HomeMy WebLinkAbout047-430-0512351-90B, P - EM t
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♦LANGFORD, .Ryan
< 1 y57 Quail `Covey C ;Chico •y `� _, 9� a
new `sin 1'e fit m ;y')'
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47-43-51 ' ; 3928-90B
LANGdND,�RLS
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57` Quail Covey � Ct ;- Chico -,-SII k
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February 3, 1997
Weldon & Barbara Birch
61 Quail Covey Ct.
Chico, CA 95973
Dear Mr. & Mrs. Birch:
LAND DEVELOPMENT DIVISION
DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 959653397
TELEPHONE: (916) 538-7266
FAX (916) 538-2140
RE: -AP 047-430-050 & 051
. Certificate of Correction
Enclosed please find a copy of the Certificate of Correction which was issued by the
Butte County Development Review Committee and recorded on January 21, 1997,
under Serial Number 97-001801, in the office of the Butte County Recorder.
If you have any questions concerning this matter, please contact this office at
916-538-7266, Monday through Thursday, 8:00 a.m. to 4:00 p.m.
Sincerely,
Stuart Ed'
Manager I itand Development Division
SE/kp
Enclosure
cc: Ryan Langford
Bachman & Associates
'RECORDING REQUESTED
CAlyin W_ Rnrrhmnn
(Engineer or Surveyor)
AFTER RECORDING RETURN TO:
BUTTE COUNTY PUBLIC WORKS
LAND DEVELOPMENT DIVISION
7 County Center Drive
Oroville. CA 95965
WHEN RECORDED
FILE WITH MAP LISTED BELOW
97-001801 1 Rec Fee
I Check
Recorded I
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder I
1:51pm 21 -Jan -97 I PUBL
SPACE ABOVE THIS LINE FOR RECORDER'S USE
CERTIFICATE OF CORRECTION
COUNTY OF BUTTE )ss.
STATE OF CALIFORNIA )
XX
6.00
6.00
1
CALVIN W. BACHMAN , Being duly sworn, deposes and says:
(Name of. Engineer or Surveyor)
That the following corrections or additions to the map of RYAN LANGFORD
, as filed in Book 119 , at Page(s) __4fi, 47, & 48 _
of maps in the office of the Recorder; are made by me in accordance with
Section 66469 through 66472.1 of the Subdivision Map Act:
Change 150 -foot No -Building area to
17
Signature of Engineer or Surveyor
R.C.E No. 1 r, Ft Qi L.S No.
Certificate of County Surveyor:
This is to certify the above
certificate of correction has been
examined for compliance with Section
66471 of the Subdivision Map Act.
County Surveyor, f2crl"w-r
R.C.E. No._ 29132- 4.An o3/3l/gy
LD 1440 (9/96)
150 -foot No -Dwelling Un'
�oQRpFESS/ Nq .
W. Bqc
!
h� \� Exp.y �G�
630-97 Z
W v No. 168031 Z rn
Listed below are the presen �3j V
affected by the correction 0L�F
WELDON BIRCH fee owner)
RYAN LANGFORD (fee owner)
s: r Ft - ENTBAL
47-43-12 =+ OUTIDC-, 2351-90B, P, E, M
LANGFORD, Ryan
57 Quail Covey Ct,Chjco
(new single family)
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BY Date 9/
JOB FINALE
Signature
d=OK
O'= Not OK
= Not Reptlyab'e RESIDENTIAL (E
Dace UNDE OR PI OK except #'s C,
ing=Setb cks- Ease ment ood-Slope
. Ftg., Main; Soils-Elec. G d. -//g%' Ftg. Depth J Z
3. Ftg. arage; Soils-Steel-Elec. Grnd.- ' Fig. Depth yy -
g. fiches & Decks; Soils - t -/ /Ftg. Depth
L,eeTx0is, Main; Steel ck -Wrapped
walls, Garage; Ste lockouts -Wrapped
old Downs and Special Anch s
W7. Sla , Steel -W apped
iar - ire la e FSA I I V,, " kLZdAd
Fall -Fitting -Test -2 Way C/O -Sewer Test
1 a ape; Size -Anchors
te'water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; dergrou
13. Pie s & Du ; Cleara' -Mat r' -S -Ins.
O; C XJ4 14. r SWC -Anchor B s-Joi -V'e s-Gsiep+es
15. Insulation
Date D Card B-1 f c . Date / ri Card B-1 (%(s
Date f-2,p•—fb Card B-1 Date Card B-1
Date PLU G Per OK exce t #'s
1 _e r Vent-Aoss-CombustiEAir-Ba If -'t 2•Z? -T
�1 ate ipe; Tder& Anc r-NoWfrotec!ipff
Test-Fitti & Anchor-Nawl5rotection
'*Z h r Pan; Test, First Floor -Tub Access 2.2Z'`7/ UQ
b &Sho
e uw ,Second Floor -Tub Access
ftetas Pipe; Siherl& Anchors
Datet Card B-1 Ua Date Card B-1
Date P,-20-44 Card B-1 1/0 Date Card B-1
K except #'s
& Transformer
23-Elec. Receptacles Spacha@-eLights w'tbM'es at Doors
e xes & No. of Cond rs- pled
omex Installed Close to E of Stu & .
26.E round made up w/Mech. Fastners on Wa
Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or Al A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. (ga. Cu or O / ga. Cu or Al.
Insulated Ne``>�ttral es ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
3 . Clearances Panels-Motors-Mech. Equip.
es Closet Light -Shower Light -Spa Light
Smoke Detector
Date ,I—].GjI Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MEC ICAL (PermitV< except #'
A.C. Ducts Ins tion & Su ort
S. V an; Exhaust above ins ation
Condensate Drain & Overflo ; Size & Grade
37.)Fur nce-Vent; Access b Air -Return Air Vent -115 outlet
31131ttic Access & Platfollrn if Furnance in Attic
Date ) . 1'7!41Card B-1VJ5 Date Card B-1
Date Ca B-1 Date Card B-1
Date FRA%6G (Plans) OK except '
Sil?oiler Material & nchors
4 Studs-Nailina. SDacinq !aci - lates-Sound
anng Walls over Gird&K& Floor Nailing
19r>aft,Stop in Walls (rat proof)_
WR,mops; Furred Ceikgs-Stai C es Tub
jingle & Duplex)
Date FRAMING (Continued)
45. Hangers Post aps Anchors -Co a ctors /
4 Ing. Joist-Aftr. ties-Purlin oof Brac rt,tss Shthng.-Rfng.
47. Fireplace T' T Flu -Fireplace Throat clearance
Atti cess; Size omex Prote ion ra top- s. affle
4 drm. Windo ..or Exiting Do s -Sill . & DMrensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors-O5?!:L--Chet ara -34,9tory Exits
53. Stairs Wi -Heady -RisdCRuadf an ,lrg - Fi rqrAotection
54. p!yWood on Roo verhang-Attic Vents`Rafter Outriggers
. Siding -N ' g Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. GI g Area -Glass Protection -Skylights -Plastic.%
Q Sh alts; Nailing -Bolts
nsuIation-Walls-Ceilings
J%A4fff ration -Walls -Windows
Ae
Date 1qJ Card B-1 Date - Card B -1.`/S
Date i •3i -W Ca -1 L/ Date Caleg-1
Date FIN PI OK except #'s
E . StepsA!oor & Sidelight Pr ctio -Landings
In Gafaqe; Above oor- ucts-MaetfProtection
63 1. Bath Fixtures & Tub Access -Spas/
66 ec.Trim & SubDanel: Breaker Sizes Lab
irs &
8 FirqiOace o Stove learance§ He3vtfi
6
lec. Qutlets at Woo nel; Int. & Ext.
