HomeMy WebLinkAbout2805 ATADERO CT; ; CB951835; PermitBUILDING PERMIT Permit No: CB951835
01/05/96 09:31 Pi-oject No: A9502677
Page 1 of 1 Development No:
Job Address: 2805 ATADERO CT Suite : sey ::lF'yj:'y& a~ti !,;I p.? "'L
Permit Type: RESIDENTAL ADD/ALT .. .. r2w7 .:\,/, -,>> *N>. Parcel No: 255-101-36-00 Lot#:
Valuation: 1%,800 Construction Type: VN Occupancy Group: Reference#: Status: ISSUED
Description: 200 SF ADDITION Applied: 12/15/95
Apr/Issue: 01/05/96
,,..-..
Entered By: MDP . Appl/Ownr : BLISS, HILDA 619 265-2616
4708 LUCILLE DRIVE
SAN DIEGO, CA. 921
*** Fees Required **
Fees : 4
Adjustments: i
Total Fees:
Fee description ________-_____--_-
Building Permit
Plan Check Strong Motion Fee * BUILDING TOTAL
Enter "Y" for Plu
Each Plumbing Fixt
Each Install/Repai * PLUMBING TOTAL
Enter "Y" for Elect ,
Enter "Y 'I for Remodel * ELECTRICAL TOTAL
Enter 'Y' for Mechanical
Install Furn/Ducts/Heat * MECHANICAL TOTAL
.00
112.00
309.00
Ext fee . _ _ _ _ - - _ - -
198.00
129.00
2.00
329.00
20.00
21.00
7.00
48.00
10.00
10.00
20.00
15.00
9.00
24.00
***
Data
Y
Y
Y
Y
CITY OF CARLSBAD
2075 h Palmas Dr., Carl~bad, CA 92009 (619) 438-1161
City of Carlsbd Building Deprhnt 207'3 Las POLES Dr., Carlsbd, U 92009 (619) 436-1161
From list 1 (see back) give de of Permit-m:
For Residential Proiecn Only: From Ut 2 (see back) give
.........................................................
* Code Of SUuCNE-Typz: -pP& v /v
5174 12/15/95 0001 01 O? om&~bmy 11?.00 Net WGain of Dwelling Unin -& I . 2 F'KUEtXINFURMATlON
Address w5 GT Building or Suite NO.
N Subdinston NamdNumber Unit No. Phase No Lot No. Nearest Crms Street &%Ls&+Y &$*
&Energy Calcs 0 2 StrucNral Calm 0 2 Soils Report 0 1 Addressed Envelope
DESCRIPTION OF WORK
e USE PROmD USE
DAY TELEPHONE
NAME (last name first) ADDRESS
on STATE ZIP CODE DAY TELEPHONE
STATE UC. # LICENSE CLASS CITY BUSINESS UC. #
Workers' Limpensallon Ueclararton: 1 hereby altlrm that I have a crnlllcale 01 consent tos(.I1-lnsure luurd by the U~mtorol lndustnal Relations. or a certificate of Warkcn' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenified by the Director of the insurer thereof filed with the Building Inspection Lkparunenr (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXF'IRATION DATE
C==ruticate Ot Exempuon: 1 cerllty that in the perlormance Ot the work tor which this permit D MU&, 1 Shall not employ any person in any manner m as to become subject to the Workers' Compensation Laws 01 California.
SIGNATURE DATE
U Uwner-milder uectarauon: I hereby attirm that I am exempt from the mntractors ucense uw tor me iotiowmg mason:
I, as owner 01 the property or my employm with wages as their de compensation, will do the work and the S~CNR is not intended or offered for sale (Sec. 7W4, Business and Professions Code: The Contractor's license Law daes not apply to an owner of property who builds or improves thereon, and who does such work himwlf or through his own employees, provided that such impmvemenn are not intended
or oflcrcd for ale. If, however, the building or improvement is sold within one year of completion. the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.).
I, as owner of the propeny, am exclusively conmcting with licensed conmctors to construct the project (Sec. 7W4, Business and Prolesions Code: The Contractor3 license Law dm not apply IO an owner of propeny who builds or improves thereon, and contram for such projm with conrractor(s) licensed pursuant IO the Contractor's License Law).
