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007-210-025
1 � b07-210-025 BEDROOM ADDITION W/OP SHER1400D ' IJilliam 92-1573P DO'f���O— 1/)18/96 TS 3119 Horseman AV'a Chico l j, gas line/sf-' 007-21-0 O25 YY = SHERWOOD93-2452 B ' WILLIAM 3 r v 3119 HORSEMAN, ,CHICO �r�� •, '.�. �' REROOF/SF COMPLAI NT TO INS 007-210-025 PERMIT#96-0132 007-210-025 031795 SHERWOOD, William & Sandsa_ SHERWOOD, WILLIAM 3119 Horseman Ave.', Chico. MORSEMAN AVE, CHICO Add Bedroom/SF Cont-. OWNER FwAL-3134o� 1ST RENEWAL BP#02-0525 Ali BUI E VIOLATION LET AY 007-21- 007 5 -210-025 03-3461 3" rnl N WlC SHERWOOD Vv #9t 216 SHERWOOD, WILLIAM &SANDRA z ` i Ic ! 3 4 31 19 L 444 10RSEMAN AVE, CHICO MORSEM,� CONT: EXECUTIVE JO ES ' 1106-2854 007-210-025 DAVID DUISENBERG CO MHU 1 h/� �J 130 - MISCELLANEOUS Gas Reconnect D�EMODEL BATHROOM � NEW GAS METER FOR MOBILE 007-21-0_ ELECTRIC 3121 MORSEMAN AVE SHERWOOD, Bill 99'0088 B,E GAS LINE SHERWOOD,�-WILLIAM & SANDRA Horseman, COMPACTION TEST REQ_ (addition/SF Chico Deusber SUPPORT STRUCT REQ ! �71Od nst -007-210-025 03-3462 Y' SHERWOOD, WILLIAM &SANDRA 3/;)4 4++9-MORSEMAN AVE, CHICO Q. S Ol) CONT: yEXECUTIVE HO ES 311 q /�p✓`jl V R n �� MHI m,�-tom ,�(�lzt.9ka I � 007-210-025 SHERWOOD, WILLIAM 049391 007-210-025 01-1 131 3119 MORSEMAN AVE, CHICO SHERWOOD, BILL & SANDY Cont: OWNER 3119 MORSEMAN AVE., CHICO 1 UPGRADE MAIN SERV PANEL CONTR: PERFECTION POOLS 1 SWIM POOL I 1 007-210-025 06-0329 F`. 007-210-025 02-0525 SHERWOOD, WILLIAM r SHERWOOD, WILLIAM7SANDRA 3119 MOSSENAN, CHICO 3119 Morseman Ave, Chico CA CONT: OWNER garage cony/addn/fdn/new att GARAGE -DET 2�.-,.,:tom.. „sa, ,�"iiftlRYa:e%k�.-d+f'i..... 11#.. <i.:....,,.v-.�. _. ,:...ru..l5.`.�ii uafify..t:.-..i.,.:✓ttflitArt4.i5ff1:I�-r.. r.... .. . .ai'ui:i. iu.rn.,.. {".,y,�.L+'�,,,,.�z„��`�,7�•'F.d�1� J'�.a�-i.,.�;_ ....baste .. .t. _ „ 1 �r „ a. . ,.:..�^.... '-. �...r�ns^+«,.—'�.:^-; v.-.-�-v..� .:.. r :t 007-210-025 ,n 03-3461 SHERWOOD, WILLIAM &SANDRA ORSEMAN AVE, CHICO ' .' CONT: EXECUTIVE HOMES _ MHU A r+i ^ • i �e �`(vl/ A - t I OFFICE COPY !� , Address f GAS Meter By Date, - t ELECTRIC , t Meter By F Dat f f - t �e �`(vl/ A - t I OFFICE COPY !� , Address f GAS Meter By Date, - t ELECTRIC , t Meter By F Dat f " COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03 -31/k / ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER + ,� , ,j ` t �, �` ;_,� TELEPHONE 2! 4 .' r .J '-i�19 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS- -� L • f 311:' •: ' �i : A.' AW9 C: iICO ' j .. CONTRACTOfI'IN AME IVZ 'S TELEPHONE CONT`�=TO J'S MAILING ADDRESS ,w. I•_Si�'U,!LT C:IICO 95973 CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER , LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT Oji ENGINEER'S MAILING ADDRESS Plan Checking Fee $ Z3. CU BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CI: Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 —Eachas water heater or vent 15.00 TYPE OF WORK New ❑, Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑Buildin Describe Work: I'.• Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home ,SnG �W (9?20.00 -Co. CO PERMIT FEE S CC). C'J ELECTRICAL PERMIT Fling Fee 20.00 600VOR LES Main Service zD.A OR LESS 23.00 23. CJ LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION50 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑' 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 1000A TOLING 46.00 . CUP. NEW CONSTDWELLING OCCU OR ADDNS. a ACC. BUDS. SO 3.5¢FT: MULTI.OUTLET =.R ITS @7.50 @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex, Occup. OUTLET OR FIXTURES BAL @':00 Ex. Occup. GuriE s ASID.°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 • Misc. Wiring 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation hof one hundred dollars ($100) or less.) 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 become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X r Date I I Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ -'-�3• ��' HAZ. D f IMP _ V/ FLOOD CDDF PARCEL !� HD Issue i 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. +I r By j Ji! ' Date ( .J r PERMIT EXPIRES ON aL 1,1 at. Receipt No. ? WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT j*�'�T'T'PT�y.?i7�',^..�frX'AG-:`�%'{r'r�"' -r-..r,�.-r �-._-.,.,r. s..r.�,'yc�t•+�.-w,at',.�.w}.::w-�.s, 't w kc—fo-a actC, C4JAFL33Pi4qZZ I � ,,007-21 210-025 i ' '03-3462 SHER�WOOD;' WILLIAM &SANDRA IORSEMAN AVE, CHICO CONT: EXECUTIVE HOMES rMHlf S _ys 41 • : rs . v ,f } COUNTY OF BUTTE? �' t L I tDEPARTMENT OF DEVELOPMENT SERVICES` BUILDING DIVISION d 7 County Center 'Drive • Oroville, California 95965 • Telephone (530)-538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMITSy�- ASSESSOR PARCEL NUMBER 1 007-210-025 _ ZONING SR �. BUILDING MI PERT ,.. f� OWNER WILLIAM & SANDRA SHERWOOD TELEPHONE 345-4519 SO. Fr, OCC: '' BUILDING VALUATION - OWNERS MAILING ADDRESS 3119 MORSEMAN AVE, CHICO 459.73 .i CONTRACTOR'S EXF.0 MM HOMES '� 891-6992 CONTRACTORS MAILING ADDRESS 3042 ESPLANADE CHICO 95933 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace ! C1 4� P.1 J' • �� Total Valuation ` $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee I' 1 $ 1 20.00 Permit fee V i `) 4$ , 'J I ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $_ BUILDING ADDRESS f- kn Ir� PIan�Checknl g- F e`. I� $ I C, CY PERMIT FEE $ Lf •r LOT NO. SUBDIVISIONS NAME ( �� _� \ PARCEL MAP + Q PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTUREL ' SF ❑ Duplex ❑ Mobilehome .❑ Other SPECIFY f Each Trap 7.00 Solar or heat pump water heater 23.00 _ Water piping 15.00 Each gas water heater or vent 15.00 r TYPE OF WORK New ❑� Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ -Describe. Work: 26'8" X 67'4" MANUFACM ED WNE, NOT ON FND. MHI (ADMINISTRATIVE PERMIT) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service OOOA OR LESS zooA oR LEss 23.00 - LICENSED CONTRACTOR'S 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 the Business and Professions Code, .and my license is in full force and effect. ! L� License Class — ' Lic. No. 1 11 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury,that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: JJ ❑ 1 have and will maintain a certificate of consent to self -insure for workefs' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier �� r:.� Y?U t `'� � 1 IA --V' '� � Policy Number k I w I t 1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those rovisions. X Date t— SijAati � 61` Appli6ant d❑�Gwrier ❑ Contractor ❑ Agent An OSHA permit i required i's for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. - - �_ / +'Main Service 200A To L000A 46.00 NEW CONST. ( DWELLING OCCUP. SO OR ADDNS. a ACC. a 90S 3.50FT. NEW CONS MULTI.OUTLET NON•RESID. @7.50 POWER APPARATUS a SINGLE ounEr cIR. Ex. Occup. OUTLET OR FUTURES BAL @ I.50 FIXED APPLNS. OR Ex. Occup. ouTLETs RESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation _. i� PERMIT FEE $ Mobile Hom6'Installation'Fee $ X)• UU Energy Inspection Fee $ Occ CONST. TYPE , TOTAL FEE $ ,143, QQ HAZ.' D. FEES, jIMP FLOOD CDF' yi PARCEL ` pp w HD ISSUE 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. i 1 By Date' 6 PERMIT EXPIRES ON;/ T Dale / Receipt No. � �'�G1_�/0�Z/�,0n i % /' WHITE-D.D.S.-B.D. ' -CANARY-ASSESSOR PINK -INSPECTOR GOLDEN OD -APPLICANT ,/i ' .d J 7 CONTRACTOR'S VLRIFICA'TION f certify that 1 have installed the Gusguard .Ltigiiieered Tic .Dowi System (SPA No. ETS 112C). I have made no modifications to the tie down system or to the building structure. Company Name:: Executive Homes Contractors License # 640583 Date: S4- gnature:��i�%% _a.�//.cam, E 4: S f� 3� r. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060329 t3. G. t3uuaing verma ui-io-uv pg i 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: 05/05/2006 APN: 007-210-0255-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 3119 MORSEMAN AVE CHI Map Index: Date: Contractor: Description: DETACHED GARAGE (528) OWNER -BUILDER DECLARATION 1 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 Owner: SHERWOOD WILLIAM & SANDRA 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 3119 MORSEMAN AVE 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 95973-9105 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).): 6____1_1s 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: SHERWOOD WILLIAM &SANDRA 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 3119 MORSEMAN AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA proving that he or she did not build or improve for the purpose of 95973-9105 sale.). ❑ 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: ❑ I am EExxem,�pt Article 3 of the Business d Pr essions Code /under Date�� Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 528 S.F. 2 --,'Certify that in the performance of the work for which this permit is Valuation: $12,672.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applican WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 33i - 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. l ]j/����'(/ /1 ( g provisions CONSTRUCTION LENDING AGENCY This per i reby sued .0 der the a1pplicable of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Reso to o rk indicated bove for which fees have been paid. • G performance Name: e� By c Dates:% - S G PERMIT EXPIRE O > / Address: Date ❑ 1 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 & 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 gree to comply with all county and state laws relating to buil ' g c nstruction. I acknowledge it is unlawful to alter the substance of any official form or document of B unty. I hereby authorize representatives of Butte C my t enter upon the ve mentioned perty for in ection purposes. Print Name: gnature: Date: ner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor t3. G. t3uuaing verma ui-io-uv pg i 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 OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** - OWNER INFORMATION Last Name p First Nam Address,. !L City - a State Zip 17 3 Phone 5 I - 6 6 7 Fax p J.3 X-3 E-mail Lic. # - CONTRACTOR Name p Address - City Zip 9517-? State Zip Phone Zip 113 Fax E-mail Planner Lic. # Class - ARCHITECT/ENGINEER Name p Address - �.ZD Zip 9517-? City - 6 6 State Zip 113 Page Lot # Planner s Phone 3g r Fax E-mail State License Number - APPLICANT INFORMATION Name Address 3 e ( vp City - Stag Zip 9517-? Phone 5`7 6 6 Fax 1 _ 1_1 R3 o E-mail Page APPLIC T SIGNATURE X For office use only: Zoning _ iL Flood Zone X SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. sP dG - . BIN # PROJECT LOCATION AP#OC) 7— 2 /O - d 2 Property Address,' r c� „ I City Cross Street `GG ICOMPENSATION- WORKER'S Policy Number t Carrier 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ '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: OVER FOR SUBMITTAL REQUIREMENTS IL KAPOPMRTO III niwr: FOP hAR\RIrinAnnlRiihRnmts rine Paoe 1 of 2 VV Received by: Amount: 210 Bldg -56 C/ � SRA Receipt #: • Sheriff SMIP bAt Other Dat _ I GI Tnfai 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS , The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (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. ❑. 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval�prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). El 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). . ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation*and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. please, EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISICIA 7 County Center Drive, Oroville, CA ' 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �/ `G ASSESSOR PARCEL NUMBERy� / 2 �� Proposed Building Use: be -Ir. e5*4A 64L19,_ Permit Technician: j Date: 2 j Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1 p..+ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. j )ti 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. //Q 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including 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. must be stamped and wet -signed by the engineer. . ❑ 10. Hood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent fog non-residential` buildings 12. Hazardous Material Form 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other All of these Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.), :- 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ 17. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑� 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry Ian approval ❑ paid. Sent by: 24. Planning approval for (A) Use:(:2K{B)Parking: (C) Parcel Check: ,',.,il \ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ jl^% 26. NPDES Form.............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction..........................................................::.............................. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone sy 6 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 2.- 1. .- 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, desig wne s advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designe , ner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: e17 Plans approved by: Date: Structural reviewed by: Dat Structural approved by: Date Note transfer by: / Date: �Mwz low Yellow: Building'Division r_G_ � ti= Plot Plan Attaolted Floor Plan /-Sent to BD/D / �5 y.� 7 TO: Building Division = Development Services ©C, FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal: k Water Supply: Public Private Well Clearance for dwelling. Other 6Q14,9 X/v &u va�t- Hold final for: Final clearance O.K. for: NOTE: E(6vironment&Health Specialist Building Clearance 9/2005 GB .. .v- Zai z A ` -/06 Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecountV.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner Sherwood, bill APN No: 007-210-025 Application Date 2/13/2006 Permit No: BP 060329 1 2 3 4 5 6 6a RECEIPT DATE Tech/Asst BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 329.94 ysom 5-A-dGn �_0 Plan Check portion of Permit Fee $219.96 FEMAeYes Flood Elevation Review $109.98 0 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 NON-REFUNDABLE portion of fees due at application $219.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: 7 JIMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Applications After 2/14/05 x SFD MFD County 4096.87 3071.1 8 9 9a 10 10a Chico Urban Area 5372.09 3995. EI Medio Fire District 3128.31 2297. North Chico Specific Plan SR -1, SR -3, SR-1/PD S tR-1 � do R-2 R-3 7938.531 6757. 8031.53 6850. 7541.531 6360. 6780.531 5599. Processing Fee is automatically added to impact fee total WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek 771 Comanche Creek New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch 3117 $219.96 *$1.27 RECEIPT DATE Tech/Asst 6475.49 RECEIPT DATE Tech/Asst 0 $100.00 $200.00 069 792 596 $6,070 RECEIPT DATE Tech/Asst $8,603 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 11 SCHOOL DISTRICT FEES* Not Applicable 11a RECREATION DISTRICT FEES* INOtApplicable At the 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: Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/forms/Schedule of Receipt Fees Residential 1105 % p� ;1-r:i): A UN 5 �LUC wow Department ..c o u n t y J. Michael.Crump, Direetor Public f B U t.- t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538.7-266 (FAX) 53&7171 National Pollutant Discharge Elimination System (NPDES) Phase 11. Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN I ACRE] Project Description: Project Location and/or Parcel Number: 00 7 2, l d 0 ?-S- By signing below, L the project. owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need. to apply for a Construction Storm Water Permit fron the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require 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 California 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 Butte CoilntyDepartment ofDevelop pent Ser WCCS 7 County Center Drive °$�Tr�o ° a ° Oroville, CA 95965 (530) 538-7601 Telephone ° �•a..o ° (530) 538-7785 Facsimile 0008 BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances ' from other regulatory entities, including but not limited to, 'Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e 1 am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to.all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). j Please print: Applicant Name: 1A,t_ f��.t. APN: OD o 2 Ste" Building site address: 3 C 57 W Permit No.: (e? G — t I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: !40 - /3 O -Z' +SN ATUR�EFEO APPLICANT DATE Copy to Applicant/EH/File KForms/BldePermitwithoutClearances 020705 OWNER -BUILDER VERIFICATION KATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. Vl. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES V--,] NO [ ]. I HAVE [t/ -]-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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 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. Revd 11/4/2004 .butte County .Department of .Development Services SOT T ADMINISTRATION * BUILDING * GIS * PLANNING o o / o 7 County Center Drive0 Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a pernut Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you.must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if .you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, -contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perforrn their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner builder" building permit,'erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3121 MORSEMAN AVE Owner: Permit No: B06-2854 APN: 007-210-025 SHERWOOD, WILLIAM & SANI Issued Date: 12/18/2006 By KEJ Permit type: MISCELLANEOUS 3119 MORSEMAN AVE Subtype: Gas Reconnect CHICO, CA 95973 Expiration Date: 12/18/2007 Description: NEW GAS METER FOR MOBILE (530) 893-1382 Occupancy: Zoning: SR Contractor Applicant: Square Footage: SHERWOOD, WILLIAM & SA Building Garage Remdl/Addn 3119 MORSEMAN AVE CHICO, CA 95973 Other Porch/Patio Total (530)893-1382 FEE INFORMATION Gas System (enter outlets) $55.00 Total Charged: $55.00 . Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1224 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X12/18/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date NZI I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE MPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: ple (This section need not a comted if the permit is or one hundred dollars ($100) or est ❑ I AM EXEMPT under Section B. & P.C. for this reason: KI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if 1 should become subject to the workers'X 12/18/2006 compensation provisions of Sect' 700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 2/18/2006 I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out in any way connected with HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( 1 t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to 4er the above mentioned property for inspection purposes. I hereby certify that I am the <a n the property o is behalf. Property er or am authorized tq,1. CONSTRUCTION LENDING AGENCY 12/18/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ner Contractor OR. El Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. 6ESAR 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: ADDRESS CITY. PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE 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 Description: NEW GAS METER FOR MOBILE Reference Number: B06-2854 Applicant Name: SHERWOOD, WILLIAM & RA Signature of Property Owner: -" Date: 1�- 1 - o' BUTTE COUNTY DEPARTMENT OF. DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" --y APPLICANT INFORMATION OWNER INFORMATION Last Name,,. City - D irst Name Mailing Address City City State State ZiP5I 73 Phone 9q8- t3,S Fax'5-3v E-mail Planner --y APPLICANT INFORMATION CONTRACTOR Name City - D Address Zip Si 73 City FaxeO State Zip Phone Map Book Fax E-mail Planner Lic. # Class --y APPLICANT INFORMATION ARCHITECT/ENGINEER Name City - D Address Zip Si 73 City FaxeO State Zip Phone Map Book Fax E-mail Planner State License Number --y APPLICANT INFORMATION Name Address City - D Stated Zip Si 73 Phone, -1382 FaxeO E-mail APPLI NT SIGNATURE X For office use only: AP# d D 7 -- 1. D - OOD Zoning City Flood Zone SRA I Yes No Occ. Carrier Type Const. Subdivision Name Name Map Book Page Lot # Planner Date Approved: 8 PERMIT NO. BIN # PROJECT LOCATION AP# d D 7 -- 1. D - OOD Pro erty Address City Cross Street _ WORKER'S COMPENSATION Policy Number Carrier 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: f d12 Gat Ut — J Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ 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. Receive Amount: Bldg SRA Receipt #: Sheriff SMIP C/ Date l Other Total AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 _'SSitC-D Iill 111 111 I IIII I II lil 11 1111 l 1111 li 2CD03-0083 J. c i rn rti Recorded Official Records' I REC FEE 10.00 I CONFORM 1.00 Countyyf I BUTTE CANDACE J. GRUBBS 1 Recorder 1 ROSEMARY DICKSON I Assistant I Lisa 09:46AM 25 -Nov -2003 i Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as.follows: .5'61- �i i /4C`Cf2rld Date PROPERTY OWNERS - LZ C-1 k WNERS:Will iav-n Sk, tZoo State of California ) County of B(44L9, ) On / /GZl /5 C5)- a3 before me, . �z %S01309 -Al 67G.47z personally appeared GfJ/L ') pefMa"y knowa=te-tne (or proved to me on the basis of satisfactory evidence) to be th erso s) whose am 9 Islare subscribed to the within instrument and acknowledged to me tha(�he/they executed the same i er/their authorized ca aci es), and that bi her/their 'nature ) on the instrument, the erson ) or the entity upon behalf of which th rson acted, executed the instrument. WITNESSmy hand and official seal. Signature C GUiil% Seal:'S f . ",USAN' GLATZ COWikk 0 1280664 NOTARY PUBLIC -CALIFORNIA A. P. # 007-0 / 0 COUNTY OF BUTTE Comm. Expires Oct. 16, 2004 APN 007-210-025 All that certain real property situate in the County of Butte,. State of California, described as follows: A portion of Lot 22 of the Hobart Subdivision of the Daniel Bidwell Rancho, according to the Official Map thereof, filed in the Office of the Recorder of the County of Butte, State of California, more particularly described as follows: BEGINNING at the most Southerly corner of said Lot 22, being a corner common to Lots 10, 11, 21 and 22 of said Subdivision; thence North along the line between said Lots 10 and 22, Northwesterly, 132 feet; thence along a line parallel to the Southeasterly line of said Lot 22, Northeasterly, 660 feet to a point on the East line of said Lot 22 and on the center line of Morseman Avenue, as shown on said Map; thence along the Easterly line of said Lot 22, and along the center line of said Morseman Avenue, Southeasterly, 132 feet to the most Easterly corner of said Lot 22, being in the Southeasterly line thereof, thence Southwesterly along the Southeasterly line of said Lot 22, 660 feet to the point of beginning. EXCEPTING 'THEREFROM all that portion described in the Deed of the County of Butte, recorded November 30, 1965, in Book 1402 of Official Records,. at Page 16, Records of Butte County California. 0 NOTES t ��� 66i -21p r02�lnp _ 5 N I.02A,-0u5J2- `,' (/ SHERWpO1jWILLIAM & SAND 3119 MORSEMAN AVE, CHICO GARCONV/il DDITION/FNDN/NE WATTACHEDGARAGE MgJ4 03 - Mo f •k i f SPECIAL CONDITIONS CHECKED BY S . SRA FLOOD CERTIFICATE REQ. j FIRE SPRINKLERS REQ. (([ SPECIAL INSPECTION ITEMS �- VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �t _ 41, ko ~# Vii to tom` 'i JOB FINALED (Date) - 70, L � Signature �y ✓ = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks-Easements"° 4. 2. Soils; Special MH Support Sketch - 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ -/Amp-Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG Ext.; Steps -Doors -Landings 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 Cent. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 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 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- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing r 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; 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 FINAL.(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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test . r 11. Light Niche Date Card B-1 Date Card B-1 Date Card B -b Date Card B-1 ' � 1 J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (%c = Not Ready Date -underfloor (Plans) OK except #'s Zo etbacks- Ease ments-Flood- Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Soils -Steel-/ P' Ftg. Depth 5' Stemwalls,Main; Steel-Blockouts-Wrapped 6. _Stemwalls, Garage; Steel-Blockouts-Wrapped ;:.,G 1� Hold Downs and Special Anchors . Slab, Steel -Wrapped 8. Piers -Fir ce Ftg.-Steel V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Pipinq; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 l Date Card B-1 Date Card 8-;.1-1' Date ,Card B-1 Date UMBING (Permit) WjIFer Htr.; Vent-Acce Air Battle YIT"Water Pipe; T Anchor -Nail Pr 19 D.W.V.; Test Fittings & Anc <Nail a tion 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pioe: Sixe & Anchors Date Z - / 3-bZ C.rdB-10 Date Card B-1 Date Card B-1 Date Card B-1 Date EL RICAL (Permit) OK except #'s 2 ix "re & Transformer Clearance -Ins. Protection EI ece a ng -Light witc t oors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Stud 27. Equip. Ground made up c -Bond Gas & Water p lance Circuits in Kitchen & Conductor Size GFI 2 ire ize--7Mu or At I I 3 on uctors & Ground Main Disconn 3 earances Panels-Motors-Mech. quip. CI es Closet Light -Shower Light -Spa Light COLE moke Detector Date/Z-13-0'Z Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ICAL (Permit) OK except #'s 3 D cts Insulation & Support 3 .an, Exhaust above insulation 3 Condensate Drai Overflow, Size & Grade 38. F ace ccess-Comb. Air -Re Air V 15 outlet Attic Access & Platform if Furnace in is Date-(jZCard B-1 U Date Card B-1 Date Card B-1 Date Card B-1 Date F MING (Permit) OK except #'s lls er Materials & Anchors 4'T. alls S - ailing Spacing & Braces -Plates -Sound 42. s over Girders & Floor Nailing 4 aft Stop in Walls (rat proof) re , Furred Ceilings -Stairs -Chasers -Tubs 4 eaders & Beams -Size & Bearing 'ingle & Duplex) Date RAMING (Continued) Fireplace or Stove, Clearance -Hearth HaqWje-Pd-sst Caps -Anchors -Connect_ 71. Cling. Joist-Rftr. Ties -Purl in -R rac.