7
.Fixt. & Appliance; Gr ar Gap-Cookin
arance
7X_glec!utlets & Recftae4sp Kit. Counter
7
e Fire Door; Swi an -CI " r
7uct
in Garage -Damper
tr. Htr.; Vents -Clearance -Co ir-Connector-P.R.V.
In Ga ge; Above Floor-Mech. Prote n i
5.
,Pec. & Mech. Equip. Lis or Location
M-15re_c._J5enptacIes
ine; (G.F.I.)-Romex P
ection
7 .
sulatio oam-Looked in Attic es
7
rd 5aws & Deck Construction -Po aps
7 .
vR)ents & Crawl Hole Door -Drainage &
Cle ce Looked under Floo es
d -Earth
8 .
ollowin instld.; Drive ❑ No,.Walks
Play rs 0 Yes No Z
O Yes o;
t co: Brown -Finish
A.C. U� Disconnect, le ical Plum
nts Abo oof; Plbg.-Applia a -Fire ace. -Clearance to
Opegipa
8 . e ell; Disconn ect ' Plumbing
te0ef'E_lec. Trim; G. ceptacle-Underground
8 en Throughout House
8 as rotection
rrectio rom Previous Inspect" ns
7-77401 89. Ga
t -Meters Tagged; lectric
ga3"Water,ewer ConnbeCed-C/O to Grade -HD Approval
j. rgy Compliance Certificate -Other Certificates
Date Z -L71 Card B-1 (/ 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)
-1 OK
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
Card B-1 Date Card B-1
4. Water;,Location-Test-Easement Needed (Sketch)
Card B-1 Date Card B-1
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
MOBILE HOME INSTALLATION (Plans) OK except #'s .
6. Gas; Location -Test -Wrap: / NL" ft.
/ /"Nat. or/ P L" ft./ /"LPG
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-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
10. Plumb.; Cir. Test -Water Supply Test f._
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
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_ I
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
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-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
10. Plumb.; Cir. Test -Water Supply Test f._
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
.•-,.f �: L ♦ -—+.�'Mr - . � ...iT➢. ter` "
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC -WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541 -
747 Elliott Road, Paradise— Phone: 872-6307 -•-
CORRECTION NOTICE r
a)afV\arM6
A routine inspection indicates that the following violations of County Ordinance
exist >at.hea a address and should be corrected. Please notify this office
when ion of -work is completed. If you have any question pertaining to this
matte need additional explanation, please contact this office immediately.
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�2�A.� Lv�. � Gvt/Cx. •`
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DateInspector
- , ,j� - .. . � � --w.�s._ .4.-._�..tttrrr!.T - �-}"s� �i'.r ., r • .. • ..,C'S' _ ._: r..-..-- ^.;-•s?.--`..-i�",i
.J. COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
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
110 111111
Date `�Inspector ,
..L.,�-,....�,.-+.......�.....�,..•`_ r1 -••ti. -,.. ... ^mss.? ... ..�.a^z .—•,. -..:k _ ..}
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
.196 Memorial Way, Chico — Phone: 891-2751 ' '_' '
1 i i 7 County Center Drive, OroviIle —1 Phone: 538-7541
747 Elliott Road•, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER
I UC`1t -Q3 5-1
PERMIT
ER I&_
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 work is completed. If you have any question pertaining to this
7matter, o ed additional explanation, please contact this office immediately.
AA n — 1 1_ I
Date
spector
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
Z3V-?C)
OWNER PERMIT NO.
s�
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 work is completed. If you have any question pertaining to this
matter, o ed additional explanation, please contact this office immediately.
..Q.�- -.9 A '
J-3- V IV - W1 PV n.
Z
Date_! / ^ �) Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone:'872-6307`
CORRECTION NOTICE
VNER V U 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 needadditional explanation, please contact this office immediately.
PA
Date—/,/) q-wInspector�i
r
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC'WORKS i
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
A routine inspection iodic es that the following violations of County Ordinance
exist �aboress and should be corrected. Please notify this office
when ck is completed. if you have any question pertaining to this
matternal explanation, please contact this office immediately.
SI/I f BVIL►W
Date /v 4�^ 7 (/ Inspector / &B"
OWNER
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
19 -� 5"
ERMIT 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.
9 U
Date /I� �� In ,`v
�. COUNTY OF BUTTE
- DEPARTMENT OF PUBLIC WORKS .
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orbville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
ER
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, or need additional explanation, please contact this office immediately.
Date/ � � �7 Inspector 4/ . _
OVTT�
Inter -Depart" n,tt Memorandum
TO: Id S ilepr .
FROM:
SUBJECT: Gar Z �� �- y 3 1 2
Qv/J-� � Cvv-c., C %, / �yl�y�/ C.�-c� db✓�[
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Reg. Expires 9-80-91I`
NorthStar
BY:
DATE:'
JOB NO: t�tj"(� '�t��. Engineering
PAGE: I OF I. Qfi 0%L1, .
Civil Engineers • Planners • Surveyors
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20 Declaration Drive
Chico, CA 95926
(916) 893-1600
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INSULATION CERTIFICATION .
�J (
___�_L----L�-A_
NUMBER AND STREET ` ' � CITY COUNTY
---------------------------------------------------- ----------------
SUBDIVISION LOTNUMBER
DESCRIPTION OF INSTALLATIONr"
ROOF
MATERIAL —BRAND NAME
THICKNESS (INCHES) THERMAL RESISTANCE
EXTERIOR WALL
MATERIAL FIBERGLASS BRAND NAME CERTAINTEED
THICKNESS (INCHES) THERMAL RESISTANCE /33
CEILING
BATT OR BLANKET TYPE' FIBERGLASS .—BIRAND NAME CERTAINTEED
THICKNESS /10 - THERMAL RESISTANCE.�22
LOOSE*FILL TYPE —FIBERGLASS '—BRAND NAME__CERTAINTEED_.
