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006-670-003
v.wv A.. - - —rte .. _.. _�...e�+rw• , .—., .._ Yz FRED�B4O�EGER ��flj`"%�i' - %9�2..�_. �---- _ _--- -- i ;• `f`• S/side o`f�Nord .Hwy, app.1000,' E. of 1 GEAR Paul Meridian Rd. , Chico Chico i ,' 4673 Nord Hwy, Permit 5B(extend exi ti arab door g o Permit • g ) orse ai Y n I • NEW OWNER `,Q,,,A/ ''-�• CATHY PULVERMAN Permit#1181-85B(reroof/SF) 006-670-003 04-2655 DAVIS, BOB 4673 NORD HWY, CHICO Cont: JB CONSTRUCTION ADDITION,�iJ""a -o5 r— r r ' 1 I f i + I r , 1 r i y INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISIO , OROVILLE FROM: , ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEALTH HOLD ON B DING INAL Fpll OWNER NAME: Z V SEPTIC: LL: AP#:f ' 7e9—&J ADDRESS/LOCATION: *177-3 vi.i aaicauvai i cicwcuviu INTER -DEPARTMENTAL MEMORANDUM BUTTE COUNTY TO: BUILDING DIVISION OROVILLE SEP 2 8 2004 DEVELOPMENT FROM: -2 ENVIR. HEALTH, CHICO SERVICES DATE: RELEASE ENV. HEALTH HOLD ON B ING,FAL FOR: OWNER NAME: SEPTIC: WELL: AP#: ��%`�p — (� ADDRESS/LOCATION: 0 i Comments: GL/memos/releasehold INSULATION CERTIFICATE IC -1 Number an t et ityza County SUbdivision _ _ Lot Number Description of Installation 1. ROOF Material Brand Name Thickness- (inches) Thermal Resistance (R -Value) 02- CEILING Batt or Blanket Type 6 Brand Namea4..i.�J� Thickness (inches) 10 IV Thermal Resistance (R -Value) 2- 30 Loose Fill Type Brand Name Contractor/s min installed weight/ft= Ib Minimum thickness ' inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) 4PEXTERIOR WALL Frame Type t�►oo,� �-►,. s – 2 �C A. Cavity Insulation Material R Thickness (inches( LA 'B . Exterior Foam Sheathing Material Thickness (inches) 9 RAISED FLOOR Material rb 6AY, Thickness (incli s) 61 * 5. SLAB FLOOR/PERIMETER Material Thickness (inches) Perimeter Insulation Depth (inches) A FOUNDATION WALL Material Thickness (inches) Declaration Brand Name L7 Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) — 19 Brand Name M Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code.of Regulations) as indicated on the Certificate of Compliance, where applicable.' ja e�A,,J,,j em #S ignature, Date Installing Subcontractor o.Name) General Contractor (Co. Name) OR Owner Item #s __ ignature, Date Item #s Signature, Date Revised July 1995 Installing Subcontractor -(Co. Name).OR.. General Contractor (Co. Name) OR Owner Installing Subcontractor(Co. ame General Contractor (Co. Name) OR Owner NOTES t ' PERMIT NO. — d,� a t f f, a1 RESIDENTIAL U06-670`003 _ 04-2655x_ { DAVIS, BOB } 4673 NORD HWY, CHICO r Cont: 4'ONSTRUCTION ADDfTI'�`1 SPECIAL- CONDITIONS CHECKED BY ., SRA ` FLOOD CERTIFICATE REQ'- FIRE EQ: FIRE SPRINKLERS REQ. `. SPECIAL INSPECTION ITEMS. VERIFY }, USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER .''COPY -.;.r� —•ti } OFFICE r Address- 4 G AS Dat e Meter BY ' S ��� ELECTRIC Date Meter BY y©_7^ t v', I JOB FINALED (Date) Signature J=OK 0 = Not - =NotAApplicable -- p r = Not Ready RESIDENTIAL Date UND L R (Plans) OK except #'s a Zo ' g -Setbacks -Easements -Flood -Slope Card B-1,, /Z_ ; J Date Card B-1 tg., Main; Soils-Elec. Grnd.-/ �y�!" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ft ., P ches & Decks; Soils -Steel-/ /" Ftg. Depth . F' ture & Transformer Clearance -Ins. Protection walls, Main; Steel-Blockouts-Wrapped 2 lec. Receptacles Spacing -Lights & Switches at Doors Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, el -Wrapped 8. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Fi lace Ftg.-Steel 2$/ ppliance Circuits in Kitchen & Conductor Size GFI W .; all -Fitting -Test -2 Way C/O -Sewer Test 3 Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al s Pipe; Size Anchors -Yard Gas Piping; Size Test 1 -I. -Water Pip V Test -Anchors -Regulator -Service Test 12. Electri nder round 13. Ple ms & Ducts; Clearance -Material -Support -Ins. 11 14. rder -Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilatio _rrTnsu a io Date T/ Card B-1 Date Card B-1 Date It Card B-1 Date Card B-1 Date PLUMBING Mefmit) OK except #'s •411.- Water Htr: Vent -Access -Combustion Air Baffle 19' D .V.; Test Fittings & Anchor -Nail Protection A2 Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access 'IYA Gas Pioe: Sixe & Anchors L Single & Duplex) Date FRAMING (Continued) 47. Ha rs-Post Caps -Anchors -Connectors 48. Ag. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 46/rireplace Ties or Type A Flue -Fireplace Throat Clearance 50. ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Storv, 2 Exits 55. St irs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. ywood on Roof Overhang -Attic Vents -Rafter Outriggers . Siding -Nailing Veneer - 58. Stu to Mesh -Drip Screed -Fd. Vents-Underflr. Access 9. Grazing Area -Glass Protection -Skylights -Plastic . 3 96 Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. 38 Fire Sprinkler; Test 63. filtration -Wall ndows Date /,' Card B-1,, /Z_ ; J Date Card B-1 Date Card 134'tl Date Card B-1 Date ELECTRICAL (Permit) OK except #'s . F' ture & Transformer Clearance -Ins. Protection 66. 2 lec. Receptacles Spacing -Lights & Switches at Doors 92. 2t!.size Boxes & No. of Conductors Stapled 93. 27- Romex Installed Close to Edge of Studs & C.J. 8. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 9 2$/ ppliance Circuits in Kitchen & Conductor Size GFI 96. Date - -Q 3 Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Date 414 -Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral ❑ Yes Cl No Date St- Service -Riser Conductors & Ground Main Disconnect Comments at Final: i . Clearances Panels-Motors-Mech. Equip. Z;Clothes Closet Light -Shower Light -Spa Light 3 moke Detector e�+ Date r Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A. Ducts Insulation & Support 37. Vent Exhaust a insulation 38. Condensa ain & Overflow, Size & Grade 39. Furn -Vent cess -Comb. Ait-Return Air Vent 115 Outlet 40.is Access & Pla ref Furnace in Attic Date tard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA NG (Permit) OK except #'s Is Proper Materials & Anchors alls Studs -Nailing Spacing & Braces -Plates -Sound 9 Baring Walls over Girders & Floor Nailing t" raft Stop in Walls (rat proof) 4 . 0 e Stops, Furred Ceilings -Stairs -Chasers -Tubs ARor Headers & Beams -Size & Bearing L Single & Duplex) Date FRAMING (Continued) 47. Ha rs-Post Caps -Anchors -Connectors 48. Ag. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 46/rireplace Ties or Type A Flue -Fireplace Throat Clearance 50. ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Storv, 2 Exits 55. St irs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. ywood on Roof Overhang -Attic Vents -Rafter Outriggers . Siding -Nailing Veneer - 58. Stu to Mesh -Drip Screed -Fd. Vents-Underflr. Access 9. Grazing Area -Glass Protection -Skylights -Plastic . 3 96 Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. filtration -Wall ndows Date F rd B-1 - Date Card B-1 Date Card B-1 Date Card B-1 Date FI 6 L (Plans) OK except #'s . Ext. eps-Door & Sidelight Protection -Landings oke Detector 66. Furnace s -clearance -Comb, Air -Connector - In qe; Above Floor-Ducts-Mech. Protection 69r-�FJ,A'Bath Fixtures & Tub Access -Spa M ec. Trim & Suboanel, Breaker Sizes & Labels 70. Stair & �YFirSph�e or Stove, Clearance -Hearth ec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Prctection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O No/Walks 0 Yes O No/Planters O Yes D No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ve tion Throughout House ass Protection Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. er 'Sewer Connected -C/O to Grade -HD Approval rgy Compliance Certificate -Other Certificates 9 . Address Posted 96. Date - -Q Fire Sprinkle 1-117 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: J=OK . 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Plumb.; Cir. Test -Water Supply Test 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verifv #'s with Office 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, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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, Distance-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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042655 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/22/2004 APN: 006-670-003-000 the Business and Professions Code, and my license is in full force and effect. G -O License Class : License Number: y�®)) Site Address: 4673 NORD HWY CHI Date: 0 —2—oma Contractor. J -7�_ IR 2,-2,2Map Index: Description: ROOM ADDITION (744) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a • DAVIS COREEN L LAUTIN Br,ROBERT L Owner. