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007-460-015
r 583 'ngs Canyon Way, lot10 INCO Chico' "` v ✓� '—< . .. `7-:��6:� Contr, b Bros Const y r Permit��833- P,E,M(new single family) VINCO Cont: Al Vialh� Permit�k3208-85B ,M(transi�e�r'c3,q _ s 833-85)'+ 7-46-15 " P Cont . Al Vial Pe it#900-86B(,lst. renewal/833- ,'007-460-015 .: 193-1689. " BLAKE, PATRICH 583 KINGS -CANYON WAY, FCHICO--- CONTR:",,TOM WILDER 7 # (REROOF_ W/COMP .'� r ., Via•: -..-.:.Q r 007460-015 .05-1519. ,* JACQUET; CHRIS• ' 1 •" �, ' 583 KINGS CANYON W.Y CHICO ' �?��• Cont. PERFECTION P-OOLS,j NEW POOL'MSTR#500'01' h ' 007-460-015. 06-1060v' fJACQUET ... y.. tr �a S ..583 KINGS CANYON& WAY, CHICO '. ,= 1 Cont:.OWNER .. RE ROOF b , L 1 } 1 is �I 007-460-015 06=10( JACQUET e�,tcg 583 KINGS CANYONE WAY, CHICO re NOTES 7Col Cont: OWNER !!! (ssoj REROOF RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. Type of Permit SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: ` // . =OK o = Not OK MANUFACTURED HOMES DATE U PERMANENT FOUNDATION " SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Suppoit Sketch 3 Sewer; Loctn-Test; FaIUC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO Inch Sz Ft Lngth 7 BIckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -00 to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers Pool Drawing MISCELLANEOUS DECKS'C0VERS'CARP0RTS 'GA RAG ES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-Opth-Spacing-Cnnctrs-Steel 3 Decks. Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof, Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls o' v?s 'DOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptds/Lting; Distance-GFi 5 Elec Pool Lting, 15 volts-GFI 6 Elec Enctsrs; Conduit Entries Tenninals-Disted 7 Elec Bonding; Metal w!5-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crdtng Egp-Pool lghtg Bokes-EnclsrsTnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide dr = OK Hot OK _ RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 ZoningSetbacks-Easements-Flood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dplh 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth. 55 DWV; Test Fittings &Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth ' 56 Shwr Pan; Test, First fir -Tub Acc. 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub•Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 1 63 Hold Downs and Special Anchrs 59 Fire Sprinkler- Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test °'• 0`�� o:' 0`s 1..t Wtr Pipe-, Test-Anchrs-Rgitr-Service Test 12 Elec Undrgrnd DATE MECHANICAL 13 Plenums & Ducts; Cimc-MaterialSupportdnsultn 61 AC Ducts Insultn & Support 14 Girders -Sills-Anchr Bolt" oists-Vnts -Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16.Insulation 64 Furnace -Vent Acc-Comb Air RtmfVent f IS Outlet 6S Attic Acc & Pltfrm if Furnace in attic mss' oma, 0`s` DATE FRAM I N G 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr. 21 Fire Stops, Furred Ceilings -Stairs -Chasers Tubs In Garage- abv-fir-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rflr Ties-Purlin-Roof Btac TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker S7s & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int '& Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing- Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Gom Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn- LPG Appince Undr House 3- drain 35 Glazing Area -Glass Prtctn-SkyLts-Plas tic 81 Plmb; Elec & Mech Eqp Listed for Loon 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No s` s` °�• m o'• m 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs DATE ELECTRICAL 90 Wtr Well, DscnncL Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 40 Fxtr & Tmsfrmr Clrncans Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑ AL 98 Address Posted AC Wire Sz ga ❑CU or ❑AL 99. Fire Sprinkler 48 Range Circ ❑ CU or ❑ AL 'Oven Circ ya ❑ CU or ❑AL Insulated Neutral ❑Yes ❑No o•`' o`er` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061060 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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: 05/08/2006 APN: 007-460-015-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 583 KINGS CANYON WAY CHI License Class : License Number: Map Index: Date: Contractor: Description: REROOF W/COMP (20) 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: JACQUET CHRISTOPHER F & MARI F permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to rile a signed statement that he or she is licensed pursuant to the provisions of 583 KINGS CANYON WAY the Contractor's State License Law (Chapter 9 commencing with Section CHICO CA 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 95973-0465 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ]� I, as owner of the properly, or my employees with wages as their compensation, will do the work, and the structure is not Isole intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: JACQUET CHRISTOPHER F & MARI F 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 583 KINGS CANYON WAY sale. If however, the building or improvements are sold within one CHICO, CA 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 95973-0465 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' Stale Li rise Law.). Contractor: L3 am Ex mpt under Article 3 f usin s an s ode. Date: Owner: WORKERS' COMPENSATI DEC ARATION 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. ❑ I 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: 0 S. F. I certify that in the performance of the work for which this permit is Valuation: $0.00 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: Applicant: WARNING: Failure to secur 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.6J�r�1l 1 CONSTRUCTION LENDING AGENCY This permit is he iss d under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions o o dicated 0 ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By. Date: Name: PERMIT EXPIRES ONZ T- C) . Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, . handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of. California Health & 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 dyly. au orized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of an i orm or document uHe County. I hereby authorize reproaentative oftte County to enter upon the above mentioned property for inspection purposes. N ` r 7 +e�Signature: Print Name:, („/� Date: XOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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. BP061060 B. C. Building Permit 01-16-04 pg 1 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: 05/08/2006 APN: 007-460-015-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 583 KINGS CANYON WAY CHI License class : License Number: Map Index: Date: Contractor: Description: REROOF W/COMP (20) 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: JACQUET CHRISTOPHER F & MARI F 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 583 KINGS CANYON WAY the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 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 95973-0465 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: JACQUET CHRISTOPHER F &MARI F 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 583 KINGS CANYON WAY sale. If however, the building or improvements are sold within one CHICO, CA 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 95973-0465 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 ContractoryStatte'nse Law.). Contractor: ❑ I amExmpt under Articlein s an es ode._ Date: J V Owner: WORKERS'COMPENSATOR DEC ARATION 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. ❑ I 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: Total Square Ft: 0 S.F. Policy#: I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: 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: Applicant: WARNING: Failure to secur 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 s provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is he iss d under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to o dicated a ve for which fees have been paid. ' O�p BY: Date: Name: PERMIT EXPIRES ON. v 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. O 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 dy4yi4horized 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 an i orm or document utte County. I hereby authorize representative tte County to enter upon the above mentioned property for inspection purposes. c Tit Print Name: Signature: Date: Owner ❑ Contractor O Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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 OFAPPLICATION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last Name JAG ust�Na r� Address !J� 3 1 l ' I't ,s c/�%�� City State r Zip Phone 223-9W 3 Fax E-mail ARCHITECT/ENGINEER CONTRACTOR Name C,)a j�2y 111W Address Phone Fax City �3 State Zip Phone Lot # Fax E-mail "2n75 Lic, # Class ARCHITECT/ENGINEER -Name- - - - - --- - --- - - -- - - -- -- ---------- - ----------=- -- - - - Address City Zip Phone Fax E-mail State License Number For office use onl . APPLICANT INFORMATION Name r) �s Occ. WORKER'S COMPENSATION Address �3 , CAL Ort %i✓ city Lot # Planner state "2n75 Phone O / !� Fax E -mall For office use onl . API Zoning Flood Zone SRA Yes I No Occ. WORKER'S COMPENSATION Type Const Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS BIN it PROJECT LOCATION API Property Address S?'S /�,k sc," ", c' ; Cross Street //�� pp 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 .800 �- Sq FT- Living Garage Open Cov Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Rece Date: I� Amount: 1 l ` Bldg SRA Sheriff SM IP Other Total SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for 9, permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INIG O 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 3. California Department of Forestry plan approval (if required). Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. O 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual; (B) Manage line info, (C) Floor Plan, (D) Tie down or fnd plans, 8. Owner -Builder Verification (if required). all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor 10. Recorded copy of Agricultural Acknowledgment Statement. 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�-NP-DES-F-orm------ ---------------------------------------.._._..--------------------- ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 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. 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 K:70RMSMILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-M OWNER -BUILDER VERIFICATION zv .N. 