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building) ��-
A.P. Number �pJr�3 �� Building Department No.
School District,PFaro,cil5f-- City ED CountyJurisdiction
�N Property Owner 1E0 PU LA rd
nn
Project Location/Address
(TO�.dc0ty '9R , IVIg6AZ, "
Subdivision Lot Number
•
Residential Development: � a �-�-
' Sq. Footage
# of Living MHI Addition (Group,R)
�-- A Units
Commercial/Indu'strial:
N
Building Department R 15resentative
(Floor Pl j l--rleviewed by School
District
'lel-�.lJ
/Applicant Name)
y
Str e Address)
Sq. Footage,
ition (Includin"g Exterior
RoofAreas)
73.kM9/
ate
************max**************
District personnel)
School, District certifies that
(P7.0 /
i (Phone Number)`
t
'(C8ty) (State) (Zip Code)
has complied/ with thea-req"u-irements of Resolution No.
by t)c
nt of $ representing ,S'2 square feet.
hool District Representative Da"te
PAID BY CHECK NO., --,I 1 REMARKS:
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
.Y
9I-10.940 �
Return to DPW AGRICULTURAL STATEMENT OF ACKNOW1,EDGEMENT
FREED L.HASKETT
FOR RESIDENTIAL DEVELOPMENT
of satisfactory evidence.
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
■• -,� Butte County
■ My Commission fires
prior to issuance of a building permit.
_
The property described herein is adjacent
to land or included within an area zoned i' 91-010940
Rec Fee 7.00
;for agricultural purposes, and residents
Check 7.00
of this property may be subject to incon- f Recorded
veniences or discomfort arising from 'the ` O f f i c i a l Records
1
'•use of agricultural chemicals, including, County of
1
but not limited to herbicides, pesticides, Butte
and fertilizers; and from the pursuit Candace J. Grubbs
of agricultural operations including,, Recorder
but not limited to cultivation, plowing, 8:02am 22 -Mar -91
11 2
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County
has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and .on adjacent property should be prepared to
accept such inconvenience
o`r discomfort from normal, necessary farm operations.
All 'that real property. :situate in .the County of Butte, State of
California, described as
follows:
Date: MARCH 20, 1991 PROPERTY OWNERS:
1 4
State of CALIF. ) On this the 20TH day of MARCH , 19 91, before me, the
SS. undersigned Notary Public, personally appeared
County of BUTTE )
THERON L. POLLARD AND VLRGINIA R. POLLARD
�r■o■r■■■■■■■■■de■■��
❑ Personally known to me. ] Proved to me on the basis
FREED L.HASKETT
s
of satisfactory evidence.
W i P10Tq�(pUBLIGCAUPORNIA
) serson to be the whose name(s) ARE
P
■• -,� Butte County
■ My Commission fires
2.subscribed
to the within instrument and acknowledged that THEY
•
®■■..a■■0o■■■y■o�s99■��■,�
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. 065-31-0-002-0 Z- Z-
Notary Public
c y DESCRIPTION 1094
h
ALL THAT CERTAIN REAL' -PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF -BUTTE, DESCRIBED AS FOLLOWS:
LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES
MOBILE HOME ESTATES UNIT NO. 111, -WHICH MAP WAS RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON APRIL_ 10, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 65,
66, 67 AND -68.
EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE
SURFACE OF SAID LANDS,. WITH RIGHT TO MINE AND EXTRACT SAID
MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING
OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST
DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS,
SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE
AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED
IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D.
STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385,
OFFICIAL RECORDS.
EtjD OF ®®CUMENE'
Certificate of Compliance: residential
Project Address
BUILDING DATA
Conditioned Floor Area
Slab aised Floo
Single Family Detached (SFD)
[ J Single Family Attached (SFA)
(] Multi -Family (MF)
BUILDING SHELL INSULATION.
Number of Stories
Number of .Units
[ ] Addition Alone
(] Existing Building
[ J Existing -Plus -Addition
Component Insulation Locaflon/Comments
Type R -Value (attic, to �asag4 ripica, etc.)