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of r 4673 NORD HWY the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO,'CA she is exempt therefrom and the basis for the alleged exemption. Any 95973-8908 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: J B CONSTRUCTION COMPANY owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of P O BOX 1516 proving that he or she did not build or improve for the purpose of CHICO, CA 95927 sale.). (530) 895-1573 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: J B CONSTRUCTION COMPANY ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: P O BOX 1516 CHICO, CA 95927 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: (530) 895-1573 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 430112 Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: '0Dom, g0 .5c — ;zoo Total Square Ft: 744 S. F. Policy #: po 2 Fo S -O — 2© CA O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Valuation: $48,360.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: O �2 9-04 Applicant: >2_ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte County Code anrvor Resolutions.to d c i i ated above for whichfees-have been paid: — — a - performance of the work for which this permit is issued (Sec 3097 Civ.) J G Name: By: Date:` 7 /V Address: PERMIT EXPIRES ON: Date ❑ . I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official forth or document of Butte ounty. I hereby authorize representatives of Butte enter upon the above mentioned property for inspection 1to �-County Print Name: z 1 firL �, A Kf 2 _ Signature: 77"_�S'2 Date: 0 Owner Contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" T? ARCHITECT/ENGINEER OWNER Last Nameas '3A�ZQ 1aj7 n Address Li G-23 LIZA W City G 1",- o StateZ Zi,y 9a Phone 91'" 0773 "dJel E-mail Fax s O E-mail T? ARCHITECT/ENGINEER CONTRACTOR Name '3A�ZQ AA t7 c Address O & City C- o Phone � slf� 3 StateG Zp S ? Phone _ s Fax s O E-mail GC F i s uc.y3oii 2 Class T? APPLICANT NAME ARCHITECT/ENGINEER Name Y Address An 6 Address SRA City City State Zip Phone Phone � slf� 3 Fax Email E-mail G CAW- O L.' State License Number APPLICANT NAME Name AJA J Address An 6 SRA Yes City State Type Const V �p 9s/9z� Phone � slf� 3 F Planner E-mail G CAW- O L.' DiYI APPLICANT S GNA URE X - o fice use only: HingIA-nl Property Address /'r ? 2 w/ Flood Zone I x SRA Yes No /Occ. �9 Type Const V Subdivision Name Map Book Page # Planner Date Approved: PERMIT NO. BP a¢24s51 s-rz/ LOCATION AP# Q©(-, ^ 6?0-D03 Property Address /'r ? 2 w/ Ciity G O Cross Street CC WORKER'S COMPENSATION Policy Number OHO-- 2©0 Carrier �SiR t.t if hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: M10ACP % (k ` Footage �� {tborvt 0 Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by. Amount: Bldg SRA Receipt #: 4 % ��� I Sheriff SMIP Date:4 //') 7 �• 1/S Other 9.9oy o4— SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND 17V INK. Residential, New, Remodels, Additions, land Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPERI OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. D 3. 2 Engineered truss details and layouts (if required) (NO FAXESI). 4. Letter from Engineer or Architect for truss design review. :1 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) :1 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). 3 7. Detached Accessory Building Form, filled out by the property owner (if required). :1 8. Sanitation and site plan approval from the Environmental Health Department. 7 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed bye engineer. Mobile, Manufactured, or Modular Homes: 3 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI 3 2. 2 Data sheets and installation instruction manual. 1 3. 2 Marriage line information. 4. 2 Floor plans. 3 5. 2 Engineered Tie Downs or Foundation plans. 1 6. Sanitation and site plan approval from the Environmental Health Department. 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). :ommercial, New, Additions and Remodels: 3 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPERI 3 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. 3. 2 Engineered truss details and layouts (if required) (NO FAXES ! ). 3 4. Letter from Engineer or Architect for truss design review. 3 5. 2 Energy compliance design and supporting documentation (if required). 3 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). 3 7. Statement of Intent for Non -heated and A/C (if required). 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate,'(D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. 9. Letter of intent. 10. Hazardous Material Form. 11. Sanitation and site plan approval from the Environmental Health Department. Pyou have questions or would like additional information regarding this process, contact a Permit ,pplication Assistant at (530) 538-7541. ►VER FOR BUILDING PERMIT APPLICATION ORMSWILDING F0RMS1BId9App1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Jo o e� • e_ -i ry n Q 3 Proposed Building Use: ADD / -7,&A- Counter Technician: #�_� (_` Date: 1 4 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to -apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 91/ 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All Df these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ Arol 21. Fees as shown on the attached Schedule of Fees Due Sheet.r...'S.�. hrC..0 .r>C�. 22. ..... . ................................... . City of Chico Plumbing permit ................ ............. J _ C�/ 23. 24. California Department of Forestry plan approval ❑ paid. Sent by: ............. Planning approval (A) Use: -DK (B)Parking: (C) Parcel Check: �l ❑, 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :........................ ..... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 8 e? 6 • 1 '5 7 3 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 4p n Q - o _ pplication orthe1. Index pe�� Plan Check Letter >tol�r items required 151�� Contresigner, owner, was advised of the above ata by hone, ❑ mail, ❑ counter, by Date: esigner, owner, was advised of the ab a dat by phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: \Cj b Plans approved by: 0-C__ Date: 47, Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division • _ .• it c . �� A 'Y•«:Y .li. USE O Y Rot Plan Anschad Floor Pisa Attached 9aat to B.O. TO: epartme.nt C � FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location//'AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other ffo- ld final for Final clearance�O.K. for: NOTE: vironmental Health Specialist Date 8/96 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 , SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USES M �o 4 1. BUILDING PERMIT FEES --- Balance Due ..................... $ •3 1 --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ SCHOOL DISTRICT FEES Com+ �a ` CI'Ven (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. (paid at Building Division) 4. URBAN AREA FEES Residential (per unit)..... # Units A.P. # DATE RECEIPT # DATE REC. 7P X =$ Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES — (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER S `".t 1 r' 4. sq-- � :01)// At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan (checking process. APPLICANT DATE 0%_ 0q— o A Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) a School District 0 Building Department No. A.P. Number ()0(0 - 6 -7 t%,'31 Jurisdiction: Q city County Property Owner Property Location/A Subdivision Lot No. Residential Development by payment of $ 2926 Sq. Footage No of Living Mobile Home Addition/ Supplemental to (Group R) Units Installation Conversion permit # Date *(No foundation Inspection) ....................................................................... 1 ....................... . ... Deed Restricted Sq. Footage 'A ec ad copy of Deed Restriction and Notice of Limited Use Facility document) ,��qn �o Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Building Dbpartment Representative Roofed Areas) Date District Identification No. 05 C/) 0 T) School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. I School District Representative Paid by Check # Remarks: Modes: You may protest the Imposition of tiro tom Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fen are paid. Falluire to submit a timely w!ftn protest wilt prohibit you from challenging the Imposition of do fees In any court action. M, subsequent to the School District Representative signing this Butte County Schools Impact Fee certification FOM16 the School District Is rhstifisd by the epplicablis Local Planning Agency that this project Is being reviewed under the Callifornia Environments! Quality Act (CEQAh this project may be *~ to additional school m I fees to fully n9ligiate. Its Impact an the school districtle schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/03)dmm by payment of $ 2926 FULL 11111MIGATION Date Modes: You may protest the Imposition of tiro tom Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fen are paid. Falluire to submit a timely w!ftn protest wilt prohibit you from challenging the Imposition of do fees In any court action. M, subsequent to the School District Representative signing this Butte County Schools Impact Fee certification FOM16 the School District Is rhstifisd by the epplicablis Local Planning Agency that this project Is being reviewed under the Callifornia Environments! Quality Act (CEQAh this project may be *~ to additional school m I fees to fully n9ligiate. Its Impact an the school districtle schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis 00/03)dmm `ERGY CALCULATION SERVICES Auditing, Analysis and Documentation CEC Certified Energy Plans Examiner - RES9 1-1006 / NR -9 1 -1002 -C -HERS Analysts - RD/FmHa Auditors - Member of RRHA of Texas Ref. - Title 24 energy calculations for your RESIDENTIAL project. To Whom It May Concern: Provided in this package, are three sets of energy documents. Two of these sets are for submittal to the building department. One set, the paper clipped original, is your file copy. This original may be reproduced as necessary to facilitate completion of the project at the address contained within the documents. Please be sure to sign these energy calculations on page 3 of the CF -Ir forms where indicated. Read the signature requirements and determine who is most qualified, or willing to accept responsibility as explained in the paragraph above the signature block. A "Mandatory Measures" checklist is contained within the energy documents. These requirements pertain to all construction and should be considered minimum code requirements. Any specific increases in efficiencies noted in the Title -24 Energy Documentation supersede "Mandatory Measures". Energy features that must be incorporated into this structure are indicated on the summary sheet attached, by paperclip, to one set of the energy calculations. This information should be copied and presented to all sub -contractors to ensure proper installation of these energy features per Title -24 requirements. Any questions will be gladly answered. If I may be of any assistance, now, or in the future, please don't hesitate to call. Thank you for your business. Marty Runnells, C.E.P.E. Energy Calculation Services 574 Manzanita Ave; Suite 9 ecs@energyguru.com 877 /530.894.8466 tel. Chico CA 95926 Est. 1989 530.894.3422 fax. i 4 0 General Notes; TITLE -24, Part 1 "ENERGY EFFICIENCY STANDARDS" The following energy requirements must be met, or exceeded, to obtain final building department approval. It is the responsibility of the owner / project supervisor to ensure that these features are installed. Project Name — The Davis Addition Job # 04209 Date — 8/2/2004 INSULATION Wall insulation shall be at least R-13 between framing. Note: Ceiling insulation shall be at least R- 30 between framing. Note: Floor insulation shall be R-19 between framing. HEATING, VENTILATION and AIR CONDITIONING The EXISTING HVAC unit will serve the existing residence and addition. IF a new unit is installed it shall be a an Appliance certified by the California Energy Commission. All ducting for all A/C units shall be located in the attic ( default ) ano be insulated to a level of R-4.2 or greater. Note: Ducting for the 2nd floor shall be located between floor joists. DOMESTIC HOT WATER One GAS water heater will serve this residence. FENESTRATION PRODUCTS. — AII windows are installed and shown in these calculations as having default U -values and SHGC's as typical for each windows configuration. Windows shall be dual pane, vinyl framed. .ENERGY CALCULATION SERVICES 574 Manzanita Avenue, Suite "9" Chico, CA. 95926 Tel. 530 894-8466 / FAX 530 894-2422 CBI Energy Plans Examiners, CHEERS Raters. ADDITION WORKSHEET Page 1 ADD Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 Project Address........ 4673 Nord H ******* Chico *v6.01* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 by EnercomD, Inc. MICROPAS6 v6.01 File-04209EX Program -ADDITIONS User#-MP1333 User -Energy Calculation Servic Run -4651 SF Existing+Addition ADDITION/ALTERATION WORKSHEET.- COMPUTER PERFORMANCE EXISTING File Name. ..... 04209EX - 3907 SF Existing Res. Conditioned Floor Area..... 3907 sf Standard Design Energy Use. 32.24 kBtu/sf-yr Proposed Design Energy Use. 120.14 kBtu/sf-yr NEW (EXISTING PLUS ADDITION/ALTERATION) File Name. ..... 04209ADD - 4651 SF Existing+Addition Conditioned Floor Area..... 4651 sf Standard Design Energy Use. 31.52 kBtu/sf-yr Proposed Design Energy Use. 98.96 kBtu/sf-yr FLOOR AREA RATIO Existing New Floor Area Floor Area 3907 / 4651 DESIGN ENERGY USE New Standard 31.52 + Floor Area Ratio = 0.840 FOR NEW (EXISTING PLUS ADDITION/ALTERATION) Floor Addition/ Area Existing Existing Alteration Ratio Proposed Standard Design 0.840 x ( 120.14 - 32.24) = 105.36 Note: If (Existing Proposed - Existing Standard) is negative, this difference is set to zero. ADDITION/ALTERATION ENERGY USE SUMMARY Energy Use (kBtu/sf-yr) New.................... Addition/ Alteration Design 105.36 Proposed Design Compliance Margin 6.40 *** Addition/Alteration complies with Computer Performance *** CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 Project Address........ 4673 Nord Hwy ******* Chico *v6.01* Documentation Author... Marty Runnells ******* Bui Ta ing Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 P an C ec Date Chico, CA 95926 530-894-8466 Field C ec Date Climate Zone.. .. ..... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -FORM CF -1R User4-MP1333 User -Energy Calculation 8ervic Run -4651 SF Existing+Addition Component Type Wall GENERAL INFORMATION Conditioned Floor Area..... Building Type........... Construction Type .... Building Front Orientation. Number of Dwelling Units... Number of Stories.. Floor Construction Type.... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 4651 sf Single Family Detached Existing Plus Addition Front Facing 90 deg (E) 1 1 Raised Floor 15.5 % of floor area 0.64 Btu/hr-sf-F 0.66 8.2 ft BUILDING SHELL INSULATION Frame Cavity Sheathing Type R -value R -value n/a R-n/a R-n/a Total Assembly R -value U -factor Location/Comments R-0 0.386 FRONT,FRONT RIGHT Door n/a R-0 R-n/a R-0 0.330 Wall n/a R-13 R-n/a R-13 0.088 Roof n/a R-n/a R-n/a R-0 0.076 Roof Floor n/a n/a R-30 R-n/a R-n/a R-30 0.031 R-n/a R-0 Floor n/a R-19 0.097 R-n/a R-19 0.037 FENESTRATION Orientation Area (sf) U- Interior Factor SHGC Shading Window Right (NE) 16.0 0.600 0.650 Standard Window Right (NE) 24.0 0.600 0.650 Standard Window Right (NE) 60.0 0.600 0.650 Standard Window Right (NE) 11.5 0.990 0.740 Standard Window Right (NE) 20.0 0.600 0.650 Standard Window Front (E) 20.0 0.600 0.650 Standard Window Front (E) 15.0 0.600 0.650 Standard Window Front (E) 9.0 0.990 0.740 Standard FRONT LEFT, LEFT BACK, BACK LEFT BACK RIGHT, RIGHT FRONT, FRONT RIGHT BACK FRONT, LEFT, BACK RIGHT TO ATTIC VAULTED RAISED FLOOR RAISED FLOOR Over - Exterior Shading hang/ Fins Standard None Standard None Standard None Standard None Standard None Standard None Standard None Standard None CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -4651 SF Existing+Addition FENESTRATION Over - Area U- Interior Exterior hang/ Orientation (sf) Factor SHGC Shading Shading Fins .Window Front (E) 33.4 0.550 0.650 Standard Standard None Window Front (E) 20.0 0.600 0.650 Standard Standard None Window Front (E) 40.0 0.600 0.650 Standard Standard None Window Front (E) 12.0 0.600 0.650 Standard Standard None Window Left (S) 17.5 0.600 0.650 Standard Standard None Window Left (S) 10.0 0.600 0.650 Standard Standard None Window Left (S) 9.0 0.600 0.650 Standard Standard None Window Left (S) 40.0 0.550 0.650 Standard Standard None Window Left (S) 12.0 0.600 0.650 Standard Standard None Window Back (W) 20.0 0.990 0.740 Standard Standard None Window Back (W) 17.5 0.600 0.650 Standard Standard None Window Back (W) 15.0 0.600 0.650 Standard Standard None Window Left (SW) 20.0 0.600 0.650 Standard Standard None Window Left (SW) 30.0 0.600 0.650 Standard Standard None Window Left (SW) 18.0 0.990 0.740 Standard Standard None Window Left (SW) 30.0 0.600 0.650 Standard Standard None Window Left (SW) 30.0 0.600 0.650 Standard Standard None Window Left (SW) 18.0 0.990 0.740 Standard Standard None Window Back (W) 12.0 0.600 0.650 Standard Standard None Window Back (W) 12.0 0.600 0.650 Standard Standard None Window Back (NW) 12.0 0.600 0.650 Standard Standard None Window Back (W) 20.0 0.600 0.650 Standard Standard None Window Right (N) 24.0 0.600 0.650 Standard Standard None Window Right (N) 24.0 0.600 0.650 Standard Standard None Window Right (N) 24.0 0.600 0.650 Standard Standard None Window Right (N) 6.0 0.600 0.650 Standard Standard None Door Right (N) 18.0 0.550 0.650 Standard Standard None HVAC SYSTEMS Refrigerant Tested ACCA Equipment Minimum Charge and Duct Duct Duct Manual Thermostat Type Efficiency Airflow Location R -value Leakage D Type Furnace 0.750 AFUE n/a Attic R-2.1 No No Setback ACSplit 8.00 SEER No Attic R-2.1 No No Setback Furnace 0.750 AFUE n/a Attic R-4.2 No No Setback ACSplit 8.00 SEER No Attic R-4.2 No No Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Storage Gas Standard 1 .52 50 R-12 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -4651 SF Existing+Addition SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** Mandatory Measures require a R-12 or greater external blanket on Gas Storage Water Heaters with Energy Factors less than 0.58. REMARKS All unknown energy values for the existing residence are taken from Talble 7-2; Default assumptions for existing building built prior to 1978. Credit is.taken for all vinyl windows installed as retrofit windows to the existing residence. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 4 CF -1R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -4651 SF Existing+Addition COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan -to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. Name.... Title... Agency.. Phone... Signed.. ate DESIGNER or OWNER DOCUMENTATION AUTHOR Name .... �s-�� _ Name ..... Marty Runnel l s Company. Po 6c:>x ml1' Company. Energy Calculation Services Address. l�o CA QS9 2-7 Address. 574 Manzanita Avenue, Ste 9 Chico, CA 95926 Phone... X30- &lS-/S%3 Phone... 530-894-8466 License. _ p Signed.. Signed.. u*f? 8/0//o q ate ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. ate MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 Pdd d r ******* oject A ress........ 4673 by Hwy Chico *v6.01* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation*Servic Run -4651 SF Existing+Addition Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the.features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. ✓ 150(b): Loose fill insulation manufacturer's labeled R -Value. ✓ *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. ✓ 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 10 _ 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ✓ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. Lxl/,A-_ 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. N 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control A 2. No continuous burning gas pilots allowed. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -4651 SF Existing+Addition SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er merit 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA. ✓ 150(1): Setback thermostat on all applicable heating and/or cooling systems. 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks .for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. AAA *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF -1R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -4651 -SF Existing+Addition pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). LIGHTING MEASURES Design- Enforce- er ment 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. N A 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures ✓ are IC (insulation cover) approved. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 ** *** Project Address........ 4673 Nord Hwy Chico *v6.01* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 Plan Check Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -4651 SF Existing+Addition MICROPAS6 ENERGY USE SUMMARY Energy Use (kBtu/sf-yr) Space Heating.......... Space Cooling.......... Water Heating.......... Total Standard Proposed Compliance Design Design Margin 15.20 39.32 -24.12 10.19 53.46 -43.27 6.13 6.18 -0.05 31.52 98.96 -67.44 *** Building does not comply with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 4651 sf Single Family Detached Existing Plus Addition Front Facing 90 deg (E) 1 1 ReducedYear Raised Floor 2 37952 cf 0 sf 15.5 % of floor area 0.64 Btu/hr-sf-F 0.66 8.2 ft BUILDING ZONE INFORMATION Floor # of Area Volume Dwell Zone Type (sf) (cf) Units Cond- Thermostat itioned Type EXISTING Residence 3907 31256 0.84 Yes Setback ADDITION Residence 744 6696 0.16 Yes Setback Vent Vent Air Height Area Leakage (ft) (sf) Credit 2.0 Standard No 2.0 Standard No COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -4651 SF Existing+Addition OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ Surface (sf) factor R-val Azm Tilt Gains Reference Comments EXISTING - Existing 1 Wall 248 0.386 0 90 90 Yes None FRONT 2 wall 297 0.386 0 45 90 Yes None FRONT RIGHT 3 Wall 124 0.386 0 135 90 Yes None FRONT LEFT 4 Door 11 0.330 0 90 90 Yes None FRONT 5 Door 12 0.330 0 45 90 Yes None FRONT RIGHT 7 Wall 308 0.386 0 180 90 Yes None LEFT 9 Wall 422 0.386 0 270 90 Yes None BACK 10 Wall 134 0.386 0 225 90. Yes None BACK LEFT 11 Wall 56 0.386 0 315 90 Yes None BACK RIGHT 12 Door 18 0.330 0 270 90 Yes None BACK 14 wall 394 0.386 0 0 90 Yes None RIGHT 16 Roof 3907 0.076 0 n/a 0 Yes None TO ATTIC 18 Floor 3907 0.097 0 n/a 0 No None RAISED FLOOR ADDITION - New 6 Wall 236 0.088 13 90 90 Yes None FRONT 8 Wall 258 0.088 13 180 90 Yes None LEFT 13 Wall 268 0.088 13 270 90 Yes None BACK 15 Wall 90 0.088 13 0 90 Yes None RIGHT 17 Roof 744 0.031 30 n/a 0 Yes None VAULTED 19 Floor 744 0.037 19 n/a 0 No None RAISED FLOOR FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade Orientation (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC EXISTING - Existing 1 Window Right (NE) 16.0 0.600 0.650 45 90 Standard/0.76 Standard/0.68 2 Window Right (NE) 24.0 0.600 0.650 45 90 Standard/0.76 Standard/0.68 3 Window Right (NE) 60.0 0.600 0.650 45 90 Standard/0.76 Standard/0.68 4 Window Right (NE) 11.5 0.990 0.740 45 90 Standard/0.76 Standard/0.68 5 Window Right (NE) 20.0 0.600 0.650 45 90 Standard/0.76 Standard/0.68 6 Window Front (E) 20.0 0.600 0.650 90 90 Standard/0.76 Standard/0.68 7 Window Front (E) 15.0 0.600 0.650 90 90 8tandard/0.76 Standard/0.68 8 Window Front (E) 9.0 0.990 0.740 90 90 Standard/0.76 Standard/0.68 9 Window Front (E) 33.4 0.550 0.650 90 90 Standard/0.76 Standard/0.68 10 Window Front (E) 20.0 0.600 0.650 90 90 Standard/0.76 Standard/0.68 13 Window Left (S) 17.5 0.600 0.650 180 90 Standard/0.76 Standard/0.68 14 Window Left (S) 10.0 0.600 0.650 180 90 Standard/0.76 Standard/0.68 15 Window Left (S) 9.0 0.600 0.650 180 90 Standard/0.76 Standard/0.68 16 Window Left (S) 40.0 0.550 0.650 180 90 Standard/0.76 Standard/0.68 18 Window Back (W) 20.0 0.990 0.740 270 90 Standard/0.76 Standard/0.68 19 Window Back (W) 17.5 0.600 0.650 270 90 Standard/0.76 Standard/0.68 20 Window Back (W) 15.0 0.600 0.650 270 90 Standard/0.76 Standard/0.68 21 Window Left (SW) 20.0 0.600 0.650 225 90 Standard/0.76 Standard/0.68 22 Window Left (SW) 30.0 0.600 0.650 225 90 Standard/0.76 Standard/0.68 23 Window Left (SW) 18.0 0.990 0.740 225 90 Standard/0.76 Standard/0.68 24 Window Left (SW) 30.0 0.600 0.650 225 90 Standard/0.76 Standard/0.68 25 Window Left (SW) 30.0 0.600 0.650 225 90 Standard/0.76 Standard/0.68 26 Window Left (SW) 18.0 0.990 0.740 225 90 Standard/0.76 Standard/0.68 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 MICROPAS6 v6.01 File-04209ADD Wth-CTZllS92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -4651 SF Existing+Addition Orientation 27 Window 28 Window 29 Window 31 Window 32 Window 33 Window 34 Window ADDITION - 11 Window 12 Window 17 Window 30 Window 35 Door Back Back Back Right Right Right Right New Front Front Lef t Back Right (W) (W) (NW) (N) (N) (N) (N) Area (sf) 12.0 12.0 12.0 24.0 24.0 24.0 6.0 FENESTRATION SURFACES U- Act factor SHGC Azm Tilt 0.600 0.650 270 90 0.600 0.650 270 90 0.600 0.650 315 90 0.600 0.650 0 90 0.600 0.650 0 90 0.600 0.650 0 90 0.600 0.650 0 90 Exterior Shade Interior Shade Type/SHGC Type/SHGC Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 (E) 40.0 0.600 0.650 90 90 Standard/0.76 (E) 12.0 0.600 0.650 90 90 Standard/0.76 (S) 12.0 0.600 0.650 180 90 Standard/0.76 (W) 20.0 0.600 0.650 270 90 Standard/0.76 (N) 18:0 0.550 0.650 0 90 Standard/0.76 HVAC SYSTEMS Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type Efficiency Airflow Location R -value Leakage D Eff EXISTING Furnace 0.750 AFUE n/a Attic R-2.1 No No 0.664 ACSplit 8.00 SEER No Attic R-2.1 No No 0.578 ADDITION Furnace 0.750 AFUE n/a Attic R-4.2 No No 0.737 ACSplit 8.00 SEER No Attic R-4.2 No No 0.645 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value 1 Storage Gas Standard 1 .52 50 R-12 SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** Mandatory Measures require a R-12 or greater external blanket on Gas Storage Water Heaters with Energy Factors less than 0.58. REMARKS All unknown energy values for the existing residence are taken from Talble 7-2; Default assumptions for existing building built prior to 1978. Credit is taken for all vinyl windows installed as retrofit windows to the existing residence. COMPUTER METHOD SUMMARY Page 4 C-2R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program-FORM C-2R User#-MP1333 User-Energy Calculation Servic Run-4651 SF Existing+Addition REMARKS HVAC SIZING Page 1 HVAC Project Title.......... 744 SF -Davis Addition Date..08/01/04 16:15:25 Project Address........ 4673 Nord Hwy ******* Chico *v6.01* Documentation Author... Marty Runnells ******* Energy Calculation Services 574 Manzanita Avenue, Ste 9 Chico, CA 95926 530-894-8466 Climate Zone........... 11 r,,,mTiMPthnd...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -4651 SF Existing+Addition GENERAL INFORMATION Floor Area ................. Volume..................... Front Orientation........ Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 4651 sf 37952 cf Front Facing 90 deg (E) CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar...... Glazing Conduction ............... Glazing Solar .................... Infiltration ..................... Internal Gain .................... Ducts. .................... Sensible Load .................... Latent Load ...................... Heating Cooling (Btuh) (Btuh) 67928 33042 Building Permit Plan Check Date Field Check/ Date Climate Zone........... 11 r,,,mTiMPthnd...