MINIMUM THICKNESS 'NUqBER OF BAGS �7_7 WEIGHT PER BAG 25LB
AREA COVERED. /0,00 —f'HERMAL RESI NCE
FLOOR ELEVATED
MATERIAL __FIBERGLASS. ___ ___BRAND NAMECERTAI
TH%CNNESSHERMAL RESISTANCE
FLOOR SLAB
- .
MATERIAL BRAND NAME
—
THICKNESS_-THERMAL RESISTANCE
WIDTH ( INCHES)
FOUNDATION WALL
MATERIAL BRAND NAME
THICKNESS ^ THERMAL RESISTANCE
HEAT%NG.SYSTEM gas furnace
MAKE
MODEL DESCRIPTION
RATED BONNET CAPACITY
DECLARATION
I hereby'ce'rtify that/'the above insulation was installed in the
building at the above location in conformance with the current
regulations setting Enery Conservation Standards for new residential
build i (located in -Title 24 f the California Administrative Code).
�/ ��/ '
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, ~-�`,�'
NTRGCTOR (BUILDER)
URE AND TITLE- .^
^
LICENSE NUMBER
TURE AND TITLE. DATE
AE
1-
- _ 1
?'il 29 ''?i 14:40 S -r -0001P S.JPPL•f 1 707 'F;:1 '7i2t•
CERilFICATE. OF
P.. 1
y�Vitt OF t00%
N �
IT -1 Y
om*ov CONFORMANCE
/HE UNDERSIGNED MANUFACTURER HER- E8 Y CERT,,,F/ES
that the products identified below and on attached sheets Nos--.--__ are marked
with the Collective Mark of the AMERICAN INSTITUT5 OF TIMBER CONSTRUCoTION (AITC)
and were manufactured in conformance with applicable provisions of American National Standard
ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and that such manufacture has
been at out plant in- SPR,INGFIELU,—OR _ ,which plant h<1s a quaSity control system
approved by the InspH-tion Bureau of the AMERICAN Ih;f,,TITUTE OF TIMBFR CONSTRIJC, ION
and inspPried periodically by such Bureau.
The manufacture of these members complies with thy manufacturing and fabricating provisions of
Chapter 25 of the Uniform Building Code.
JOB NAME: EMMLALS EMIff PLY
JOB LOCATION CHICO, CA.
CV3TOMIER'S QPOiR •40 9n-.1950 OATS.. • r/� /
J..�n M►�rt'S 011.Epi
N7.y._4��!_S'.:s-_..�.....,.._..._
RYAN LANGFORD, #57 QUAIL COVEY CT, CHICO, CA 95926
_ yO�AF tQ&19P— END JOINTS
CO
TITLE—,�L'AL-ITY,CQI� RQL AOOAES4 r lei s—Z„�ST _ DA rr
A/TC HERE8 Y CERTIFIES that the said compa'riy'at its .aid plant ;s I;Cpnsed by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCT;ONI to :Ise the AITC Col;ectivt Mark i(l respoct
of products which comply with applicable provisions of ';aie .Stantlard, that tt!e sidequacy of the rluallty
control system in effect at said p!ant is periodically io-Pec.!ed and verified t)y the Inspection 5ureau of
the AMERICAN INSTITUTE OF TIMBER CONST RUCT;ON, and that, in ttie judgment of AITC,
said company is capable o' complying with ;applicable man,lfacturing and testing provisiorn.a of said
Standard in res' oect of products manufactured at said p!uilt. Conformance vvitls the Standard in respect
of any specific or particular product is the sole responsi!)iCty, of the manufacturer; AITC's guarantee
hereunder being that the said company is qualified to produce a product meeting the said Standard
and that its plant is per!odically irsf)ected and verified b1 th,, AITC Inspection Bureau. .
AITC FORM IBCA
AITC Cert," r ate No. 6.0,594 A
AMERICAN INSTITUTE Or TIMBER CONSTRUCTION- -
V lqs:; 'rI'ruYtOW I1vol!PCONSYRI.C'r1OrJ
-, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANDYERMIT
ASSESSOR PARCEL NUMBER
479
-43-1
ZONING
_
BUILDING PERMIT
OWNER
TELEPHONE
891-4640
SQ. FT. OCC. BUILDING VALUATION
2,510 R 100 400.00
OWNER'S M ILING AD E5S
1467 T
576 M 8,064.00
CONTRACTOR'S NAME
Own
TELEPHONE
CONTRAC R'S MAILING ADDRESS
Fireplace A 1,000.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$109,464.00
Filing Fee
$
10.00
LENDER'S MAILING ADDRESS
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Q$458.00
$229.00
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$712.00
PLUMBING PERMIT
Filing Fee
10.00
Quail Covey Ct., Chico
Each Trap
JJ 2.00
26.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 5.00
5.00
Each qas water heater or vent 1 5.00
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
S.00
Building sewer 5.00
,00
Mobile Home S G 10.00e
TYPE OF WORK
New® Addition[] Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: 3 Bedroom _
EJ
Permit Fee $56,00
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADO'L 100 AMP
2.50
9.90
CONTRACTORS LICENSE LAW
I declare under penalty of perjury )
p y p I y (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)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason r
NEW CONST. DWELLING OCCUP.&)77.15
OR ADONS. ACC. BLDGS.
2h¢sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
/POWER APPARATUS e
\SINGLE OUTLET CIR. )
20050C
Ex. Oc--up OUTLETS OR FIXTURES SAL030
Ex. Occup. OUTLETS ED ( R
RESID.)EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 99.65
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.
ICdil 1 shall not employ any person In any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee
10.00
Heating 2 6.00
12.00
Dual k
lin
Cooling 21 Ton 2 6.00
12.00
Hood 1 3.00
3.00
Ventilation 313.00
9.00
Permit Fee $46,00
Contractor
1 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
agains s id Count consetence of the granting of this permit.
X ! Date
Signatur' of Applicant - 11 Owner 19 Contractor ❑' Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stores in height.
Mobile Home Installation Fee $
Energy Inspection Fee $30.00
occ
CONST TYPE
6
TOTAL.FEE $ 943.65
HAz
CUA
PARK
c
FL
PAR
Ho Issue
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIREC R OF PUBLIC
/_
By.
PE T EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date J9
Receipt No. �� j 60
WHITE-D.P.W.. YELLOW-ASSt:SSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
U (U APPLICATION AND PERMIT
ASSESSOR ARCEL N MBER ZON G /
Jz BUILDING PERMIT
OWNER �`� / �,^IT—E,E, HOyE, -a I SO. FT. I OCS,. BUILDING VALUATION
RE55
H-V,l /cT-2 U
ELEPHONE
CONTRACTOR'S MAILING ADDRESS
Filing Fee
Fireplace
Main service 6001 OR LESS
100 AMP OR LESS
10.00
f/41 If
CONSTRUCTION LENDER
2.50
UNKNOWN
C
Total Valuation $
ya2SQft
7
NEW CONSTR.MULTI-OUTLET2.SOea
NON.RESID BRANCH CIRC ITS
Filing Fee
POWER APPARATUS&
SINGLE OUTLET CIR.