-Truss-Shting.-Ring. 48. 411 F' e 6 Homex r1r ffles 5 drm. Windows or Exiting Doors -Sill Ht. & Dimensions 73. re rotection Framing 52. Property Line Firewall & Openings 53. 55. E _ors -One 3' -Check Garage 3rd Story, 2 Exits i ; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers 75. Siding -Nailing Veneer X57. Stucc Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 -lazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 6p. ce Interior/Exterior Wall Panels Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date j 3-S1_ Card B- YJ PA n Date Card B-1 Date J_' -..2JA%Z Card B-1 _IVI Date Card B-1 Date FINAL (PI`ans) OK except #'s 6 . Steps -Door & Sidelight Protection -Landings Smoke Detector 65. Furnace Vents -clearance -Comb. Air- Connector-Ip/ Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels `69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76 Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. n Garage; Above Floor-Mech. Protection 7 Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A . Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing @7,113terior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House 89. Glass Protection erections from Previous Inspections G s Test -Meters Tagged, Gas -Electric R2. er & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-11 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: EURGY INSTALLATION CERTIFICATE Building Owner /C t Building PermiL 0Z Building Location DESCRIPTION OF INSULATION ROOF < Material C✓�2_ Thickness(inches) Brand Name Thermal Resistance (R Value)_v EXTERIOR WALL Material Brand Name Thickness(inches) Thermal Resistance(R Value)__ CEILING `i$--�- `s--, Batt or Blanket Type �rand Name CO Thickness(inches) 77, Thermal Resistance(R Value) Loose Fi11 Type Brand Name . Minimum Thickness(inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) 1 :.Brand Name Thermal Brand Name, Thermal Brand Name Thermal Resistance(R Value) Resistance(R Value) Resistance(R Value) I hereby certify that the above insulation was installed in the above building, -is consistent with approved building department -plans--and attachments and- con- forms with re ements of Chapter 2-53 of State of California Energy Requirement . F OWNER SIGNATURE OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments -have been installed and.conform to the appli- ance standards and Chapter 3 of the State of California Energy requirements. U I J'Lx" -. M9, - BUILDING CONTRACTOR OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. ( FIRM NAME) �! SIGNATURE OF BUILDING CONTRACTOR/OWNER n DATE dt�✓�_e s HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. SI NATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE KUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE /6-'� TMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE .Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building ' - fnr nccuoancy. Plans must be availabl 007-210-025 02-0525 SHERWOOD, WILLIAM & SAND A. P. No. _ 3119 MORSEMAN AVE, CHICO Owner _ GARCONV/ADDITION/FNDN/NE Contractor WATTACHED GARAGE Permit No. txpires c' PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE INSPEGYOR ',-�,. Piers Underground Conduit Pre-Gunite Underfloor Plumbing G `'(-;e Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab ouuum ur m.n. nnai , � � , �- � .v •- /tc L, -of fl DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY ............ Addresses Infarmatlon . 24 H;�iisgi :: Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 6,07-210-025 .03-1795 . SHERWOOD, WILLIAM 3119 "MORSEMANAVE, CHIC.01 Cont: OWNER 1ST RENEWAL BP#02-052S.,`-" a 13 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75.41 PERMIT -NO. (Rev. 12/96) APPLICATION AND PERMIT a ASSESSOR PARCEL NUMBER UU/-110-U25 ZONING SR BUILDING PERMIT OWNER William And Sandra Sherwood 624-6400 TELEPHONE SO. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1;.119 tiorseman Ave Chico95973 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Fling Fee $ 20.00 Permit Fee $ 184.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3119 Mosreman Ave Chico Energy Plan Checking Fee $ $ PERMIT FEE $204.-% LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Renewal BP# 02-0525 (garage Describe Work: �g ag corn/addition f Elid and new attacliid garage) Gas piping stem t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�oOAOR.ss 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑~ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. SO 3.SQ FT. ppl}pESID. ' MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FOCTURES Ex. Occup.BAL 20 @ I'00 @ .so Ex. Occup. DFUT 7g DIE.a.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X z Date %' / '� Signature of Applicant -vID-Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 204.50 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU 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. r x� - By i%%fj iy.✓ nM � Date , /' ; �t. s PERMIT EXPIRES ON 611 (:'i %l Date Receipt No. _. �; / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE .s • �. r.��L .L�.p,ENVIR. HEALTH,1 • DATE: RELEASE ENV. HEALTH HOLD ON BUILDIN` G/FINAL FOR: OWNER NAME: �cy oo-�pc� SEPTIC: WELL: AP#: 1Q- O2S ADDRESS/LOCATION: Comments: GL/memos/releaseho Id i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. Off' -OSC, BP040391 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under Issued Date: 02/04/2004 APN: 007-210-025-000 provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: License Class : License Number: 3119 HORSEMAN AVE CHI Date: Contractor: Map Index: 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 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 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 she is exempt therefrom and the basis for the alleged exemption. Any 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).): 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 owner of properly 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 proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the properly, 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.). O I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and p6licy number are: Carrier: Policy k �f 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �2_(-( Applioa4lNt 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. . p,v )r . �rI-u'., Description: UPGRADE MAIN SERVICE PANEL 100 AMP IOwner: SHERWOOD WILLIAM & SANDRA j 3119 MORSEMAN AVE CHICO, CA ! 95973-9105 530- 45-4519 Applicant: SHERWOOD WILLIAM & SANDRA 1 I e Contractor: r f i License #: r ft Architect: Engineer: Total Square Ft: Valuation: Census Code: 0• S.F. $0.00 �Ce I'� i' 39 ► I D (7 f ) v rI � r� - xo v` c Extended Page 1.1 code, interest, and attomey's fees. :,,r CONSTRUCTION LENDING AGENCY This pe hereby issue der t e applicable provisions of the Butte County Code and/or I heieby affirm that there is a construction lending agency for the Resolut' work in sIMor which fees have been paid. perfomtance of the work for which this permit is issued (Sec 3097 Civ.) n (/� Name:_ By: Date: 1 — PERMIT EXPIRES ON:— ` ✓ Address:Date ❑ 1 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 & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification fortes. I hereby certify that I,have read this application, that the above infornation 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 form or ument of Butte County. I hereby authorize representatives of Butte County to enter up the above mentioned property for inspection purposes. Print Name: �(� t^y� Signature: Date: 0 2 -Owner O Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 a I (,j -,�F*IOL-0,5Z5 I -AJ O c c -f J� C-� w( �. V 11 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 NULL AND VOID 1 YEAR FROM 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 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: 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 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 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 she is exempt therefrom and the basis for the alleged exemption. Any 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).): lil 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 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 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and p6licy number are: Carrier: Policy ft: 7 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 2--- lL o 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. PERMIT NO. BP040391 OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF, ANY COUNTY OR STATE LAWS. Issued Date: 02/04/2004 APN: 007-210-025-000 Site Address: 3119 MORSEMAN AVE CHI Map Index: Description: UPGRADE MAIN SERVICE PANEL 100 AMP Owner: SHERWOOD WILLIAM & SANDRA 3119 MORSEMAN AVE CHICO, CA 95973-9105 530-345-4519 Applicant: SHERWOOD WILLIAM & SANDRA Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Extended page 1.1, i I code, interest, and attorney's fees. ,r CONSTRUCTION LENDING AGENCY I hereby, affirm that4here is a construction tending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: This pe i hereby issue der t e applicable provisions of the Butte County Code and/or Resolut' work In scat v�for which fees have been paid. I By: % Date: 2 PERMIT EXPIRES ON: ❑ 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 & 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 form or ument of Butte County. I hereby authorize representativesofButte County to enter up the above mentioned property for inspection purposes. Print Name: l �lJ /�CXii t^l_ Signature: Date: l7 L7 L( Wo -caner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. OU DATE:, _ APN: /-� v lJ C ZONING: NEAREST CROSS STREET: C-.- Gam— 2 0 TRACT/LOT#: SITE ADDRESS: CIN, ZIP: \ OWNER NAME: � PHONE: 4 5 ' STREET ADDRESS: 3 C�` Q/Yv� AWL FAX: CITY, ZIP: CkIC-0 � c 3 E-MAIL: APPLICANT NAME: PHONE: ^ STREET ADDRESS: FAX. •—� CIN, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX:- CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ��. ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX. CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: S - ❑ Structure Built without permits ❑ 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 fees will be required. 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. For office hse only: Notes: Application Received by: t Date: 2 ` O ~' Receipt number: '301 I (� Amount Received: . OD B. C. Building Permit 01-23-04 pg 2 OWNER -BUILDER VERIFICATION Attention Property Owner: . An "owner -builders' building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. personally plan to providEsigned or labor and materials for construction of the proposed P Po property improvement: YEO 11 2. HAVE ❑ HAVE NOTan application for a building permit for the proposed work.. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY.. PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYO NOTE: This Owner -Builder Ver kation is required by Section 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 OVER 0.8. - OWNER BUILDER INFORMATION I Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building penniis are not required to be signed by property owners unless they are personally pm*a ing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own wo>k, with the exception of various trades teat you plan to subcontract, you should be aware of the following information for your benefit and protection: f If you employ or otherwise engage any Persons other than your, immediate family, and the work ('mcioding materials and other costs) is 1300 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must re&tw with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social seccrity tares, wotcers compensation insurance, disability insurance costs6 and unemployment compensation contributions. There may be financial risks lar you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insmance. ♦ Forman speck in5omntion abouut your obligations under Federal Law, contract the Iatemal Rsvenne Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the stzuemn is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contactor or s ibwntractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building peank mroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. , Inion about licensed comractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Stmet, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this fiarm so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is retrmmed. Mhc 1 C. Vi iia, CB.O. Bmlding Inspection NOTE: YYds Owner-Budderinfonnadon is required by Seddon 19830 office Cagornla Health and Safety Code: OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03 3ZLD, ASSESSOR PARCEL NUMBER 007-210-025 ZONING SR BUILDING PERMIT OWNER WILLIAM & SANDRA SHERWOOD TELEPHONE 345-4519 SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3119 MORSEMAN AVE CHICO 95973 CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 G SS CONTRACTORS sMAILING EADE CHICO 95973 042ESPLAN CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filina Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS MORS Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome YZI Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 26'8" X 67'4" MANUFACTURED HOME, NOT ON FM. MHI (ADMINISTRATIVE PERMIT) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service q OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect.y� License Class — Lic. No. Q V ER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am e4empt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ( 8 ACC. Br SO 3.5¢x, CNS. NEW CONS MULTI.OUTLET �N.R�,D. c @7.50 POWEPUS 8 SINGLER AOUTLETPARATCIR. Ex. OCCU OUTLET OR FIXTURES BAL (9 . o Ex. Occup. OLITLEEDrsq R�,D°.1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker ' mp f�ati�n�ins ance carrier an olicy nu r are: Carrier 'C �J t Policy NumIDJ (The above sections need not be completed the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forWithco with tipp provisions. Date IOt4, / to of a Owner ❑ Contractor ❑ Agen An�OS A rmit is required for excavations over 5'0" deep and demolition or construction of stru tur s over 3 stories in height.r MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONSTkTYPMETC TAL FEE $ 143.00 HAZ. FLO CDF I PARCEL I pp HD I YOE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees h ve Ne PERMIT EXPIRES OF the applicable provisions Resolutions to do work been paid. Dat / !j O� ate Receipt No. .O� WHITE-D.D.S.-B.D. CANARY ASSESSOR PINK-INSP CTOR G L EN D -APPLICANT h COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive -Oroville, California 95965 • Telephone (530) 538-7541 P RMT 0 Rev. 12/96) 'APPLICATIONAND,PERMIT D� - �� ASSESSORPARCEL NUMBER ZONIN '-" - BUILDING PERMIT OWN T TELEPHON 1 I SQ• FT. OCC. BUILDING VALUATION i OWNERS MAIUNG ADDRES� _ ^ ^ n ^ ^ NAME , y LENDER'S MAIUNG ADDRESS I Fireplace aRCHRECTORENGINEEnTotal LICENSE NO. Valuation $ ' �v Filin Fee $ 20.00 ARMCM= Olt ENGINEERS LWUNG ADDRMs Permit Fee $ euoDINDADo Plan Checkin Fee $ I ► JQ r V� Energy Plan Checking Fee $ IDT NO. I SUBDMSIDN'S NAMEPERMIT PARCEL MAP FEE $ PLUMBIPIG PERMIT F ing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF ❑ Duplex 13 Mobilehome Other Soler or heat um water heater 23.00 I sPEco-Y Water i ing 15.00 TYPE OF WORK Each gas water heater or vent 15.00 Ne4)4Addition ❑ Remodel ❑ Utilii6es ❑ Installation ❑ Other E) Gas I in stem 1 - 5 outlets 15.00 Describe, Work: �y �4 �� Building sewer Mobile S G 15.00 Home W @20.00 '' II l� PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 000v OR LESS zona oR LFsS 23.00 Main Service 200A TO 1000A 46.00 PERMIT FEE PAID G NEW cON57. ( OR ADDNS. l DWELLING MCS'P. ° ° NON R o MUL71.OUTLEr 3.5¢FT. $ c @7.50 WER APPARATUS d SINGLE OUTLET ca SRA.� j A / %��J Ex. OCCU OUTLET OR FIXTURES Ex. Occup. o�DvnETs� � 20 Q 1.00 aAL Q .50 5.00 .oea —TemporaryService 23.00 Mobile Home Facilities 20.00 SHERIFF. Wiring23.00 PERMIT FEE $ OTHER $ MECHANICAL PERMIT Heating Filing Fee 20.00 Cooling Hood 6.50 Ventilation PERMIT FEt 3 Mobile Home Installation Fee $ C Energy Inspection Fee $ =C CONST. TYPE 1 TOT FEE $ AMOUNT RECEIVED $ I { i c H� 1 P FLOOD CDF P HD ISSUE This permit is hereby issued under the applicable provisions / �7 ���++i/�� of the Butte County Code and/or Resolutions to do work DATE: RECEIVED P-� / —� indicated above for which fees have been paid. 1� RFCFIPT By Date -- PERMIT EXPIRES ON COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE GM H-1 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ '" a+ 2. SCHOOL DISTRICT FEES a hl &d n -t 9'ed (paid at District Office) (Available after Plan Check) 61MQ 03µ WC 3. SHERIFF FEES (paid at Building Division) 0/ � }–� Residential ...................... $360.00 = •�l L Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Divis' n Residential ................... x fl--�$ # finits Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) �t(i�Q01 6. THERMALITO DRAINAGE DISTRICT FEES 3 $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P.# OLO-216 DATE 11- 2-6 RECEIPT # DATE REC. II D At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. /: 99000CI M11 DATE I L Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) V, -, `-62 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center`Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERIMIT APPLICATION DATA SHEET .,WNER:5 1 Wf 1161 M L� ��10- ASSESSOR PARCEL NUMBER (J (J 1 ` 0 Proposed Building Use: �� Counter Technician: 1('-� Date: ��- / 't) _ stems 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. ❑ 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! ❑�. Energy compliance design and supporting documentation in d plicate. .gyp 6. Manufactured homes: Data sheets and installation inst - Marriage line info, (C) Floor Planr(O�Floor down or d plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicatplans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ' ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... 13. Fire Sprinklers............................................................................................ 4. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by .. )U Other )U PD ES e ining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 7. Statement of Intent for Non -heated and A/C Buildings ............................................. 8. Sanitation and site plan approval from the Environmental Health Department in%I r too..0 � ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: 0 K (B)Parking: (C) Parcel Check: TF / 2- 0 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. 4. Encroachment Permit for driveway from the Public Works Dept ................................. 5. Pre -Inspection for M f tT `3 Un /'l U. required ................ 26. Contractor's license information. (Number, Name Style, Classification) ...................... 7. Worker's Compensation Carrier and Policy Number ............................................. 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 9. Letter of Signature authorization.................................................................... ,k.= Recorded copy of Agricultural Acknowledgment Statement .................................... 1. anufactured home utility clearance............................................................... 2. Existing violations and/or expired permits......................................................... �34❑ Grapt. peed, ElM �. Title/5 tement of Facts, ❑ Letter from Legal Owner, E3 Check to H.C.D. $ . Other: f') f-��YYi Men Issued Teloone r _ i and hold for pickup. 'I,have been informed of the abou items and requirements for obtaining a building permit. Applicant: i. D t : // e % " d -i61. Index permit application for the above items numbered: PI 2. ' al items required on r r designer, owner, was advised of the above data by ph e, ❑ mail, ❑ counter, by rac esigner, owne as advised of the above a b phone, ❑ mail, ❑ cou ter, by 3,$-ePlans reviewed by: t✓ Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: Letter rr•1ga3 -- t 'y -a .,; FILE No.800 12/01 '03 PM 01:19 ID:EXECUTIVE HOMES TO: Building Department- FROM:. Environmental Health SUBJECT: Sanitation Clearance FAX:530 891 8753 PAGE 2 ' ( Mot Nan AtlaaA.d " plows •naplud Nan s.na �• s.o. 17 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply-: Public Private Well Clearance for �g/dwelling. Other % 2i2!3aZ�1 2Z-aq Z 21 off' Hak"nal for: K�""{���f') c� �) t ztY i Final clearance O.K. NOTE: CIV nvironmental:,blee t Specialise Date" 9196 National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the BestManagement Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BlviPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N. 0.1.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan FILE No.800 12/01 '03 PM 01:20 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 4 ti.•�.. iv�v w rci v1N:uu-IU;tML1JllVt-HLMS FPX:630 891 8753 ppa 2 M s� O rm �s �a� t Lo "'� PAOVEI o yzj rommenl.l f Bolin LWd1J F 4 g BUTTE COUNTY PARRS DEVEWPMENT.FEB CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Numbers) • y Property 6i ner t.��l �'l fil 7 Project Location/Address f'i7Gll'7Ave, ( rl i��J 9Sq 2 Subdivision Lot Number(s) Residential Development: (check one) New Development Alteration/Addition Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: 11 Building Department Representative Date I Chico,Area Recreationan a rk•District(CARD)'certifies that (Applicant Name) (Phone Number) � V `ZC7- (Street Address) •(City) (State) (Zip Code) has complied with.the requirements of Butte Co. Resolution No. 90-140 by payment for '�- dwe ling units @$1., 189 for total payment of $ "G_ CARD Representative. Date . PAID BY CHECK NO. REMARKS:? Q S 44 BANK NO. l PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD park.fec (form revised 11/90) Yellow --Butte Co.. Building Dept. Goldenrod --City of Chico Building Dept. -School District A.P. Number Property Owner V . _ a BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Ckl Building Department No. -3 '! 6 f2 -�A5, Jurisdiction: City ®County At l t SAnA (a 5;hP(crJo0(4 Property Location/Address � ! �% % U 01 "z> C-- r C4 r"iV C7 (_ i 1 / y 1 /9 Subdivision Lot No. Fdv)1► rl, Permit of v-13 Residential Development Q Sq. Footage . Cf No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection) ..............................................................................................._.... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification No. A/19 1 OU517 School District certifies that (Street (City) has complied with the requirements of Resolution No. representing 5 square feet. School District Representative Paid by Check # JUA Remarks: (Applicant) (Phone Number) (State) (Zip Code) by payment of $ 2926 S FULL MITIGATION $ AfA _RDate No*@: You may protest the Imposition of the fees ktenWied above by subnMrig a wdttan protest to the District, in compliance with Cavarnmenrt Cods Section 66020(a), wRhdn 90 days from the date fess are paid. Failure to submit a timely wrtt on protest wlll'prohibit you from challenging the Imposition of the fess In any court action. If. subsequent to the School Distrlet Represantetiw signing this Butte County Schools Impact Fes Certification Form, the School District Is nodfied by the applicable Local Planning Agency that this project to being reviewed under the California Environmental Quality Act (CEQA), #16 project may be subject to additional school fees to holy mltlgal 1. Its Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) teeformads (10/03)dmm )IV 6—a!S, ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: William and Sandra Sherwood FROM: Yvonne Christopher, Director - Development Services DATE: November 7, 2003 FILE #: ADM 04-13 PURPOSE: Administrative Permit for William and Sandra Sherwood on APN 007-210-025 for a temporary second dwelling to be located on the west side of Morseman Avenue, approximately 500 feet south of East Eaton Road, north Chico area, on property zoned S -R (Suburban Residential). PERMIT REQUIREMENTS: Approval fora temporary second dwelling is subject to the following requirements: 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to David and Relene Townley. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the .requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. l v7-1� 7 �J Z0o3 Permittee Signature Date J seph Baker Date Tanning Manager i& i� 1 BUTTE COUNTY ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOMV,OI 2003 Qi DEVELOPMENT TO: William and Sandra Sherwood SERVICES FROM: Yvonne Christopher, Director - Development Services DATE: November 7, 2003 FILE #: ADM 04-13 PURPOSE: Administrative Permit for William and Sandra Sherwood on APN 007-210-025 for a temporary second dwelling to be located on the west side of Morseman Avenue, approximately 500 feet south of East Eaton Road, north Chico area, on property zoned S -R (Suburban Residential). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to David and Relene Townley. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. ' 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does notremove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation: Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is. an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for. the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. . ff 67-0--3 Permittee Signature Date J seph Baker Date Tanning Manager 64 FILE No.800 12/01 '03 PM 01:20 ID:EXECUTIVE HOMES FAX:530 891 8753 L , PAGE 3 1Wi2yib.i 11:47 B I DWELL 'T I TLE 4 530 891 8753 1 .� necononta AtOYeaTBa By 9z11tVLL[. TMLN b k=UA (TD- M. om. .;'; ;t-•152476 -LFII n4`4 Ano tknan nacOMKO pule TO c. . William S?lesV=1 R�2.1Crapistrano Plate t„{µwtb95926 . . . . . . q#0791. t Rao Pee DOC PA& TAa tTA'FKWZ rev To d 1 6hioM 91-01985 SIE AS RBWE tire. wi s L w. A„ 007-210-025 --�Iteetoede . . orticial Records 1.. County of 1 Butte CandAoe J. Grubbs I Recorder I olooss 11"ar-9i I Individual Grant Deed TIM RDrIM rumahto By EDW LL TITLa a t:aCnaTt 014PAN Y N0.979 P006 The underslgned grantor(s) declare(a): Documentuy transfer tai, Is f 97.)5 ( ) computed on full value o property convey e , or A/0 ( X ) computed on full value less value of Ilene tmd encumbrances romalnlna at t{mt of ule•and ( x ) Unincorporated area, ( ) Ciry of FOR A VALUABI.Ir CONSIDERATION, recelpt at which Is hereby acknowledged, JOW,I L. SA'I'CE"Jt! 11W mid BAPaMA A. 9ATI'>dIPLW# hudbatt3 and w ft hereby GRANT(S) to WnAJ&S1 SIffi}8'X= aid ;IMOItA 510bXMI laiabord artd wife it.., saint$ 111sact"43 the fallowing described real property In the urt1rM1:t ra; S4tatt 'O c u County of Butte CLQ IM arfAOM WWVJLC C; EOR LJM(w I)ggGRll 'C)tl Dattd, ��iY � T99r �e > 41;wra att oATArr Of CALIFORNIACOUNTY OI � Jf1&A. Batt zf old ' t,,.�. on beton ;,.ra...�r ; no, the andari time . a wary rub It Ins 1m Hid Itttu,r.;:•a:'L.c. "Hilly appesrad .>�1.l...11�8> L irMnrrrnnlnmrrneenmtn►nwra+,rrrMnmr t' A.,t11I;.Tj^) VIDOOPIelA6 esAl. �' �,l�hlly` ��atmooly krrown to me or proved to ms on t s bath of sat' L NORM0Yli �t H �� ?In lafastary "Wenn to bs Iht p MMIL.whow nunsat.es" -`�•�w substtlbed la the within Initrutntnt and ati►now T /t �eOiA+t wua cowl 11191 qM/gN1.40_"M., �t.l'r�•' wit Ott my hand and affiolal fill. c..X- ►.. a•• '• tee s ; artmnrturNaimm�niinmu i.�.. •: pignature itbb Ona fat arluld nolold evil) rua,Ml14NUAInn wm IMIL TAX iTAT�M!lNT� AB 1aIRL{JTlSO AafiY� g1��:�1.`i ••• 1bi�yi�1� 11:47 BIDWELL TITLE 530 891 8753 N0.979 P007 ' ••ttitl :'{��`.:A•V:••.�F��.+�. :. :-4:. •}. ' 1:'��r liN'•'%..%w'!t •,Yl•:!'.p ti1'•f.'.•.^.;j �. •.+ 'i.. ¢. � ``t•,"`• _ llU;c• �!^;'':Sgt •„ ':: ��!'... ! e^: is � .�,';�,?..r- 1 },at•.!'• .!%'::.P•, • �vsrwwrw��.—.—rN. ' v � 91 -07965 Order Na. '2-152476 SCHEDULS C The land,referred to herein is described as follows: .;..'•._ All that certain real property situate in the County of Butte, Stats of California, described as followst ! A portion of Lot 22 of the Hobart Subdivision of the vaniei Bidwell Rancho; ' according to the Official Map thereof, filed in the Office of the Recorder of the County of Butte. State of California, more particularly described as follows! BEGINNING at the most Southerly corner of said Lot 22, being a corner ! common to Lots 10, 11, 21 and 22 of said Subdivisions thence North along 1 the line between said Lots 10 and 22, Northwesterly, 132 feet; thence along a line parallel to the Southeasterly line of said Lot 22, Northeasterly, 660 feet.to a point on the East line of said Lot 22 and on the center line of Morsoman Avenue, as shown on said Map; thence'elong the Easterly line of said Lot 22, and along the center line of said Morseman Avenue. Southeasterly, 132 feet to the most Easterly corner of sold Lot 22, being in the Southeasterly line thereofl thence southwesterly along the Southeasterly line -of said Lot 22, 660 feet to the point of beginning. EXCEPTING THEREFROM ell that portion described in the Deed to the County of ' Butte, recorded November 30, 1965, in Book 1402 of Official Records, at i page 16, records of Butte County, California. Alp NO. 007-210020 i i SND o� DOCUMENT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 JP,E MIJ No. (Rev. 12/96) APPLICATION AND PERMIT 03_j 7-6PI ASSESSOR PARCEL NUMBER 007-210-025 ZONING sr BUILDING PERMIT OWNER William &.6andra herwood TELEPHONE 345-4519 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS q %5A 3119 MORSEMAN AVE CHICO G ✓ ` CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTORS MAILING ADDRESS 3042 ESPLANADE CHICO 95973 CONSTRUCTION LENDER LENDERS MAILING ADDRESS -NO Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE —Filing Fee $ ARCHITECT O QINEERS MAILING ADDRESS ' {` Permit Fee $ Plan Checking Fee $ 23.00 BUILD GADDRESS MORSEMAN AVE CHICO Energy Plan Checking Fee $ $ PERMIT FEE S 23.00 LOT NO. SUBDNS ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome XK Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New M( Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MW Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home )� IXG @20.00 60.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT I Fling Feel 20.00 0V OR LE Main Service A OR LESS 23.001 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fob the following reason: VT 1, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. OR ADONS. ( a ACC. BLns. SO 3.5QFT; 1NONEW RE°SID T.MULTI.OUTLET 97,50 powER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL Q 1.50 Ex. Occup. ounFrs AaID.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wirina 23.00 PERMIT FEE s 63.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. f X k Date ((— 0 Signature of Applicant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in Peight. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 166.00 TOTAL FEE $ HAZ. D. FEES IMP FLO CDF PARCEL pD D This permit is hereby issued under the applicable provision of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B D to ( �� P RMIT EXPIRES ON a1 A—) ReceiptNo. I WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT as COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION Alf, 7 County Center'rDrive, Oroville, CA*§5965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: {�ILfJUCX l; .0 �i ! t GI WI J �Y 1- t— ASSESSOR PARCEL NUMBER60��(/ ! ' S Proposed Building Use: Mu . Counter Technician: V Date: Jteins 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. ❑ 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. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (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. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 3. Fire Sprinklers............................................................................................ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by N ZA ❑ 15. Other re ining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ment of Intent for Non -heated and A/C Buildings....................................�`/� ` ation and site plan approval from the Environmental Health Department in (;),h1`.*ecJ-6r—iFTFea ChicoPlumbing permit........................................................................ ❑ A. California Department of Forestry plan approval ❑ paid. Sent by: ...................... 21. Planning approval for (A) Use: ® K (B)Parking: (C) Parcel Check: 712 ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. � Encroachment Permit for driveway from the Public Works Dept ................................. �N Yom' �o. Pre -Inspection for 01 H L4 � 0) 143- required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 2 . Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... . Letter of Signature authorization.................................................................... . Recorded copy of Agricultural Acknowledgment Statement .................................... : 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits............:............................................ ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone k7:--1,9411 .1 Y to/ and hold for pickup. I have been informed of the above items and requirementsfor obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. al items required o�ractor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: 77-)9 —03 odesigner, owner, was advised of the above da a by phone, ❑ mail, ❑ co u ter, by Date: Plans reviewed by: I/1A (,1 Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E AMONTRECEIVED $ 1&(_,,,e'0 DATE RECEIVED //-- r7-0 3 RECEIPT # 3 ql-:Z67�5 1655 6.50 PERMIT FEP_ 1 Y Mobile Home Installation Fee $ Energy Inspection Fee $ CCC CONST. TYPE TOT L FEE $ HAZ D. FEES P `FLD9 CDF EL - D UE 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. By Date PERMIT EXPIRES ON SO COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive s Oroville, CaMornia 95965 • Telephone (530) 538-7 I,ev.12/96> APPLICATION AND PERMIT PE�q T,�I99 (33 ��3flj(�� SESSORPARCEINUMBER 00`7"- 20N) a5 BUILDING PERMIT OWNER n 1 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERSMARJNG ADDRESS C1 -311 F RACr 'S NAME t TELEPHON , COTOR MA0.1NG S Srr) 1 y CONSTRUCTION LENDER / LENDERS HUNG ADDRESS Fre lace ARCHRECT i R ENGINEER LICENSE NO. Total Valuation $ Flin Fee $ 0 ARCHITECT OR ENGMEERS ES MAILING ADDRS Permit Fee' $ BUp.D[NOAD s Plan Checkin Fee $ Energy Plan Checking Fee $ $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE j ,9 .Ae_ Each Trap 7.00 SF [3 Duplex 13 Mobilehome Other Solar or heatpumpwater heater 23.00 SFECIFY Water iping 15.00 TYPE OF WORK Each gas water heater or vent 15.00 1 NewAddition ❑ Remodel 13Utilities Installation ❑ Other ❑ Gas Piping stem 1 - 5 outlets Building sewer 15.00 Desc ibe Work: Mobile Home 15.00 @20.00 F L�'t�, d 3 D PERMIT FEE ELECTRICAL 3 PERMIT Fling Fee 20.00 Main Service 20000AA OR LM 23.00 a 3 a Main Service 200A To 1000A 46.00 FEE PAID Cv NEW CONST. DWELI.MG OCCUP. OR AODNS. ( 6 ACC. BLDS. "�"°° NO"ESM. MULTI -OUTLET SO 3.5¢x: ' .PERMIT $� o c @7.50 POWER APPARATUS & SINGLE oung CIR 1 Ex. Occup, OUTLET OR FIXTURES 20 @ 1.00 eA� @ .so SRA y $ 6\VIU N Ex. Occu .O LMS. OR oun.ETs E41D. PJL 5.00 Tempora Service 23.00 Mobile Home Facilities 20.00 0 SHERIFF $ Use. Wirin 23.00 PERMIT FEE $ OTHER $ MECHANICAL PERMIT Heating Fling Fee 20.00 E AMONTRECEIVED $ 1&(_,,,e'0 DATE RECEIVED //-- r7-0 3 RECEIPT # 3 ql-:Z67�5 1655 6.50 PERMIT FEP_ 1 Y Mobile Home Installation Fee $ Energy Inspection Fee $ CCC CONST. TYPE TOT L FEE $ HAZ D. FEES P `FLD9 CDF EL - D UE 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. By Date PERMIT EXPIRES ON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON 7 County Center Drive • Oroville, California 95965 • Telephone (530) 531 41 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT D©- . o ASSESSOR PARCEL NUMBER - _ 0257 ZONING S2 BU I LNG PERMIT OWNER ! STELEPHONE O.�FT�.� OCC. BUILDING VALUATION OWNER'S MAULING ADDRESS �+ /711P/S G etnJ CkI co PS O D V CONTRACTOR'S NAME i.l% Iv TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 0 C7 10 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ s -n ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS i9 M tee *v Energy Plan Checking Fee $ e i,'(t G c7 $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE / SF 0,Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other Describe Work: %0+✓/�»�i V -z, leV 02 �.sy� �,P Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.AORLEss 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: *- 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the 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 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service To 46.00So WEE200A CCU000A NEW coNsr. DWELLING occuP. 3.52sFTG. OR ( ACC.BMSr EW coN3r. M NON-RESID. U 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDTTURES 20 Q 1'00 BAL @ .50 Ex. Occup. oFIx�LEED�A RMOR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) C3�1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' comperpeon provisions of section 3700 of the Labor Code, I shall forthwit c mpi w' those provisions. _ X _ Date — �s — Signature pplicant —[]Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ -711, e -a HAI. D. FEES IMP FLOOo CDF PARCEL I PD HD IS 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. By Date da PERMIT EXPIRES 6� V15 J X/ ete Receipt No. �%� 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER ;VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the npajor labor and materials for construction of the proposed Property Un ro ement : YES ®/ NO D �2. I HAVE HAVE NOT 13 signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (firm) to.provi4e, the. proposed cons4uc4on: NAME: ADDRESS: Com:. PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. # S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 2—/S_-00 NOTE. This Owner -Builder Verification is required by Section 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. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of propeity improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California andto have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply.. If yod plait to day- ouir own .work, with the excepdon of various trades that you plan to subcontract, you 'should be aware of the following information for your benefit and protection: . ' ♦ If you employ or otherwise engage any person other than your immediate family, and the work (including -materials and other costs) is 5300 or more for the entire.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security. taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4ic ly, L C.Vi ira, C.B.O. r. Building inspection NOTE: This Owner -Builder Information is required by Section 198JO of the California Health and Safety Code . OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-�75A1 l RMI. , (Rev. 12/96) APPLICATION AND PERMIT � ASSESSOR PARCEL NUMBER 007-210-025 ZONING SR BUILDING PERMIT OWNER William and Sandra TELEPHONE SO. FT, OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 3119 Mor CONTRACTORS NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS "UNG ADDRESS Permit Fee $ 8 Plan Checking Fee $ BUILDING ADDRESS 3119 Mosre Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Renewal BP# 02-0525 (garage cony/addition fnd and new attached garage) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V OR Main Service .0A OR LESSS S 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 rY P Law fthe following reason: G 1, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number he above sections need not be completed if the permit is for work i7a_ valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith cc y ith those provisions. X Date 6 � r D� Signature of Applicant - P-Dwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP.SO OR ADDNS. ( a ACC. BIDS. 3.5¢FT. NEW q�lpT' MULTFOUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CR. Ex. Occup. OUTLET OR FORURES B20 @ I.00 Ex. Occup. ..FIXED APPLNs. OR ..FIXED RLNS EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 204-90 MAZ. D. FEES IMP FLOOD This permit is hereby issued under the of the Butte County Co and/or indicated above for wh' fe shave y PERMIT EXPIRES ON CDF pARC0. PD HD 5SU applicable provisions Resolutions to do work been paid. _ Date (Date) Receipt No. 737 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT c)- - 05�� ASSESSOR PARCEL NUMBER 007-210-025 ZONING SR BUILDING PERMIT OWNER WILLIAM & SANDRA SHERWOOD TELEPHONE 624t6400675 SO. FT. OCC. BUILDING VALUATION U 12 150.00 - OWNERS MAILING ADDRESS 99 MORSEMAN AVE CHICO 345 R 18 630.00 CONTRACTOR'S NAME OWNER TELEPHONE 440 @ 7 00 3 080.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $42,660.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 6 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-39.85 BUILDING!ffy $ MORSEMAN AVE, CHICO 95973 jj j�J Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $651.85 LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF JP Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15,00 TYPE OF WORK New ❑ Addition Y1 Remodel b Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE CONVERSION /ADDITION/FNDN AND NEW ATTACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 92.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service .0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter rndommencing with Section 7000) of Division 3 of the Business and Professions Code, my license is in full force and effect. nse Class Lic.No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: t 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fwith com ith those provisions. ate ����� 4atLi;reof pplicant - Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories�in height. Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. SO VT OR ADDNS. ( a ACC. BLDS. `3.50FT. 51.10 NEW RESID. CIRCUITS MULTI -OUTLET @7.50 POWERAPPARATUS SINLEUTLET CIR. Ex. Occup. ourLEToRFDCTURES 20 1 ,00 Ex. Occup. OUTS Aes DR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 71.10 MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 15.00 Cooling 1 5_00 15-00 Hood 6.50 Ventilation PERMIT FEE S 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ zic, on QPMT.,TYPE FEE $ HAZ. p. PEES IMP CDF P C H ISS This permit is hereby issued under of the Butte County Code and/or indicated above r hich fees ha By PERMIT EXPIRES ON the applicable provisions lutions to do work been paid. ate `/ t1A 'It Dae rReceipt No. 3 % ITE-D.D.S.-B.D. CA A Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Sas" /G1>— y yd COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • 1 Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. Rev.12/96j s APPLICATION AND PERMIT 2S ASSESSOR PARCEL NUMBER 00 '- ` ZONIN BUILDING PERMIT -10-w`NER 0 46,6 SO. FT. OCC. BUILDING VALUATION NER'S730 IUNG ADORES$ /S ``j,3 -330 CONTRACTOR'S NAME � vl TELEPHONE 0 /)O� �v `� O CONTRACTORS MAILING ADDAE CONSTRUCTION lENOEA Fireplace LENDER'S MAILING ADDRESS Total Valuation $ _ v ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $on Oo ARCHITECT OR ENGINEERS mAiuNdADDRESS Plan Checking Fee $ BUILDING ACCRESS �. ` g�F� Energy Plan Checking Fee $ oZ 3 •0 0 _ $ _ PERMIT FEE $ (0 Jc . 9 LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE i .�� y A, e_ SF Duplex ❑ fvlobilehome ❑ Other SPECIFY Each Trap 7.00 ; 0 Solar or heat pump water heater 1 23.00 Water piping 15.0011 Each gas water heater or vent 1 5.00 TYPE OF WORK \ New 1:1 Additional Remodel ❑ Utilities ❑ Installation ❑ Other ❑ C / Describe Work: _/f n�a Gas piping system 1 - 5 outlets 1 5.00 Buildin sewer 15.00 Mobile Home I S I G I W @20.00 I PERMIT FEE = 1? .00 ELECTRICAL PERMIT I Fling Feej 20.00 800V OR LESS Main Service .A ORLESS 23.001 O3 L4 o *PER UT FEE PAlb s !/ (J _ /� SRI T / SHERIFF 0.1nimPERMIT �,— — AAkbVW RECUVEb *RECU" I , / * TO m piT � ma Main Service 200A To I000A I 46.001 _ NEW CONST. ( DWELLING OCCUR 3.5c FF' . OR ADDNS. & ACC. SLDS. so 51 NEW CONSTMULT . I•oUTLET NON-RESID. @7.501 POWER APPARATUS i 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES BAL Q I. 0 1 FIXED APPLNS. . OR 5.00 EX. Occup. OUTLETS RESIDEa Temporary Service I 23.001 Mobile Home Facilities 20.00: Misc. Wiring 23.00' FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating /J1 — , /.S Cooling 1J Hood 6.50 i Ventilation — PERMIT FEE 1 S -D -OZ) Mobile Home Installation Fee $ Energy Inspection Fee $ ( . O (% occ CONST. TYPE TO AL FEE $ J ,HD HAZ. D. FEES f) CDF P El I i 55UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Dare Receipt No. _ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOIDENRO0-AP"UCANT }'s�:1?"rd's�.� •r'�Py� •�F'(�.rf*'ill.=.n%d'e:a;;,a,-;.:ttw:afxr%�o`.`+.�1.6�dr^�.i',�+'�' Y� F,; se-��,.i...nj,�:;K.• r w� y,,��iip x�1: T � .: ti 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 PLICATION DATA SHEET OWNER: ►il J ( I�.LCf/1...� SG�O��GASSESSOR PARCEL NUMBER C/iJ Proposed Building Usj.r,-1,9—_. 16.�1 Counter Technician: .'��� Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 5/�, .. Plot plans, 3 or 4 sets, signed by the preparer of the plans. �Complete plans, 3 or 4 sets, signed by the preparer of the plans. . Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ _ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... _ ❑ 10. Letter of intent for non-residential buildings......................................................... 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other _ Remaining items needed to issue the permit. (May require additional plan reviewiupon receipt of the following items.) i� 14. Fees as shown on the attached Schedule of Fees Due Sheet.. 015. Statement of Intent for Non -heated and A/C Buildings ................................... W. Sanitation and plot plan approval from the Environmental Health Department in I 3 �— ❑ 17. City of�Chico Plumbing permit ....................................................... C............... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: IL (B)Parking: (C) Parcel Check: 00?, ❑ 20. Contact Lhnd Development about ❑ Improvements, ❑ Drainage ............................... ' ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ er from Legal Owner, ❑ Check to -l17 Tff 31. Other: When issued Telephone d hold r pickpp. I have been informed of the above items and requirementsJor obtainin DAplicant: ' D e: 1. Index permit application for the above items numbered: _ 2. Additional items required contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: 1 tructural reviewed by: Date: Note transfer by: Date: Yellow: Building Division uilding permit. 1�_11 // dZ Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, Date: 40 dr? _ Plans approved by: Date: _Structural approved by: Date: TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 'SC) - 311? 11-1-drinrnes.1 Owner Location Plan Approved for: Sewage Disposal X Water Supply: Public Clearance for dwelling. Other Conygj sEA m a {C7a„wzL ;, Hold final for: Final clearance O.K. for: NOTE: 3 ,6o/r,,7 a1we, .:7 C. LAr AdCl Environmental Health Specialist •.� t, 8/96 E.N. USE ONLY Plot Pian AttncMd rloor Flan Attached Sent to E.0.3 -7-Z/o—Gz5 AP# Private Well X �- /4-ai Date ' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 Sc OF FEES DUE OWNER - elS�G� A.P. # b 07 - 21 D -oas PROPOSED BUILDING USE „� "o, /��. DATE RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ........ $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. ' 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x : _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES ' f / $510.00 (paid at Building Division) 7. SRA FIItE INSPECTION AND PLAN CHECK ' T $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. , PLICANT - 14 CDATE `t ll— 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM je (One form per Building) C V1 � ca��J U ��• � • School District n! Building Department No. A.P. Number v C Jurisdiction: City County Property Owner Property Location/Ac Subdivision t Lot No. .................................................................................................................. : Residential Development Sq. Footage,! % �S No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit #. *(No foundation inspection): Commercial/Industrial Sq. Footage (including Exterior Roofed Areas) Z/Dz- Date Irioor rians reviewea Dy scnooi uistnct rersonnel) District Identification No. V SDSchool District certifies that � Q' (Applicant) .� 172 (Street Address) '(Phone Number) (City) (State) (Zip Code)' has complied with the requirements of Resolution No. 9 by payment of $ f'4 0�79f representing 8 square feet. j AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: r 4,w Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit • you from challenging the imposition of the fees in any court action. If, .subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local.Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school'distriat) feeform.xls (10/98)dmm OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ❑ NO ❑ 2O I HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3,,J3have contracted with the following person (firm) to provide the proposed construction: ADDRESS: CITY: / PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portionsof work, but I iave hired the following person to coordinate, supervise, and provide the major w NAME: ADDRESS: ITY: PHONE: CON��C OR'S CENSE NO. 5. I will provide some of the work but I pie con acted (hire a following persons to provide the work indicated: NAME ADD SS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: `J DATE: 0 NOTE. This Owner -Builder Verification is required by Section 19831. and 19832 of the California Health and Safety Code. This verification must be •compkied and returned to our office before we are permitted to issue the permit: OVER OWNER BUILDER INFORiti1ATjION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I+Micel X ��Vi ira, C.B uilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Cade- OVER oda OVER NOTES RESIDENTIAL ' ,007-210-025 01-1131 SHERWOOD, BILL & SANDY i 3119 MORSEMAN AVE., CHICO CONTR: PERFECTION POOLS SWIM POOL f t i r 1 t 11 SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY JOB FINALED (Dat Signature V= OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. 2. Soils; Special MH Support Sketch Gas; MH Test -Demand -Valve -Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) Water; MH Test -Regulator -Connector 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 8. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 7. Well Clearance 8 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 12. Permanent Foundation Only; License Decal 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. Carports; 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 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light -,Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (S Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Botts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size/ / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing ingle & Duplex) Dat6 FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor I] Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville„Califorpia 95965 • Telephone (530) 538-7541 P M NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 007-210-025 ZONING SR BUILDING PERMIT OWNER TELEPHONE Sy+O..