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -4651 SF Existing+Addition GENERAL INFORMATION Floor Area ................. Volume..................... Front Orientation........ Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 4651 sf 37952 cf Front Facing 90 deg (E) CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar...... Glazing Conduction ............... Glazing Solar .................... Infiltration ..................... Internal Gain .................... Ducts. .................... Sensible Load .................... Latent Load ...................... Heating Cooling (Btuh) (Btuh) 67928 33042 19660 10973 n/a 26328 23999 7886 n/a 1764 11159 7999 122745 87993 n/a 17599 Minimum Total Load 122745 105591 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. HVAC SIZING Page 2 HVAC Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:25 MICROPAS6 v6.01 File-04209ADD Wth-CTZ11S92 Program -HVAC SIZING User4-MP1333 User -Energy Calculation Servic Run -4651 SF Existing+Addition HEATING AND COOLING LOAD SUMMARY BY ZONE ZONE 'EXISTING' Floor Area ....................... 3907 sf Volume ............................ 31256 cf Heating Cooling Description (Btuh) (Btuh) Opaque Conduction and Solar...... Glazing Conduction .............. Glazing Solar ................. Infiltration ...................... Internal Gain .................... Ducts............................ Sensible Load .................... Latent Load ...................... Minimum Zone Load ZONE 'ADDITION' 62528 17067 n/a 19765 n/a 9936 109296 n/a 109296 Floor Area ....................... 744 sf Volume ........................... 6696 cf Heating Description (Btuh) Opaque Conduction and Solar....... 5399 Glazing Conduction............2593 Glazing Solar .................... n/a Infiltration ..................... 4234 Internal Gain .................... n/a Ducts ............................ 1223 Sensible Load .................... 13449 Latent Load ...................... n/a Minimum Zone Load 13449 30356 9526 22285 6495 1764 7043 77468 15494 92961 Cooling (Btuh) 2686 1447 4043 1391 0 957 10525 2105 12630 COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:09 Project Address........ 4673 Nord Hwy ******* Chico *v6.01* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 574 Manzanita Avenue, Ste 9 P an C ec Date Chico, CA 95926 530-894-8466 Field Check/ Date Climate Zone........... 11 r-,.,,,,., 4 Mcthnri MTCRnPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-04209EX Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -3907 SF Existing Res. GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Floor Area Zone Type (sf) 3907 sf Single Family Detached Existing Front Facing 90 deg (E) 1 1 ReducedYear Raised Floor 1 31256 cf 0 sf 15.8 % of floor area 0.99 Btu/hr-sf-F 0.74 8 ft BUILDING ZONE INFORMATION # of Volume Dwell Cond- (cf) Units itioned Thermostat Type EXISTING Residence 3907 31256 1.00 Yes Setback Vent MICROPAS6 ENERGY USE SUMMARY Air Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design. Design Margin Space Heating.......... 14.83 48.81 -33.98 Space Cooling.......... 10.12 63.97 -53.85 Water Heating.......... 7.29 7.36 -0.07 Total 32.24 120.14 -87.90 *** Building does not comply with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Floor Area Zone Type (sf) 3907 sf Single Family Detached Existing Front Facing 90 deg (E) 1 1 ReducedYear Raised Floor 1 31256 cf 0 sf 15.8 % of floor area 0.99 Btu/hr-sf-F 0.74 8 ft BUILDING ZONE INFORMATION # of Volume Dwell Cond- (cf) Units itioned Thermostat Type EXISTING Residence 3907 31256 1.00 Yes Setback Vent Vent Air Height Area Leakage (ft) (sf) Credit 2.0 Standard No COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:09 MICROPAS6 v6.01 File-04209EX Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -3907 SF Existing Res. OPAQUE SURFACES Orientation Area U- Act Exterior Shade Interior Shade (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC EXISTING - Existing 1 Window Right (NE) 16.0 0.990 0.740 45 90 2 Window Right (NE) 24.0 0.990 0.740 45 90 3 Window Right (NE) 60.0 0.990 0.740 45 90 4 Window Right (NE) 11.5 0.990 0.740 45 90 5 Window Right (NE) 20..0 0.990 0.740 45 90 6 Window Front (E) 20.0 0.990 0.740 90 90 7 Window Front (E) 15.0 0.990 0.740 90 90 8 Window Front (E) 9.0 0.990 0.740 90 90 9 Window Front (E) 33.4 0.990 0.740 90 90 10 Window Front (E) 20.0 0.990 0.740 90 90 11 Window Left (S) 17.5 0.990 0.740 180 90 12 Window Left (S) 10.0 0.990 0.740 180 90 13 Window Left (S) 9.0 0.990 0.740 180 90 14 Window Left (S) 40.0 0.990 0.740 180 90 15 Window Back (W) 20.0 0.990 0.740 270 90 16 Window Back (W) 17.5 0.990 0.740 270 90 17 Window Back (W) 15.0 0.990 0.740 270 90 18 Window Left (SW) 20.0 0.990 0.740 225 90 19 Window Left (SW) 30.0 0.990 0.740 225 90 20 Window Left (SW) 18.0 0.990 0.740 225 90 21 Window Left (SW) 30.0 0.990 0.740 225 90 22 Window Left (SW) 30.0 0.990 0.740 225 90 23 Window Left (SW) 18.0 0.990 0.740 225 90 24 Window Back (W) 12.0 0.990 0.740 270 90 25 Window. Back (W) 12.0 0.990 0.740 270 90 26 Window Back (NW) 12.0 0.990 0.740 315 90 27 Window Right (N) 4.0 0.990 0.740 0 90 28 Window Right (N) 4.0 0.990 0.740 0 90 29 Window Right (N) 14.0 0.990 0.740 0 90 30 Window Right (N) 6.0 0.990 0.740 0 90 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Area U- Insul Act Solar Form 3 Location/ Surface (sf) factor R-val Azm Tilt Gains Reference Comments EXISTING - Wall Existing 248 0.386 0 90 90 Yes None FRONT 1 2 Wall 297 0.386 0 45 90 Yes None FRONT RIGHT 3 Wall 124 0.386 0 135 90 Yes None FRONT LEFT 4 Door 11 0.330 0 90 90 Yes None FRONT FRONT RIGHT 5 Door 12 0.330 0 45 90 Yes None LEFT 6 Wall 470 0.386 0 180 90 Yes None 7 Wall 422 0.386 0 270 90 Yes None BACK 8 Wall 134 0.386 0 225 90 Yes None BACK LEFT 9 Wall 56 0.386 0 315 90 Yes None BACK RIGHT 10 Door 18 0.330 0 270 90 Yes None BACK 11 Wall 394 0.386 0 0 90 Yes None RIGHT 12 Roof 3907 0.076 0 n/a 0 Yes None TO ATTIC 13 Floor 3907 0.097 0 n/a 0 No None RAISED FLOOR FENESTRATION SURFACES Orientation Area U- Act Exterior Shade Interior Shade (sf) factor SHGC Azm Tilt Type/SHGC Type/SHGC EXISTING - Existing 1 Window Right (NE) 16.0 0.990 0.740 45 90 2 Window Right (NE) 24.0 0.990 0.740 45 90 3 Window Right (NE) 60.0 0.990 0.740 45 90 4 Window Right (NE) 11.5 0.990 0.740 45 90 5 Window Right (NE) 20..0 0.990 0.740 45 90 6 Window Front (E) 20.0 0.990 0.740 90 90 7 Window Front (E) 15.0 0.990 0.740 90 90 8 Window Front (E) 9.0 0.990 0.740 90 90 9 Window Front (E) 33.4 0.990 0.740 90 90 10 Window Front (E) 20.0 0.990 0.740 90 90 11 Window Left (S) 17.5 0.990 0.740 180 90 12 Window Left (S) 10.0 0.990 0.740 180 90 13 Window Left (S) 9.0 0.990 0.740 180 90 14 Window Left (S) 40.0 0.990 0.740 180 90 15 Window Back (W) 20.0 0.990 0.740 270 90 16 Window Back (W) 17.5 0.990 0.740 270 90 17 Window Back (W) 15.0 0.990 0.740 270 90 18 Window Left (SW) 20.0 0.990 0.740 225 90 19 Window Left (SW) 30.0 0.990 0.740 225 90 20 Window Left (SW) 18.0 0.990 0.740 225 90 21 Window Left (SW) 30.0 0.990 0.740 225 90 22 Window Left (SW) 30.0 0.990 0.740 225 90 23 Window Left (SW) 18.0 0.990 0.740 225 90 24 Window Back (W) 12.0 0.990 0.740 270 90 25 Window. Back (W) 12.0 0.990 0.740 270 90 26 Window Back (NW) 12.0 0.990 0.740 315 90 27 Window Right (N) 4.0 0.990 0.740 0 90 28 Window Right (N) 4.0 0.990 0.740 0 90 29 Window Right (N) 14.0 0.990 0.740 0 90 30 Window Right (N) 6.0 0.990 0.740 0 90 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.76 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 Standard/0.68 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... 744 SF'Davis Addition Date..08/01/04 16:15:09 MICROPAS6 v6.01 File-04209EX Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -3907 SF Existing Res. System Minimum Type Efficiency HVAC SYSTEMS Tested ACCA Duct Duct Duct Manual Duct Location R -value Leakage D Eff Refrigerant Charge and Airflow EXISTING Furnace 0.750 AFUE n/a Attic ACSplit 8.00 SEER No Attic WATER HEATING SYSTEMS Tank Type Heater Type Distribution Type 1 Storage Gas Standard R-2.1 No No 0.664 R-2.1 No No 0.578 Number Tank External in Energy Size Insulation System Factor (gal) R -value 1 .52 50 R-12 SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** Mandatory Measures require a R-12 or greater external blanket on Gas Storage Water Heaters with Energy Factors less than 0.58. REMARKS All unknown energy values for the existing residence are taken from Talble 7-2; Default assumptions for existing building built prior to 1978. HVAC SIZING Page 1 HVAC Project Title.......... 744 SF Davis Addition Date..08/01/04 16:15:09 Project Address........ 4673 Nord Hwy ******* Chico *v6.01* Documentation Author... Marty Runnells ******* Energy Calculation Services 574 Manzanita Avenue, Ste 9 Chico, CA 95926 530-894-8466 Climate Zone........... 11 Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-04209EX Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -3907 SF Existing Res. GENERAL INFORMATION Floor Area ................. Volume ..................... Front Orientation........ Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 3907 sf 31256 cf Front Facing 90 deg (E) CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Opaque Conduction and Solar...... Glazing Conduction ............... Glazing Solar .................... Infiltration ..................... Internal Gain .................... Ducts ............................ Sensible Load .................... Latent Load ...................... Heating Cooling (Btuh) (Btuh) 65217 31,769 26304 14681 n/a 23505 19765 6495 n/a 2100 11129 7855 122415 86406 n/a 17281 Minimum Total Load 122415 103687 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. �0 c ..1 SITE PIAN REVIEW APPLICATION Date: �02�/0� AP# Permit Number (if applicable) T _;L4575_ APPLICANT INFORMATION Owners Name • .13� � ' Parcel Size: 14 LCL • . t S. Owners Address: q67 3 /Z �.�'I.LCIJ 9J Telephone No.: .0 7 7.3 Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie; ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial Single Family Remodel m 0& ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ' ❑ `Industrial Remodel Other ❑ Septic ❑ .Well ❑ Agricultural. Exempt Building ❑' Other: c. Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 19 Approved 4 ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By t.OZ Date . T Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ® Expansive Soils (Test for expansive soils and if verified proper foundation design required) M a6/L& ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: {a( oo 7G O 3;D D Index Date: .20 ❑ Sacramento River Reclamation District (Approval must be obtained from the Califoirmia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires:0_O�, ❑ Use Permit ® Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: /4 c20 rSP -tore Applicable Building Setbacks: ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front oZ0 a0' 6 Side as, Side Street Rear oq6 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 ---'Applicable Development Fees: ., Standard Fees Amount Formula ❑ Fires ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage Q NCSP/CSA 87 �. ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By - [1 Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel •❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance - ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded,prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ja Subdivision Map/Parcel Map: Map Date of Recording: 16&1-7 Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: ' 5-0 Page: U Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa 01 Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C.U,arryslBuilding Permit Site Plan Reviewl.doc M1 Page 5 of 5 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 22, 2004 Bob & Cory Davis 4673 Nord Hwy Chico, CA 95926 Subject: APN — 006-670-003 Dear Mr. & Ms. Davis, The Butte County Department of Development Services; Planning Department, has reviewed the submitted Building Permit Application 04-2655, and has found your application in compliance with the established planning. criteria. The site plan you submitted meets the , setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. Attached, please.find a copy of any use permits, or map notes and conditions for your property. We are providing this to your for your information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7601. Sincer ly, ana Adler Assistant Planner 11 r Butte County Department ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA. 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 19, 2004 Coreen Lautin-Davis 4673 Nord Highway Chico, CA 95973 CERTIFIED MAIL Re: Use Permit MUP 04N-08, AP ON 0 -670-003y Dear Ms. Davis: Enclosed is your validated Minor Use Permit to allow a bed and breakfast home (no more than three rooms for rent), located on the south side of Nord Highway, approximately 0.25 miles east of Meridian Road, at 4673 Nord Highway, northwest of Chico. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, i Roni Thornton Office Assistant II enc. cc:. Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) G.I.S. MINOR USE PERMIT BUTTE COUNTY PLANNING COMMISSION = 19 U4 DATE: (Certified Mail Rec.) MUP 04-08 PERMIT NO. 006-670-003 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Coreen Lautin-Davis is hereby granted a Minor Use Permit in accordance with application filed: Minor Use Permit for a bed and breakfast home (up to three bedrooms for rent) on property zoned A-20. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-41. 2. Unless otherwise provided for in a special condition to this Minor Use Pennit, all conditions must be completed prior to or concurrently with the establishment of the granted use. The use granted by this permit must be established within 12 months of the delivery of the countersigned pen -nit to the Permittee. 3. If any use for which a Minor Use Permit has been granted is not established within one year of the date of receipt of the countersigned pen -nit by the Permittee, the permit shall become null and void and reapplication and a new permit shall be required to establish the use. 4. Minor changes may be approved administratively by the Directors of Development Services, Environmental• Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a fon-nal application for amendment. The approving authority may grant or deny an application for renewal of a minor use permit. 5. The Minor Use Permit shall expire and the peri -nit shall thereafter be of no further force or effect if the use, business, or service for which the minor use permit was issued terminates or ceases operation for a continuous period of time in excess of one hundred eighty (180) calendar days except for: (1) Destruction or damage by acts of God; or v Butte County Department of Development Services a o September 23, 2004 a Agenda Report — Lautin-Davis MUP 04-08 ® Page 1 of 7 c (2) Destruction or damage by malicious acts; or (3) Remodeling or rehabilitation requiring prolonged closure with prior approval of the planning manager. 6. The terms and conditions of this pen -nit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. Conditions of Approval: Planning Division 1. The project site shall be developed in accordance with the approved project site plan and the conditions contained herein. Said site plan is on.file in the Planning Division, is identified as "Attaclunent D" and date-stamped June 7, 2004, and is incorporated herein by this reference. 2. No more than three (3) bedrooms shall be rented for overnight lodging. 3. The rooms for rent shall not contain cooking facilities. 4. Meals may be provided to overnight guests only, subject to applicable County health regulations. 5. No parking shall be allowed on Nord Highway. 6. One sign, not to exceed 3 square feet, is allowed. This sign shall not be placed in the front yard building setback. 7. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. Public Works Department 8. Prior to the issuance of building permits, obtain an encroachment pennit for all new or existing driveway approaches and construct them to County standards, as specified in County Improvement Standards. Environmental Health Division 9. Sewage disposal systems shall be upgraded to meet increased discharge requirements. Upgrades to the sewage disposal systems shall be under pen -nit issued by the Environmental Health Division. 10. All food facilities shall meet all applicable requirements of the California Retail Food Facilities Law. Any person constructing or remodeling a food establishment or opening a ® Butte County Department of Development Services o e September 23, 2004 o Agenda Report — Lautin-Davis MUP 04-08 ® Page 2 of 7 s new food establishment shall submit plans and plan check fee to Butte County Environmental Health for approval. Fire Department/CDF 11. Construction, installation or development of structures or facilities on the parcel/lot shall comply with the latest California Fire Safe Regulations, (Public Resources Code 4290), and all other applicable State and County codes, ordinances and regulations in effect at the time of application for improvement permits. 12. Building identification and/or addresses shall be installed in confornlance with Public Resources Code 4290 and shall be posted at the beginning of building construction and maintained continuously thereafter. 