10.00
LENDER'S MAILING ADDRESS
Ex. Occup OUTLETS OR FIXTURES
Permit Fee
$
FIXED APLN5
Ex. Occup. OUTLETS P(RESID )HEA.)
2.00
ARCHITECT OR ENGINEER
Temporary service
LICENSE NO.
Plan Checking Fee
$
15.00
Energy Plan Checking Fee
$
�(7
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
Contractor
BUILDING ADDRESS
U � L C o v�
/G -D
Cl27-
Permit fee
$
10.00
Heating
PLUMBING PERMIT
Filing Fee
10.00
Each Trap
2.00ro
Hood
3.00
.�
Solar or heat pump water heater
,Q
20.00
Permit Fee
LOT NO.
SUBDIVISION NAME
Contractor
PARCEL MAP
Water piping
Mobile Home Installation Fee
5.00Each
qas water heater or vent 5.00
$
USE OF STRUCTURE
SF 1�J Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
I
5.00
lc0 (�
Building sewer 5.00
O�
Mobile Home S I G I W ea
TYPE OF WORK
New ED EDR/emmodel ❑ Utilities ❑
Describe work: �/`///
Installation❑ Other ❑
—10.00
Permit Fee $
Contractor
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)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for S100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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.
Receipt No.
ELECTRICAL PERMIT
Filing Fee
10.00.
Main service 6001 OR LESS
100 AMP OR LESS
10.00
f/41 If
Main service EA. ADD'L 100 AMP
2.50
r
NEW CONST. / DWELLINGOCCUP.&\
OR AODNS. 1 ACC. SLOGS. /)
ya2SQft
7
NEW CONSTR.MULTI-OUTLET2.SOea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS&
SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
zo®a0t
?AL@30
FIXED APLN5
Ex. Occup. OUTLETS P(RESID )HEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee
10.00
Heating
Cooing 1
,O
Hood
3.00
.�
Ventilation
,Q
Permit Fee
$ ,O
Contractor
Mobile Home Installation Fee
$
Energy Inspection Fee
$
OCC
I CONST TYPE
I
TOTAL FEE $ ` J , (p k,
HAZ CUA I PARK I SCHL I FLO I PAR PD I HD I ISSUE
This permit is hereby issuea 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
PERMIT EXPIRES Date
Date
COUNTY OF BUTTE - Pepartmegt.of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
'OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to'avoid
unnecessary delay in processing and issuing your building permit. No building permit'
will be issued until this verification is received.
�1. I personally plan to provide the major labor and materials -for construction of
the proposed property improvement (yes or no) —t=
2. I (have/have not) jAA-0. R_, signed an application for a. building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name _
Address _-_ _ City _
Phone Contractors License 'No.
4. .I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address -City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
kS igned :Ae_
Property Owner
Social Security Numb
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections.19831 and
.19832 of the'California Health and Safety Code.
This verification must be"completed and returned to our office before we are per-
mitted to issue the permit.
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner.
U� (c
Locati n
U
AP#
Plan Approved for:
Sewage Disposal _
Water Supply
✓ .
Hold final for:
Final clearance O.R. for:
Clearance for bedroom mebi.fie home. Other
Water Supply
Water Supply
NOTE ***
Sanitarian �� Date
OWNER
lF, 11!1: 1111111111
'M IV o7mvi;i
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541
PERMIT APPLICATION DATA SHEET
Al . 4RIfla 7-- Ole 7)
Proposed Building Use
Permit No.
Building Inspector s Date 7 1
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
3.
14.
15.
16.
17.
18.
19.
20.
21.
22.
3
�4.
25.
26.
27.
All items have been submitted . .....................................
Plot plans in duplicate/triplicate, signed by preparer of plans........
Complete plans in duplicate/triplicate, signed by preparer. of plans . .
Complete engineered plans and calcs, with wet signature on plans ..
Hazardous Material Form ......................................... .
Energy Design Compliance and supporting documentation
Statement of Intent for Non -Heated and AC Buildings ...............
Engineered truss details and layout in duplicate (required prior to plan check)
Mobilehome installation data including manufacturer's installation
instructions.........................................................
Fees of $ ........................
Chico Urban Area fees paid .......................................
ParkfeS Des D ..................................................
y' School District fees paid ..............
Sanitation approval from Gff /6-V Health DepartmentLC7
City of Chico plumbing permit .....................................
Plot plan and business license approval from City of
(see City for other requirements)
Planning approval for (A) Use: (B) Parking: ......
Improvements may be required. Contact Land Development Section DPW
Driveway permit (construction approval required prior to occupancy)
Pre -Inspection for required Pre-Inspec.request to
Building Inspector (Date)
Contractor's license information (No., Name Style, Classifications ...
Certificate of Workmans Compensation Insurance ..................
Owner -Builder Verification (Given to owner ❑, Mail to owner o) .....
Recorded copy of Agricultural Acknowledgment Statement .........
Letter of signature authorization ...................................
When you issue theermit, rocess as follows
i
Mai rn�r. Mail to contractor.
Telephone and hold for pickup at //office. Deliver w./inspector.
Other
Applicant
Date 7 -/O -yo
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 t
1. Index permit for above.'items No.�
2. Additional items required:
ce: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_-naiI—counter by ..date.
Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date
Plans checked by Date Plans approved by_ .�Ie/-aDate
I -Sets of plans on hold in
Copy—DPW
File cabinet AP folder
.-rw—........v«-.owcrw.4^v.;,,.rm'st.r�.�.a-.�...z:a�Y"Ywc.rlr���,�'T•'nn��..*�'�w"yrW1r7�6s���"5�`�+'.T.i.�l�.f�'���./1'�'b?'tywY,•�jy:�-'7tir�H.��14�.{WE✓-.f'!c'6y
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
' (One Form per' Building )
A.P. Number 4r71_/3 _/ Building Department No.
School District CU S 2�J. City County M, Jurisdiction
Property Owner
F GN1 �lJ
Project Locati4on/Address Cd 416
Subdivision ( Lot Number
Residential Development:
Sq. Footage
# of MLiving MHI Addition .(Group R)
Units
Commercial
/Industrial:
New
Buildincf Department Representative
Sq. Footage
Addition (Including Exterior-
Roofed.-Areas)
xterior-
Roofed. Areas)
/9 147a
(Floor Plans reviewed�*by School District -Personnel)'
District Id No. 1 Cos
o
_ID S School District .certifies that .
Lln
(Applicant Name) �, (Phone Number)
.(Street Address)' /
�1 l (?, o y - CSG o�[�
( City) -k, ( State) J ('Zip Code)
has complied, with the requirements of Resolution No. - � 1,9-90
b the a ment,of . re resentin ��s uare.feet.