�FT. OCC. BUILDING VALUATION k71 • 24 OW . OWNERS "UNG ADDRESS CONTRACTOR'S NAME PERF=ON POOLS TELEPHONE 895-0437 CONTRACTORS "UNG ADDRESS 897 E. 20th St., Chico CA 95928 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 24,000 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 243.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 3119 MORSEMAN AVE,. aaco Energy Plan Checking Fee $ $ PERMIT FEE $ 286.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 19 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ISI Describe Work: POOL MASTER #500-97 Gas piping system 1 -5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200,,oR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is infull force and effect.POWEPPARATUS License Class -� 5 Lic. No. S („ Lo Ij OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier pw—fo Policy Number Do 5 _0 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the rkers' compensation provisions of section 3700 of the Labor Code, I shall fo with co with those provisions. X Date -5/17 Sign ure of Applicant - ❑ Owner IX Contractor ❑ Agent An OSHA permit is required for excavations ova 5V deep and demolition or construction of structures over 3 stories in height Main Service TO 46.00So DWE200ALLING CCU000A NEW coNST. DwELUNG occuP. 3.5QFSTo: ACC.UDS. ORw D .. ( N M T NON RESST ID. @7.50 8 SINGLER AOUTLET CIR. 20 EX. Occup. OUTLET OR FIXTURES SAL @ �. 0 Ex. Occup. o.E' ',.=-.)EAJ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pool Electric 30.00 PERMIT FEE $ 50.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 371.00 HAT. D. FEES IMP I FLOOD I COF PARCEL PD HD 5S 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. n By Date5_ �V,�, fM �” PERMIT EXPIRES ON 17— O Z ate , iq WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I ' COUNTY OF BUTTE -DEPARTMENT OFDVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI E CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMITAPPLICATIONDATA SHEET OWNER: %`"T' ASSESSOR PARC ER: LA J Proposed Building Use: Building Inspectors� Date: At time of permit application, I was advised the following data muh be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted.------------------------------------------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications,------------------ 1110. -----❑10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. 3. Flood elevation certificate: ----• Sanitation and plot plan approv ❑ 15. City of Chico plumbing permit. Health Department. ❑ 16. Plot plan and business license approval from the City of Biggs. 1117. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- El 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Budder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 1124. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/dr expired permits.---------------------------------------------------------------------- - El 29. 1143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. (Date) ❑Telephone and hold for pickup at ffrce. ❑ Deliver with inspector. Applican: '� Date: 5// 7Z,01 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: 2. Additional items required ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Q Vh7, Date: S /7 Q( Plans approved by: (L,rbr Date: E — O Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.Fb: USE ONLY Plot Plan an Attached B Floor PlAttachod Sant to B.D. Owner Location AP# Plan Approved for: Sewage Disposal zs Water Supply: Public Private Well Clearance for . Other Hold final for: Final clearance O.K. for: (VOTE: Environmental Health Specialist Date 9/96 007-210-025 00-0509 SHERWOOD,Bill U9 morsman, Chico permit to 'Complete, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON -- 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53zoo 41 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - as ASSESSOR PARCEL NUMBER a 5 ZONING 52 BUI ING PERMIT OWNER J sAtfor TELEPHONE SO. FT. OCC. BUILDING VALUATION ".too OWNERS MAILING ADDRESS V CONTRACTORS 94ME ti TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ JP--C3- "-"C?Plan ARCHITECT OR ENGINEERS MAILING ADDRESS _ PlanChecking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ C' I^ t t PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Vuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other Describe Work: _ ��/ yr+J )f .rLp A 1 Y C"Dwf»�s QV q ,/?!L� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 ' PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200. oR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect.PSWG License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: •. l 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) f�l 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ✓` �� Date . ` — � (.�i/ Signature"of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service PBA TO 1000A 46.00 NEW CONST. DWELLIN OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.5,s LNjON-RESID. MULTI.OUTLET @7.50 E T CIOWERLAPPARATUS 8 0 LE R. ourLtT OR FOcruaEs 20 @'.00 Ex. Occu aAL @ .50 Ex. Occup. o�LEt°TSARES o.) E 5.00 Temporary Service 23A0 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEiE $ Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 7 :.Al. D. FEES IMP I FLOOD I CDF PARCEL PID HD 5 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. By Date 'O PERMIT EXPIRES ON fa Receipt No. ir WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT LW /Z - /Z/ -7-'p v1. Ok v, ✓ ,F2ae,�� / rlil-4,e res -' v RESIDENTIA ��-Ogg PERMIT NO. PERMIT EXPIRES ) 7-/1-0-025 1-1ERWOOD, BILL & SANDY 3119 MORSEMAN AVE.,CHICO ';DAVID DUISENBERG kDD/REMODEL BATHROOM OWNER CONTR. ASSESSOR PARCEL _ LOCATIO14 SRA FLOOD CERTIFICATE REQ. K FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E . Temp. Gas Service Called PG&E _ JOB FINALED (Dat Gv c Signature CHECKED BY V=OK 0 = Not OK NotRel�ble MOBILE HOMES Date_ MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-Dep"paclng-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location-Test-Fall-Ci"oncrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /Vft. / /Nat. or/ /'L"ftd /LPG 7. Electric 7. Well Clearance & Disconnect S. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance -GA 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFl . 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 •3'� r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"paclng-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric S. Fnng.; Sils-AnchorsStuds-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 -GA 5. Elec.; Pool Lighting; 15 Volts-GFl . 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Llght Nk:he Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. ZoningSetbacks-Easments-Flood-Slope 48. 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 51. 4. Fig. Porches & Decks; Soils -Steel-/ p Ftg. Depth Property Line Firewall & Openings 5. Stemwalls, Main; Steel-Blockouts-Wrapped 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 56. Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped 59. 8. Piers -Fireplace Ftg.-Steel 60. Brace Interior / Exterior Wall Panels 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 62. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Date Card B-1 Date Card B-1 11. Water Pipe; Test -Anchors -Regulator -Service Test Card B-1 Date Card B-1 12. Electric Underground Date 13. Pienums & Ducts; Clearance -Material -Support -Ins. Steps -Door & Sidelight Protection -Landings 14. Girders -Sills -Anchor Bolts -Joists -Vent rippies Smoke Detector 15. Access & Ventilation 66. 16. Insulation Date 68. Card B-1 Date Card B-1 Date Stairs & Rails Card B-1 Date Card B-1 Date 71. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Bo es & No. of Conductors Stapled 26. Romex I stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-Walls-Oedmgs 62. infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PINAL (Plans) OK except #'s 63. Steps -Door & Sidelight Protection -Landings . Smoke Detector 65. Fumace;,Vents-Clearance-Comb, Air-Conector- In G age; Above Floor-Ducts-Mech. Protection 66. room Exiting G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 1 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings i( 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventil on Throught House 89. Xss Protection Ge Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer ConnectedC/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date /fir �C� u/ Card B-1 Date Card B-1 Fe Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541' CORRECTION NOTICE OWNER PERMIT NO. A routine inspectio indicates that the following violations of butte county Ordinances exist at the above address_ d should be corrected. Please notice this office when correction of work is .,,;,completed. If ou have any questions pertaining to this matter, or need additional explanation, please on ct this office immediately. 0 Date REV 10192 V. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIX-7541 N •7 County Center Drive • Oroville, California 95965 • Telephone (53 P R IT NO. (Rev.,2/96) APPLICATION AND PERMIT �iaI �� ASSESSOR PARCEL NUMBER 007-21-0-025 zVOZONING ILDING PERMIT OWNER SHERWOOD, BILL & 6ffA-DT-t5" TELEPHONE SO. FT. OCC. BUILDING VALUATION 75 4050 .OWNER'S MAILING ADDRESS 19 MORSEMAN AVE. CHIC g5973 Jl EST 6000 cONTRA Li LV11J DUISENBERG T34 D"980 CONTRACT ! 1"JU`VICLR1"L'RRY RD. CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 10,050 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81.90 BUILDINGADDRESS 3119 MORSEMAN AVE. Energy Plan Checking Fee $ 23.00 $ CHICO PERMIT FEE $250.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IA Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 31 7.00 21.00 Solar or heat pump water heater 1 23.00 Water piping 15.0015-00 Each as water heater or vent 15.00 6.00 TYPE OF WORK New ❑ Addition Remodel bl Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD AND REMODEL BATHROOM, MOVE FURNACE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I s I G I W 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service za.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in.;#1 force and effect. /�� License Class - Lic. No. //L OWNER -BUILDER DECLAFIAATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall ngploy any person in any manner so as to become subject to workers' cc�. tion laws of ornia, and agree that if I should become subject to the w 'compe S.tirovisions of section 3700 of the Labor Code, I shall h comp th Be provisions X Date i57 SiA p c ❑ Owner ❑ Cc actor ❑ Agent Aure An OSHA permit is required for excavation ver 5'0" deep and demolition or construction of structures over 3 stories in eight. Main Service TO lOU 46.00 NEW CONST. DWEWNG OCCUP. SO , W: OR ADDNS. ( a ACC. BLD.. 3.50FT_ NOµROs,p muLTI.OUTLET @7.50 POWER APPARATUS a SINGLE 0 IT. CIR. Ex. Occu OUTLET R FIXTURES SAL I:so Ex. Occup. ouT R6ID.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Jr • Jr� Mobile Home Installation Fee $ Energy Inspection Fee $ z,6 QQ 14� vCC COST.PE TOT L FEE $ 2 HAz. D. FE IMP FLOOD CDF PAR PD HD ISSUE This permit is hereby issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work indicate bove for which fees have been paid. By Date lU�2Z PERMIT EXPIRES ON !d _ZZ -f pate Receipt No. d 2506- :6b WHITE-D.D.S.-B.D. CANA -ASSE SOR PINK-INSPE O f GOLDENROD -APPLICANT . r Y. COU4:F BUTTE DEPAWNWT OF DEVELOPMENT SERVICES - BL 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (91� PERMIT APPLICATION DATA SHEET . . - . Z NJG DIVISION 7541 OWNER: A/V islo+16 `7 S4e_4 r dvU✓ ASSESSOR PARCEL NUMBER: 21 -- IF N Proposed Building Use: Al f ofR # .Building Inspector: Date: V 2,11 SQ At time of permit application,II wasas'a&v—ised the following data must be submitted prior to permit prdcessing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets; 'signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ X0. anufactured Home data and installation instructions including Tie Down Specifications.------------------ Wsof $ 1 S . 00------------------------------------------------------------------>'- ---------------- <Impact fees as shown on the attached schedule. -----� # - -------------------- -. /❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 1 . Flood elevation certificate. --------------------------------------------- Sanitation and plot plan approval �JHealth Department. 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------------- C1 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - 024. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ------------- 026. Letter of intent on building use. ---------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------- ❑ 28. Existing violations and/or expired permits. --------------------------------- ❑29. 11433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑30. other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. Xlephone 3v3 $ 9 and hold for pickup at CMl ! D ce. ❑ with insp tor. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Air Pollution Date: By: Copy ofplans sent ❑ Health Department, ❑ Fire Department, ❑ Oth Date: By: 1. Index permit application for the above items numbered: flan Check List 5 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised'of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designe wn ' w vis d of the above uired ❑ phone, ❑ mail, ❑ Bu ding ids' n co ter, by Date: Plans reviewed by: , D • ZF' Plans approved by: Date: O 20 Sets of V s os o holftteyices, ❑ Plan CaPlan CaA.P. folder. Note transfer by: Date: Yellow Co - Department of Develo meBuildin Division. PY Pg TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 3//9 Mor'selna,- Ave- 7— 2/D -6L5 Owner Location AP# Plan Approved for: Sewage Disposal x Water Supply: Public Private Well X Clearance for 4w4Wjzg. Other E'„/ �i+5f/�rcorr! . i�Pirriv� wa.G� ,6Pewae.-: •�i��ti�► Hold final for:' Final clearance O.K. for: NOTE: Environmental Health Specialist 0 Date E.H. USE ONLY Plot Plan Attached rS Floor PlanAtta hed e Sent to B.D. 3//9 Mor'selna,- Ave- 7— 2/D -6L5 Owner Location AP# Plan Approved for: Sewage Disposal x Water Supply: Public Private Well X Clearance for 4w4Wjzg. Other E'„/ �i+5f/�rcorr! . i�Pirriv� wa.G� ,6Pewae.-: •�i��ti�► Hold final for:' Final clearance O.K. for: NOTE: Environmental Health Specialist 0 Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT cl� a1�t ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 'ELEPNONE SO. FT. OCC. BUILDING VALUATION - O OWNERS MAILING OREBS CONTRACTOR'S E Q.A TELEPNONE - CONTRACTOA'S-UOJUNG ADDRESS sr � CONSTRUCTION LENDER ^— Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT ORE LICENSE NO. ARCHITECT OR MhIUNG ADORESS e Filing Fee 20.00 Permit Fee Plan Checking Fee $ BUILDING ADDRESS Q v ;tea Energy Plan Checking Fee $ $ PERMIT FEE $ '0"90 LOT NO. SUSDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE F Duplex ❑ Mobilehome ❑ Other SIX SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 / Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition X Remodel Utilities g Installation ❑ Older ❑ Describe Work: A2 it Gas piping system 1 - 5 outlets 15.00 f Building sewer 15.00 Mobile Home S G W 020.00 PERMIT FEE i ELECTRICAL PERMIT fllln ee--20.00 Main Service 00OYOA oA LEss 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION'DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is Issued, I shall not empl y any person In any manner so as to become subject to workers' compo tion laws Of or in, and agree that 9 1 should become subject to the work s' ompen do r isions of se ion 3700 of the labor Code, I shall fo it comply provisions. T X Date Sian a of Applicant Owner ❑ ontra r ❑ Agent —� An OSHA permit is required for excavations ove 5'0' deep and demolition or construction of structures over 3 stories In height. Main Service 20" To 1000A 46.00 _ NEW CONST. OWBL/dG OCOUP. SO Q OR ADONS. +ACC. eLDs. 3.50 NEW CONST. NOµRESID. MULTFOUTLEr @7.50 PO i SNOLEFUR US � T� OVTLFr OR FIXTURES Ex. Occup. epi ® t:w FDO APPLNS. OR 5.00 Ex. Occup. oLrrLETs ESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Wsc. Wiring 23.00 PERMIT FEE >i 22-0 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE S s Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE HAZ D FEES IMP FLOOD COF PARCEL PD HO ISSUE This permit is hereby issued under of the Butte County Code and/or Indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Ii Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT GREGORY A. PEITZ ARCHITECT 1907 MANGROVE, SUITE "E", CHICO CA 95926 (916) 894-5719 Structural Calculations For: ®a 1 I c AH �C ON*. C 21Z3i REN. % ��i C5� . 0OF C A�-� 5X 5goa379 Y i i c ce = To L 3 1 j� d (C /At h4,c. A(.s L( I z ... .0 Fao T7 Q_ 1 1 7le h4,c. A(.s L( I z ... .0 Fao T7 Q_ 1 ✓: / le Date: _September Permit Applicant: Bill and Sandy Sherwood 3119 Morseman Avenue Chico, CA 95973 Permit Number: 98-2161 Assessor Parcel #: 007-210-025 The above referenced building plans were received by this office Provide additional i . formation and/or make revisions to plans, specifications. and calculations as follows: 1. Provide roof framing plan showing all bearing walls. bee 2. Provide engineered calculations for new 4 X 12 and 3 V7. X 14 beams. Show how loads are transferred to foundation. Show support posts and call out hanger. Size foundation per loads calculated engineered requirements to be on plans. Plans to be stamped and signed. �Sleel Z 3. Alternate braced wall panel is required on wall with door to furnace - minimum 32 inches wide with steel required in foundation. I will attach detail to plan. bee, §17-1eW 3 4e` /��P Ae 4. Flow are floor joists attached at existing house? 5. Enclosed is your school fee form. Pay fees at School District Office. Return yellow copy to Building Department. 6. Your plans may be picked up in Chico office 9/29/98 for revisions. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Friday. Martha Whitney cc: David Duisenberg 4515 Ord Ferry Road Chico, CA 95928 • utte Count . LAND OF NATURAL WEALTH AND BEAUTY Date: September 28, 1998 Permit Applicant: Bill and Sandy Sherwood 3119 Morseman Avenue Chico, CA 95973 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 'umber: 98-2161 Parcel #: 007-210-025 With reference to the above subject, attached ''s: [X] Plan Check List [ ] Red Marked Calculations (� _v [ ] Red Marked Plans [ ] Other �1 Action Required: [X] Comply with Plan heck List [ ] Resubmit Plans w th Revisions As Required [ ] Return All Origi al Materials and Revised Plans to the Building Department [ ] Other Should you -have any uestions, please contact this office at the address or phone number listed above. Sincerely, Martha Whitney Date: September 28, 1998 Permit Applicant: Bill and Sandy Sherwood Permit Number: 98-2161 3119 Morseman Avenue Assessor Parcel #: 007-210-025 Chico, CA 95973 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Provide roof framing plan showing all bearing walls. 2. Provide engineered calculations for new 4 X 12 and 3 V2 X 14 beams. Show how loads are transferred to foundation. Show support posts and call out hanger. Size foundation per loads calculated engineered requirements to be on plans. Plans to be stamped and signed. 3. Alternate braced wall panel is required on wall with door to furnace - minimum 32 inches wide with steel required in foundation. I will attach detail to plan. 4. How are floor joists attached at existing house? 5. Enclosed is your school fee form. Pay fees at School District Office. Return yellow copy to Building Department. 6. Your plans may be picked up in Chico office 9/29/98 for revisions. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Friday. Martha Whitney cc: David Duisenberg 4515 Ord Ferry Road Chico, CA 95928 i-.'»..'[ �s�w-.«. ..rsrv.•s,pr�,•-„,i,�:fP'f`9 i.:ir�e1%�:tiJlvS^”�i'rt..+w:+F="��!��","�;.+CVG"'�r°•s'y�• �v�I1�riT'ti»+'•'«- `y.�.•. » yr.-.+... BUTTE COUNTY SCHOOLS -IMPACT FEE CERTIFICATION FORM (One,form per Building). School District. ` C U ✓ Building Department No.' C 6 (i A.P. Number / ' Jurisdiction:City i/ i County Property Owner Property Location/Address /' � �/t j�j,, �^j /dJ (_ C, AV/ L Subdivision Lot No. Residential Development Sq. Footage No of Living Mobile Home • diti n (Group R) Units Installation Commercial/Industrial New Addition uepartment representative moor rians reviewea Dy acnooi uismci rersonneu District Identification No. (� (�, School District certifies that (Street Address) (City) has complied with the`r4uirements of Resolution No. representing �, square feet. School District Representative Sq. Footage uncwaing txienor Roofed Areas), 1e&?,.,0!1 4 Date (Applicant) gqa-a5 s/ (Phone Number) (State) (Zip i0 t5/2 — 9b _ by payment of $ B 2926 $ ULL MITIGATION $ Date Paid by Check # /V R Remarks: /F Notice: You may protest the imposition of the .fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit.a timely written protest will prohibit youfrom challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this' Butte County Schools Impact Fee Certification Form, the School Pistrict is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmmYL .& .P \ Building Permit Number: Owner Name: sh Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required), 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 0-3 _3 tI&I Owner Name: 5h b, tolo od jgParcel lies within the State Responsibility ty Area (SRA). Comply with attached requirements. �� y�F Fire sprinklers are required in this structure. ii�1=s "-,;. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of S feet from the side and s feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. IkExpansive soil maybe encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. W 1`100 -gym -4-Off. S I 19 m Q rs-oirn.ou-- A ve- Ch i -A P-4= �7_ c I i •.///gloom, /1 ■.....•u.... u./uu.■ / ■u..../ IN man, now owmanni soon! son moolmoommo BEDROOM Omn ..... is .... ./.. ■. C....Q�•� : /. 1I no ../. :./ 11 "111 MMO soon �.■I ...I t..r�-- uo!■■I • =iii/iii • iii/iii/iiuiiii /..._.. ase::. ":::'.:01": :..� ■u. ■i a IDECOR GLASS RETREAT MAOTER � fi.� = , r I I • ii a Mol CCI CCI ' NEI PANTRY coiaos ISLAND 42' HIGH BAR FAMILY ROOM 19'-8" X 12'-10" Note that square footage is measured from exterior wall to r'wall exteno,yand is an approximate figure. Length indicated in floorplans is floor length only. Renderings and diagrams are meant to be representative and, in keeping with Fleetwood's,policy co ofnstant updating and improvement, may vary from the actual home. All dimensions are nominal. Ask your retailer for specifics. (Add four feet to arrive at transportable%l`engthj PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. 01996 MORE FEATURES, MORE CONVENIENCES, MORE HOME FOR YOUR FAMILY" u 4 FILE No.609 11/12 '03 PM 03:42 ID:EXECUTIVE HOMES ,FAX:530 891 8753 PAGE 2 1. Owner's Nnrtte: 3: Installer's Nnmo:� .. �. • •_ .___.__ _ '1. Is the site currently Under perrrtit7 Yes, J No > I errrtit No•^�yy_ 5. Is lite site nrt.existirtg site? Yes 6• What is t90Noj 1 (lfyes, liu•nish two blot plans). he electrical rating of the 11100ileltun1e 7• W ? (('� hat is the rnobilehorne site `��_Arttperes. crrta.rit blanker ruling? \Q'O'Anq�,ere9. H• What is the electrical rating ol'the mubitehortte site? 9. Is lite main service remote from file tri0hilelronte sate? Ycs Acttlreres, file rating? _ Zoo _ ^_ /lntlrcres. f Noj' If it is, what is 10. Is (here ally other electric (i. e. well g load to be served by the rnobilelurrtre site electric servicer. gat,► i etc.)? Yes, J Nc►�J 1t>yes� lrlc ase iclerttify Ilse lr�ncl art(l size: a) The mobile hirnte site; Lond- _ _ Ir) The main srrviee: 7- ---.._.__-_ Alttl►eres- - - �YI'e crpgas service at ntobilehcrtrre ,Site: Nnfllr'111 1 None, � — - - -. I'r'11puucl. Site of gas (ripe al the tank: _ nruhilelu►►rte site Irortt the meter err 13. What is the b,ts !ripe length liout Nte meter err tank to the nt()bilelr0nte,1 40D Wlrnt is filo nurbilehorrte gas detnnnd7 *(Phis inforn►ation is 110t r•ecluirecl if flte.Pilre 1en1629 � — 11 "U. * less Iltart 50 feet ()#, Propane). 13 less than 6 feet crrt mtlural gas or 12. Mny 1995 SSS r llr.SRat rj% CA'[' O F ,_ FILE No.609 11/12 '03 PM 03:42 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 3 Nlubilchmne Nionufliamer-_.P e . e 4 -e YeR, , -,:6 -" If Other than shigle wide, Ail iiisfiSetup Niodul NumbeI":–, - Widdil,61gAt(11) (g. IN-' Imildo Size On oil mobilehomes 1111111tifilclured eller October 7, 19*13, filmish limilliffic(urcu's inslullatiuu "'all"RI and stiticlural setup sliects. Wood prelsurc trenled or lbutidation guildef)Q Cmicrete b1c)ck Nt'. Other I'l-1) Ville TIC Dolvil specillca(fillis I'm. 1111 C, A RING.Lir %vil.W. (.1116 I Line 2 Lhie 2---*-'*"') 1'ler hold I I'mg"m "S 77C.; null I it o I I N1111.11-Willit .................................................... ........................ I .......... MR111 11CA1110 .... ... . ..... .. .. ........ . . ..... ..... ..... .. ..... ..... ........ ..... .. .. ...... ...... ... .......................................... I ............................ I ............. I - MR111 ........... I ............................. .............. ............................ ..................... TAR ......................................... I ....... I...... ....... 7--1.1ne 2 Opelillip Size minims ill_ 5i millillul-11'r x Spacing Illoxhimill:1:11ch sido (yr(.yellings From euds-maximijilit. wilh Willih over. Llue-2 I'lers: lAtie-4 flers:- Size minimunk: x sizo 1111111111111 11: x SI)ncillg 1110011111111. spacing, maK111111111. From ends-ninximuln- I.Alle 3 Roof 11-olills: 15,cc (Z> Size millillmill --,q ' .