Wall .............. Ae_
Wall ..............
Roof .............
Roof .............
Floor .............
Floor .............
Slab Edge.....
GLAZING
Climate Zone 11
7ti 6 —: /
Building Permit
Checked By/ Date
Enforcement Agency Use Only
Total PZ TriS�—
Shading Devices
Glazing
Orientation
Glass Area
% Glass
North
1/9
East
917_
, Y
South
West
Mt t 02 ITAu
Skylight
O
D
Total PZ TriS�—
Shading Devices
Glazing
Orientation
Area
(SO
Glass Type Interior Exterior Overhang Framing Type
(single, double) (roller blind. etc.) (shadescreen. etc.) (yestno) (metallwood)
No rth ( )
-t/ a
Noah ( )
East
East ( )
Mt t 02 ITAu
South
South
West
West ( )
Skylight.......
—
THERMAL MASS
Type/Covering
Area Thickness
(slab/exposed, tile. etc.)
(sf) (inches) Loeation/DeSCription (kitchen. bath etc.)
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)
Maximum Furnace Heating-Output-
HOT
eating Output: Btuh E COUNTY
WATER SYSTEMS
Tank Manufacturer/Model# BUILDING DEPARTMENT
System Type (storage gas. etc.) Capacity or approved equal)
FeAW refs
TRc-r--�_
SPECIAL FEATUR S/REMARKS (Add extra sheiAs if n ssary) z LkA_> r
;EER
Size (sQ
0.2
Rud efllclency)
ducts
In attic)
2700
n of 7-10
14b 4b
46b
16 or
1410
-410
+6to
16or
-5
+5
+15
more
-10
.8
-6
-4
-6
-5
-4
3
-4
-3
-2
-2
-3
-2
-2
-1
0
0
0
0
3
2
2
1
5
4
3
2
7
6
4
3
11
9
7
5
14
12
9
6
live SEER
Size (sQ
0.2
Rud efllclency)
1700
I of 7-10
2700
b
14b 4b
46b
16 or
-5 +5
+15
more
-21 -17
-13
.9
-9 -7
-6
4
-4 -3
-2
-2 .
0 0
0
0
6 5
4
3
12 9
7
5
16 13
10
7
19 15
12
8
22 18
14
9
24 20
15
10
trol Adjustment
7 6 4 3
System Installed
-4 -3 .2 -2
2 2 2 1
etaehgd and Attached
QUnit
Size (sQ
0.2
1",
1700
2200
2700
b
to
to
or
1699
2199
2699
more
0
0
0
0
8
6
5
4
5
4
3
3
3
3
2
2
5
4
3
3
24-18
1.9
-15
.12
-1
l .1
0
0
-12
-9
-7
-6
-16
-12
-10
-8
-12
-9
-7
-6
-3
.2
-2
-2
5
4
3
2
2
1
1
1
-19
-14
-11
-9
5
4
3
3
-6
-5
-4
-3
(individual
units)
30%
Unit Size (sit
0.7
700
1200
1700
2200
to
to
to
or "
1199
1699
2199
more
0
0
0
0
7
5
4
3
5
3
2
2
4
3
2
2
5
3
2
2
-23
-15
-11
-9
1
1
0
-o,-,-
0;,'-12
-12
.8
-6
1-5 4
-13
-8
-6
-5
_12
_8__
-6
-5
-4
-3
.2
i -2
3
2
1
1
_0
0
3
0
-15
-10
-0
-8
-6
9
6
4
4
-4
.3
-2
-2
Interior Mass/CFA
Type 2 MSS -
,l.l.asc�..l� t TYPE 1 MASS (UIMC + 4.2, !e: exposed slab)
0% 5% 101/. 1S% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65x 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125•
01/.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
21
23
25
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
53
10%
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21
23
25
27
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
S
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
27
29
3.1
3.3
3.S
3.7
9.9
4.1
4.3
4.5
4.8
5
52
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
22
24
26
28
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
40Y.
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
59
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
23
27
3
32
3.4
3.6
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
32
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
2.3
2.S
2.7
29
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
S
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
28
3
3.2
9.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
64
70Y.