I am exempt under Section
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to consmct, alter, improw, demolish, or repair any smcNre, prior to in issuance, also requires the applicant for such permit to file a signed Statement that he is licensed pursuant to the provisions of the Conmclor's License Law (Chaptcr 9, commencing with Section 7000 of Division 3 of the Business and Prolesions Code) or that he is exempt therefrom, and the baris for the alleged exemption. Any violation of Smion 7031.5 by any applicant for a permit subjecn the applicant IO a civil penalty of not more than five hundred dollan [SSOOl).
0
D
0 Business and Professions Code for this reason:
SlGNAlllRe M1E
COMPm ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-lanner Hazardous Subsrancc hunt Act? 0 YES 0 NO Is the applicant or future building weupant required to obtain a permit from the air pollution control distrin or air quality management district?
Is the faciliw to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D NO
OYES 0 NO IP ANYOF THE ANSWERS ARE YIS, AFLNAL~UlEOF OaCLmANCY MAY NOTBE -JULY 1,1989 UNWSSTlIE "T HAS mr OR 1s MEEIWG nm w~ummm-rs OF nnlE OFFICE OF ~MFRGWCY VICES AND THE AIR POLLUTION CONTROL DISIRI~.
I hereby attmn that there IS a constru~tion tending agency tor the pcrtormance 01 the work tor which IhE permit IS ISSU~~ (set 309773 I LlnlUXlCJ.
LENDERS NAME LENDER'S ADDRESS
I CeNN that I have read the amlicauon and state that the above intormation IS correct. I spree to comolv with all LAN ommanes and state laws relating to building mnsmctio;: I hereby authorize representativea of the City 01 Carlsbad IO her upon ih; abve mcntibned property for inspfction purposes. IAlSOAGREE~R)SAVe~PMNIFYANDKEEPllARMLeSS~CITYOF~~AINST~L~nmff.JuffiM~~asrs AND RBENSES WUQI MAY m ANY WAY KCRUE AGAINST SAID CITY m OONSEQLIENC~ or T" C-NG OF IHIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or CONlNCtiOn 01 smctures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and wid if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandon is commenced for a period of 180 days (Section 303(d) Uniform Buildi
APPUCANTS SIGNATURE DAm &%.pf-
c- : File YFLl.0 W Applicant PINK: Finance 0
EsGil Corporation
Trofcssional Thn Review Engineers
DATE: 12/27/95
JU Rl SDl CTl ON : Carlsbad
, PLAN CHECK NO.: 95-1835
PROJECT ADDRESS: 2805 Atadero Ct
PROJECT NAME: Kubasak SFD Addition
0 APPLICANT <o JURIS.^ 0 FIRE
~
0 PLAN REVIEWER
0 FILE
SET I1
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
0 The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
0 The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
0 The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
0 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
0 The applicant's copy of the check list has been sent to:
Esgil Corporation staff did not advise the applicant that the plan check has been completed.
0 Esgil Corporation staff did advise the applicant that the plan check has been completed.
Person contacted:
Date contacted: (by: 1 Telephone #:
0 REMARKS:
By: DavidYao Enclosures:
Esgil Corporation 0 GA 0 CM 0 GP 0 PC log trnsrntl.dot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619) 560-1468 + Fax (619) 560-1576
CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB951835 FOR 02/23/96 INSPECTOR AREA DC DESCRIPTION: 200 SF ADDITION PLANCKX CB951835
TYPE: RAD CONSTR. TYPE VN JOB ADDRESS: 2805 ATADERO CT STE : LOT :
APPLICANT: BLISS, HILDA PHONE: 619 265-2616
CONTRACTOR: PHONE :
OWNER: PHONE :
OCC GRP
REMARKS: Mh'/BRETT/942-3685 SPECIAL INSTRUCT: EARLY An PREFERRED INSPECTOR
TOTAL TINE:
--RELATED PERMITS-- PERMIT$ TYPE STATUS CB900009 EXPIRED
CD LVL DESCRIPTION ACT COMMENTS,
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
I\. I
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COXXENTS
022196 Final Combo co Dc ND SMOKE DETECTORS
020596 Interior Lath/Drywall AP DC
020196 Prame/Steel/Bolting/Welding AP Dc
012996 Frame/Steel/Bolting/Welding CO DC TEMP GLASS/MULL REQ STAIRWAY 011796 Ftg/Foundation/Piars AP DC
020296 Exterior Lath/Drywall AP PY
EsGil Corporatlon
Trofcssionaf Th L@vicw Znginccrs
DATE: 12/21/95
JU Rl SDl CTl ON : Carlsbad
PLAN CHECK NO.: 95-1835
PROJECT ADDRESS: 2805 Atadero Ct
PROJECT NAME: Kubasak SFD Addition
SET I
0 FIRE
0 FILE
0 The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes.
0 The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff.
0 The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck.
The check list transmitted herewith is for your information. The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck.