Y P Y $ ���J���d U� p gJ�I q .
School District Representative Date
PAID BY CHECK NO.�_
BANK NO `)
PAID BY CASH
REMARKS•
white -applicant, yellow-building"department, pink -school district
SCHOOL.FEE (8/88)
�ER,,V/T Z3 51 ID f l�
ZZ15
Z �C � S TG1D
jf'T OGl TS/OC -
EDG'�
OFGI�ALL
NoLE' .
BUTTE COUNTY
BUILQ{NG DEPARTMENT
.APPROVED
REQUESTED OY; G -1d .
Return to DPW AGRICULTURAL STATE TG OF ACRNOWLE'DGEMENT 9 Q 3 3 5 6:4
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County. Code
requires this acknowledgement be. recorded -
prior to issuance of a building permit.
The property described herein is adjacent
to land or included within an area zoned
90--033564
; Rec Fee 5.00
for agricultural purposes, and residents
.;
Cash 5.00
of this property may be subject to incon-
Recorded
;
veniences or discomfort arising from the
Official
;
use of agricultural chemicals, including,
,Records
County' of
;
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,
8:01am 7 -Aug -90
; 'BG 1
spraying, pruning, and harvesting which
�---- - ------
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for
productive agricultural
purposes, and residents
within said zones and on adjacent property
should be prepared to accept
such inconvenience
or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows:
Date: ' August 06. 1990
State of Californip
County of Butte )
O t.,a`•�
PROPERTY OWNERS:
e.cS�J�i� � • _,
On this the 06th day of August , 19 90 , before me,
SS. the undersigned Notary Public, personally appeared
OFFICIAL SEAL
JOSEPH D. POLK
° Notary Pubfic-Callfomla
LOS ANGELES COUNTY
My Comm. Exp. Mar. 27,1992
Ryan B. Langford and Dolores A. Langford
® Personally known to me. ® Proved to me on
of satisfactory
to be the person(s) whose names)
subscribed to the within instrbment and acknowledged that they
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal..
the basis
evidence.
Present A.P.
`tel o-`r.c..A Q -
Notary Public
EN® OF DOCUMENT
"NO
q-
00-
Ci
NZ
AREA R4 - 190.0 5F
X • 8.2'
AREA R3 • 25.1 5F
X • R8'
RIGHT 51DE WIND LOAD5
AREA LI • 40.0 5F
AREA L2L - 305.3 5F
X • 26.6
O
O
R
0
0
v
AREA Rt • 40.0 5F
X • 26.6'
AREA R2 • 305.2 5F
/ X 26.6'
LEFT 510E WIND LOADS
AT BOTH 510E5 OF GARAGE
8
X
I
• 6.8 5F
ENTIAL
�✓ W.3d
47-43-51 3928-90B
i LAkPORD, Ryan
57 Quail Covey Ct, Chico
(ad'd porch/SF)
JOB FINALE
Signature
J=dk
O_=Not OK
Not
' = Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / PV'ft.
/ /"Nat. or/ /"L"ft./ P'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
MjSCtLLANE
Date DECKS OVERS ARPORTS, 969116ES, PI OK except #'s
U,eb'ning R uirements-Set ks-Ease is
11•Z7 X/6 2. Foot s; Soils -Size -D h -Spa Connectorsz&teel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts -Sea ms-Rftrs.-Coo nectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmo; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date ) 12. -7 qy Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
I Date Card B-1 Date Card B-1
t
'J OK
O = Not OK
= Not Applicable
' RESIDENTIAL (Single
& Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
.FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth,
46. Cing.'Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
20. Test Tub & Shower, Second Floor -Tub Access
In Garage; Above Floor-Ducts-Mech. Protection
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
In Garage; Above Floor-Mech. Protection
Cu or AI
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
Insulated Neutral D Yes ❑ No
77. Insulation -Foam -Looked in Attic 0 Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
32. Clothes Closet Light -Shower Light -Spa Light
Clearance Looked under Floor O Yes
33. Smoke Detector
80. Following instld.; Drive ❑ Yes ❑ No; Walks 0 Yes O No;
Planters 11 Yes ❑ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Date
MECHANICAL (Permit) OK except #'s
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orov.ille, California 95965 - Telephone: 916/538-7541
APPLICATION -AND PERMIT
PERMIT 0.
ASSESSOR PARCEL NUMBER
z 1f 1G
BUILDING PERMIT `
OWNER
RYAN LANGF.FORD
TEE✓1LEl♦fPH NE
891=4640
SQ. FT. OCC. BUILDING VALUATION
320 cov 3,2
OWNER'S MAILING ADDRESS -
CON R TOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 44.50
ARCHITECT OR ENGINEER s
LICENSE NO.-
Plan Checking Fee
$ 22.25
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
57 Quail Covey Ct, Chico
Permit fee
$ 76.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 -
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
,,--,,Xg USE OF STRUCTURE
SF LJ XDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
10.006
TYPE OF WORK
New Addition[�'X Remodel❑ Utilities❑ Installation❑ Other❑
Describe work: porch _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON-RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license. is in full force and effect.
License No. Classification
Q I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
[� I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.B
OR ADDNS. (ACC. BLDGS.
I
2/z¢sgft
NEW CONSTR MULTI -OUTLET
BRANCH CIRC ITS
2,50 ea
POWER APPARATUS y
SINGLE OUTLET CIR. )
Ex. Cccup(OUTLETS OR FIXTURES
20®50Q
BAL030
FIXED APPLNS.
Ex. Occup. OUTLETS'(RESID IKEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15:00
Permit Fee
$ i
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.
[!J^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 10.00
Heating
Cooling
g
Hood
3.00
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 liab'lities, judgments, costs, and expenses which may in any way accrue
agains said County in ns qu a of the granting of this permit.
Date /� /3 -
Signatuc 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 $
occ
CONST TYPE
1
TOTAL FEE 7 • 7 '
AL
HAz cuA
PARK
F
PAR
1
P
Vl
V7,
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PER44 EXPIRES Date
the applicable p%�•
resolutions to do
have been paid.
WORKS
Date
Receipt No. 84056
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
al'- �('T xnf^„C`�� +±"1 "hr t n rS'x ^.tu ••rj^
JCOUNTY OF BUTTE - DEPARTNlENTOF PUBLIC WORKS -BUILDING DIVISION
-!' 7 COUNTY CENTER DRIVE - OROVILLE,oCAdIJ:CaF, 1A 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION, �DATA SHEET ✓/ - ,
Permit No.
OWNER ,2 YAw L A,,y6 %tel%, A. P. No. 3 '– -
Proposed Building Use Building Building Inspector Date
At time of permit application, I was advised the.following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ......................................... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ .................4.....