13. Prior to use, the facility shall be inspected by the Butte County Fire Department/CDF and shall meet the requirements of CCR Title 19. County Counsel 14. If this entire matter or any finding, action or condition of this matter is appealed to the Board of Supervisors, the applicant or any other developer/operator other than the applicant agrees to indemnify the County of Butte from liability or loss related to the approval of this project and agrees to sign an indemnification agreement in a form approved by County Counsel before the Board's appeal hearing. If the application is not appealed, this condition is deemed satisfied. NOTE: Issuance of this Minor Use Pe and Health Department pen -nits before requirements. cc: Land Development Division Building Division Environmental Health Division California Department of Forestry and Fire Prevention ■ Butte County Department of Development Services ■ ■ September 23, 2004 ■ Agenda Report — Lautin-Davis MUP 04-08 ■ Page 3 of 7 ■ ing her Department of Public Works �0 C o u m y o f B u t t e 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION Storm Water Management Program O l 7 County Center Drive Oroville, CA 95965 (530) 538-7266, �el►C (FAX) 536-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACRE1 Project Description: P Project Location and/or Parcel Number: By signing below, 1, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of Califomia Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT AD - authorize representatives of the County of Butte to enter upon the Ir above-mentioned pro//pe ty for inspection purposes. ) Date / �)5 Signature of Permiteeent or t Receipt No. ,Z a W res v — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOROF P LIC WORKS By Date /� 1 `(— 7 )� � ding permit expires Date l" —� -Y ..7 (3 BUILDING j� )wner �" SQ. FT. OCC. I 70iLDING VALUATION O Aailing Address Ci i( — a / Telephone `I / C. D 3 ;ontractor Fireplace Total Valuation S _ OCA Aailing Address Permit Fee Plan Checking Fee Vor Penalty Telephone No. Permit Fee PLUMBING No.1 @ FEE 3uilding Address of O PERMIT fILING FEE J$3.00 Each Trap 1.50 J Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 4. P. No. �`" � Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W.i}tat //� re Dept. Fire Zone Use Permit Building sewer 5.00 Lawn sprinkler system 2.00 EQA Parking Parcel Plan eclaration (� &I-94 60' R/W Improveme, is Bldg. ons Recd Parcel pproval Plans" val ppro Permit Fee ELECTRICAL No. @ FEE NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others. Range, Cook -top or Oven 1.00 1_ l/ D l.; �o Water Heater or Space Heater 1.00 Light fixtures b Receps., switches & fix outlets 2u V5bm in CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring License No. Classification Q-t—am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL NO -1 @ I FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Ytify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. l agree to comply to all County Ordinances .._� c•.,•,. ..il orM -i .,n ♦n hui lrn nn nonetrninn Anri hprBhv TOTAL PERMIT FEE _. _- $ O authorize representatives of the County of Butte to enter upon the Ir above-mentioned pro//pe ty for inspection purposes. ) Date / �)5 Signature of Permiteeent or t Receipt No. ,Z a W res v — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOROF P LIC WORKS By Date /� 1 `(— 7 )� � ding permit expires Date l" —� -Y ..7 (3 MH UTIL. PERMIT NO. PERMIT EXPIRES ����T OWNER Fred Boeger CONTR. owner LOCATION (A.P.Wiz--03-142 ) SIS of Nord Hwy, app. 1000' E. of Meridian Rd., Chico W s l . Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Setback Forms Main Bldg. Footings Stemwall Slab w Piers I Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls • Reinf. Steel Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE a -COUNMOF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) ,., PLUMBING - Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters 'Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels r. MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Grd. Fault P Service Temp. Pole Undergrouni Permanent Final COUNTY OF- BUTTEE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 /aY APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned,,propers for i pection purpo es. 'pate "$ignoture of Permitee or Agent 'receipt No.177��Q White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been p DIRECTOR O UBL WORKS By tee Bolil,in9 permit expires Date v'� 7 BUILD( G /11 ItY Dwner SO. FT. OCC. BUILDING VALUATION -- — zo, a v Nailing Address elephone No. contractor Nailing Address Fireplace Total Valuation ZQ. Q 0 Telephone No. Permit Fee , ,�,// ,,�� //,�,, 3uilding Address J ftt✓ �--� Z L�L��/ / Plan Fee &/or Penalty itFeeChecking Permit Fee dL PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 7 A. P. �3 — 7i Zonin & Planning Water piping 1.50 Each gas water heater or vent 1.50 46 --S- S ion EOA Parking Parcel Plans Declaration Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 g. Plans Recd Parcel Approval Pla pproval Lawn sprinklers stem 2.00 NEW ❑. ADDITION UTILITIES ❑ OTHER ❑ permit Fee $ $ l/i%✓ii✓4 /�!/D!G/ G,1�7�i�`D� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service XOOV OR 00 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER e 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELL INOG O . % 2¢Sq ft OR ADDNS. ACC. SLGS. // CONTRACTORS LICENSE LAW I am licensed under .the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. ULTI.OU T 2.50ea NON•RESID. ( BRANCH CIRCUITS ) NEW CONSTR. (POWER APPARATUS 0 NON-RESID. (SINGLE OUTLET CIR. Ex. JccuD(OUTLETS OR FIXTIOPES I RAL FIXED ALINIS Ex. Occup.(OUTLETSPIRESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification D4/am exempt from the Contractors License Laws of the State of California. Permit Fee $ 411 P$ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances anr♦ ctate I awc rolatinn to hidirinn constnictionand herebv Land Development Fee $ TOTAL PERMIT FEE $ C authorize representatives of the County of Butte to enter upon the above-mentioned,,propers for i pection purpo es. 'pate "$ignoture of Permitee or Agent 'receipt No.177��Q White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been p DIRECTOR O UBL WORKS By tee Bolil,in9 permit expires Date v'� 7 ;PERMJT NO. 313+-78B,E/ s PERMIT EXPIRES ���04� Fred Boeger OWNER CONTR. owner -- LOCATION (A.P. 1 44-13-149 ) S/S Nord Hwy, app.1200'W.of Hosler Lane, Chico F'F )` / a .r is • f� F Y u- Temp. Power Pole Called PG&E Temp. Elec. Serv. j' Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicaped Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footina ELECTRICAL Heint. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping E QME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) J i COUNTY OF -BUTT -E — D_nEPARTMENT OF PUBLIC WORKS - 7 County Center Drive — Oroville, California 95965 Telephone: 634-4541. APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned_oropert forwpection purposes. js u�r/ •�;_Miate X Signature7of Permitee or Agent `9eceipt No.1/ 7Jr649 ,'- hi — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been �p DIRECTOR OEUiP BLOC WORKS By6_/-3 %O B tng permit expires Date G',( �� 2% BUILD114G P1 117 Owner d SQ. FT. OCC. BUILDING VALUATION 0 Mailing Address /1 elephone No. Contractor Mailing Address Fireplace Total Valuation ZOt U Q Telephone No. Permit Fee , Building Address ;I J/ Planng Fee&/or Penalty Permit Fee Ta-, � PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F sS ion FireDept. I FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 �� � 04g. Plans Rec'd Parcel A royal Pla pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 . 0V OR LE Main service 100 AMPOR SS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service(( EA. ADD'L 100 AMP 1.00 \ NEW CONS.OR ADDNST % ACC.L13L.G.Aff�/ 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Style Of: NEW CONSTR BRANCH CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS) 2.5Oea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. Occup {OUTLETS OR FIXTIIRES g L@; EX. QCCUp. FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 DA"am exempt from the Contractors License Laws of the State of California. Permit Fee $ P 0 $ MECHANICAL No. @ 'FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMITFEE $ Z authorize representatives of the County of Butte to enter upon the above-mentioned_oropert forwpection purposes. js u�r/ •�;_Miate X Signature7of Permitee or Agent `9eceipt No.1/ 7Jr649 ,'- hi — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been �p DIRECTOR OEUiP BLOC WORKS By6_/-3 %O B tng permit expires Date G',( �� 2% COUNTY OF BUTTE — DEPARnENT OF PUBLIC WORKS 7.County Center Drive Oroville, California 95965 Telephone: 5G4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned prop ty for inspection purposes. 7,-' Jl Date )5 - Signatures of PPPerrmmiteeee or nntt Ronoint Ain / .J l�J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ding permit expires Date e,-" i Y-7 BUILDING Owner �� �� SQ. FT. OCC. ILDING VALUATION , . O Mailing Address C1113 31e hone Fireplace Contractor Q CIO /it Ci2J Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee C9 Building AddressS /-.I> C-- QF o I PLUMBING No. @ FEE PERMIT FILING FEE $3.00 'eopo za©C� / S' Each Trap 1.50 Q �/ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �j A. P. No. "" rv— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W. ���' Ei�a ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking ParceltT Plan eclaration 60' R/W Improveme is Lawn sprinkler system 2:00 Bldg.� rans Rec'd J Parcel pproval Plans pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,0 � $' 1, �' 20 9 �;� Main service incl. 1 meter / Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others.