*�;il ' 24 l.ountioll (fi-0111 front. ' –I ---. J .1 —.4, -01 IS,% I 1. . . . Y1 I'llie 5 Willi* J.'ollds: Size minhimm: Localioll (ruoill firmit): ()Vli"jt FILE No.609 11/12 '03 PM 03:42.ID:EXECUTIVE HOMES FAX:530 891 8753 SUPPORT POST ASUPPOn 'a . n.l•t •.'s'. � PORT r `T –WOOD �l " r�1�' r•• '� WEOGES •''� �'�� �\ CAP \ ' I BLOCK �.. PAGE 4 4 X 10 HCAM• SPF 112) . 11,700 LOS. MAX. LOAD 4 X 12 BEAMPF 42) 15.500 LBS. MAX. LOAD - WOOD WEDGES •- CAP BLOCK • r TO BE USED WITI•I; I.I" X 18"X 4' TRIPLE PAD 16' X 18" X 4' DOUBLE PAM 2" X 12• X 2.4' DOUBLE PAD \-- -- SEE TABLES POR CAPACITIES SEE TABLrS FOR 'TO BE USED WITH: - CAPACITIES 8"X ttl' X 4' TRIPLE PAD . 10" X 10' X 4' DOUBLE PAD Twin Concrete Block Piers At Mating Line Support Post SOIL CAPACITY SUPPORT r_q^ S POSTqurjPORT 2 EACI.1 QUAD SOIL CAPACITY b % 10 (PSF) PADS OS. PADS PADS (PSF) PADS 1000 4X 14 BEAM (SPF 02) 13.500 LBS. MAX. LOAD �r" ' • ' ((% '�l••Rrl � /AIA\• WOOD WEDGES (✓ ��� . -CAP BLOCK TO BE USED WI IH; 7 8' X 10' X 4' TRIPLE PAD .. 10" X 10' X 4- DOIIBLF PAD to- Xto- XW(JUADPAD 2' X 12' X 24' DOUBLE PAD •� Lis .•_ SEE TABLES FOR CAPACITIES Twin Concrete Block Piers At Mating Line Support Post . - 4 X 14 EICAM (SPF 62) 13.500 LBS. MAX. LOAD ��. �• i` TO DF Usrn wit •`-- 0" X 10' X 4 -TRIPLE PAD II' X 111' X 4• DOUBLE PAD 2' X 12' X 24' DOUBLE PAD •9EE'fABLES FOR CAPACITIES Twin Metal Piers At Mating Line Support Post B' x le" x 4" CONCRETE PADS 18' x 16" X 4' CONCRETE PADS 2 x 12 x 24•' WOOD PADS SOIL CAPACITY 2 EACH TRIPLE SOIL CAPACITY 2 EACH DOUBLE 2 EACI.1 QUAD SOIL CAPACITY 2 EACI4 DOUBLE (PSF) PADS (PSF) PADS PADS (PSF) PADS 1000 6200 1000 7000 14,(100 1000 8000 1500 8000 1500 10,000 15,500' _._....._......_.._........._......... __.1500 12,000 — ........... ..... _.._ _..... 2000 __...._..._. _._.__ 10,600 - --- --... 2000 ----.... 14,200' 15.500' 2000 ' 10-600 _ 3000 15,500' 3000 115,600' 15,600' 3000 13,600' dUUO 15,500' 4000 15,500' 16,1500' 4000 13.600'. Note: - Pad capacity limlled by beans capacity. 1. All capacitles shown are based on the footing capaclly�. IndlvIdiml plate must oleo be capable of the capacltyy shown or Ills configuration must be reduced to match the plot capaclly. r3uTTE GGUN i '-AOI .DING DEPART 4 P P R 0 V Multiple Section Installation Manual for WZ-1 01 Page 34 4 j6 ..,,Q ^.. „ . Co ht ®20 bv RI tw•nI r 1988 Inc, -8 -b 'f li+ (:FE NOTE 122 WM oi31R wnON PANEL ��r� -- HOUSE HOUSE_ H«TY swTT1a+ MO ,�X 0 AIRFMUAB QVJf1�l�6 . IIV� O NOTES: LIGHT FIXIURE I. This floor plan may be built in an exact � z mirror image about the length axis. 2. E rens windows shown with less than 5.0 gq. FL vent area meet egress requiremerds 9 tlunugh sash removal per window Nfg. en instructions located on the window ® SIZE DESCRIPTION GLAZ IVENT NO. SIZE -+EU 1APE AMR ON MME OF ROM O O DESCRIPTIONM1 GLAZ p SEE ELECT CR SPECS' LEGEND: ® WM oi31R wnON PANEL ��r� -- HOUSE HOUSE_ H«TY swTT1a+ ° ,�X 0 AIRFMUAB QVJf1�l�6 . IIV� LIGHT FIXIURE AR SUPPLY �I m 1HFRYOSTAT ® PHONE r ,uaPHONE 11101110SALES UNE ® E>aiAUST h CEL FAN 0 � it 700011 ® Sim OFTF= 0 SUPPORT Post -- 2" BEARING STANDARD Trr>� WOODLAND - 31 SHT 1 FLOOR PLAN ®13'-4'x67'--4' 813'-4'x6Y4 OF I am BY. 13HUN.THE ENTERTAINER REV 04TE 10/15/01 A 9771 MIN. "u u iu uL P!ER 108 MAX. LUAUSTRIG (L8S1 �I LOAD I POST WZ ILP NO. 7 J � it 700011 8111-6 3/4"1 33 . 2,D 1180662 1/4.1 9 > �39 >o�i k1 8119'-9 a in t 500'13 A I /4'1 9 8119'-3.1 21'-0" Scl x8300''14 8113'-10 3/4.1 7 z 340015 Ai 5'-6" 33 f.. B o N_ 1 W N 2" BEARING STANDARD Trr>� WOODLAND - 31 SHT 1 FLOOR PLAN ®13'-4'x67'--4' 813'-4'x6Y4 OF I am BY. 13HUN.THE ENTERTAINER REV 04TE 10/15/01 A 9771 Shy-'woe�d. - -7V## C. >V ® rn mo 000 M Z P_ -Z TIE DOWN SYSTEM DESIGN LOADS: }WIND LOAD -- 15 PSF 1. TH.'S TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVE_ SITE WITH NO EXISTING SOIL PROBLEMS_ MINIMUM SOIL PARAMETERS: TYPE 5 C(HESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. AS SHOWN IN THE 'MANUFACTURED HOME IhSTALL4TION "INSTR11CT70I_Sr 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUP„ MANUFACTURED HOME SHALL BE READJUSTED WHEN 0S EXCEEDS OR WKEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT_ 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES (OVER (3) SECTIONS W1DE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO A!SC SPECIFICATION. WELD ACCORDNG TO AWS SPECIFICATFDNS. ELECTRODES -370 PLATED-ASTiI A36. BOLTS=ASTM A307, 6. THE E -Z TIE ASSEMBUE'S ARE CAPABLE OF THE FOLLOWING; .LOADS. - HEIGHT HORIZONTAL VERTICAL UPLIFT 35" T 18" 2010 (Ib) 6000 (lb) 891 (Ib)~' 1 6 21" 25" 1325 (Ib) 6000 (Ib} 801 'v 151 O (Ib) 6000 (1b) 664 (Ib) l 28" 141 o (Ib 4 6 4 6 6 6 � 6000 0b} 629 (lo) ; 36 367 (Ib� 6000 fib) 385 (lb) k 7. ALL METAL CQMPONEIITS AND ATTACHMENT ITEMS SHALL BE COATED. 8. WHERE STAND IS PLACED ONA CONICREfE SLAB, USE 112' C0w-%1 XLIANSION ANCHOR'S TO SECURE T}IE STEEL FP,AM= TO THE SLAB THE PLASTIC EAS= PADS ARE NOT REQUIRED, 9_ ATTACHMENT METHODS FOR "C" & _J_ BEAMS SHOWN ON SHT. [2. 10. THE LONG DIRECTION OF THE E—Z TIE PAD (37') MUST BE INSTALLED PERPENDICULAR. TO THE CHASSIS BE:AL(. L -C/ i-bi.., U1.315 'S ABESCO-GUS GUARD CMiPA 595I FLC.RU i - PERKWS ROAD S4CRAhz-N70, CA 95523 PH: (800) 352-8831 FAX: (916) 353=5207 % SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIFF. S' MAX. E= 2' mIN. / t t' 14AX. , PARIES 10'-70' --- -- .-` EVEFCY SPACED BETWEEN E rT1 r�i ' ' I ❑ C]L_1 L-, RIEvE BEAM SUPPORT AS REQ'JIREO EY MANUFACTURER OHO (TYPICAL)• E3 ❑ / E-[ TIE SUPPOR7 PAD (TYPICAL) r _ i p ❑n CMkSS'S BEAM SUPPORT PIERS --SIZE AND SPACING AZ REOUIP.ED BY 14E HOME MANUFAhfREP.. D *� APPROVED SUBJECT TO CORP,:CT ,NS N0TE D APPrDd does wt auft.m_e or vprove my omisiio 8r deviation from requirements Df aEpFc2b;e Slate lair; and �: regulations. State 0# afarnra fJepartmen;�agus ng a Cornmum y Devefo.ment IS! ^SS r� STA WARDS O � y t agnatul) �a-E SPA NO This Plan Approval Expires 3 � s THIS TIE DOWN SYST�EM MEETS THE REQUIREMENTS OF SECTIWI 1336.3 SUBSECTION (a). rr� W�YhE T. POLVADO, PE—LISTING N0. 99001 SHEET 1 of 3 V r. - ca m Ln n O N m m al N NUW,E?_R OF E -Z TIES 1, 21 " HT 25" HT j 28"HT 35" T 4 4 I 4 1 6 *ROMEJ 4 4 4 6 4 4 6 ! 8 70' 4 4 6 4 6 6 6 E i C D *� APPROVED SUBJECT TO CORP,:CT ,NS N0TE D APPrDd does wt auft.m_e or vprove my omisiio 8r deviation from requirements Df aEpFc2b;e Slate lair; and �: regulations. State 0# afarnra fJepartmen;�agus ng a Cornmum y Devefo.ment IS! ^SS r� STA WARDS O � y t agnatul) �a-E SPA NO This Plan Approval Expires 3 � s THIS TIE DOWN SYST�EM MEETS THE REQUIREMENTS OF SECTIWI 1336.3 SUBSECTION (a). rr� W�YhE T. POLVADO, PE—LISTING N0. 99001 SHEET 1 of 3 V r. - ca m Ln n O N m m al N l l' Ud/ 1UUJ 1'1: 21 9163835207 ABESCO IHC a a W m IAJ D: r. 5 J PAGE 03 �� Ma M `'� OQ 1.1 M 2 M � Q;; � da LC W W d = M z z Milt rr mp ° 0. a G y L` x0 w O O Ch- ti� z a oe F � W LY a F r.J^ a En -100 in O � L.L \v .�j Obi �fncy W Mj Y O = S O 0 Nin M S Q L L Z L( LJ m `=in In F A °C z mnl- o (70 m0 LA � �0WlJ z IjO Z \ z CL L Q m p +( Cr W I d(n M �C L CV x � CA _.. \ d ABESCO IHC a a W m IAJ D: r. 5 PAGE 03 �� Ma O `'� OQ 1.1 M 2 M � Q;; � da om y pz a: M � d = M z z i.i O o d vLj A mp ° 0. iQ N F - G y L` O O Ch- ti� z a oe F � W LY a F r.J^ a En -100 LV L.L \v \ �fncy W Mj F O .- O 0 ra �� N Y S Q L L x e�wa .L( O w v \ `=in In F w mnl- F ��. (70 o z IjO Z \ z L W I d(n U L J IL W CL L �a b z L c) } eI\\ clAJ Z N n C N W ::E I cl- m v w F]O�� U - LJ z ftlj S ° . L.J ° I to W a a W m IAJ D: r. 5 dtn Lxxo[ �� Ma O `'� OQ 1.1 M 2 M in K a da om y pz a: M � d = N O z z i.i O o d a-j'Z..O ° 0. iQ N F - G y L` O O Ch- ti� z dd LL Z - In In r: a d y M MOO oi Utj m C x O ww a M 2 M in K a da S L r'4 0 W pz a: M � d = N O Li !.S� In In d y M / I !3 0- m X f r d ww a Ytn in da a w pz a: M � d = N O a i.i O o d a-j'Z..O Op0.W l.lT G y L` L, Ua. w L, ti� z dd LL W o - c ra F r.J^ a En -100 m L.L \v \ I �`� L <( O " �U O .- ra �� N Y S Q L 0 Ll `=in In F mnl- F ��. i3UTEE C 0 U N 1- gUILDING DEPARTMEA- A � E t .,, � '�_,, 25 rn In 0 DC xz I\STALLATION INSTRUCTIONS -Z TIE DOWN SYSH7M I . PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER. OR CROSS 1, :'M]3EP., OTHEPWISr It:'STALL WEB STIFFEtdEP, ON CHASSIS BEAW. .2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASS'.S BEAW. 4_ REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER_ THE ROLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS_ REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. 5. REMOVE THE TWO (2) GRIPPER, PLATES On THE TOP OF THE PIER,. START THE HEIGHT ADJUSTMENT 8Y REMOVING THE COTTER AND ADJUSTMENT PINS, PI=PS CAN THEN TELESCOPE. RAISE THE TOP SOF THE PIER UNTIL THE PLATE IS AS CLOSE TO THE SOT -TOM OF THE CHAISS!S BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTEP, PIN. 6.. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE 9OTTOW OF TH;-7 CHASSIS BEAN,. 7. PLACE THE GRIPPER. PLATES OVER, THE FLANGE OF THE BEAM. AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS, BEAWS AND 11-eEAM.S 8. HEAD OF PIERS REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THRU THE SIDE OF THE BEAM IN ADDITION TO ONE GRIPPEF PLATE S. FOUR (4) STEEL STAVES (SUPPLIED) ARE TO BE DRIV-N THRU GUIDES INTO SOIL UNTIL STO?S ARE FLUS{ WITH THE GUIOE. ALTERNATIVE: (2) #12 S.M_S. OR WELD (2) .¢x'12 S.M.S. ANGLE IRON !"2X3/16" DOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCJR WITHIN 24" OF STANCHION (TYP) VEB STIFFENER DETAIL ABESCO-GUS GUARD COW NY i851 F LOMT - FERyjNS ROAD SACS AYMiTO, CA 95823 PH: (8DO) 382-8831 WAYNE T. POLVADO, PE—LISTING No. 99001. FAX: (916) 3133—$2r.7 SHEET 3 of 3 i m CD 007-21 0-025 99-0088_ B E , RESIDE! IAL' SHERWOOD Bill 3119 Morseman, Chico (addition/_SF) Deusenberg conpt Q1 /j /P2PC PERMIT NO. J �. oil 4 PERMIT EXPIRES' OWNER � N�� ��� e � y� �`�7G�• `, CONTR. 7 r ASSESSOR PARCEL E LOCATION CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS j VERIFY i' f; Temp. Pourer Pole q Called PG&E 4 Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) 1 Signature j V - OK O - Not OK =-NotR Applicable MOBILE HOMES Date MOBILE HOME UTILITIES Mans) OK except d'a 1. Zoning Requhmnotb-Setbacks-Easement* 2. Sofia; Special MH Support Skelch 3. Sewer Locsdort 4. Water, Loptrar Needed (Skek" 5 Electricity; Loea /Amp.Ca wets 8. Gas; locatiorrTed*hap; / tilt / /Nat or/ A.'tr./ /LPG 7. Well Clearance d Disconnect 8. Utility Clearance Date Card B-1 ata Card B-1 Date Cane B-1 ab Card 8-1 Date MOBILE HOME INSTALLATION ftm) OK accept #'s 1. Zoning Requiema+ts-Setbacks Eamnen • 2.F;*o*Vx S"taSpacitQ#Aani%;e LIne _ 3. Gas; MH - y 4 ' 4. Electricity; MH '` S. Drain; MH Ted*atfkx Conneelor 8. Water; MH TesfRegulabr•Connectw 7. Water and Sewer Connected CIO b Grade -HO ApprmW 8. Gas and EkcW* Tagged 9. Tie DomwNpe4raftladon Cert 10. Etats; insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: IJoense Decal Date Card B-1 Date Card B-1 Date Card B -i ate Card B-1 MISCELLANEOUS Date DEC%YS, COVERS, CARPORTS, GARAGEti (Plans) OK accept E's 1. ZonkV RwMrmrenWSe2mcI -Easement 2. Footings; Sats.SWs�o 1!►Spacinp.Cannecbn,sbel 3. Decks; Girders and/or 4. Wood Awn.; POstrBeamrRltrs.-Carneclors ShdV.-Rfg.-Brackg S. Alum. Awn.. Colum es 8. Carports l in s Dons 7. Electric 8. Frmg.: Sils-AnchorsStuda-Rhrs-Munn 9. Siding; NaRrgAkneerStucco-Mesh 10. Root ShWookV 11. Eta.: SwpaDoon An*W 12. Braced Wap Panels Date Card B-1 ate ` Card B-1 Date Card B-1 ate Card B-1 Date POOLS (Plans) OK except /'s 1. Selbacks•Easamenb 2. Sols; C rnpacdorr Vucere SUAMy - 3. Pool Struchm SbeFC nrwc* s-7hi kw= Dead MenAiting 4. Elec ; Receptacles and Lloft Mdbnoe-M S. Eiee.: Pod Lighting 15 Vok& i 8. Elea.; Endosacs; Cardult Er*kwTamirtabUsbd - 7. Elam: Bondng Metal w1V-Ckc 6tnp Equip.44mler 8. Eke.; Grotndra Equp. w48 Gelating Equip.-Pcd Lgh fg. Io Malt in Condor 9. Heats DepartrnerKApp oval 10. Pkmb.: Ci ?ashler Supply Test 11. Light Niche Dabs Card B-1 ate Card B-1 Date Card B-1 ab Card B-1 y Not OK RESIDENTIAL Not Applicable Not Ready ss UNDERFLOOR (Plans) OK ezupt is 1. Zoning Setbacks Easments-Flood'Sldpe 2. Fug., Main; Sods-Elec. Gmd. / P Ftg. Depth , 3. Ftg. Garage; ScasSteel-Elec. Gmd/ r Ftp. Depth 4. Ftp. Porches a Decks: SoasSteel-/ J'Ftp. Depot S. Stemwads, Main. Steel 8kxkeutslNrapped 6. Stenrwads, Garage; SteeFBlockouts-Wrapped 6a. Hord Downs and Special Anchors 7. Slab, Steel -Wrapped e. Piers-Fnptace Ftg.Steel 9. D.W.V.; Fa9-Fitt1rtg-Test-2 Way C)CSewer Tilt 10. UF. Gas Pipe-. Sae Anchors -Yard Gas P'iog; Sim Test 11. Water Pipe; Test-Anchors-RegulatorService Test 12. Electric Underground 13. P' ms d Duets; Cteararioe-Materia{,Supportins. 1 Girders-Sas-Andnor Bdts.loistt~VentsCrippies 3 Ventilation 16. Insulation (Single & Duplex) ate Card B-1 Dab Card B-1 'ate Card B-1 Dab Card B-1 ate PLUMBING pirm4 OK mcq t ft 17. Water Htc; Air Baffle 18. Water Pipe; Test a Ard"Nai ProbcSon 19. .Y.; Test Fdtings &Xch>tNal Ptoetx5on Shower Part; Test First Floor -16 Access 21. Test Tub 3 Shower. Seead FWQF-16 Access 22 Gas Pipe; She S Andnors ate Card B-1 Date Cana B-1 la0e Card B-1 Date Card B-1 .; %to ELECTRICAL ronin) OK aicq* ft 23. Fixture 3 Transformer Ciearanee-trm Protection 24. Elec. Receptacles Spackg-Lights & Swbdtes at Doors 25. Sae Boxes & No. o[Conductors Stapled 26. Romeo tatted Close b Edge of Studs 3 CJ - 27. Equip. Ground made OP rAl ledn FasVW%8Ord Gas 3 Water 28. 2 Appliance Cath is in Kilchen S Canductor Sae GF1 29. Subfeed Wire Som I I ga. Cu or AI A.C. Wire Size I / ga Cu or AI 30. Range Circ. I Ilia Cu at A14 ven Circ. I / ga Cu or AI Insulated NeuAtd 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Discanect 32- Equip. Clearances Panels-Motors-Mech. Epu ip. 33. Clothes Closet LightShoo Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 35. A.C. Cucts Insulation b Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain S Overffcw, Size 3 Grade 38. Fumarce-Vent access -Comb. Air -Return Air Vent 11S outlet 39. Attic Access b Patform if Furnace in Attic Oate Card B-1 Date Card B-1 Date Card 3-1 Date Card B-1 Date FRAMING (Plans) OK except M`s 40. Sits Prcper Materials S Anchors 41. Walls Studs -Nailing Spacing 3 Braces -Plates -Sound 42. Bearing Walls over Girders d Floor NaTirng 43. Draft Stop in Walls (rat proof) 44. FireCtops, Fulled Ceilings -Stairs -Chasers -Tubs 45. Headers S Beams -Size b Bearing Dam FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-RfV Ties-PuA4rroff Brac.-TrussShli g.-Rktp. 48. FvepLace Ties or Type A Flue -Fireplace Throat dearance 49. Attic Access; Sine & Romex Protection-OraftStopdns. Baffles So. Bdnn. Windows or Exiting Doors -SB Mgt & Dimensions 51. Garage Fre Protection Framing S2. Property lite Firewall & Openings 53. Ext Doors -One Y -Check Garage 3rd Story. 2 Facts S4. Stairs: Width leadroont-Rise-Rund andirg-Fire Protection S5. Pywvod on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 6o. Brace Interior / Eoderior Wall Panels 61. Insulation-Wads-Cetkngs 62- Infiltration Watis-Wrtdows Da _ Card Data Cud B-1 Oats - Card B-1 Date Card B-1 Date FINAL (Plans) OK exeW ft 63. Ext Steps -Door m Sidelight Protection -landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb. Air-Conectea In Garage: Above Floor-Ducts-Mech. Protection 66. Bedroom Eodting 67. G.F.I. & Bath Fixtures & Tub Access Spa 68. Eke- Tdm 3 Subpanel, Breaker Sizes &labels 69. Stairs 3 Raas 70. Freptace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, int & Exi 72. tit. Fat. S Appliance; Ground. -Air Gap -Cooking Clearance 73 Elec. Outlets 3 Recepticates at Kit Counter 74 Garage Fre Door Swing-Land'mg-Closure 75 A.C. Duct in Garage -Damper 76. Wtr. Htr.: Vents -Clearance -Comb. Air Connector-P.R.V. In Garage: Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78 Elec Receptacles in Garage (G.F.1.)-Romex Protection 79. Insulation -Foam -looked in Attic 80. Guard rails 6 Deck Construction -Post Caps 81. Fdn. VBents b Crawl Hol: Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Insdd.Mrive 0 Yes 0 No/Walks 0 Yes o NoRtanters a Yes Q No 83. stucco Broom -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Venbia don Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water b Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card 8-1 Date Card 5-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: v COUNTY QRRUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON 7 Cdunty'Venter Drive • Oroville, California 95965 • Telephone (530) 538- 41 p,� PR (Rev. 12/96) APPLICATION AND PERMIT / ?jd ASSESSOR PARCEL NUMBER 007-21-0-025 ZONING SR BY&DINGPERMIT OWNER 'RIT.T. SHERWOOD TELEPHONE SBUIL IN 1,. - LUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE 343-8 80 43 2 Cern- OVOCIA 11500-00 CONTRACTORS MAILING ADDRESS 4919 ORD FERRY RD, ICHIC0 CA 95998 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 9 3g . 00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee ' ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee + BUILDING ADDRESS Energy Plan Checking Fee $ 23.00 $ Zo PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition INX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADDITION TO MASTERBEED-R_OW �� Q/ll� - Loi Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..AORLESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is i t force and effect. „� ��/� License Class — LIC. NO. Ta i(- OWNER -BUILDER DECLARATION' I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance ofwork for which this permit is issued. My workers' comp on surapro-carryZd nd policy number are: Carrier Policy Number 10-/' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compe tion laws of California, and agree that if I should become subject to the work compen tion provisions of section 3700 of the Labor Code, I shall fo C017 w se provision t` X Date �� Sig ure o Ap i a caner ntractor ❑ Agent An OSHA permit is required for excavati s over 60" deep and demolition or construction of structures over 3 stories in height.By Main Service TO lOooA 46. 00 W so NEW CONST. DwELUNG occuP. 3.52F°. OR ( NEW CONST. MUAirlcou�TLSS. ET NON -REBID. 97.50 aFOSIrW�. ova c R. Ex, Occu , OUTLEr OR FIXTURES Bnl °p I:So Ex. Occup. DFaLIEo�A R= J. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $Z3. 'D MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation I PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ .00 Occ CONST. TYPE X5.7 TOTAL FEE $ HAZ. _ FEES P o00 cDF ..-- P PD HD ISSUE 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. raj 6 a�t PERMIT EXPIRES ON G D to Receipt No. 57727 WHITE-D.D.S.-B.D. CANARY -ASS S R PI -INSPECTOR I GOLDENFOD-APPLICANT COUNTY OF B TT,; DEPARTMENT OF DEVEL�OPN&IENT SERVICES - BUILDIN�G 7 COUNTY CENTER DRIVE - OROVILLE, C4W9 95965 - TELEPHONE (916) 53 -7541 T PERMIT APPLICATION DATA SHEET'" L �- OWNER:��p/tw.�•��-rte--� ASSESSOR PARCEL NUMBER: (� 0-7 _ —� >'Proposed Building Use: _a"- Building Inspector: U.0 Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted ----------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 63. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- `64. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- El 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form.--------------------------------------------------------------------------------- ❑9.,manufactured Home data and installation instructions including Tie Down Specifications.------------------ r~�s of $ l . ! S------------------------------------------------------------------------------------ r pact fees as shown on the attached schedule.---------`i°`-=f-'�=------------T ------------------❑12. California Department of Forestry plan approval/fees.-------------------------------------------------- ❑food elevation certificate. ---------------------------------------------------------------------------------------- Q 4. Sanitation and plot plan approval. Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- 1118. ------------------------- ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 1143 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- E130. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contracto t Telephone _ _ �3 L/3 — H 750 and hold for pickup at o • ce. ❑ with inspector. r / ` (Applicant: ate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ 9lmr Pollution Date: Copy of plans sent ❑ Health Department, ❑ Fire Department, O er: Date: 1. Index permit application for the above items numbered: lan Check List-, 2. Additional items required: Contractor, designer, owner, was advised of the above required data by phone, 2rail, ❑ Building Division counter, by ate: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by V Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building i ' 'o oun er, by Date: Plans reviewed by: Date: Plans approved by: Date: ? .,/L9 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: q , Date: p Yellow Copy - Department of Development Services Building Division. 2 A �-`(U 12'U 6 auk /' .r' U ONL Plot Plan Attached floor'Plan Attached Sent to 8A. / 1 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance S"� a�000� l AA -w 7 -zoo -ops Owner Location APilt Plan Approved for: Sewage Disposal 1Water Supply: Public Private Well X Clearance for--dsecallirig. Other,47 Hold final for: Final clearance O.K. for: NOTE: C- o �IeJJ►� � � .fes 2 `fO�y� Environmental Health Specialist Date 8196 Ze'd ZT99968029--!4o-4%inaH ^ua eb:ST Q3M 66-0T-aaj PLAN REVISION Please complete the following information in order to process your'submittal: If this form is not complete, correct and legible, it may cause a delay in processing. Owner's Name: Received By: 11 i5 Date: /—/3 q1Q Permit #: 98 c� l (o t Time: �'.3 d I Contact PhoneNumber: Purpose of submittal: ❑ Permit Application Data Item ❑ Engineering lan Revision a-cl. d 1:1 / G -Requested by Building Inspector or Correction Notice -Inspector's Name: V { ❑ Requested By Plan's Examiner -.Examiner's Name: ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly how When Approved, Process as Follows: i ❑ Mail to Owner at this address: i ❑ Mail to Contractor at this address: Call 3 ` FSd and hold for pickup at the co Office ❑ Oroville Office ❑ Deliver with next inspection. Revised Plan Check Fee: ❑ $46.00 Receipt ❑ Additional Fees Not Required Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: Receipt #: t0'd dZb:60 00-OZ-AON •"'�,w;i•-w�att✓ti:t:� �...�.,x..lJr..: {.....-r��r �,wF-.. r. -w.•: w.. y�[CYT'1i�J.Yr+`wYio.r•n.nd'wi'Lr-�Irti..4�J^v-rr1��f:i1rA'w'+--+.r--.y�..�`�.��r'r r_.:��i.•t�''yM—.,.�..'n. �.� .�,� 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School bistrict V s Q Building Department No. /J c--- A.P. Number 007. Z,/O _ O Lr Jurisdiction: City County Property Owner �� �l Sti e -4, y Property Location/Address Subdivision Lot No. �P z" Residential Development No of Living Mobile Home i• Units Installation Commercial/Industrial New r BdTi ddin Department, Representative 0 Addition I. 0 Sq. Footage Addition •Supplem,tS vto 6� (Gioup.R) Conversion Permit •(No foundation inspection): ..................................................................... ...... . ,.Vo 6,m Lo 0 0141ovt Sq. Footage �a ,(Including Exterior (Floor Plans reviewed by School District Personnel) /Roofed Areas) Date. 7 Distridldehtificabon No. /%/ 7 S School District certifies that�l (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Cbde), .. has complied with the requirements of Resolution No representing / qusquare feet School District Representative Paid by Check ar N/� Remarks: -7 LIJby payment of. $ IAB 2926 S FULL MITIGATION : Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quall{y Act ICEQAL this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. . White (applicant), Yellow (building department), Pink (school district) feeform.xis 110/98)dmm J?zdio &..'.f, LAND OF NATURAL WEALTH AND BEAUTY i Deusenberg Construction 4515 Ord Ferry Rd. Chico, CA 95928 Permit Application for Bill Sherwood Building Permit Application #99-0088 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Action Required: [X] Comply with Plan Check Li f 1 Resubmit Plans with Revisil ] [ Return All Original Materi, [ ] Other BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 February 1, 1999 As Required and Revised Plans to the Building Department Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Martha Whitney cc: Bill Sherwood, 3119 Morseman, Chico, Ca 95926 • Date: February 1, 1999 Permit Applicant: Deusenberg Constuction Permit Number: 99-0088 • Assessor Parcel #:007-210-025 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: Provide specific estimate for replacement of windows in existing residence to dual - pane. Materials and installation to be included in estimate. (Upgrades required by energy calcs.) Square footage calculated is for new area -there is no credit for 8 dquare feet at family room door. New addition is 172 dquare feet minus 75 dquare feet for previous permitfor total of 97 square feet. Provide new location for furnace and hot water heater. (Energy calcs show two units.) 4.' Provide new clearance from Health Department. ,Show underfloor access to new addition. (Note to plan.) New 14 foot 4 x 12 beam -point load to existing foothin and new point load at new bearing wall. How carried to foundation? Maximum span on 4 x 6 girder beam is 5 feet 5 inches -plan so noted. Lateral analysis will be required for exterior wall at kitchen and family room. One alternate braced wall panel in 22 feet is not adequate bracing for this wall, neither would one 6 foot panel which is all the wall area you have. Energy calcs 9-1 Square footage is incorrect. For energy calculation purposes existing house is 1671 square feet. Additional square footage is 172-8 for total square footage of 1835. 9-2 Addition doesn't have existing windows. 9-3 Credit taken for "zones" must meet criteria of max 40 dquare foot opening between zones. (Zonal controls?) Page 2 9-4 Windows labeled as existing do not match floor plan before changes are made. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Friday. Martha Whitney RESIDEi'f IAL PLAN CHECKIM GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY .G OWNER: �1 I( �' ' BUILDINGPERMITNUMBER: , / o / �-'DOgg PLAN CHECKER: M c)'W A- P. NUMBER: OO 7 '�'2'�O �Q0?