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
School District fees paid ..............
e–!4 _ Sanitation approval from /���l.i% Health Department 1
15. City of Chico plumbing permit......... ............
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:,
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)-`
20. Pre -Inspection for required, , , , Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..:...............
23. Owner -Builder Verification (Giver, 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: Mai Itt�o owner. Mail to contractor.
Telephon and hold for pickup at office. Deliver w/inspectoi,
Other .. _
Applicant
Copy of plans sent Health Dept., Fire Dept., Other — 1 Date
The following data.must be submitted prior to permit issuance: (Circle new ritem not checked above).
1. Index permit for above items No.
2. Additional items required:
!} t) f
Contractor, designer, owner, was advised of above required data by_phone---nail_counter by
Contractor, designer, owner, was advised of above required data by—phone _mall—count r by
- s checked by Date P ns
P approved by
Sets of plans on hold in . File cabinet v AP folder
Copy—DPW
..date
date
Date
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
.s -i
Owner Locationf AP#
Plan Approved for: Sewage Disposal Water Supply.
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. other,-s�
NOTE
Date
Sanitarian
COUNTY OF BUTTE - Depa toren-t of'Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
s
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
I personally plan to provide the major labor .and materials for construction of
the proposed property improvement (yes or no) .
2. I (have/have not) signed an application for a building permit
for the proposed work.
3.. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
/Signed:
Property Owner
Social Securit Nu er
Date
z
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County enter Drive - Oroviile, California 95965 - Telephone: 916/538-7541
2, APPLICATION AND PERMIT
PERMIT NO.
ASSES OR PARCEL NUkWr=R
ZONING
BUILDING PERMIT
OWN ,1 - ��
TELE%HANE
9/p/7f/j/
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A DRESS V�. ��
TRACTOR' ,AM_
TELEPHONE
CONTR AC/T(/OOR''S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$
10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADQ.RESS
Permit fee
$
PLUMBING PERMIT
Filing ee
10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SFV Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer 5.00
Mobile Home S I G I W 10.02f
TYPE OF WORK
Ne,e4;_�_AdditionX, Remodel[] utilities ❑ Installation❑ Other ❑
Descri a work? C G
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
Main service j00VAMR OROR LESS10.00
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.
License No. Classification
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING 0CUP.Ei
OR ACDNS. ACC. BLDGS.
, /z¢sgft
NEW
NON.RESID CONSTR. BRANCH CIRCUITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20050t
eAL030t
Ex. OCCUp. OUTLETS P(RESID IREA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIirig Fee
10.00
Heating
Cooling
Hood 3.00
Ventilation
I
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 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.
Receipt No.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CONST TYPE
TOTAL FEEITOTAL FEE $4(/f /`S,
HAZ CUA PARK SCHL FLO I PAR PD HD I ISSUE
Th;s permit is nereby 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
PERMIT EXPIRES Date
Date
M
I I
�� SATE
s ecifications MUST b®'
plans and p it is unlawful to
.This set .ofop at all times and same vrltt�-
kept on the 1 es or alterations e. ent
5 make any change from the'Departrr'
out written permisseonof Buffo
Public orks, County
f
�OC��
Vv tlC Iiin .�
00
dteriols ppO6,01
ie�e,
apZl^:.�-Ae Wifil� Reed fo ra�te°d
{ ark olity prescr�b . hin9aA�
o Wilaing, Plu+^�
Uniform, Els�trical Go
t11® lydfjonai
E- A 1:�, I - E
flYA, 3 �Ai-IGR<Q
I 1
s 1_Q/10
WAG
OVE'D
,,aI-FO
� w
0
L
c`n7
T
i
N
O
I �
i
O
I �
y �
cg
J
`2 V
y �
1. Ceiling Insulation
2. Wall Insulation
Single=
Number of stories
- ---
R -value
One
Two
Three
R -value
103
Attached
-02
R-1-1 9
8
-51
-2
R-30
-2
1
-1
R-38 .
0
0
0
U -value
-
8
6
4
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 -
- ---
Number of stories
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68 i
-51
-34
R-11
0 1
0
0
R-13
\
2
1
R•19
-
8
6
4
U -value
-08
0.40 ',
-95 46
0:80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
.14
10
0.00
24
18
12
3. Raised Floor Insulation
Controlled Ventilation Crawlspace
Insulation in Floor
Number of stories
- ---
Number of stories
One
R -value
One Two
Three
R-0
-17 -8
-5
R-11
-3 2
-1
R-19
0 �
0
j R-30
3 1
1
! U -value
;,, -2
-2
----.0.60.
-144 -70
-46
0.50
-120 -58
-08
0.40 ',
-95 46
-30
0.30
-69 -34
-22
0.20
-43 -21
-14
0.10
-17 -8
-5
0.08
-11 -6
-4
0.06
-6 .3
-2
0.04
-1 0
0
0.02
4 2
1
0.00
10 5
3
Controlled Ventilation Crawlspace
4. Slab Edge Insulation
'
Number of stories
- ---
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2
-2
-2
R-19
-1
;,, -2
-2
4. Slab Edge Insulation
'
Slab Floor
- ---
----NumberoiStories
U -value
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
.3
F2 factor
-39
-24
-10
0.90
-4
-3-1
-37
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
5. Infiltration (Air Leakage)
Specification Points . -
standard 0
�1
6. -Glass Heat Loss
I Total
'
Slab Floor
Etfeetive
Percent Glass .
U -value
Family
'Percent'
(percent
Slaw x SC)
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
,-8
.1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23 .
-40
-11
-4
2
8
15
22
-37 '
-9
-3
3
9
15
21
-34
_7-,
2
4
10
15
�20�--31
-6
0
5
10
16
19\
29
8
1
6
11
16
18 '
-26
-3
2
7
12
16
17
.23
-1
3:
8
12
17
i 16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
1 14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7. Shading (Shade Open)
'
Slab Floor
Etfeetive
Percent Glass .
Mass
Family
Stories
(percent
Slaw x SC)
Stories
Effective
ICFA
One
Two
Three
%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
8
2
2
3
3
5% 2
� 2
2
2
7
1
3
lU
4 2
2
`6
5'[
1
3
2
4 2
4 2
3
3
4
0
2
3 1
3
3
0
1
2 1
3
2
0
0
1 0
3
-0
`-•f'
4�a
-9
-111
-10
1
7
-4 -2
0
na = not allowed
-7
-23
3
18. Shading (Shade Closed)
'
Slab Floor
Raised Floor
Effective Pei ca It Glass
Mass
Family
Stories
(percent Alan x SC)
Mass
Stories
Attached
ICFA
One
Two
Three
Glass
North
EOA
South
West
Sky6phl
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
`-•f'
4�a
-9
-111
-10
-30-
7
25
S8
3
-7
-23
3
0
-4
5
-4
-16
2
1
-1
2
1
-9
7
9
3
4
�1-
4
0
2
9
10
10
4.5
-,,,,t e11�
7
8
10
11
9. Interior Thermal Mass
Interior
Single -
Slab Floor
Raised Floor
Wall
Mass
Family
Stories
Mass
Stories
Attached
ICFA
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
-10
12
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 -
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
Measur 30�
ti o
R -value [38 U -value (0.030]
lor
R -value 1 U -value [0.098]
Wall
Family
Family
Mutt
Mass
Detached
Attached
Family
0.00
0
0
0
-25 or .24 to 04 to
0.20
0.40
3
5
2
4
1
3
less
0.60
8
6
4
8.0
0.80
10
8
5
-4
1.00
13
10
7
-4
1.20
13
12
8
-3
1.40
12
13
9
-3 -3
1.60
10
13
11....:.