1.2
1.4
1.6
1.6
2
2.2
2.5
27
29
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
S
5.2
5.4
5.6
58
6
62
64
75%
1.3
1.5
1.7
1.9
21
2.3
25
27
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
MY.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
54
5.6
5.8
6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
54
5.6
5.9
6.1
63
6S
67
90Y.
1.5
1.7
2
2.2
2.4
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
3.7
5.9
6.2
64
66
68
95Y.
1.6
1.8
2
2.2
2.5
27
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
S
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
21
2.3
2.5
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.1
7
105%
1.8
2
2.2
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
6.4
66
68
7
110%
1.9
2.1
2.3
2.5
27
29
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
S
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
72
120%
2
2.3
2.5
2.7
29
3.1
3.3
3.S
3.7
3.9
4.1
4.4
4.6
4.8
S
5.2
5.4
S.6
58
6
6.2
6.5
6.7
6.9
7.1
.7.3
125%
21
2.3
25
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
63
6.1
7
7.2
7.4
Point System Summary:
Climate Zone 11
SC
SCORE CARD
a. North
�%
5,
X
r -
' r
b. East
t., V
Measures
c. South
Point Scores
1.
Ceiling Insulation
to ?0
or
e/
X
e. Skylight
R-value[381
x
U -value (0.030]
9. Interior Thermal Mass
2.
Wall Insulation
/,5-,- / 3
or
Interior Mass/CFA
4- Z
COND. FLOOR
AREA
R -value [11]
10. Exterior Wall Mass
U -value (0.098]
TYPE 2 MASS
3.
Raised Floor Insulation
r? x/61
or
ND. L OR AREA
O
11.+Heating System',.,,..,,
-s ,
R -value 1191
, R3 =
U -value [0.037]
" f,Zonal Control?'(•Y / N)
SE or HSPF
4.
Slab Edge Insulation
Effective SE or
or
[0.7216.6]
HSPF 10.5615. 151
12.'Cooling System
R -value (0]
x
F2 factor [0.77]
7, 6,()
Zonal Control? ( Y / N)
5.
Infiltration
Standard
Effective SEER [7.03]
13. Water Heating
0
6.
Glass Heat Loss
Type [SG]
Z�f.redu [none]
i
4-
Type [double]
U -value [0.65]
% Total Glass [16]
Sum 1-6
7.
Shading (Shade Open)
% Glass
SC
Eff. % Glass
a. North
X
"17
-39
r
b. East
x
z
c. South
/, /)
X
d. West
x
e. Skylight
/)
x------
8. Shading (Shade Closed)
t�
Sum 7.10
It -?
Point Total:
--r 3
Glass
SC
Eff. % Glass
a. North
�%
5,
X
r -
' r
b. East
t., V
x
c. South
A r"
x
14 61 I
d. West
e/
X
e. Skylight
x
_
9. Interior Thermal Mass
0
TYPE 1 MASS AREA
8
Interior Mass/CFA
COND. FLOOR
AREA
10. Exterior Wall Mass
TYPE 2 MASS
AREA = e
Exterior Wall Mass
ND. L OR AREA
11.+Heating System',.,,..,,
-s ,
x
, R3 =
? • �> >
" f,Zonal Control?'(•Y / N)
SE or HSPF
Duct Efficiency [0.78]
Effective SE or
•
[0.7216.6]
HSPF 10.5615. 151
12.'Cooling System
x
7, 6,()
Zonal Control? ( Y / N)
EER 19.5]
Duct Efficiency [0.74]
Effective SEER [7.03]
13. Water Heating
Type [SG]
Z�f.redu [none]
i
t�
Sum 7.10
It -?
Point Total:
--r 3
1. Ceiling Insulation
U -value
0.50
-176
Number of stories
-54
R -value
One
Two
Three
R-0
-103
=49
-02
R-19
-8
-4
-2
R-30
-2
-1
-1
R-38
0
0
0
U -value
0.50
-176
-84
-54
0.30
-102
-49
-02
0.10
-26
-13
-8
0.08
-18
-9
-6.