-G GENERAL: ; Zoning requirements: (side yards and number of permitted living units). /2" Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. PLOT PLAN: , Complete parcel size and dimensions. ; Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard., /�l Special conditions on creation map (Noise, SA.A., Fire SptirWer3, Water Tedder,*Trees, etc.).' F.A.U. & F.A.S. road setback. Building or utilities across lot lines (Record form). 1 FLOOR PLAN: /1!" Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). X Skylights (Section 2409 & 2603.7). ;0; Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). switches, witches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one TO" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. n TT T Y.-. T ♦ r r -- •— n_ (iYY� Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design Section 2326.11.3). 3. Clerestory requiring balloon framing and/or engineering. y4�' Three story building requiring engineered calculations and plans. %5 Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. 7 Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. ,W Fireplace construction details and calc. if necessary. Garage door and/or porch header sizes. Stud heights. ,1,3-' Adobe soils - special foundation djesign. Retaining walls requiring design. Special Inspection requirements. Header size. June 1997 3.2 NUSCELLANEOUS ITEMS TO LAh 7UT FOR: tel' Stairway details: landings, ffind run, head clearance, handrails (Section l O", /2' Guardrail details (Section 509). i3' Brick or stone veneer (Section 1403). • ' Exterior plaster - weep screeds (Section 2506). f.� Proper roof pitch for roof covering (Section 1501). ,6! Roof covering type - (fire hazard). Foam insulation - protection; , ,8' 36" halls and stairways. ,9! Living area over garage - complete I -hour separation required on garage side including supporting walls and posts. ,W"- Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). l2. Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. 1� Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. Automatic Fire Sprinkler Systems (Section 310.10) For Inspection Jacket: Flood Hazard/Elevation Certificate SRA Requirements , Special Inspection Requirements _ Automatic Fire Sprinklers ,10 June 1997 3,2 APPLICANT: OWNER' PERNM #: A. P. #: WORK DESCRIPTION: PREACT PROCESSING R4PORD D- DES ON OF STEP Q, I -r P.c, �/. D. �,o TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Sfeelu�d00% 3117`' Owner Location Plan Approved for: Sewage Disposal t< Water Supply: Public Clearance for . Other Zdrm 61irm ea��� Hold final for: Final clearance O.K. for: NOTE: C - ,C3o7, Z lc%Jr l f .�S-f Environmental Health Specialist 8/96 -'had USE ONLY Plot Plan Attached —� Floor Plan Attached Sent to B.D. / 7 zlo— azS AP# Private Well Z `la'1rS Date Eatte count BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 June 12, 1997 William and Sandra Sherwood 3119 Morseman Avenue Chico, CA 95926 RE:. Building Code Violation A.P.#007-21-0-025 3119 Morseman Avenue, Chico Dear Mr. and Mrs. Sherwood: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated January 27, 1997 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for construction of a bedroom addition to single family residence in violation of the 1991 Uniform Building Code as adopted by Section 26-1 of the Butte County Code as follows: (a) Section 301(a) Permits Required (b) Section 305(a) Inspections Required (c) Section 305(d) Inspection Approval Required before Use or Occupancy The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is .your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court).for said violation(s) and for failing to.comply with this -warning letter. Letter to William and Sandra Sherwood RE: Building Code Violation A.P. #007-21-0-025 Page 2 June 12, 1997 Upon conviction of said violation(s) or of failing to comply.'with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. S'ncerely, . MCV:dms Mic ael C Vieira, C.B.O.. Manager, Building Inspection PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing (A.P. #007-21-0-025) Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND NOTICE VIOLATION LETTER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 12TH OF JUNE. 1997 and addressed as follows: WILLIAM AND SANDRA SHERWOOD 3119 MORSEMAN AVENUE CHICO CA 95926 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 6/12/97 at OROVILLE , California. Donna Sperling Office Assistant III I VIOLATION CHECK LIST A. P. # 007-21-0-025 Address 3119 MORSEMAN AVENUE, CHICO Owner A SHERW00 Owner's Address. SAME Owner's Phone No. - Supervisoral District ' Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. BEDROOM ADDITION W/O PERMITS APPLICATION MADE 1/18/96, BUT NOT ISSUED APPLICATION EXPIRED Specific Plot Plan with C/V Noted yes no Penalties Required 1st. Notice Sent 1/27/97 2nd. Notice Sent ate Date Comments and/or'Determination Disposition' For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) 'Pi r.,.;..',..r::..++�n.,r.:..,..�ips��,:1.�1''i'-;,r'ili�ii'r:Y''}+ivY.;fin.t.�,y_"1>`1.lbw;'f'tiC"'+�Vw.,,..+.:.:iii(''%''�r'7b'err(`+fL``r�.r..-J�"!''� rrr...Zk� . r •n-. ;.,... X;, fy .?. . �yl'K_'rnL+'�_• • BUTTE COUNTY SCHOOLS IMPACT FEE CERTIF,ICATfON'FORM-•• (One Form Per Building) School Districtb(C/ // Ga (,/,*-- t /Ci.L� �G /4O Z Building Department No. A.P. Number6(-7—6-07-r—Jurisdiction: 1 City County Property Owner`%� Property Location/Address 3 Subdivison Lot No. Residential Development Commercial/Industrial 2�,+ Building Depa ent No. of Living MHI Units 0 New Sq. Footage Addition (Group R) AWSq. Footage dition (Including Exterior (FloorPlans reviewed by School District Personnel) District Identification No. JV �- School District certifies that (Street (City) I/ Roofed Areas) � D to (Applicant) (Phone Number) (Zip has complied with the requirements of Resolution No. 5 ^/ by payment of $ representing (o square feet. resentative AB 2926 $ FULL MITIGATION $ Date Paid by Check #/�. Remarks: Bank Number _ �-)- Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the "applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEOA), this project may be subject to additionaP school* fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm ;pr.q.,z!w w..�vAM +- .�r,..s: s '% r+. v v, d't :�.. :�� s' z'. ::r ,. .. ,...kc'^r- .r av=_, y -.'C:p �y: r,larPnr, .i.. � Ci•1 �'• .`�, -:s-' •'r" `r' - , 1 F3119—21=0-025 93-2452 B OOD, WILLIAM MORSEMAN; CHICOF/SF 6ol cy-p�u IPA f. I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - OrovilleE California 95965 - Telephone (916) 538-7541 PERMIT NO. %./1 APPLICATION AND PERMIT 93-2452 ASSESSOR PARCEL NUMBER 007-210-025 ZONING BUILDING PERMIT OWNER WILLIA11 SHERWOOD TELEPHONE 893-0293 SQ. FT. OCC. BUILDING VALUATION COME 25SO 25M OWNER'S MAILING ADDRESS 3119 10RSRIAN CHICO 95926 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF1 Duplex O Mobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20'00 TYPE OF WORK vvy� New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0"' Describe Work: REROOF/SF PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( SOOV OR LESS ) 23.00 'GOA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. So. OR ADDNS. ( 8 ACC. BLOS. ) 3.50 FT_ CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, 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) If' -1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.000 Ex. Occup.UT ED (RESID OR (OUTLETS (RESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. B'rshall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep.harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. i X j , '✓ l/( c ��...�. /E ' /ni.-�,� Date ?j ' S Z Signature -of Applicant - f�'Owner ❑Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.0C HAZ. I D. FEES IMP I FLOOD I COF PARCEL PD NO I ISSUE 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 Y iy/1 E 1� PERMIT EXPIRES ON / (Date) 1,o l S Receipt No. / ! V 4 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califoraf! 95965 - Telephone (916) 538-7541 PERMIT NO/ APPLICATION AND PERMIT 93-2452 ASSESS RPARCELNUMBER 007-210-025 ZONING BUILDING PERMIT OWNER WILLIAM SHERWOOD TELEPHONE 893-0293 SO. FT. OCC. BUILDING VALUATION COMP 25S 2500 OWNER'S MAILING ADDRESS 3119 MORSEMAN CHICO 95926 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 10 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑Y X Describe Work: RES00FISF PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( '0'OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) � SD 3.50 FT.. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 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 compensation, will do lbIe-work, and the structure is not intended or offered for sale. (Sec 7044) , as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0,00 Ex. Occup.FIXED APPLNS. OR (RESID.) EA. ( OUTLETS ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. G I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. p harmless the County of Butte against all liabilities, ludpfts, costs, and exs which may in any way accrue against said I also agree to save, indemnify anJ�� Cou ty in c ence of the granthis permit. X -�Date ' a Signature o Applicant Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPETOTAL FEE $ 55.0 HA2• D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work inabove for which fees have been paid. DIRECTOR OF PUBLIC WORKS By % L� Date � IZ, , j PERMIT EXPIRES ON / y (Date �T t � Z � Receipt J WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT - V 1i A COUNTYOF BUTTE - DEPARTMENT OF DEV LOP WENT SERVICES -BUILDING DIVISION '- 7 COUNTY CE NTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATAsSHEET OWNER Q, `��� /d S A e., Proposed Building Use 5,1,: 4 ,t o 6' --/ Building I _ A. P. No. 7)7-. �f, : - Date Z 3 iJ At time of permit application, I was advised the following data must be submitted prior to"permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ................... ............... . 2. Plot plans, 3/4 sets, signed by preparer of plans. .. !.I, , ...... . 3_ Complete plans, 3/4 sets, signed by preparer of plans/.... e...�a .. . .4. Engineered plans and calcs, 3/4 sets, with wet signature on piao. ,. a S.... . 5. Hazardous Material Form. % . r ..... ....... 6. Energy Design Compliance and supporting docum`entatio ......�//� ........ , 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicatel"(required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ......... ... 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. ................ ..... 13. Flood elevation letter (100 year flood) by California Engineer...... ....... ..% 14. Sanitation and plot plan approval t Health Department./... 15. City of Chico plumbing permit . ............ ............. .. .... . 16. Plot plan and business license approval from City of Biggs/Gridley. �........ . 17. Planning approval for (A) Use: 1(B) Parking: , 1, 18. Contact Land Development about (A) Improvements (B) �ainage............ 19. Driveway permit (construction approval required prior to occupancy). .... . 20. Pre -inspection for f ,�' to 8.on on requestrequired. . to 9�g Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. .•. ............... . 23. Owner -Builder Verification (Given to owner - „Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ..... .'............................ . 26. Copy of recorded deed of parcel creation' and 60 right of way to a public road. .... . 27. Letter of intent on building use. ...... . . 28. Mobilehome utility clearance. ....... .................................. 29. Documentation of legal access. ...... Y ..............:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan checklist . .................................................. . 33. .34 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. / Deliver with inspector. Other 44/ Parcel Creation r -7 Acreage Applicant t Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution, -Date Copy of plans sent Health Dept. Fire Dept. Other Date . By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541Q, PERMIT NO. APPLICATION AND PERMIT '�-� Z Sl�� ASSESSOR PARCEL NUMBER - L�2S— ZONING BUILDING PERMIT OWNER 1 TELEPHONE $ SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 11 ( 6i cn-g-QM.. aQ O CONTRACTOR'S NAME AE5-9n OIL? 4 M4 (_ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ - 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty - $ BUILDING ADDRESS PERMIT FEE S 7 J (tGil/-�Qiinit `^—rte/ - L PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAMEPARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome ❑ Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 @20.00 TYPE OF WORK New O Addition Cl Remodel O Utilities O Installation O Other 3_12Z4=9Contractor Describe Work: PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "v OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. 8LDS. ) Sp - 3.50 FT• CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do � Oe work, and the structure is not intended or offered for sale. (Sec 7044) 47 I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. EX. OCCU P• ( OUTLET OR FIXTURES 20 @ 1.00) eAL. @ .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. kJ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify nd keep harmless the County of Butte against all liabilities, judg r4Tits, costs, and a penses which may in any way accrue against said County in co uence of the r nting of this permit. c X �� Date �3� (3 Signature of Applicant -�9 l caner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES S� HAZ• I D. FEES I IMP I F1OOD COF PARCEL PD NO ISSUE 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 By Date PERMIT EXPIRES ON IDetel Receipt No. '32 I WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT y��yc'tffs�'.Y�`r � �•"f�A`""'d`i3rt;�,e�ss':ewlYl�jy!�6�1:+5,•d:�r,.�•.sa; }7i' a 'r,,,\:. �Vr�.-=;�t*`�.µ��l?.�'"$�.�`sr/;. oar.: `,��r?yh'7, ""�'•w.�^�Y�•.w�ri i`F1.L'y+!# Eu 07-210-025. •92-2573P HERWOOD, William , 119 Morseman AVe, Chico gas •line%sf i d%F L 6Gt%Orl -kct , 9 Al OFFICE COPY Address GAS J =' Meter By. �' Date//� A* — EL ' Meter By COUNTY OF BUTTE' -'DEPARTMENT OF PUBLIC WORKS e 7 County Center Drive - Orovil►e, California 95965 - Telephone: 916,538-7541 • '�` APPLICATION AND PERMIT r:. PERMIT NO. Z. -� ASSESSOR PARCEL NUMBER 007-210-025 ZONING SR BUILDING PERMIT OWNER William Sherwood TELEPHONE 93-0297 SQ. FT. OCC. BUILDING VALUATION w OWNER'S MAILING ADDRESS - 3119 Morseman Ave. Chico 95926 CONTRACTOR'S NAMETELEPHONE Owner / CONTRACTOR'S MAILING ADDRESS t 1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 3119 M r eman Ave. Chico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ® InstallationC Other ❑ Describe work: Nattwal Gas Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 10o0A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense 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 CONST. DWELLING OCCUR.& OR ADDNS. ( ACC.—BLD—Gs. 3.64 sq.ft. NEWC CONSTR. ULTI.OUTLET NON -RES( BRANCH CIRC ITS @ 5.00 POWER APPARATUS6 SINGLE OUTLET CIR. Ex. o p OUTLETS OR FIXTURES 20S760 AL AR&I Ex. Occup. OUTLETS (RESID.)FIXED APPLNS. REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 i— I Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities]judgments, costs, and expenses which may in any way accrue against sai(*County in consequence of te granting of this permit. { X �' - ^-- JA . ' Date 7- %7 t'"- ' I r 'I Signature of Applicant — Owner Contractor ❑ Agent F]sions An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures overtori sin height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy p occ I CONST TYPE TOTAL FEE $ 20• OO HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or work indicated-'bove for which fees DIRECTOR OF PUBLIC BY 4 .�0: - � PERMIT EXPIRES Date applicable provi- I resolutions to do have been paid. WORKS Date -YL Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. AggEgg007ARCEL NUMBER 210-025 zoNINSR BUILDING PERMIT OWNER William Sherwood TELEPHONE 893-0297 S0. FT. OCC. BUILDING VALUATI PK OWNER'S MAILING ADDRESS 3119 Horseman Ave. Chico 95926 " CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 3119 Morseman Ave., Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home I S G W @ 15.00 TYPE OF WORK New" Addition❑ Remodel E] Utilities❑X Installation❑ Other ❑ Describe work: Natural Gas Permit Fee $ 20..00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20cATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. (cense 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) ❑ orsa e 4am exclusively contracting with licensed contract- (Sec. owner,04 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. \ ACC. BLDGS. I 3.50 sq.ft. NEW CONSTR.MULTI-OUTLET NON -REST BRANCH CIRC ITS @ 5.00 POWER APPARATUSb SINGLE: OUTLET CIR. EX. OCCU p OUTLETS OR FIxTURES 20 75 Ex. OCCUp. OUTLETS FIXED PIRESID IREAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. 2I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify ntl keep harmless the County of Butte against all liabilitie judgments, cost nd expenses which may in any way accrue X�ag n t sai ounty in cons? e e of ting of this permit. 7,— X ` Date 7' 07, /� Signature pp �Controctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 20.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicate bov fo hich fees E PUBLIC By a- PERMIT EXPIRES Date 7 23-93 applicable provi- resolutions to do have been paid. WORKS Date 7-27-t 117612 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,, +�. ... y � � +'y l � f.- ,. ; � ,. e.r...y., "..rs v"'^�-t�.; :�}{��.wr'f"s.��r ��:r ,-} � •� �•r..� r �... .. - ':._:�L/ � J�[�/ COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION ° 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 y `- PERMIT APPLICATION DATA SHEET OWNER ti Jt'.�,IiG�U A P. No. a Proposed Building Use A 1� # �( � � Building Inspector � Date %�.� •� ��� r r r At time of.permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 0 DATE RECEIVED BY 1, All items have been submitted . ....................................... - 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ........... . 15. City of Chico plumbing permit ..... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. Pre-In..sp.ection ... req. est 20. Pre -inspection for required. .. to Building Inspectoest (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34.. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation ( ` Acreage Applicant V�J �'^�' Date y Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlllo, Cel4ornla 98965 - Telephone: 916.'536-7541 APPLICATION AND PERMIT ASIAtSSOR PARCISI.N I � BUILDING PERMIT N R r OWlij HONK S0. FT. OCC. BUILDING VALUATION OWN R'! MA ING AD REO C14 Z CONT ACT TELEPHONE CON RACTOR' AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING KESS ff 31 A4 WA Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5..00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFk/ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 •Q6 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ AdditionF-1 Remodel[] Utilities Installation[] Other ❑ Describe work: AJ U) 1 AS Permit Fee $ 4;L0.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury ) p y I y (Check one): ❑ 1 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 CONST. DWELLING OCCUP.&) 3.50 sq.tt. ACDNS. ACC. BLDGS. I NEW NEW CONST R. rAULTI.OUT LET NON-RESIO% RANCH CIRCUITS @ 5.00 (POWER /POWER APPARATUS &) OUTLET CIR. ) Ex. OCCUp�OUTLETS OR FIXTURES 20 75d A Ex. OCCUp. OUTLETS FIXED PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.001 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjectperrnit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation 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 per it. X Date 9� Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHAwork 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 S Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE $ HAz 1 11 1E1 IMP FLOOD TDF PARCEL PO HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date PERMIT EXPIRES Date Receipt No. WNITI-n_P_w__ Yrl I (�By 1 a _ ¢nrnnn- I // Phu-_iu¢P rr TAO rnnru-n n.�PPI i[�NT i COUNTY OF BUTTE -'Department of Public Works 7 County Center.Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 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 tocoordinate, supervise, and provide the major work: Name • Address City Phone Contractors License No.' 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number . Date '? - '9_(— � -7! NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. EN / i'i • - COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �� 0132 ASSESSOR PARCEL NUMBER �972-WQ_-112.5 a'ONING IBUILDING PERMIT OWNER WILLIAM & SANDRA SHERWOOD TELEPHONE 893-0297 SO, Fr, OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 3119 MORSEMAN AVE CHICO 496 R 26,784 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ 265.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ 172.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ .23.00 Penalty $ BUILDING ADDRESS 3119 HORSEMAN CiIICO RMITFEE $ 480.25 PLUMBIN ERMIT Filing Fee 20.00 Each Trap Z 4 17.00 28.00 LAT NO. SUBDIVISION'S NAME PA EL MAP Solar or at pump water heater 1 23.00 USE OF STRUCTURE SF 4 Duplex ❑ Mobilehome ❑ Other SPECIFY Water iping 15.00 15.00 E h gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BEDROOM ADDITION Mobile Home I S I GI W @20.00 PERMITFEE g .00 C tractor ELECTRICAL PERMIT Filina Fee 1 20:00 Main Nice OOOV OR LESS ( zoGA DR LESS ) 23.00 Main Se 'ce ( 2O0A TO 1000A ) 46.00 N LICENSED CONTRACTOR'S DECL/ds' 1 hereby affirm under penalty of perjury that I am licenseprovisions of Chapter Q„ (corTimencing with Section 7000) of Division 3 of the Bund Professions Code, and my license is in full force and effect. d 7� License Class C. a, Lic. No. O ( �/' 7 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: W. -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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( a ACC. BLOB. ) 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS @7.50 (POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (o TLET OR FDCTURES ) 20 @ 1.00 BAL 50 Ex. Occup. ouT DSPRESIo.�EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilitie 20.00 Misc . Wiring 23.00 PER TFEE ; Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 HeatingDTICTq 15 .00- Cooling Hood 6.5a,, Ventilation X 4.50 "' 4.50 PERMITFEE i 39.50 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) U/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 workers' compensation laws of Cifornia, and agree that if I should become subject to the worke s' compensation rovisions of section 3700 of the Labor Code, I shall forth comply with se provisions. J X Date ' 1 Sire of Applica - Q`OWner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is 46.00 Occ CONST. TYPE I TOTAL FEE $ 666. 1 HA2. I D. FEES I IMP I FLOOD I COF I PARCEL PO HD ISSUE 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. By Date PERMITEXPIRESON (Date) Receipt No. WHITE-D.D.S.- . AN R PINK -INSPECTOR GOLDENROD -APPLICANT I .... � y. „ .tt. f �^-,. � ti � '1-w i wr..- r�,7e +-i�'y.,�{ �s� `"-•-..:--..-rv.� - .. �j ..) / .. . .. /., `;�,; COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVEE, 6ALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION-D'ATA SHEET OWNER ����a'`--,•'Gtr- Oh-.�..1l P o. Q -C� Proposed Building Use 51#1L- - CDIZOV*"r .4"4'guilding Inspector Date i At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ........... ............ . 2. Plot plans,13/4 sets, signed by preparer of plans . ........................... 3. Complete;plans, 3/4 sets, signed by preparer of plans. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. t Hazardous Material Form. . _ Energy Design Compliance and sup rting documentation. ......... /- 2 S _ 7. Statement of Intent for Non -Heated an"C Buildings . .............. i 8. Engineered truss details and layout in duplicate (required prior to plan ck). ... . 9. Mobileho��l y�}ja anufacturer's installation instructions, 2 sets. ch ........ . �10. Fees of$`�! _' . ........... .. ......... �V�1. Impact fees as shown on attached schedule. . .......... 12. California Department of Forestry plan approval/ es. 13. Flood elevation letter (100 year flood� jja�y California iginee . ...........::::: : : 14. Sanitation and plot plan approval G_ "i r W Healt D partment. . 15. City of Chico plumbing permit . ................... ..................... - 16. Plot plan and business license approval from�,/)ents igg Gridley . ............. 17. Planning approval for (A) Use: r king: . ........ 18. Contact Land Development about (A) Impro(B)' D inage............ 19. Driveway permit (construction approval requiro occupa cy). .. . . Preanspection n qu 20. Pre -inspection for requi ed. . to Building Inspector (Date) 21. Contractor's license information. (No., Narfe Style, Classification) . ............. 22. Certificate of Workmans Compensationiinsurance. .............. 23. Owrier-Builder Verification (Given to a ner , Mail to owner 24. Recorded copy of Agricultural AcknAledgement Statement . ................. . 25. Letter of signature authorization/creation ................................. . 26. Copy of recorded deed of parceand 60 right of way to a public road. ... . 27. Letter of intent on building use/ .................................. . 28., Mobilehome utility clearance 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets /Zoning area and frontage requirements. .......... � ,31. Existing violations/exp ed p rmits..................................... �. 32. Plan check list. . , ................................................ . 33. 34. / WhenyptT'issue th"pr it, r, as'follows: Mail to owner. Mail to contractor. r/ Telephone d"� �� � nd hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat'form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent.. Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owneprwas advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date -a _9 Plans approved by, Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works .H. =JQNLY ` Mrhu Fbm PIm AM*" Scat to B.D. �. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r�or5(?M61 1(le7- W/- o? Owner Location AP// Plan Approved for: Sewage Disposal Water Supply: blic Private Well Clearance for m-mebilet-ome, Other "n l�LM Ai►n /Ji, tA /7 A119 A AA A %) /1A h/1 .2,1 d ?� ., /CGr/n wn .L nei7 a.ai A"Tl/.� Hold final for: Final clearance O.K. for: NOTE: Environmental Heal Specialist Date 8/92 O.B.-1 >:. <<"kill '' << ...i::i�i±•:�^ 5�Av? ��'f •' �+•t•• •}.}t�'••i:i?:i^i:i:: Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. j 1. I personally plan to provide the major labor and materials for constriction of. the i.. proposed property improvement: YES[ NO[ ]. 2. I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following verson (firm) to provide the nronosed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: I PROPERTY OWNER: I l l J SOCIAL SECURITY NUMBER: DATE: I NOTE: This owner -Builder Verification is required by Section 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. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are _ subject to several obligations including state and federal income tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. . A frequent practice of unlicensed persons profe"§sing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinccrel r ` j Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER -COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER D I i b a— S ZONING BUILDING PERMIT OWNER N� SO. FT. OCC. BUILDING VALUATION IERS MAILING ADDRESS /) t CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ "- LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $' ARCHRECT.OR ENGINEER UCENSE O. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESSNK�J ''W l PERMITFEE S / PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT No. SUBDNISIDNS NAME PARCEL MAP Solar Or heat pump water heater .3.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY__ Water piping 15.00 /If r Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 13 utilitiees-- ❑ Installation ❑ Other 'Cr— Describe Work: 13cD R to � /'T^^-6 Q Mobile Home S G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main ServiceE00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 0 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER 'DECLAFATION 1 hereby affirm under penalty of perjury that I am exerupt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with rages as their sole compensation, will do the work, and the structure is not intendad or offered for sale. ❑ I, as owner of the property, am exclusively contacting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the folowing declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3770 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section :700 of the labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deEp and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. SO. OR ( a BLL. ) 3.5¢ FT. NEW CCN ONSS T. / MULTI -TI- OUTLET NON -R ESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) d SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES ) BAL O I.O.SG0 EX. Occup. OFIXEt'Drs RRL ISIS D OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE iTOTAL FEE $ (O HA2. D. FEES I IMP I FLOOD CDG I PARCEL PO H I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRES ON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. I WHITE O.D S -B.D CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT );ate - 14 AW 5/02/96 WILLIAM & SANDRA SHERWOOD 3119 MORSEMAN 0E CHICO, CA 95926 Re: g•p•#96-0132 Count • BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE. CALIFORNIA 95965.3397 TELEPHONE: 19161 538-7541 FAX: 19161 530-2140 A•P•# 007-210-025 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ) Red :Marked Plans [ ] Other - Action Required: [X] Comply With Plan Check List [ ] Resubmit Plans �dith Revisions as Required _:[_..) Return.,-A1l •07i3.ina,l..Ma ,e.rials_-and._ Rev ised P1a.ns. to.-.t-he-Burl-di-n- •Dep�:rt-;c- _ [ ] Other Should you have any. questions, please contact this office at the address or phone number listed above. Sincerely, MARTHA WHITNEY .Vp . Permit Appliance SHERWOOD Permit Number. 96-0132 007-210-025 5/02/96 Assessor Parcel Number. Date: The above referenced building . plwn were reviewed by this office. Provide additional information and/or make revisions to plans; specifications and calculations as follows: 7N.Tl T T:TTT7T? 1. DIMENSIONS OF EXISTING BEDROOM 16 X 10.6 REQUIRES WINDOW WITH MINIMUM 17 SQ FT OF GLASS - 1/2 OPENABLE. 2., BRACING DISCRIBED ON PLAN IN NOTE IS NOT ACCEPTABLE ACCORDING TO CODE FOR THIS SEIMIC ZONE. PROVIDE BRACING WALL PANELS ON'FLOOR PLAN WITH MATERIALS AND METHOD OF CONSTRUCTIONACCORDING TO 2326.11.3. NTERIOR BRACED WALL PANELS ARE ALSO REQUIRED BY CODE'- SHOW ON PLANS. 3. POP -OUT WAS:MISSED IN CALCULATING SQUARE FOOTAGE. TOTAL SQUARE FOOTAGE IS 506: EITHER ELIMANATE POP OUT OR PAY SCHOOL FEES ON TOTAL SQUARE FOOTAGE. (ENERGY CALCS WOU.D NEED TO BE CHANGED IF YOU ELIMINATE POP -OUT AND WINDOW. 4. EXPLAIN NOTE I ON PLANS. 5. PROVIDE DIMENSIONS ON PLOT PLAN SHOW DISTANCES OF STRUCTURES FROM ALL PROPERTY LINES, FROM EACH OTHER AND INCLUDE SIZE OF LOT. If you wish to discuss any requirements; you may contact me at (916) 538-7541 between 1: 00 P.M. and 4:00 -P.M. Monday through Thursday. . MARTHA WHITNEY - PLAN.CHECKER 2-8-96 To butte county building dept. Re bedroom remodel on our house at 3119 Morseman Av. Chico. We intend to use the portion of the existing bedroom called exercise room on the plans as a exercise and sewing room. we will not use it as a beAom at any time. William Sherwood Sandra To butte county building dept. Re bedroom remodel on our house at 3119 Morseman Av. Chico. We intend to use the portion of the existing bedroom called exercise room on the plans as a exercise and sewing room. we will not use it as a broom at any time. William Sherwood Sandra SherwoodY CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... The Sherwood Residence Date........ 01/19/96 Project Address ......... 3119 Morseman ******* Butte County -*v4.50* Documentation Author... Marty Runnel-ls ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition GENERAL INFORMATION Conditioned Floor Area..... 496 sf Building Type :............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 40 deg (NE) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Slab On Grade Glazing Percentage......... 20.8 0 of floor area Average Glazing U -value.... 0.77 Btu/hr-sf-F BUILDING SHELL INSULATION Component Frame Cavity Sheathing Assembly Type Type R -value R -value U -Value Location/Comments Wall n/a R-19 R-n/a 0.065 FRONT, LEFT, BACK, RIGHT S1abEdge n/a R-0 R-n/a 0.720 TO EXTERIOR S1abEdge n/a R-0 R-n/a 0.900 TO EXTERIOR, Roof n/a R-38 R-n/a 0.025 TO ATTIC FENESTRATION - # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation .(sf) Value es Description Shading Fins Type Window Front (NE) 15.0 0.760 2 Drapes.Std None, Yes Metal Window Front (NE) 15.0 0.760 2 Drapes.Std None Yes Metal Window Front (NE) 16.0 0.760 2 Drapes.Std None Yes Metal Window Back (SW) 16.0 0.760 2 Blinds.Med None None Metal Window Back (SW) 33.4 0.770 2 Blinds.Med None Yes Metal. Skylight Horz 4.0 0.800 2 None None None Metal Skylight Horz 4.0 0.800 2 None None None Metal THERMAL MASS Area Thickness Type Exposed (sf) (in) Location/Comments SlabonGrade No 427 4.0 TYPICAL S1abOnGrade Yes 69 4.0 HALL/BATH L CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project.Title.......... The Sherwood Residence Date......... 01/19/96 MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM CF -1R - User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition Tank Type Storage WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 .60 EF 40 R-12 SPECIAL FEATURES/REMARKS HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value . Type Furnace 0.780 AFUE Attic R-4.2 Setback ACSplit 10.00 SEER Attic R-4.2 Setback Tank Type Storage WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 .60 EF 40 R-12 SPECIAL FEATURES/REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... The Sherwood Residence Date........ 01/19/96 MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333. User -Energy Calculation Servic Run -496 Bedroom 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/ Remarks section. DESIGNER or OWNER Name.... Bill Sherwood Company. Owner Address. 3119 Morseman Chico, CA 95973 Phone... (916) 893-0297 License. Signed..(9 Hq ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed. ate DOCUMENTATION AUTHOR Name.... Marty Runnells Company. Energy Calculation Services Address. 1907 Mangrove Avenue, Suite D Chico, CA 95926 Phone... 916-894-8466 Signed.. / ate MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title .s ........ The Sherwood Residence Date........ 01/19/96 Pro�ect Addres3119 M ******* s........ orseman Butte County *v4.50* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition 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 binding 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 manufacturers labeled R -Value. *150 (c) Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). ✓ *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in.,,concrete raised floors._ 150(i): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality . standards. Indicate type and form. �V-1 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certifiedU-value, and infiltration certification. c. Exterior doors and windows weathers tripped; all joints and penetrations caulked and sealed._ 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with ,I/d Sec. 151 meets CEC quality standards. 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 2. No continuous burning gas pilots allowed. Nig MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... The Sherwood Residence Date........ 01/19/96 MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets, certified by the CEC. ✓ 150(1): Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 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, nonelectric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circul.ation pump time switch. ,uA 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.).. A LIGHTINGeMEASURES Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover).approved. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... The Sherwood Residence Date........ 01/19/96 Pro'ect Address 3119 M ******* ........ orseLVL n Butte County *v4.50* Documentation Author... Marty Runnells ******* Building Permit JF Energy -Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition Zone Type MICROPAS4 ENERGY USE SUMMARY Energy Use (kBtu/sf-yr) Space Heating.......... Space Cooling.......... Water Heating.......... Total Standard Proposed Compliance Design Design Margin 16.01 16.18 .-0.17 17.47 22.14 -4.67 33.08 28.08 5.00 66.56 66.40 0.16 *** Building complies 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......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing.Percentage......... Average Glazing U -value.... Average Ceiling Height..... 496 sf Single Family Detached Addition Alone Front Facing 40 deg (NE) 1 1 ReducedYear Slab On Grade 1 3968 cf 496 sf 496 sf 496 sf 20.8 % of floor area 0.77 Btu/hr-sf-F 8 ft BUILDING ZONE INFORMATION Floor Area Volume (sf) (cf) # of Dwell Cond- Thermostat Units itioned Type Vent Special Height Vent Area (ft) (sf) HOUSE Residence 496 3968 1.00 Yes Setback 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... The Sherwood Residence Date........ 01/19/96 MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition Surface HOUSE - New 1 Wall 2 Wall 3 Wall 4 Wall 7 Roof OPAQUE SURFACES Area U- Insul Act Solar (sf) value R-val Azm Tilt Gains Form 3 Location/ Reference Comments 202 .0.065 19 40 90 Yes None FRONT 8 0.065 19 130 90 Yes None LEFT 199 0.065 19 220 90 Yes None BACK 128 0.065 19 310 90 Yes None RIGHT 496 0.025 38 n/a 0 Yes None TO ATTIC PERIMETER LOSSES Length F2 Insul Solar Surface (ft) Factor R-val Gains Location/Comments HOUSE - New 5 SlabEdge 78 0.720 R-0 No TO EXTERIOR 6 SlabEdge 7 0.900 R-0 No TO EXTERIOR FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description HOUSE - New 1 Window 15.0 2 Metal Slider 0.760 40 90 0.88 0.78 Drapes.Std 2 Window 15.0 2 Metal Slider 0.760 40 90 0.88 0.78 Drapes.Std 3 Window 16.0 2 Metal Slider 0.760 40 90 0.88 0.78 Drapes.Std 4. Window 16.0 2 Metal Slider 0.760 220 90 0.88 0.63 Blinds.Med 5 Window 33.4 2 Metal Slider 0.770 220 90 0.88 0.63 Blinds.Med 6 Skylight 4.0 2 Metal Fixed 0.800 40 0 0.88 1.00 None 7 Skylight 4.0 2 Metal Fixed 0.800 40 0 0.88 1.00 None OVERHANGS AND.SIDE FINS Window— Overhang Left Fin Right Fin— Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE - New 1 Window 15.0 5 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 15.0 5 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 16.0 4 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 33.4 6.67 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... The Sherwood Residence Date........ 01/19/96 MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition THERMAL MASS Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity R -value Location/Comments HOUSE - New 1 S1abOnGrade 427 4.0 28.0 0.98 R-2.0 TYPICAL 2 S1abOnGrade 69 4.0 -28.0 0.98 R-0.0 HALL/BATH HVAC SYSTEMS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Furnace 0.780 AFUE Attic R-4.2 0.830 ACSplit 10.00 SEER Attic R-4.2 0.810 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 .60 40 R-12 SPECIAL FEATURES/REMARKS HVAC SIZING Page 1 HVAC Project Title.......... The Sherwood Residence Date........ 01/19/96 P t Add 3119 M ******* ro�ec ress........ orseman Butte County *v4.50* Documentation Author... Marty Runnells ******* BuiIding Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check/ Date Climate Zone. ........ 11 Compliance Method...... MICROPAS4,v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom 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....... 496 sf 3968 cf Front Facing 40 deg (NE) 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 Heating Cooling Description (Btuh) (Btuh) Opaque Conduction and Solar...... 4719 1321 Glazing Conduction ............... 3407 1902 Glazing Solar .................... n/a 3720 Infiltration ..................... 2509 825 Internal Gain ................... n/a 1650 Ducts ...........................: 1064 942 Sensible Load .................... 11699 10360 Latent Load....... ............... n/a 2072 Minimum Total Load 11699 12432 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, 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. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... The Sherwood Residence Date........ 01/19/96 Project Address........ 3119 Morseman ******* Butte County *v4.50* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check/ Date Climate Zone. ......... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition 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 -value.... 496 sf Single Family Detached Addition Alone Front Facing 40 deg (NE) 1 1 Slab On Grade 20.8 % of floor area 0.77 Btu/hr-sf-F BUILDING SHELL INSULATION Component Frame Cavity Sheathing Assembly - Type Type •R -value R -value U -Value Location/Comments Wall n/a R-19 R-n/a 0.065 FRONT, LEFT, BACK, RIGHT SlabEdge n/a R-0 R-n/a 0.720 TO EXTERIOR SlabEdge n/a R-0 R-n/a 0.900 TO EXTERIOR Roof n/a R-38 R-n/a 0.025 TO ATTIC FENESTRATION # of Interior Over- Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type Window Front (NE) 15.0 0.760 2 Drapes.Std None Yes Metal Window Front (NE) 15.0 0.760 2 Drapes.Std None Yes Metal Window Front (NEY 16.0 0.760 2 Drapes.Std None Yes Metal Window Back (SW) 16.0 0.760 2 Blinds.Med None None Metal Window Back (SW) 33.4 0.770 2 Blinds.Med None Yes Metal Skylight Horz 4.0 0.800 2 None None None Metal Skylight Horz 4.0 0.800 2 None None None Metal THERMAL MASS Area Thickness Type Exposed (sf) (in) Location/Comments SlabonGrade No 427 4.0 TYPICAL SlabOnGrade Yes 69 4.0 HALL/BATH 1 ' CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... The Sherwood Residence Date........ 01/19/96 MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition HVAC SYSTEMS Tank Type Storage Number 'Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 .60 EF 40 R-12 SPECIAL FEATURES/REMARKS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type Furnace 0.780 AFUE Attic R-4.2 Setback ACSplit 10.00 SEER Attic R-4.2 Setback WATER HEATING SYSTEMS Tank Type Storage Number 'Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 .60 EF 40 R-12 SPECIAL FEATURES/REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page.3 CF -1R Project Title.......... The Sherwood Residence Date........ 01/19/96 MICROPAS4 v4.50 File -960125 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom 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/ Remarks section. DESIGNER or OWNER Name.... Bill Sherwood Company. Owner Address. 3119 Morseman Chico, CA 95973 Phone... (916) 893-029 License. Signed. - g ate ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... 'Signed.. to DOCUMENTATION AUTHOR Name.... Marty Runnells Company. Energy Calculation Services - Address. 1907 Mangrove Avenue, Suite D Chico, CA 95926 Phone... 916-894-8466 Signed.. / ate MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... The Sherwood Residence Date........ 01/19/96 Prdd 3119 M ******* o�ec t A ress........ orseman Butte County *v4.50* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check/ Date Climate Zone. .. ..... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition 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 binding 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 manufacturers labeled R -Value. T *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in;:concrete raised floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified ,U-value,.and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 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 2. No continuous burning gas pilots allowed. Nig MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R Project Title.......... The Sherwood Residence Date........ 01/19/96 MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. 150(i): Setback thermostat on all applicable heating systems. 150(j): Pipe and Tank insulation •1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts.constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum . installed value -of R-4.2 or ducts enclosed entirely within conditioned space. 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 789,5 thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover.for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. ,v q 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot ,< 150 Btu/hr.).. A11.4 LIGHTING MEASURES Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in ,kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover).approved. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... The Sherwood Residence Date........ 01/19/96 Pro'ect Address 3119 M ******* � ........ orseman Butte County *v4.50* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services .1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check/ Date Climate Zone. .. ..... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -960125 Wth-CTZ11S92 Program -FORM C -2R User#.-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition Energy Use (kBtu/sf -yr) MICROPAS4 ENERGY USE SUMMARY Standard Design Proposed Compliance Design Margin Space Heating.......... 16.01 16.18 -0.17 Space Cooling.......... 17.47 22.14 -4.67 Water Heating.......... 33.08 28.08 5.00 Total 66.56 66.40 0.16 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... 496 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 40 deg (NE) Number of Dwelling Units... 1 Number of Building Stories. 1 Weather Data Type.......... ReducedYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height..... Slab On Grade 1 3968 cf 496 sf 496 sf 496 sf 20.8 % of floor area 0.77 Btu/hr-sf-F 8 ft BUILDING ZONE INFORMATION Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) (cf) Units itioned Type (ft) (sf) HOUSE Residence 496 3968 1.00 Yes Setback 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... The Sherwood Residence Date........ 01/19/96 MICROPAS4 v4.50 File -96012S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -496 Bedroom Addition Surface HOUSE.- New 1 Wall 2 Wall 3 Wall 4 Wall 7 Roof Surface Area (sf) OPAQUE SURFACES U- Insul Act Solar Form 3 value R-val Azm Tilt Gains Reference 202 .0.065 19 ,8 0.065 19 199 0.065 19 128 0.065 19 496 0.025 38 40 90 Yes None 130 90 Yes None 220 90 Yes None 310 90 Yes None n/a 0 Yes None PERIMETER LOSSES .• Location/ Comments FRONT LEFT BACK RIGHT TO ATTIC Length F2 Insul Solar (ft) Factor R-val Gains Location/Comments HOUSE - New 5 S1abEdge 78 6 SlabEdge 7 # of Area Pan- Frame Surface (sf) es Type HOUSE - New 1 Window 2 Window 3 Window .4 Window 5 Window 6 Skylight 7 Skylight Surface HOUSE - New 0.720 R-0 No TO EXTERIOR 0.900 R-0 No TO EXTERIOR FENESTRATION SURFACES Vent SC SC Interior Open U-. Act Glass Int Shading/ Type value Azm Tlt Only Shade Description 15.0 2 Metal Slider 0.760 40 90 0.88 0.78 Drapes.Std 15.0 2 Metal Slider 0.760 40 90 0.88 0.78 Drapes.Std 16.0 2 Metal Slider 0.760 40 90 0.88 0.78 Drapes.Std . 16.0 2 Metal Slider 0.760 220 90 0.88 0.63 Blinds.Med 33.4 2 Metal Slider 0.770 220 90 0.88 0.63 Blinds.Med 4.0 2 Metal Fixed 0.800 40 0 0.88 1.00 None 4.0 2 Metal Fixed 0.800 40 0 0.88 1.00 None OVERHANGS AND SIDE FINS Window— Overhang Left Fin Right Fin— Area Left Rght (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght...... 1 Window 15.0 5 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 15:0 5 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 16.0 4- n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a 5 Window 33.4 6.67 n/a 2 0 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... The Sherwood Residence Date........ 01/19/96 MICROPAS4 v4.50 File -960125 Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run=496 Bedroom Addition Mass Type HOUSE - New 1 SlabOnGrade 2 S1abOnGrade THERMAL MASS Area Thick Heat Conduct- Surface (sf) (in) Cap ivity R -value Location/Comments 427 4.0 69 4.0 System Type HOUSE Furnace ACSplit Tank Type 1 Storage 28.0 0.98 R-2.0 28.0 0.98 R-0.0 HVAC SYSTEMS Minimum Duct Efficiency Location 0.780 AFUE Attic 10.00 SEER Attic WATER HEATING SYSTEMS TYPICAL HALL/BATH Duct Duct R -value Efficiency R-4.2 0.830 R-4.2 0.810 Number Tank External in , Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 .60 40 R-12 SPECIAL FEATURES/REMARKS HVAC SIZING Page 1 HVAC Project Title.......... The Sherwood Residence Date......... 01/19/96 Project Address........ 3119 Morseman ******* Butte County *v4.50* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check/ Date Climate Zone. ......... 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File -96012S, Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333. User -Energy Calculation Servic Run -496 Bedroom 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....... 496 sf 3968 cf Front Facing 40 deg 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 Heating Cooling Description. (Btuh') (Btuh) (NE) Opaque.Conduction and Solar....... 4719 1321 Glazing Conduction.. ............. 3407 1902 Glazing Solar .................... n/a 3720 Infiltration ..................... 2509 825 Internal Gain .................... n/a 1650 Ducts ............................ 1064 942 Sensible Load .................... 11699 10360 Latent Load ....................... n/a 2072 Minimum Total Load 11699 12432 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, 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. GREGORY A. PEITZ ARCHITECT 1907 MANGROVE, SUITE -E", CHICO CA 95926 (916) 894-5719 BUTTE OO10NTY BUILDING DEPARIMEW APPROVED Structural Calculations- For: SSD AP R Y A.ON*.0 IMA It tS REN. l/ i7o,L/ LOAD SUMMARY I *Use normal force method *Exposure B *Basic wind speed: 75 mph P = Ce Cq qs I Walls P = .62 * 1.3 * 14.5 * 1.0 = *.0117 ksf < 15 ft. P = .67 * 1.3 * 14.5 * 1.0 = .0126 ksf @ 20 ft. P = .72 * 1.3 * 14.5 * 1.0 = .0136 ksf @ 25 ft. P = .76 * 1.3 * 14.5 * 1.0'= .0143 ksf @ 30 ft. Roofs 2:12 to less than 9:12 P = .62 * 1.0 * 14.5 * 1.0 = .009 ksf < 15 ft. P = .67 * 1.0 * 14.5 * 1.0 = .010 ksf @ 20 ft. P = .72 * 1.0 * 14.5 * 1.0 = .011 ksf @ 25 ft. P = .76 * 1.0 * 14.5 * 1.0 = .011 ksf @ 30 ft. Roofs 9:12 to 12:12 P = .62 * 1.1 * 14.5 * 1.0 = .010 ksf < 15 ft. P = .67 * 1.1 * 14.5 * 1.0 = .011 ksf @ 20 ft. P = .72 * 1.1 * 14.5 * 1.0 = .,012 ksf @ 25 ft. P = .76 * 1.1 * 14.5 * 1.0 = .012 ksf @ 30 ft. �jlncvu.000( /•i��n, / � 1z" --i I /�f/ i iq-t-- L 47r�,re 4-f-- A44 rs t S . �/1 L, it.,._ O „ 451���� �lco if 1 - a �r • �//2"` /•03r �,c • �,,,eAn�✓��nO n h Z I /' �o �,..� • �o r, Z, of Q d r N r G� 414 z57 5 ,yt / ems , 3 t K; ,to.L 7'a iF. 0.5 Ao-. S - (3e lf5 2.03 / 9•j = • ._y,7f � , � � ,.off CITO 3o/zrz�C. a - C(, lel IF GREGORY A. PEITZ ARCHITECT 1907 MANGROVE, SUITE "E", CHICO CA 95926 (916) 894-5719 sum =Nff BUILDIINa MF'ARMM' APPFtOVED�� Structural Calculations For: D DAH�ti�r Q: ♦r No. C 21293 REN:4/ CA J LOAD SUMMARY *Use normal force method *Exposure B *Basic wind speed: 75 mph** _ P = .Ce Cq_ qs I Walls -P = .62-* 1.3 * 14.5 *.. 1 .0. _ .0117 .ksf < 15 ft. P = AT' * 1.3 * 14.5 * 1.0 = .0126 ksf Q 20 ft. ._ P = .72'* 1.3 * 14.5 * 1.0 = .0136 ksf @ 25 ft. P = .76 * 1.3 * 14.5 * 1.0 = .0143 ksf @ 30 ft. Roofs 2:12 to less than 9:'1.2 P = .62 * 1.0 * 14.5 * 1.0 = .009 ksf < 15 ft. P = .67 * 1.0 * 14.5 * 1.0 = .010 ksf @ 20 ft. P = .72 * 1.0 * 14*15 * 1"."0- _ .011 ksf @ 25 ft. P = .76 * 1.0 * 14.5 * 1 .0 = .011 ksf @ 30 _ ft.. Roofs 9:12 to 12:12 P = .62 *.1.1 * 14.5 * 1.0 = .010 ksf < 15 ft. P = .67 * 1.1 * 14.5 * 1.0 = .011 ksf ® 20 ft. P = .72 * 1.1 * 14.5 * 1.0 = .012* ksf @ 25 ft. P = .76 * 1.1 * 14.5 * 1.0 = .012 ksf Q 30 ft. • SAS - ... a1 i ADDITION WORKSHEET Page 1, ADD -..Project Project Ti:tl.e.. s:.