.
1.80
10'
12
12
10.0
10.5
200
10
11
13
1
2
11. Heating System
10
9 7
6
9
4
7
SE or IH.SPF
120
13,0
15
20
13 11
17 ,. 14
(assumes ducts In stdc)
9.
- 6
Sum of 1-6
Effedive SEER
_
.25 or -24 to -14 to -410
+6 to 16 or
SE HSPF less -15 ..
-5 +5
+15 more
0.72
6.60 0 0
0 0
0
0
1
0.75 :6.88
0.80
3 3
7.33 8 7
3 2
6 5
2
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
-7
Effective
SE or HSPF
6.6
-5
(SE or HSPF
x duct efficiency)
.. -2
Effective -25 or -24 to -1410
:4 to +6 to 16 or
SE HSPF less -15
-5 +S
+15 more
0.30
2.75 -73 -64
-56 -47
.38
-30
na
3.41 45 -39
-34 -29
-24
-18
0.40
3.67 -34 -30
-26 -22
-18
-14
0.50
4.58 -10 -9
-8 -7
-5
4
0.56
5.13 0 00
23 19
0
0
0.60
5.50 5 5
4 P
3
2
0.70
6.42 17 15
13
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 .
1 Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
1
12. Cooling Syst,!m
Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
Measur 30�
ti o
R -value [38 U -value (0.030]
lor
R -value 1 U -value [0.098]
3. Raised Floor Insulation
-�_ or
R -value [ 19] U -value [0.0371
SEER
TYPE 2 MASS AREA _ $
ND. L OR AREA10
l TYPE -1 MASS (UIMC • 4.2, Se: exposed slab)
(assume-. ducts In attic)
-
Sm of 7-10
47 X
2 = , -
-25 or .24 to 04 to
-4 b
+6 to
16 or
SEER
less
-15 I -6
• +5
+15
more
8.0
-14
-12 '. -10
-8
-6
-4
8.5
-9
-7 -6
.5
-4
-3
„ .
8.9
-5
-4 -4
-3
-2 ,
-2
9.0
-4
-3 -3
-2
-2
-1
9.5
0
0 0
0
0
0
10.0
10.5
4
7
3 3
6 5
2
4
2
3
1
2
11.0
10
9 7
6
9
4
7
3
5
120
13,0
15
20
13 11
17 ,. 14
12
9.
- 6
Effedive SEER
(SEER xduet elficlency)
S1::n of 7-10
Effective
-25 or
-24 to -1410
-410
+6 b
16 Or
SEER
less
-15 ' -5
+5
+15
more
5.0
-30
-25 -21
-17
-13
-9
6.0
-12
-11. -9
-7
-6
4
6.6
-5
-4 -4
-3
.. -2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8 '
12.0
30
26 22
18.
14
9
13.0
33
29 24
20
15
10
3.5
Zonal Control Adjustment
3.9
4.1
4.3
10'
8 7
6
4
3
56
No Cooling System Installed
0.5
0.7
Stories
-
1.4
1.6
1.8
2
One
-5
-4 -4
-3
-2
-2
Two +
3
3 2
2
2
1
Single -Family Detached and Attached
4.9
5.1
'5.3
Unit Size
(sq
5.8
Water
0.7
f199 12001
'1700
2200
2700
Heater
Credit
or to
to
to
or -
Type
Type
less : 1699
2199
2699
more
4.3
SG
None
0 4'++ 0
0..
0
0
5.7
or
Solar
12 '' 8
6
5
4 '
1.7
HP
-HWR'
8 5
4
3
3
32
3.4
WSB
5 3
3
2
2
.4.6
4.8
_POU -__8
5
4
3
3_
6.1
SE
None
-37 -24
-18
-15
-12
2
2.2
Solar
-1 -1
-1
0
0
3.5
3.7
HWR
-18 -12
-9
-7
-6
4.9
WSB...
-25 -16
-12
-10
-8
1IG
POU
-18__12
-9
_7
-6
1.9
None
-5 -3
-2
-2
-2
3.1
Solar
7. 5
-4
3
2
4.4
POU
.3 2
1
1
1
I IE
None
-28 -19
-14
-11
-9
1.3
Solar
8 5
4
3
3
_
POU
-10 -6
-5
-4
-3
3.8
Multi -Family (Individual units)
4.3
4.5
4.7
Unit Size
(sQ
5.3
Water
5.7
699 700
1200
1700
2200
Heater
credit
. or b
to
to
or
Type
Type
less 1199
1699
2199
more
SG
None-
0 0
0
0
0
or
Solar
14 7
5
4
3
HP
HWR
9 5
3
2
2
1.9
WSB
9 4
3
2
2
3.2
POU
9 5
3
2
2
SE
None
.45 -23
-15
-11
-9
5.7
Solar
2 1
1
0
0
'
HWR
--23' -12
-8
-6
'-5
26
WSB
-25 -13'
-8
A
*-5
3.9
4.1
-12
-8
-6
4.9
IG
_QOU.`23
None
-8 -4
.3
.2
_-5
1, -2
64
Solar..
- 6 3
2
1
7 1_
2.1
POU
1 0
00
2.9
0
IE
None-
-36__-15
-10
T -8
-6
4.6
Solar
18 -9
6
4
4
-
POU
-8 -4
•3
-2
-2
interior Mass/CFA
• TYPE 2 PASS
11.14u1MC•4.21
Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
Measur 30�
ti o
R -value [38 U -value (0.030]
lor
R -value 1 U -value [0.098]
3. Raised Floor Insulation
-�_ or
R -value [ 19] U -value [0.0371
TYPE 2 MASS AREA _ $
ND. L OR AREA10
l TYPE -1 MASS (UIMC • 4.2, Se: exposed slab)
Exterior Wall Mass
-
11. Heating System
47 X
2 = , -
Ie.rpeta4 .1_-b1
` Zonal Control? (Y / N) SE or HSPF
[0.7216.6]
Duct Efficiency [0.78] Effective SE or
HSPF 10.5615. 151
'j2.