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
3. Raised Floor Insulation
Single-
Single -
_ Sum of 1-6
R -value
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-07
R -value
--- 0.60 .
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7 1
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
t
5. Infiltration (Air Leakage)
Specification' Points
Standard" 0
6. Glass Heat Loss
Total
Insulation in Flour
Number of stories
_ Sum of 1-6
R -value
Number of stories
Two
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
Number of Stories
-07
R -value
--- 0.60 .
-144
-70
-46
0.50
-120
-58
-38
0.40
-95
-46
-00
0.30
-69
-34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
t
5. Infiltration (Air Leakage)
Specification' Points
Standard" 0
6. Glass Heat Loss
Total
Single-
Number of stories
_ Sum of 1-6
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2
-2
-2
R-19
-1
-2
-2
4. Slab Edge Insulation
-10
-
40
Number of Stories
-07
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
12
29
-58
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
t
5. Infiltration (Air Leakage)
Specification' Points
Standard" 0
6. Glass Heat Loss
Total
Single-
Slab Floor
_ Sum of 1-6
- -Effective
U -value
Family
Percent
(percent glass x SC)
Detached
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-07
-26
-14
-0
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-01
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-0
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6.
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-0
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
Single-
Slab Floor
_ Sum of 1-6
- -Effective
Percent Glass
Family
Stories
(percent glass x SC)
Detached
(Perceat glinss x SC)
Family
Effective
One
Two Three
One
%Glass
%Glass
North
East South :West
Skylight
18
5
1 4
1
na
16
4
2 5
1
na
14
4
2 5
1
na
12
3
3 5
2
na
11
3
3 5
2
na
10
2
3 5
2
1
9
2
3 5
2
2
8
2
3 5
2
2
7
1
3 4
2
2
6
1
3 4
2
3
5
1
2 4
2
3
4
0
2 3
1
3
3
0
1 2
1
3
2
0
0 1
0
3
1
-1
-1 -1
-1
2
0
-1
-2 -4
-2
0
na = not allowed
-1-.,_
2
-1
g. Shading (Shade Closed)
Single-
Slab Floor
_ Sum of 1-6
Effective Peremt Glass
Mass
Family
Stories
(percent glass x SC)
Detached
Effective
Family
ICFA
One
Two Three
One
%Glass
North
East
South
West
Skylight
18.
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
4
-1
-6
-8
-7
-23
3
0
-4-4
4
6
-16
2
1
-1-.,_
2
-1
-9
9
9
10
4.0
3
0
2
3
1
10
0
rta - not
7
8
10
11
9. Interior Thermal Mass
Interior
Single-
Slab Floor
_ Sum of 1-6
Raised Floor
Mass
Family
Stories
Mass
Detached
Stories
Family
ICFA
One
Two Three
One
Two
Three
0.0
-8
-5
-4
-2
-1
-1
0.1
-8
-5
-0
-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
20
-1
2
4
5
6
7
25
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13 ;
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
. 14
15
10. Exterior Wall Thermal Mass
Exterior
Single-
Single -
_ Sum of 1-6
Wall
Family
Family
MuIE
Mass
Detached
Attached
Family
0.00
0
0
0
0.20
3
2
1
0.40
5
4
3
0.60
8
6
4
0.80
10
8
5
1.00
13
10
7
1.20
13
12
8
1.40
12
13
9
1.60
10
13
1t.. .
1.80
10
12
12
2.00
10
11
13 j
11. Heating System
SE or HSPF
(assumes ducts In atUc)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling Syst,
(assume
-25 or -24 to
SEER
_ Sum of 1-6
-15
_
-14
-12 .
-25 or
-24 to
-14 to -4 to
+6 to
16 or
SE
HSPF
less
-15
-5
+5
+15
more
0.72
6.60
0
0
0
0
0
0
0.75
6.88
3.