0 The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person.
The applicant's copy of the check list has been sent to:
Hilda Bliss 4708 Lucille Dr. San Diego CA 92115
Esgil Corporation staff did not advise the applicant that the plan check has been completed.
0 Esgil Corporation staff did advise the applicant that the plan check has been completed
Person contacted:
Date contacted: (by: 1 Telephone #:
0 REMARKS:
By: DavidYao Enclosures:
Esgil Corporation 0 GA 0 CM 0 GP 0 PC 12/18 trnsmtl.dot
9320 Chesapeake Drive, Suite 208 + San Diego, California 92123 + (619) 560-1468 + Fax (619) 560-1576
Carlsbad 95-1835
12/21/95
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK NO.: 95-1835
PROJECT ADDRESS: 2805 Atadero Ct
FLOOR AREA: living addition 200 SF STORIES: 2
HEIGHT: -22 feet
J U Rl SDl CTl ON : Carlsbad
REMARKS:
DATE PLANS RECEIVED BY
JURISDICTION: ESGIL CORPORATION: 12/18
DATE INITIAL PLAN REVIEW PLAN REVIEWER: David Yao
DATE PLANS RECEIVED BY
FOREWORD (PLEASE READ):
This plan review is limited to the technical requirements contained in the Uniform Building Code,
Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws
regulating energy conservation, noise attenuation and access for the disabled. This plan review
is based on regulations enforced by the Building Department. You may have other corrections
based on laws and ordinance by the Planning Department, Engineering Department, Fire
Department or other departments. Clearance from those departments may be required prior to
the issuance of a building permit.
Present California law mandates that residential construction comply with Title 24 and the
following model codes: 1991 UBC (effective 8/14/92), 1991 UPC (effective 8/14/92), 1991
UMC (effective 8/14/92) and 1990 NEC (effective 7/1/91).
The above regulations apply to residential construction, regardless of the code editions adopted
by ordinance.
The following items listed need clarification, modification or change. All items must be satisfied
before the plans will be in conformance with the cited codes and regulations. Per Sec. 303 (c),
1991 Uniform Building Code, the approval of the plans does not permit the violation of any
state, county or city law.
he recheck process. Dlease note on th is list !o r a copv) where each
item has been address ed. Le.. p Ian shemmbe r. specification se ction. etc.
To meed up t
correction
Be sure to e nclose the marked up I ist when you subm it the revised p lans.
LIST NO. 1, GENEWL SINGLE FAMILY DWELLINGS AND DUPLEXES WITHOUT SUPPLEMENTS (1991 UBC) r3fom.dot
Carlsbad 95-1835
12/21/95
1.
2.
3.
4.
5.
Please make all corrections on the original tracings and submit two new sets of
prints to:
Esgil Corporation, 9320 Chesapeake Drive, Suite #208, San Diego, California
92123, (619) 560-1468.
All sheets of plans must be signed by the person responsible for their
preparation. (California Business and Professions Code).
Provide a statement on the Title Sheet of the plans that this project shall comply
with the 1991 UBC. UMC and UPC and 1990 NEC.
Indicate distance from property lines to the proposed building. Section 302(d)
0 FIRE PROTECTION
Show locations of permanently wired smoke detectors with battery backup:
a) each existing bedroom.
b) Centrally located in corridor or area giving access to sleeping rooms.
c) On each story.
d) When sleeping rooms are upstairs, at the upper level in close proximity to
the stair.
e) In rooms adjacent to hallways serving bedrooms, when such rooms have
a ceiling height 24 inches or more above the ceiling height in the hallway.
* NOTE: Detectors shall sound an alarm audible in &I sleeping areas of the unit.
Section 1210
6.
7.
8.
9.
When the valuation of a room addition or repair exceeds $1,000, or when
sleeping rooms are created, smoke detectors shall be provided per the above,
powered. Section 1210.
that smoke detectors added at existing construction need only be battery
0 EXITS, STAIRWAYS, AND RAILINGS
Bu handrails, per Section 3306 (i), shall satisfy the following:
a) The handgrip portion of handrails shall be not less than 1-1/2”, nor more
than 2 in cross-sectional dimension.
Provide details of winding stairway complying with Section 3306 (d):
a) Maximum rise is 8 inches.