X
�% �°
Cooling System
Zonal Control? Y / N) S
Duct Efficiency [0.741 Effective SEER [7.03]
13. Water Heating
Type [SG]
Cyftt [none]
-
PGn
Point Total.
MSI NU P. c s_
._'_
30%
35%
4014' 45Y.
509:
55%
60%
65f.
70%
75%
80%
85%
90%
95%
100% 105% 110Y. 115% 120% 125`
0%
5%
10%
15%
20%
25%
OY.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
2.1
23
2.5
2.7
2.9
3.2_
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.3
10Y,
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3'
3.5
3.7
4
4.2
4.4
4.6
4.8
5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
27
29
3.1
3.3
3.5
, 3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
22
24
26
2.8
3
3.2
3.5
3.7
3.9
41
4.3
4.5
4.7
4.9
5.1
'5.3
5.3
5.6
5.8
40Y.
0.7
0.9
•1.1
1.3
1.5
1.7
1.9
2.2
24 .
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.5
5.7
5.9.
509.
0.9
1.1
1.3
1.5
1.7
1.9
21
23
2-5
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
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1'
1.2
1.4
1.7
1.9
21
.2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.85
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
2.2.
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4:9
5.1
5.3
5.5
5.7
5.9
6.1
6.4
709:
1.2
1.4
1.6
1.6
2
2.2
2.5
27
2.9
Ti
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
1.9
21
2.3
25
27
3
3.2
3.4
3.6
3.6
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
809:
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
5.4
5.6
5.8
6
6.2
64
66
65%
1.4
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
54
5.6
5.9
6.1
63
,65
67
909:"
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
5.7
5.9
6.2
6.4
66
68
95%
1.6
1.8
2
2.2
25
27
2.9
3.1
3 3
3.5
3.7
3.9
4.1
4.3
4.6
4.8
5
5.2
5.4
5.6
5.6
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
21
2.3
25
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
6.7
1
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-
6.6
68
7
110Y.
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
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
6.9
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7 .
7.2
120%
2
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
5 8
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
2.1
2.3
2.5
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary:
Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
Measur 30�
ti o
R -value [38 U -value (0.030]
lor
R -value 1 U -value [0.098]
3. Raised Floor Insulation
-�_ or
R -value [ 19] U -value [0.0371
4. Slab Edge Insulation
5. 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
oI
R -value [01 F2 factor [0.77]
Standard
Type [double] U -value [0.651 _ % Total Glass [ 161
% Glass Sc Eff. % Glass
_237 x
0-400 x
• r �. X •
X
X =
Point Scores
_*
0
Sum lb
% Glass S Eff. °I Glass ` 2
x�o =
0-690 x 0= O.
X 0,41
X =
X
9. Interior Thermal Mass
Interior y . iss/CFA
TYPE 1 MASS AREA = B
COND. FLOOR AREA
10. Exterior Wall Mass
TYPE 2 MASS AREA _ $
ND. L OR AREA10
Exterior Wall Mass
11. Heating System
47 X
2 = , -
` Zonal Control? (Y / N) SE or HSPF
[0.7216.6]
Duct Efficiency [0.78] Effective SE or
HSPF 10.5615. 151
'j2.
X
�% �°
Cooling System
Zonal Control? Y / N) S
Duct Efficiency [0.741 Effective SEER [7.03]
13. Water Heating
Type [SG]
Cyftt [none]
PGn
Point Total.
MSI NU P. c s_
._'_
�,eruiicate UL %_Ompuance; nesiuenual
UoyaFo20 V-1 10EWc67, - -
Yr OJ¢GI "1"tee S / ^ .146 1 & W V , C / • � �/��
Address
Documentation Author a Telephone
%1nmate Lone 11
123 VL -
Build'
Bu `dir>g,P�it M
ehcciceeeddJ�By / Date
Enforcement Agency Use Only
BUILDING DATA
O
0
2
North
Glass Area
r
%Glass
7.3 7
Conditioned Floor Area
Number of Stories
East
16-0
0,&o
Slab/Raised Floor
Number of -Units �—
South
2 20, 3
9.716
Single Family Detached (SFD)
[ ] Addition Alone
West
36.0
, 0
[ ] Single Family Attached (SFA)
Multi
[ ] Existing Building
(] Existing
Skylight
Total
[ ] -Family (MF)
-Plus -Addition
BUILDING SHELL INSULA710N.
Component Insulation Locannn/Commenits
Type R -Value (asdc, .to garage, etc.) <0 2 2
Wall ..............
Roof .............�� U% U Lre D
Roof ............. a a fI C O
Floor .............
Floor .............
Slab Edge .....
GLAZING Shading Devices
Glaring Area Glass Type Interior Exterior Overhang Framing Type
North 10
North ( )
East ( ) ALO
East ( ) -
South ( ) _ ITE DR* S
Sou th ( )
West
West
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile. etc.) (SO (inches) LOcation/DCScription (kitchen, bath, etc.)
HVAC SYSTEMS Micimum Duct
Type (furnace. air Efficiency Location Duct Output Manufacturer / Model #
conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
IRA/ 0.792 .5--1
_ 2L—
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank: Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
M2oqgE Cos 30
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain these meanucs regardless of the commiance
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requuernents listed
on the Certificate of Compliance. When this checklist is incorporated into the permitdocuments; the features noted shall
be considered by all parties as binding minimum component performance specifications for the marndwory measures
whether they we shown elsewhere in the documents or on this checklist only.
DESCRIFMON
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose fill insulation manufacturer's labeled R -Value.
• §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (docs not apply to
exterior mass walls).
§2-5352(k): Slab odge insulation - water absorption rate no greater than 0.3%. water vapor
transmission rete no greater Nan 2.0 pennlunch.
§2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
§2-53520: 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 weatherstripped; all joints and peneuations caulked and sealed.
§2.5352(e): Special infdtration barrier installed to comply with 02.5351 meets CEC quality
standards.
§2.5352(d): Installation of Fireplace
1. Masonry and factory -built fireplaces have:
a Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations.
§2.5352(h) and 2.5315: Setback thermostat 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, showcrheads and faucets certified by the CEC.
§2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior
insulation (R.16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater).
§2-5312(Fxception I): Pipe insulation on steam and steam condensate return & recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has..
a On/off switch on heater.
b. Weatherproof instruction plate on heater:
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
DESIGNER 1 ENr-ORCEMENT I
COMPLIANCE STATEMENT
This certificate of compliance lists th-, building features and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter 4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purritaser of the building.
Designer Building Owner
Nance: Name:
' TitWFum Ttk/Firm:
Address:: Address:
Tekptwne Tetcphonc
Lie. M;
(signs (daft) (signature)
(daft)
Documentation Author Enforcement Agency
Name: Name:
Tisk/E-irm: Age
Addm a: Telephone.