& Range, Cook -top or Oven 1.00 �_ :&i�A L9 Water Heater or Space Heater 1.00 2 Light fixtures bal 1@10 Receps., switches & fix outlets 20 lb CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap.cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL N0.1 @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned prop ty for inspection purposes. 7,-' Jl Date )5 - Signatures of PPPerrmmiteeee or nntt Ronoint Ain / .J l�J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS ding permit expires Date e,-" i Y-7 0 ''Four C's Ranch , ", . , jRoute-], Jan Fred Boxx 479 479 B Chico, CA. 95926 (916)343-9768 l 6,6t /U 1/� . d6r� Cf�L, CPJz. Q j pttaw_,� CLf- ayLyaa . =► „ NOTE- -All Mrrte�ic�Fs �/ar4metnshi Accarclance with RnEa4 _< P Shall Be in . of'- a qunl+"t;r ;bre.c:'��rl fcn+r�d Caad Practices and Uniform Building, Plur^�in the Specified use in the Me National Elecfrical Cade. Machanlca, Codes and ,. Ings set of }dans +�1 L AePI'ors the\job at all time s .MUST fir: mpk� any c$�an changes and it is unlawful to. or alter4tions on same wi�sout 'Written "A��or permisson. from tFae �s �a partment of pvb;iH t f t�rety a# �utse, r jAt.,Setback sha,9 r . the std property ,fine and 50 ff, •Ii Qin ce tecline of the road, permitting 0 w' num. of a 2 ft, eave 016t'cic, -S ptic system14 r'W r. - to bens tte County per ' Y Health Dept, ReR 1 firements, BUTTE COUNTY —� -._ _.__. __n _ `�_ _ r_.....Ar���.� • BUILDING DEPARTMENT APPROVED tI .,.e.— w..+r..'4w....wvn...e.....:,.++.......w+.w.w+......,.ws.,.e..+..rw�rn.'•..+vw...w... I - _ .7 0 s `f a2 Oxi C46 � S4'& W , 5'xi� tI .,.e.— w..+r..'4w....wvn...e.....:,.++.......w+.w.w+......,.ws.,.e..+..rw�rn.'•..+vw...w... I - _ .7 0 s `f a2 Oxi C46 � S4'& W . � �oo� .... � .�1 7 ♦t 4 J i �. F 5 � �. � � i �. � J "' l \ � � �. J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT llkl ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'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 $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20,00 Wafer piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home IS I G W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ - Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS t00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): E -1I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness 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 NEW CONSTR. MULTI -OUTLET 2,50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 90@930 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. Heating Cooling 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- .ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHIT E-O.P.W.RYELLOW-ASSE5SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT W COUNTY OF BUTTE - DEPART,MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBE j�y_ = ZO NG ,Z'V BUILDING PERMIT ow R /'/� !/ TELEPHONE SQ. FT. OCC. BUILDING V'AL T 0 /G(�� v OWNER'S AI ING RESS d— CONTRACTOR'S NA E TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER AA!9 Al C UNKNOWN Total Valuation 1 $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ L ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHIT OR ENGINEER'S MAILING ADDRESS Permit fee $ , j'D BUILDING ADDRESS £• PLUMBING PERMIT Filing Fee 10.00 Zr i� j/� 44,411'(,t/ _ Each Trap 2.00 Solar Water Heater 20.00 � CGU Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W ed __10.00 TYPE OF WORK New❑ Remodel Addition ❑ Utilities Installation❑ Other De ibe work: �CD� G�. 7� �s Per t Fee $ Con tractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , 2h2sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1I 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 NEW CONSTR.LTC-OUTLET 2,50 ea NO N.RESID BRANCH CIRC CTS NEw CONSTR. POWER APPARATUS &) NON.RESI D, (SINGLE OUTLET CIR. 20050t Ex. Occup(o OR FIXTURES 9AL030 IXED A Ex. OCCUp. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. 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. Heating Cooling 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 al liabi ities, judgments, cost a d expenses which may in any way accrue st s id County in co the granting of this p rmit. Ali 4 AL_.. �� Signat of App i t — Owner IJCI Contractor ❑ Agent ❑ An 05 A permit is required for excavations over 5'0" deep and demolition or construct.DIRECTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD '.b ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC By PERMIT EXPIRE the applicable provi- resolutions to do fees have been paid. WORKS ` Date%y ✓Q //_ ✓'2 Receipt No. J 7' WHITE-D.P.W., YELLOW -ASSESS R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF -BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and maters is 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 S ign 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 permitted to issue the permit. 1 46 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Address: Date of Inspection j(/�-5 Tenant: Inspector _ &Lf�4 , Building Location: ��QU J. Type of Inspection requested: 1. Housing / /.2. Financing / / 3. Change of Occupancy to 1F�1 4 • Other (s pec ify & 07-n Zrx� r o46f bu' ei� • A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: •6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11.• Connection to'sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. 'Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: 0 D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. / / D. Other: Ls -It C %272.75 6400 t, 4 O� :t 4 UZ 1273.50 ko cu � �Nr\, IZ, ------- — ------ C)T q OO a OO (A 0$ C� A 1275 635 660 H 51 R 4 v LO .&I 550 le cn ::E vi CL Cl 2 Go b k. W QA IN Ol -r 0 I Qn .330 3M 330 33 e! O O ko I> Cb 7-71 1009.11 1 60 I> Ul 1366.4 ti C) co ct, rR 1412.2 f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P RMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.� / ZONING �J 7 �. /.� OWN �° KlfiV PHONE NO. at L l� tJ\-f Z 4'� 01 l 3 OWNER'S ADDRESS 4 G 3 fJ o? D 4 t 1 tin- LOCATIPN OF BUILDING 1-2 4-14 -J 1 b 14 0 U s— a USE OF BUILDING 4 S E U N-7- !3-n SIZE OF STRUCTURE C i O X d 0 O SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE iM r i-A-L—►M �fi't_ ^71 t zT' ESTIMATED COST OF CONSTRUCTION $ 'Z (00 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as foll s ( c� �—1 �"^ P d�J FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date l ( - % � - i t Permit Feer•$25-W 'S'O •00 Receipt No. Signature of Owner The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOG PARC L P.D. ROOFI ISSUE Director of Public Works By Date- White ate tet'` COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER V (� rr / 1 A. o. Q� —� Proposed Building Use ��Y"!,/ --, Building InspectorDate-7, At time of permit application, I was advised'the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . .................................... 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 ............................... 1W� Fees of $ ........................ 11; Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 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 ;Stylee,,�Classification) ... 22. Certificate of Workmans Compeensation"Flnsurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 1, 25. Letter of signature authorization . /P; -.i .............................. ' 26. 27. _ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/ins ector. Other Applica Date '7 j Copy of ! .az-Mat form sent Health Dept. Fire Dept. Air Pollution Date 1 Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for aoovve items No. 2. Additional items reg0red: Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date _ Sets of plans on hold in File cabinet AP folder Copy—DPW E FYI 5 11 N161 PooL FXrsTING r -t P,:,. Ext ST INC-\ N N APPROVED Butte CounM EnvirgWn ea at ign tur PLOT PLAN go/ Environmental lea th .;AUU U -1 IUUq Chico, CA 11 :4- f2' ......... ... Jifs i fj.. ------------ Sot 4 6, . V ,x. -. . .... ... 1-51 73 T . ..... .... -JaiTANA 00 . . ........ . .. i7 S. PRDF051-:P A912M69 SITE PLANL Walls: Skip trowel texture over %2" sheet rock. Ceiling: Match existing elevation. Skip trowel texture over 5/8" sheet rock. Windows: Match existing dual glazed, white vinyl windows. Skylights: No skylights @ proposed addition. &L 4 &icy i� L I G?3 Q6) J-- 0 -? -?3 Siding: Match existing lap siding. Molding: Colonial baseboard & casing. j Lighting: As per owners. �acL`I�2 Smoke Detectors: As per UBC - one in each bedroom & one between bedrooms & kitchen. J ,�52� �-�-a ,J e� 0 0 . � .......: 1. V-9ClSTICP I R\VE WAY l: 4 PARKIN,. I- :AREA. I O 3// 1A, 'I ° iF� SEPTic TANK 2 O A /DiA, .PRDPO5l=D '� \N S ITE PLAII EXISTjN& &ARKG-E 1 E MTiNU HORS C GDRIRAL AREA (F-) 200� CP POLE V (E) WE L 2a L3 LACK .via, .U/ALRU O + . -cyP/c.AL i 1( J. Z. .t.:L.-.:.. _ ter...-... .._. :. - ' .... 2-7 °DIA. . 'R- A... : r OO�DIA, 0 . � .......: 1. V-9ClSTICP I R\VE WAY l: 4 PARKIN,. I- :AREA. I O 3// 1A, 'I ° iF� SEPTic TANK 2 O A /DiA, .PRDPO5l=D '� \N S ITE PLAII EXISTjN& &ARKG-E 1 E MTiNU HORS C GDRIRAL AREA (F-) 200� CP POLE V (E) WE L .4^�L� �, of �; I o �.; fry 3ox Z/ 45 4/-0 13N z M ii C:3 to w CD 00 CD. ol 13N z M ii C:3 CD w CD 13N z M ii