�:-:..-.z,.;:.a,The:,A•�Sherwood ~Addition,: . _ „,. , ; E; ..D.ate.:: :•:..:. a02:/,Ol/j9=9.,M Project Address........ 3119 Morseman ******* Chico, CA *v4.50* OQ'i Documentation Author... Marty Runnells ******* Bu Permi Energy Calculation Services WV5 2•$ # 1907 Mangrove Avenue, Suite D Plan heck Date Chico, CA 95926 916-894-8466 Field Check/ Date Climate.. Zone:..-:...,....:. ..11_ ..1. . Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4'v4.50 File-99003EX Program -ADDITIONS User#-MP1333 User -Energy Calculation Servic Run -1835 SF Existing+Addition ADDITION WORKSHEET - COMPUTER PERFORMANCE EXISTING File Name .................. 99003EX Run Title .................. 1671 SF Existing Res. Conditioned Floor Area..... 1671 sf Standard Design Energy Use. 40.75 kBtu/sf-yr Proposed Design Energy Use. 122.20 kBtu/sf-yr NEW (EXISTING PLUS ADDITION) File Name .................. 99003ADD Run Title .................. 1835 SF Existing+Addition Conditioned Floor Area..... 1835 sf Standard Design Energy Use. 39.73 kBtu/sf-yr Proposed Design Energy Use. 105.39 kBtu/sf-yr FLOOR AREA RATIO Floor Existing New Area Floor Area Floor Area Ratio 1671 / 1835 = 0.911 ADDITION DESIGN ENERGY USE FOR NEW (EXISTING PLUS ADDITION) Floor New Area Existing Existing Addition Standard Ratio Proposed Standard Design 39.73 + 0.911 x ( 122.20 - 40.75) = 113.90 Note: If (Existing Proposed - Existing Standard) is negative, this difference is set to zero. ADDITION ENERGY USE SUMMARY Energy Use _ Addition Proposed Compliance (kBtu/sf-yt)- Design Design Margin New .................... 113.90 105.39 8.51 *** Addition complies with Computer Performance *** CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Addt.on�u.,,,,�.., P t Add 3119 M * * * *Y* *~* ro�ec ress........ orseman Chico, CA *v4.50* Documentation Author... Marty Runnells ******* Building Permit # Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check/ Date Climate Zone..... _. 11t."- __. Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-99003ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1835 SF Existing+Addition 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 -value... 1835 sf Single Family Detached Existing Plus Addition Front Facing 45 deg (NE) 1 1 Raised Floor 21.5 0 of floor area 1.01 Btu/hr-sf-F FENESTRATION BUILDING SHELL INSULATION Component Frame Cavity Sheathing Insul Assembly Type Type R -value R -value R -value U -value Location/Comments Wall n/a R-13 R-n/a R-13 0.088 FRONT, FRONT RIGHT es Description Shading Fins Type Window LEFT, BACK, RIGHT Wall n/a R-0 R-n/a R-0 0.386 FRONT, LEFT, BACK Metal Window Right (N) •33.4 0.940 RIGHT Floor n/a R-19 R-n/a R-19 0.037 RAISED FLOOR Floor n/a R-0 R-n/a R-0 0.101 RAISED FLOOR Roof n/a R-30 R-n/a R-30 0.031 TO ATTIC Roof n/a R-19 R-n/a R-19 0.049 TO ATTIC FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type Window Front (NE) .12.0 1.190 1 Drapes.Std None None Metal Window Right (N) •33.4 0.940 2 Drapes.Std None None Metal Window Front (NE) •93.4 0.940 2 Drapes.Std None None Metal Window Front (NE) •20.0 1.400 2 Drapes.Std None None Metal Window Left (SE) •32.0 0.940 2 Drapes.Std None None Metal Door Left (SE) •-20.0 0.940 2 Drapes.Std None -None Wood Window Left (SE) •44.0 1.190 1 Drapes.Std None None Metal Door Back (SW) •33.4 0.940 2 Drapes.Std None None Wood Window Back (SW) .6.0 0.940 2 Drapes.Std None None Metal Window Back (SW) .12.0 1.190 1 Drapes.Std None None Metal Window Right (NW) •12.0 1.190 1 Drapes.Std None None Metal Door Right (NW) •20.0 0.940 2 Drapes.Std None None Wood Window Right (NW) 56.0 0.940 2 Drapes.Std None None Metal CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2— CF -1R a_: Pro.3.ect.TYia.le..- The:,rSherwood-..Addition r�. 1:/ 9,g.,.. _a _.. MICROPAS4 v4.50 File-99003ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation, Servic Run -1835 SF Existing+Addition HVAC SYSTEMS . ., ..�..,. ,. ... _.. - .. - Minimum L•- -- Duct Duct— Thermostat .. U.- . Equipment Type Efficiency Location R -value Type Furnace 0.750 AFUE Attic R-2.1 Setback AirCond 8.00 SEER Attic R-2.1 Setback Furnace 0.750 AFUE Attic R-4.2 Setback AirCond 8.00 SEER Attic R-4.2 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 .53 EF 40 R-0 SPECIAL FEATURES/REMARKS All energy values for the existing residence are from table 7-2; Default values for existing buildings built prior to 1978. This residence was built during the 1940's. Note: All existing windows, with the exception of those in the study have been replaced with dual pane windows. Credit is taken for these upgrades as a part of this addition. CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3— CF -1R Project: TiG1e ;. ,..._..:,..:..:..:a, Thea.-Sherwood-Addton,;yx_... _ ...... .. , ,_Date- .,< .. MICROPAS4 v4.50 File-99003ADD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Servic Run -1835 SF Existing+Addition COMPLIANCE STATEMENT ---This cer. if Cate of -compliance lists, the-:bui•lding features l 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/ Remarks section. DESIGNER or OWNER DOCUMENTATION AUTHOR Name.... Name.... Marty Runnells Company. Company. Energy Calculation Services Address. Address. 1907 Mangrove Avenue, Suite D Chico, CA 95926 Phone... Phone... 916-894-8466 License. Signed.. Signed.. 0 a Ol (date) (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1— MF -1R The...Sher-wood_.Addi..t. on., _.. _... , .Date r:...,.._-0-2101/99— P t Add 3119 M ******* rojec ress........ orseman Chico, CA *v4.50* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Dat Chico, CA 95926 916-894-8466 Field Check/ Dat Climate -Zone......... . 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-99003ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1835 SF Existing+Addition 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 binding minimum component performance specifications for the manuutory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- . et ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. ✓ *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised 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. -`/. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. ✓ 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ✓ 150(g): vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. -�A 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 2. No continuous burning gas pilots allowed. rt,e� MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2— MF -1R :._. Pro j.ect_Tit 1e,,...._.._....w."..,.:..�::��The�Sherwood•• Addi,t; .on,%ws,...._. MICROPAS4 v4.50 File-99003ADD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Servic Run -1835 SF Existing+Addition SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design En.force- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. ✓ 150(1): Setback thermostat on all applicable heating systems. �/A 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150 (m) : Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 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 780-. thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. N 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.). LIGHTING MEASURES Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling ✓ fixtures IC (insulation cover) approved. J COMPUTER METHOD SUMMARY Page 1 C -2R Project Ti_tle_...ate ...--The;.,Sherwood Addition.., Date Project Address........ 3119 Morseman ******* Chico, CA *v4.50* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check Date Climate Zone........ 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-99003ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -1835 SF Existing+Addition Zone Type 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......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height..... 1835 sf Single Family Detached Existing Plus Addition. Front Facing 45 deg (NE) 1 1 ReducedYear Raised Floor 2 14680 cf 1843 sf 1843 sf 0 sf 21.5 a of floor area 1.01 Btu/hr-sf-.F 8 ft BUILDING ZONE INFORMATION. Floor # of Area Volume Dwell (sf) (cf) Units EXISTING• Residence 1663 13304 ADDITION Residence 172 1376 Cond- Thermostat itioned Type 0.91 Yes Setback 0.09 Yes Setback Vit Special Height Vent Area (ft) (sf) 2.0 n/a 2.0 n/a MICROPAS4 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 13.04 44.70 -31.66 Space Cooling.......... 14.21 47.06 -32.85 Water Heating.......... 12.48 13.63 -1.15 Total 39.73 105.39 -65.66 *** Building does not comply with Computer Performance *** Zone Type 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......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height..... 1835 sf Single Family Detached Existing Plus Addition. Front Facing 45 deg (NE) 1 1 ReducedYear Raised Floor 2 14680 cf 1843 sf 1843 sf 0 sf 21.5 a of floor area 1.01 Btu/hr-sf-.F 8 ft BUILDING ZONE INFORMATION. Floor # of Area Volume Dwell (sf) (cf) Units EXISTING• Residence 1663 13304 ADDITION Residence 172 1376 Cond- Thermostat itioned Type 0.91 Yes Setback 0.09 Yes Setback Vit Special Height Vent Area (ft) (sf) 2.0 n/a 2.0 n/a COMPUTER METHOD SUMMARY Page 2_ C -2R -Project Ti;t,le ._ _ ,...., ...�::w:;The::S.herwo.o_d Add -it .on Date........ MICROPAS4 v4.50 File-99003ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -1835 SF Existing+Addition OPAQUE SURFACES FENESTRATION SURFACES Area -U- Insul Act - Solar - Form 3 Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments EXISTING - Existing Int Shading/ Surface (sf) es Type Type 2 Wall 15 0.088 13 0 90 Yes None FRONT RIGHT 3 Wall 244 0.386 0 45 90 Yes None FRONT 5 Wall 264 0.386 0 135 90 Yes None LEFT 7 Wall 421 0.386 0 225 90 Yes None BACK 9 Wall 240 0.386 0 315 90 Yes None RIGHT 11 Floor 1671 0.101 0 n/a 0 No None RAISED FLOOR 13 Roof 1671 0.049 19 n/a 0 Yes None TO ATTIC ADDITION - New 0.88 0.78 Drapes.Std 10 Window 16.0 2 1 Wall 103 0.088 13 45 90 Yes None FRONT 4 Wall 64 0.088 13 135 90 Yes None LEFT 6 Wall 32 0.088 13 225 90 Yes None BACK 8 Wall 64 0.088 13 315 90 Yes None RIGHT 10 Floor 172 0.037 19 n/a 0 No None RAISED FLOOR 12 Roof 172 0.031 30 n/a 0 Yes None TO ATTIC FENESTRATION SURFACES # of Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description EXISTING - Existing 1 Window 12.0 1 Metal Slider 1.190 45 90 1.00 0.88 Drapes.Std 2 Window 33.4 2 Metal Slider 0.940 0 90 0.88 0.78 Drapes.Std 3 Window 24.0 2 Metal Slider 0.940 45 90 0.88 0.78 Drapes.Std 4 Window 20.0 2 Metal Hinged 1.400 45 90 0.88 0.78 Drapes.Std 9 Door 20.0 2 Wood Hinged 0.940 135 90 0.88 0.78 Drapes.Std 10 Window 16.0 2 Metal Slider 0.940 135 90 0.88 0.78 Drapes.Std 11 Window 12.0 1 Metal Slider 1.190 135 90 1.00 0.88 Drapes.Std 12 Window 20.0 1 Metal Slider 1.190 135 90 1.00 0.88 Drapes.Std 13 Window 12.0 1 Metal Slider 1.190 135 90 1.00 0.88 Drapes.Std 14 Door 33.4 2 Wood Hinged 0.940 225 90 0.88 0.78 Drapes.Std 15 Window 6.0 2 Metal Slider 0.940 225 90 0.88 0.78 Drapes.Std 16 Window 12.0 1 Metal Slider 1.190 225 90 1.00 0.88 Drapes.Std 17 Window 12.0 1 Metal Slider 1.190 315 90 1.00 0.88 Drapes.Std 18 Door 20.0 2 Wood Hinged 0.940 315 90 0.88 0.78 Drapes.Std 19 Window 24.0 2 Metal Slider 0.940 315 90 0.88 0.78 Drapes.Std 20 Window 32.0 2 Metal Slider 0.940 315 90 0.88 0.78 Drapes.Std ADDITION - New 5 Window 24.0 2 _ Metal Slider 0.940 45 90 0.88 0.78 Drapes.Std 6 Window 33.4 2 - Metal Slider 0.940 45 90 0.88 0.78 D'rapes.Std 7 Window 12.0 2 Metal Slider 0.940 45 90 0.88 0.78 Drapes.Std 8 Window 16.0 2 Metal Slider 0.940 135 90 0.88 0.78 Drapes.Std COMPUTER METHOD SUMMARY Page 3_ C -2R Project Ti.tl.e,..... ..........:. .:The �S.herwood Addition. _ Date. . — MICROPAS4 v4.50 File-99003ADD Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -1835 SF Existing+Addition HVAC SYSTEMS -- Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency EXISTING Furnace 0.750 AFUE Attic R-2.1 0.780 AirCond 8.00 SEER Attic R-2.1 0.740 ADDITION Furnace 0.750 AFUE Attic R-4.2 0.830 AirCond 8.00 SEER Attic R-4.2 0.810 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 .53 40 R-0 SPECIAL FEATURES/REMARKS All energy values for the existing residence are from table 7-2; Default values for existing buildings built prior to 1978. This residence was built during the 19401s. Note: All existing windows, with the exception of those in the study have been replaced with dual pane windows. Credit is taken for these upgrades as a part of this addition. ;:_ HVAC SIZING Page 1, HVAC Project Ti-t,l.e,:,.:...:::.:.-.,:y:;The;-.Sherwood Addition Date .: 0.2/01/99 Project Address........ 3119 Morseman ******* Chico, CA *v4.50* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Field Check Date Climate Zone......::.-. 11 Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-99003ADD Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -1835 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 1835 sf 14680 cf Front Facing 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 45 deg (NE) Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 31726 14496 Glazing Conduction ............... 17189 9594 Glazing Solar .................... n/a 13158 Infiltration ..................... 9283 3050 Internal Gain .................... n/a 2100 Ducts ............................ 5820 4240 Sensible Load .................... 64018 46638 Latent Load ...................... n/a 9328 Minimum Total Load 64018 55966 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, 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.......... The Sherwood Addition Date........ 02/01/99 MICROPAS4 v4.50 File-99003ADD Wth-CTZ11S92 Program -HVAC SIZING User#-MP1333 User -Energy Calculation Servic Run -1835 SF Existing+Addition HEATING AND COOLING LOAD SUMMARY BY ZONE ZONE 'EXISTING' Floor Area ....................... 1663 sf Volume ........................... 13304 cf Heating Cooling Description (Btuh) (Btuh) Opaque Conduction and Solar...... 30230 13744 Glazing Conduction ............... 13737 7667 Glazing Solar .................... n/a 10310 Infiltration ..................... 8413 2764 Internal Gain .................... n/a 1911 Ducts ............................ 5238 3640 Sensible Load .................... 57618 40037 Latent Load ...................... n/a 8007 Minimum Zone Load 57618 48044 ZONE 'ADDITION' Floor Area ....................... 172 sf Volume ........................... 1376 cf Heating Cooling Description (Btuh) (Btuh) Opaque Conduction and Solar...... 1497 752 Glazing Conduction.. ............. 3452 1927 Glazing Solar .................... n/a 2848 Infiltration ..................... 870 286 Internal Gain .................... n/a 189 Ducts ............................. 582 600 Sensible Load .................... 6400 6601 Latent Load ...................... n/a 1320 Minimum Zone Load 6400 7922 I COMPUTER METHOD SUMMARY Page 1, C-2R P-rpje.ct,T.itl.e...5;._.....�. , The,, .Sherw.o_od..Add tizon.z� _. y,Dat>e. _.. „.0.2 v Project Address ........ -� . , . ..,. 3119 Morseman ******* Chico, CA *v4.50* Documentation Author... Marty Runnells ******* Building Permit Energy Calculation Services 1907 Mangrove Avenue, Suite D Plan Check Date Chico, CA 95926 916-894-8466 Fi.el C ec Date ....Climate Zone........... _. -11 . _,.. -.. . Compliance Method...... MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.50 File-99003EX Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -1671 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......... Footprint Area ............. Ground Floor Area.......... Slab -On. -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height...... 1671 sf Single Family Detached Existing Front Facing 45 deg (NE) 1 1 ReducedYear Raised Floor 1 13368 cf 1671 sf 1671 sf 0 sf 20 % of floor area. 1.19 Btu/hr-sf-F 8 ft BUILDING ZONE INFORMATION Floor MICROPAS4 ENERGY USE SUMMARY Vent Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 13.04 51.37 -38.33 Space Cooling.......... 14.48 56.33 -41.85 Water Heating.......... 13.23 14.50 -1.27 Total 40.75 122.20 -81.45 *** 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......... Footprint Area ............. Ground Floor Area.......... Slab -On. -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height...... 1671 sf Single Family Detached Existing Front Facing 45 deg (NE) 1 1 ReducedYear Raised Floor 1 13368 cf 1671 sf 1671 sf 0 sf 20 % of floor area. 1.19 Btu/hr-sf-F 8 ft BUILDING ZONE INFORMATION Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) (cf) Units itioned Type (ft) (sf) EXISTING Residence 1.671 13368 1.00 Yes Setback 2.0 n/a. COMPUTER METHOD SUMMARY Page 2- C -2R a,:V-Proj herwood- Addition+ MICROPAS4 v4.50 File-99003EX Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -1671 SF Existing Res. OPAQUE SURFACES • .. , -•Area -•U=- Insul Act Solar- -Torm,-3 - ------Location/ Surface (sf) value R-val Azm Tilt Gains Reference Comments EXISTING - Existing 1 Wall 396 0.386 0 45 90 Yes None FRONT 2 Wall 264 0.386 0 135 90 Yes None LEFT 3 Wall 454 0.386 0 225 90 Yes None BACK 4 Wall 280 0.386 0 315 90 Yes None RIGHT _5 Floor 1671 0.101 0 n/a 0 No None RAISED FLOOR 6 Roof 1671 0.049 19 n/a 0 Yes None TO ATTIC FENESTRATION SURFACES # of -Vent SC SC Interior Area Pan- Frame Open U- Act Glass Int Shading/ Surface (sf) es Type Type value Azm Tlt Only Shade Description EXISTING - Existing 1 Window 12.0 1 Metal Slider 1.190 45 90 1.00 0.88 Drapes.Std 2 Window 33.4 1 Metal Slider 1.190 45 90 1.00 0.88 Drapes.Std 3 Window 20.0 1 Metal Slider 1.190 45 90 1.00 0.88 Drapes.Std 4 Window 9.0 1 Metal Slider 1.190 45 90 1.00 0.88 Drapes.Std 5 Window 33.4 1 Metal Slider 1.190 45 90 1.00 0.88 Drapes.Std 6 Window 16.0 1 Metal Slider 1.190 135 90 1.00 0.88 Drapes.Std 7 Window 20.0 1 Metal Slider 1.190 135 90 1.00 0.88 Drapes.Std 8 Window 16.0 1 Metal Slider 1.190 135 90 1.00 0.88 Drapes.Std 9 Window 12.0 1 Metal Slider 1.190 135 90 1.00 0.88 Drapes.Std 10 Window 20.0 1 Metal Slider 1.190 135 90 1.00 0.88 Drapes.Std 11 Window 12.0 1 Metal Slider 1.190 135 90 1.00 0.88 Drapes.Std 12 Window 32.0 1 Metal Slider 1.190 225 90 1.00 0.88 Drapes.Std 13 Window 6.0 1 Metal Slider 1.190 225 90 1.00 0.88 Drapes.Std 14 Window 12.0 1 Metal Slider 1.190 225 90 1.00 0.88 Drapes.Std 15 Window 12.0 1 Metal Slider 1.190 315 90 1.00 0.88 Drapes.Std 16 Window 20.0 1 Metal Slider 1.190 315 90 1.00 0.88 Drapes.Std 17 Window 24.0 1 Metal Slider 1.190 315 90 1.00 0.88 Drapes.Std 18 Window 24.0 1 Metal Slider 1.190 315 90 1.00 0.88 Drapes.Std HVAC SYSTEMS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency EXISTING Furnace - 0.750 AFUE Attic R-2.1 0780 AirCond 8.00 SEER Attic R-2.1 0.740 COMPUTER METHOD SUMMARY Page 3_ C -2R ..............>.,.��:The._She rwood-Addition .- P„•_"_ .. _ .. D,a.t,e .,.... T:. ,...._._�0.2./0<ls/,99:. :z- MICROPAS4 v4.50 File-99003EX Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Servic Run -1671 SF Existing Res. WATER HEATING SYSTEMS ;, --N .,. _.: umbe-r::.:.. Tan in Energy Size Tank Type Heater Type Distribution Type System Factor (gal) 1 Storage Gas Standard 1 .53 40 SPECIAL FEATURES/REMARKS None External Insulation R -value M BUTTE COUNTY DEVELOPMENT.SERVICES Complainant: Address: Phone Number. Other Comments: _ _ _ . _.._.__._._._ _._.��_ ...._... w_a.!a.:..a:m• td9!:Stka:atia:::a!:itwek:E'S!te: Inspector must draw a plot plan with all building locations: Additional Comments from Inspector. egpf eAr s r-4 : s ori �. Address: Phone Number- l Other Comments: ,;':'• r...t^ ':i:> , i:;a•' :i:i�iw • moi': { . {•i..: '::3i'E . : .+'�: :.s.. aiY{'• °iL �:. 1. . t' .d . • ?•9-.. .� :e���� . {� s��i �e'':F: �:�:NS.i.: i:L': •. Imams Sam �'S • •: t Inspector mast draw.a.plot plan with all building locations: J 0 1` Additional Comments from Inspector: 2 1 i • .. . fill ig Name S,HE+Ra®®.D VJILLIAI i�&`SANDRAE^� E � � Status• ;4�CT�IVE� �;�� '�sr�,. Status ' • ,7�`j* "moi ,.� R � 14x't a : £ Tax000 NORMLOUJIJERS111Pstrrj��TRAs t Stun 3119 MORSEMANfAVE 007 21j0025�000 DEate�'� �' ��� �� d v:` �`� �";€ 062200. • rr N - Nkxln� .lR�.1..3F 1 r hxa�,. z'C: :�' A :;"i A`• E F, :�� �.. �'�: _� 1 � �� a �'��'� °:F L If+€ LY•#�'d N � � �.� x��ra` �1,� �� «IUR tr q ,r e�5'-R�:IY -- E a: -.: .. .�. �;, .v�� � f £ � '� E, 4dd�2� '.11 C H I C�®' CA ;95973 91M054, w , ,. : • ET�imbei�Rreserve .a Structure p AgPres, x`Fuitur s p' Etal €' fi t ! Motes i FE +, ',f _ MTot, I LIM �� 'Fix MuIHSdus,r� 'Fr e „€., ' . t�j a .E:P! ..1E,: xFlag2 g��1k� °# � . 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( NOT PLAN CHECKED SHALL COMPLY WITH" CURRENT EDITK)N OF NEC, UMC AND UM 13 �N OT E. the attlached lacrtia6 .�WQQ �iri Pages 3- 3q&l r-nc_ i3ME COUNT", - %ILDING DEPARTME, 4 P P R 0 V F 1,3,z " -H T- O CA I I ;Q W - ------------------- 1CL C 0 2 z,0 CL (!) .3- Z A A c Z 0 5: v Z :5 (L CL -H T- O CA I I ;Q W - ------------------- awa -alp P Zv rl 3,Z Cil I %14Q.i BUTTE COUNTY OCT 2 3 2003 DEVELOPMENT SERVICES n 1� DIRECTION w rax �a y i, Ir s l u 3D a y #�. � : � •� .�� 6wR"�*'Y rte. Ci w` 17� F ' _ v V F', 6, cdFws _ A , i• �- ....._ . • ti /� Vic- a 0 i a ,i • i s ELLIS A&E SUPPLIES #4006c CA 1.5 1'- 20t g Environmental Health MAY 16 2001 Chico, California POOL GENERAL SPECIFICATIONS S SIZE: 31 X 14Y AREA ❑ DEPTH TO _ SHAPE Rcek, wf LINER t✓t laG� POOL CAPACITY / Z4i4�0 GALS. PUMP ,-roae MOTOR H.P. t 14j U1 & f'10 H.P. FILTER r-^� ii ;36S) SQ, FT. VACUUM LINE& SKIMMER 7, RETURN LINE i " MAIN DRAIN SKIMMER MODEL BACKWASH LINE t_' OF'/2" FILL LINE ANTI SIPHON VALVE HEATER SIZE BTU GASLINE BY: VENTED BY: LIGHTCO,14w" CLOCK } ELECTRIC BY: ELECTRICAL BONDING BY: SINGLE ❑ DOUBLE ❑ ELECTRIC BY: J POOL CLEANER f' 00 [ V*, A_ CHLORINATOR BOARD — SIZE BOARD SUPPORTS vY LADDER — MODEL Water SLIDE N N'l Color_ Hookup GRADING STUB PLUMB W-fES ❑ NO DECK BY: d f M4 0TES , •SCA E �ii9 ADDRESS'3tlt )'Yl.. -s CROSS STREETS RES. PHONE BUS. PHONE Ge 11 6.2Y -6'04 DWN BY. ! ,r + _ >. t.K •' % DATE 1 CK'D BY. DATE NOT TO SCALE DEEP END SHALLOW END `UNLESS OTHERWISE SPECIFIED: `POOL IS - SHALLOW TO — DEEP' HAVE RECEIVED A COPY OF THIS PLAN AND HEREBY APPROVE POOL AND EQUIPMENT LOCATION 'CUSTOMER'S SIGNATURE DATE a. 4i a 77, .. i � rf4 � +� SPAGENERAL 14 SPECIFICATIONS. SPA TYPE:' MDL # DIMENSION: DEPTH: COLOR TOTAL GALLONS SPA JETS TILE HEATER: PUMP & MOTOR: AIR BLOWER: GAS LINE: PLUMBING FOR SPA: ELECTRICAL: CLOCK: EXCAVATION: DECKING MISCELLANEOUS: SOLAR GENERAL SPECIFICATIONS SQ. FT. POOL SQ. FT. PANEL PANEL TYPE PANEL SIZE NUMBER PANELS PLUMB RUN AUTOMATIC MANUAL THERMOMETERS BOOSTER PUMP SINGLE ❑ DOUBLE ❑ ELECTRIC BY: JOB NO. MAP BOOK NO. LEGAL DESCRIPTION 14-P7" 007 Zl o -• Z-5' LOT NO. TRACT NO. BOOK PAGE -BLOCK ESCROW CLOSE TENTATIVE DIG DATE PERMIT OFFICE MGR. SALESMAN l c w.-,►�x..o OWNER: TO DETERMINE APPROXIMATE ELEVATION OF POOL ON DAY OF EXCAVATION POOL AREA TO BE FENCED, BY OWNER PER COUNTY OR CITY ORDINANCE. GATES TO BE SELF CLOSING AND SELF LATCHING. DO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY POOL OR SPA NAME-' 1-��• ce�r�til) v-ik ADDRESS'3tlt )'Yl.. -s CROSS STREETS RES. PHONE BUS. PHONE Ge 11 6.2Y -6'04 20TH PERFECTION 89 c co, CA 95928ET V � s . 1 (916) 895-0437 z � License #566654 POOL GENERAL SPECIFICATIONS SIZE 3J X V y AREA ❑ DEPTH TO — SHAPE IR0e_* 10)0 LINER POOL CAPACITY / 2 GALS. PUMP f Q I J✓% MOTOR H.P. J4 14,9 U1l ,. '�`�H.P. FILTER u✓' 365f Dom_ SQ. FT VACUUM LINE & SKIMMER is RETURN LINE it MAIN DRAIN is SKIMMER MODEL BACKWASH LINE OF Yz" FILL LINE ANTI SIPHON VALVE HEATER SIZE BTU GASLINE BY: VENTED BY: LIGHT Cbz,'14-- d CLOCK ELECTRIC BY: ELECTRICAL BONDING BY: POOL CLEANER -Fia*/ 4 CHLORINATOR BOARD — SIZE BOARD SUPPORTS LADDER — MODEL Water SLIDE # Color_ Hookup GRADING' /.� ►' STUB PLUMB CIES ❑ NO°"� ,tl DECK BY: dr. ff Ste', A-4 NOTES SCALE 4%bwwwV*U OWN BY. 1 &yam. i�M,rsxw * DATEy L CK'D BY. DATE NOT TO SCALE DEEP '—'— END SHALLOW END UNLESS OTHERWISE SPECIFIED: POOL IS SHALLOW TO - DEEP I HAVE RECEIVED A COPY OF THIS PLAN AND HEREBY APPROVE POOL AND EQUIPMENT LOCATION %CUSTOMER'S SIGNATURE DATE f SPA GENERAL SPECIFICATIONS SPA TYPE: MDL # DIMENSION: DEPTH:_ COLOR TOTAL GALLONS SPA JETS TILE HEATER: PUMP & MOTOR: AIR BLOWER: GAS LINE: PLUMBING FOR SPA: ELECTRICAL: CLOCK: EXCAVATION: DECKING MISCELLANEOUS: SOLAR GENERAL SPECIFICATIONS SQ. FT. POOL SQ. FT. PANEL PANEL TYPE PANEL SIZE NUMBER PANELS PLUMB RUN AUTOMATIC MANUAL THERMOMETERS BOOSTER PUMP SINGLE ❑ DOUBLE ❑ ELECTRIC BY: JOB NO. MAP BOOK NO. LEGAL DESCRIPTION /. -' pr�7' to LOT NO. TRACT NO. BOOK ' PAGE BLOCK ESCROW CLOSE TENTATIVE DIG DATE PERMIT OFFICE MGR. SALESMAN•+� OWNER: TO DETERMINE APPROXIMATE ELEVATION OF POOL ON DAY OF EXCAVATION POOL AREA TO BE FENCED, BY OWNER PER COUNTY OR CITY ORDINANCE. GATES TO BE SELF CLOSING AND SELF LATCHING. DO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY POOL OR SPA NAMEI,4-ws li)v-y ADDRESS filly'Jsraws .► CROSS STREETS��"'� RES. PHONE�t"`1`s t BUS. PHONE 'Cell 6�1y-641-02 4 0 ff FE W. 4m P 897 EAST 20T" STREET ro PERFECTION CHICO, CA 95928 DID i IM (916) 895-0437 5 `A'-5 " 20 License #566654 ELLIS A&E SUPPLIES #40060 "y �e_ [ .i pi ii 3119 /'AORF6/MAN 14 : /3,Zl l}�{ Assessor's Map No. 07-21 C 1 County of Butte, Calif. t�—l—(��►J./� I ! MQSEMAN AVENUE Y i 131 t s?? w J Opo Q '✓Q : S 9 Q 24462.. 196 83.96 4a.1i J.iJAC _ � 5 C,� i10 I/IJ •rp 198 6 a 6' t{ o T '_ J rp�p) L07AC EO 11 .84 t I 9 { /0 w $J h bi AO "44 a -52M APPROVIED, i f{ p s6 KidL i J /98 { £y Y r _ a 4c 1, •utsa ©IJ /t .G e . 079 ' 5 ac 1? i piri7. , �' } S 09.1e 7•i BS . /81.79 r NJ •..•O t ,,, - CODMAN O 16— AVENUE �` i r .mom., L �fYrlr4sl I / Mofe Sy. corn. 1 X } I. t� iron ' etItO "lealt t FEB 3 V99 aIlj0,ral -� 1 —^r I # S i a a r z t { O Aw - ' EN �b DFDUC7- - ydi�tL,� �_ Lo Zie7INAit� 17 y`� r Mtako4t t Skp�art G 7�AO j SCG v sF .-.-..1 vY-`1. ti c•rI4•� .w� c•rI4•