3
3
2
2
1
0.80
7.33
8
7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
17
15
13
11
9
7
0.95
8.71
20
18
15
13
11
8
Effective
SE or HSPF
(SE or
HSPF x duct efficiency)
Effective -25
or -24
to -14 a
.4to
+610 16 or
SE
HSPF
less
-15
-5
+5
+15 more
0.30
275
-73
-64
-56
-47
-38
-30
na
3.41
-45
-39
-34
-29
-24
-18
0.40
3.67
-34
-30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
-7
-5
.4
0.56
5.13
0
`0
0
0
0
0
0.60
5.50
5
5
4
3
3
2
0.70
6.42
17
15
13
11
9
7
0.80
7.33
25
22
19
16
13
10
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling Syst,
(assume
Effective -25 or -24 to
SEER less -15
5.0 -30 -25
6.0 -12 -11
6.6 -5 -4
7.0 0 0
8.0 9 8
9.0 16 14
10.0 22 19
11.0 26 23
12.0 30 26
13.0 33 29
Zonal Co
10 8
No Coolin
-Stories
One -5 -4
Two + 3 3
Single -Family I
Water
-25 or -24 to
SEER
less
-15
8.0
-14
-12 .
8.5
-9
-7
8.9
-5
-4
9.0
•i
-3
9.5
0
0
10.0
4
3
10.5
7
6
11.0
10
9
120
15
13
13.0
20
17
-25
Effe
-18
(SEER x
Effective -25 or -24 to
SEER less -15
5.0 -30 -25
6.0 -12 -11
6.6 -5 -4
7.0 0 0
8.0 9 8
9.0 16 14
10.0 22 19
11.0 26 23
12.0 30 26
13.0 33 29
Zonal Co
10 8
No Coolin
-Stories
One -5 -4
Two + 3 3
Single -Family I
Water
;199
Heater
tkedit
or
Type
Type
loss
SG
None
0
or
Solar
12 "
HP
HWR
8
WSB
5
POU
8
SE
None
-37
Solar
-1
HWR
-18
WSB .
-25
POU
-18
IG
None
-5
Solar
7
POU
3
IE
None
_
-28
Solar
8
POU
-10
Multi-Famll
Water
Heater Credit
Type Type
SG None
or Solar
HP HWR
WSB
POU
SE None
Solar
HWR
WSB
_ EQU
IG None
Solar
POU
IE None
Solar
POU
699
or
less
0
14
9
9
9
-45
2
-23
-25
_23
-8
6
1
-00
18
-8
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regudlcss of the compliance
approach used re Items marked with an asterisk (•) may be superseded by mostringent compliance requirements fisted
on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIP170N I DESIGNER I ENFORCEMENT
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted avenge.
§2.5352(b): Loose fill insulation manufacturer's labeled R -Value.
§2.5352(c): Minimum wall insulation in fronted walls R-11 weighted average (does not apply to
exterior mass walls).
§2.5352(k): Slab edge insulation -water absorption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 penn(ueh.
§2-5311: Insulation specified or installed mots California Energy Commission (CEC) quality
standards. Indicate type and form.
§2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weathcrstripped: all joints and penetrations caulked and sealed
§2.5352(e): Special infiltration barrier installed to comply with 12.5351 meets CEC quality
standards.
§2.5352(d): Installation of Fireplaces
1. Masonry and factory -built ftreplaces have
a. Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and contra
2. No continuous burning gas pilots allowed
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2-5352(h) and 2-5315: Setback themuoatat on all applicable heating systems.
• §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showcnccads and faucets certified by the CEC.
§2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exception psteam and Pipe insulation on steaand steam condensate mum & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater -
e. Plumbed to allow for solar. -
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time c lock.
5. Directional water inlet
Lighting and Appliance Measures
§2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
12.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC- Indicate make and model number.
COMPLIANCE STATEMENT
'Iris certificate of compliance lists tb.building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20. (3lakrZ Subchapr4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the Certificate to any subsequent purdlaser of the building.
Designer
Name:
rWc/Fu=
Address:
Tekphonc:
Lic- 0:
(si6rtattrre) -(date)
Documentation Author
Name:
� ritkJFirtn:
i Address:
t3wlding
Name:
ridpfirm:
Address:
Telephone:
A
(signattue) date)
jEnfor ment Agency
LvK7:
ekplan
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