GARAGE AND CARPORTS
Garage requires one-hour fire protection on the garage side of walls and ceiling
common to the dwelling. Table 5-8, Section 503 (d).
Carlsbad 95-1835
12/21/95
ROOFING
IO.
11.
12.
13.
14.
15.
16.
17.
18.
Specify I.C.B.O. or U.L. approval number for roof materials not covered in
U.B.C., e.g., tile, etc. Section 107.
FRAMING
Show double top plate with minimum 48 lap splice. Section 2517 (9)
Show nailing will be in compliance with Table 25-Q.
Detail all post-to-beam and post-to-footing connections and reference the detail
to the plan. Section 2516 (m).
Note on the plans that "all weather-exposed surfaces shall have a
weather-resistive barrier to protect the interior wall covering and that exterior
openings shall be flashed in such a manner as to make them weatherproof'.
Section 1708.
ELECTRICAL (NATIONAL ELECTRICAL CODE)
Note on the plans that receptacle outlet locations will comply with 1990 NEC Art.
210-52(a).
PLUMBING (UNIFORM PLUMBING CODE)
New water closets and associated flushometer valves, if any, shall use no more
than 1.6 gallons per flush and shall meet performance standards established by
the American National Standards Institute Standard AI 12.19.2, and urinals and
associated flushometer valves, if any, shall use no more than one gallon per
flush and shall meet performance standards established by the American
National Standards Institute Standard AI 12.19.2. H & S Code, Section
17921.3(b).
ENERGY CONSERVATION
The regulations require a properly completed and properly signed Form CF-IR to
be either imprinted on the plans, taped to the plans or "sticky backed" on the
plans, to allow the building inspector to readily compare the actual construction
with the requirements of the approved energy design.
All energy items shown on the plans must be in agreement with the information
shown on the properly completed Form CF-IR.(lt appears the compliance
method is using the addition only. Please revise the general information on form
CF-1 R. The total conditioned floor area is 200 SF,builing type- addition)
Carlsbad 95-1835
12/21/95
19.
20.
21.
22.
23.
24.
Specify on the bu ildina plans all of the mandatory energy conservation
requirements as listed on the enclosure titled, "Mandatory Measures Checklist".
Provide fluorescent general lighting (40 lumens per watt minimum) in bathroom.
Provide a note on the plans stating "All new glazing (fenestrations) will be
installed with a certifying label attached, showing the U-value."
*a EX PPLEME
City Ordinance 9792 requires two parking spacedunit with clear area of 2Ux20' i.e.
no washing machines, etc. Show compliance.(check with city)
MISCELLANEOUS
To speed up the review process, note on this list (or a copy) where each
correction item has been addressed, i.e., plan sheet, note or detail number,
calculation page, etc.
Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list. If there are other changes, please briefly
describe them and where they are located in the plans.
Have changes been made to the plans not resulting from this correction list? Please
indicate:
0 Yes 0 No
The jurisdiction has contracted with Esgil Corporation located at 9320
Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of
619/560-1468, to perform the plan review for your project. If you have any
questions regarding these plan review items, please contact David Yao at Esgil
Corporation. Thank you.
25.
Carlsbad 95-1835
1212 1/95
Air Conditioning
Fire Sprinklers
TOTAL VALUE
VALUATION AND PLAN CHECK FEE
18,800.00
J URl SDl CTl ON : Carlsbad PIAN CHECK NO.: 95-1835
PREPARED BY: David Yao DATE: 12/21/95
BUILDING ADDRESS: 2805 Atadero Ct BUILDING OCCUPANCY: R-3/M-1
TYPE OF CONSTRUCTION: V-N
I I I I
UBC Building Permit Fee:
UBC Plan Check Fee:
$ 198.00
$ 128.70
Comments:
Sheet 1 of 1
valuefee.dot
BUILDING PIANCHECK CHECKLIST DATE:]^ -28 ?A-
PROJECT DESCRIPTION:
ASSESSOR'S PARCEL NUMBER: &'Z5 - 10 1- 3L40
PUNCHECK NO. CB %- /fdc BUILDING ADDRESS: ;*, Ra s mi- /)-
EST. VALUE /SI n 48
ENGINEERING DEPARTMENT
AlTACHMENTQ ENGINEER IN0 DEPT . CONTACT PERSON
CUy'd cullbrd
ADDRESS:D Ln PIlrns Dr.. C&IaMd. CA 92009
PHONE : (619) 438- 1161. Ext
PmocacnKLsn~.mn mmntm
2075 Las Palmas Dr. Carlsbad. CA 92009-1576 (619) 430-1161 FAX (619) 430-0094 @
BUILDING PLANCHECK CHECKLIST
wo 0
I. Provid. fully dimensioned site plan drawn to de. Show:
A. Northhow D. Property Unes Easements
B. Existing 6 Proposed Structures E. Easememta C. Existing Street Improvements F. RigM4-Way Width 6 Adjacent Streets
2 showonsiteplan:
A. Drainage Patterns C. Existing Topography
8. Existing 6 Proposed Slopes
3. Include note: "Surface water to be directed away from the building foundation at a 296
gradlent for no less than 5 or 2/3 the distance to the property line (whichever is less).'
[Per 1985 UBC 2907(d)5].
On graded sites, the top of any exterior foundation shall extend above the elevation
of the street gutter at point of discharge or the Intel of an approved drainage devia
a minimum of 12 Inches plus two percew (pef 1990 UBC 2907(d)5.).
4. Include on wle sheet
A. Site addresa
8. &sessoCsPucelNumber
For commerdal/industrial buildings 8nd tenml lmprovoment proiects, indudo: Total
building square tootage with the square footage for each dWerent use, existing sewer permits showing square tootage of different usa (manufachrring, warehouse, office, etc.) previously approved.
MlsTlNQ PERM NUMBER DESCRIPTION
c. Legaloe8aiption
P-1 Of4
BUllDlNQ PUNCHECK CHECKLIST
PlSCR-NARY A PPROVAL CO MPI IANCE ndd 3rdd 0 5. Project doos not comply with the following Engineering Conditions of approval for
Project No.
Conditions were complied with by: Date:
DEDICATION REQUIREMFNTS
8. Dedication for all street Rightsof-Way adjacent to the building site and my storm drain or utility easements on the building site is required for all new buildings and for remodels with a value at or exceeding m, mn pursuant to Code Section
18.40.030.
Dedicayon required as follows: ,T AI~L
do 0
c/
-
Attached please find an application form and submittal checklist for the dedication process. Provide the completed application form and tho requirements on th.
checklist at the time of resubmittal.
Dedication completed by Date:
@m 0 7a. All needed public improvement, upon and adjacent to the building site must be
constructed at time of building constnrction wtwnever the value of the construction exceeds $ pursuant to Code Section 18.40.040.
Public improvementa requirod u follows:
W hmm 8 registered CMI Engineer prepare appropriate Improvement plans and subnJt Umn t0g.th.r with tho requirementa on the attached cheddist for a separate
pknchrcrc process through the Engineering Deputment Improvement plans must be
rppwrd. .pploprirtr rocurities pOst0d md feea paid prior to issuance of permit.
~ttach.d pm nnd an appplicauon form md wbmitw m~ist for the public improvements roquiroment8. Provide tho completed application form and the requirements on the cheddlst at the time of rewbmmal.
improvement Plw dgned by: Date:
plor2d4 RLV M1M
BUlLDlNQ PLANCHECK CHECWST
8' 6i 7b. conluclkn of the public improvements may be deferred pursuant to code Seaion
18.44 plwo aubmit a recent property title report of cunent grant deed on the
plopwly nd processing fee of s so we may prepare the
neaumy Future Improvement Agreement This agreement must be signed, notarized and approved by the City prior to issuance of a Building Permit.
Future public improvements required as foilow:
improvement Plans signed by: Date:
notarized Agreement to the Engineering Department
Future improvement Agreement completed by:
Date:
76. No Public lmprovementr required. SPEC IAL NOTF. Damwed o r defm-
reoaired to the s atisfadon ol !InmDrove ments found adlacent to bu iidina sAe must be
0 7c. Endosed please find your Future improvement Agreement. Please return signed and
0
cm InsPecto r DdOf t0 OCCuD anq,
DlNa PFRMIT REQUIRFMFNTQ
The conditlona that invoke the need for a grading pennit we bund in Section 11 .M.W
of the Municipal Code.
Br. Inadequate information available on Site Plan to make a determination on grading
requirements. indude accurate grading quanwier (an, fill impoct, export).
8b. Grading Permit required. A repcvato grading pl~ prepared by a registered CMI
Engineer must br Submitted together with the completed appilcation form attached.
NOTE: The Gradina Permit must be issued end rouah oradina aDoroval obtained Drior
to isauana ot a Bu ildlna Pennit.
Grrdng hrprctor sign off by:
0
Date: .
0 8c. No Qndhg Pwrnlt required.
P.0.3Ul llEv MllY
BUlLDlNQ PUNCHECK CHECWW - 1 st/&d J 3rdJ
9. A plGHT-OF-WAY PFRMlT is required to do work in City Ric. . of-Way and/or
private work adjacsnt to the public RightOr-Way. Typm of work indude. but are not
limited to: street improvements, trees, driveways, tieing into public storm drain, sewer and water utilities.
Right-of-way permit required for
A separate Right-of-way permit issued by the Engineering Deparbnent is required for
the following:
10. ASWER PERME b required concurrent with the building permit issuance. The fee
is noted in the fee8 section on the following page.
11. INDUS TRIAL WASTE PEW is required. Applicant must complete industrid
Waste Permit Application Form and submit for Chy approval prior to issuance of a
Permit.
Industrial waste permit accepted by: Date:
.
Pqp4d4
PuNMElGOo~
PI.aQckNo. 95-183f- or Pr7IbBPocT
APN: 2c-Y- /o/ - 3f4
VAN LYNCH PhO- 438-1161 W. 932s
(N-1
TypcoCPmjcrmdUse A bb r776 iJ
Zone ? FKiiiUaMuu~tZone .d
(n prom tn, comprece SPECLAL TAX CALCULATION Y
WORKSHEET provided by Buildhg Depuanent.)
krrpp
111 Item Complcre
[tern Incomplete . Ned pur action
1,2,3 Number in cirde indicates plancheck number where dcfidency wi~( idenfified
EnvhoDmmulRnin*Rrq\lted:YEs- NO &- TYPE
DATE OF COMPLETION:
Compliance with conditions of rppmmi? It not. nice condiam which require action. Condidom of Appmnl
APPROVAVRESO. NO. DATE:
PROJECT NO. ommumcAsEs:
do a 1. Provide a fully dimensioned sire phi drawn to xde. Show: Noh
MOW, pmpeny lina, cuemenu, existing and proposed smctum, sueeu, exisring SPCCK improvanenp, right-of-way widtb. dimensioned
scrbrcks and existing ~~wphiul
1. Setbrdu:
Front: RcquLcd - Shown - Shown Shown Int. Side: Rcsuirrd
Sueer Side: Rqukcd - Res Rcqutcd - Shown
-
' ?ertificate of Compliance: Residential (Page 2 of 2) CF-1 R
HVAC SYSTEMS
NO@ Input hyaronic of mmbined hydronic dza under Water Healing Sys:ems. 0xcepl Design Heanng LJal
Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermosta! Cocfigurarion
' pumo. etc.) '4FUE.'HSPF) IduRSlanlC. 0tc.) R-value Tvpe /sDM or oackaoei
Distribution
f=WAfZ 9% mu3 Ef/S77/tJb pzJ
Cooling Equipment Minimum Duct
Type (air conditioner. Elliciency Location Duct Thermostat Configuration
heat oumo. evao. cooling) /SEER) lanic. 0lc.l R-value Tvpe fsclit or oackaael - -
-
WATER HEATING SYSTEMS
Water Heater Distribution Number Input (kW Capacity Recovery Standby' Insulation Type Type in System or Blulhr) (qallons) Elficienq Loss (%) R-value.
Energy' External Rated' Tank Factor or Tank
&/57ZM& fmm&k ,,
1 For small gas a1or.g. (rated input s 75.000 Bhimr). dclrlc resislanc. and heal pump w.1.r hulas. Is1 Energy Facmr For Iarg. gar .torag. WSI., healer. (rated input 2 75.000 Ehihr). 1st Paled Input. Remvq ithenq and Sianay Loss. For Insunlanwus gas wa1.r he.1.o. lis1 Rated Input and Recovery Efficiency. i
SPECIAL FEATURESiREMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and perfonance speuficanons needed lo cornpry Win XUe 24, PKts 1 and 6.01
!he California Code of Regulalians. and U-e administralw regulatlcns to impemenl them. This certifite ha teen Ygned by Ple
individual him overall design responsihlity. When Vus ceriifile of compliance is submitled for a single butMing plan to be built in mulhple onenlauons. any shading leature that is wed is Micaled in the S@aI FeafureYRemarks secbon.
Designer or Owner (per BUSIW~ L Profnslonr Cod.)
Name
TtdelFm
Address
Telephone
LlC L
Enforcement Agency
Name
5Ue
Telephara.
Agency
Prcrcriptivc Energy Compliance for Additions
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