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. 4 1. I personally plan to provide the major labor and material for construction of this 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 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. Rev'd 11/4/2004 Butte County Department of Development �uT TF 0 0 Services o 0 TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR o o-- o 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds 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 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 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 $500 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 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 contractor is to secure an "owner-builder"=Yuildiner . 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's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. 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 Manager, Building DivVion (VOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. NOTES RESIDENTIAL PERMIT N0. }. 007 460-015 05-1519 A v T, CHRIS J4 583 KINGS CANYON WY, CHICO Cont: PERFECTION POOLS } NEW POOL MSTR#500-01 ;F V-N • V - SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB-STANDARD HOUSING LETTER ' [3 pl Neec( l isti y\5 vim. P-Tv^c/ t 'JOB FINALED (Date) r _ Signature J=OK 0 = Not OK = Not Ry ble MOBILE HOMES . =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ ' L'ft. / P Nat. or/ /" L "ftJ P LPG 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 ft'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-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify ft's with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except fi'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 Cana B-1 Date Card B-1 Date Card B-1 Date POO (Plans) OK except Vs backs -Easements ils; Compaction -Structure Stability . Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting: 15 Volts-GFI 6. ec.; Enclosures; Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit UK EWrfib.; Cir. Test-WAter Surply Test Date 1,4 ( 6 and B-1 / L t ( ) Date Card B-1 Date Card B-1 Date Card B-1 d=OK = Not OK = Not Appricable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /' Ftg. Depth 4. Ftg., Porches & Decks-, Soils -Steel-/ /' 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 Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 23. Fire Sprinkler, Test 57. Siding -Nailing Veneer Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-.1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform H Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive D Yes 0 No/Walks ❑ Yes 0 No/Planters O Yes D No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affinn 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:' _ S3 License Number: V luv S nn Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 licensedpursuant to the provisions of the Contractor's Slate 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate 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-bullder.will have the burden of proving that he or she did not bulld' or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdsslons 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 wilh 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: 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. 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 policy number are: Carrier. Policy #: ❑ 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. Dale: &� 6 Applicant WARNING, Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Name: Address: PERMIT NO. 1051519". Issued Date: 06/23/2005 APN: 007-460-015-000 Site Address: 583 KINGS CANYON WAY CHI Map Index: Description: NEW POOL MASTER 500-01 Owner: JACQUET CHRISTOPHER F & MARI F 583 KINGS CANYON WAY CHICO, CA 95973-0465 Applicant: PERFECTION POOL AND SPAS 172 E 20TH ST CHICO, CA 95928 530-895-0437 Contractor: PERFECTION POOL AND SPAS 172 E 20TH ST CHICO, CA 95928 530-895-0437 License #: 566654 Architect: Engineer: otal Square Ft: Valuation: Census Code: do work EXPIRES ON: 0 S. F. $0.00 Zf1z under the applicable provisions of the Butte Cnunly Code enritor Ited abov for hlch fees have been paid. Date: 3 O� / 7,_ O 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. O 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'l am the owner or 1 my authorized agent of the o er. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of a (ficial or docu nt of Q e County. I hereby authorize representat es of Butte County to enter upon the ,above mentioned property for Inspection purp Print Name: osos. .tJ 1�th� • 'Signature: _ Date:9.-CIS ❑ Owner 19:�' Contractor ❑ Agent for Owner ❑ Agent for Contractor q _'S w rees4 -q& r7, 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 REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name �—t— irst Nar���pS Address S DJ City C State Zp g5-113 Phone Fax E-mail CONTRACTOR Name 1� ,4 ` S Address c H City G eco State co Zip 'tc-92E5 Phone 04 3 7 Fax E-mail Lic.#5-66`9- ClTss3 APPLICANT NAME ARCHITECT/ENGINEER Name City G �_((Cc) Address Zip City Fax State Zip Phone Type Const Fax E-mail Page State License Number APPLICANT NAME Namev �Aio t { & ;L6 u,�f Address (_7 2 F_ 7� r `T City G �_((Cc) State Ctl- Zip Phone 911S0� 3 7 Fax E-mail APPLICANT SIGN RE X I. For office use only: AP# 00 % _ 07704 Zoning ' ( Flood Zone SRA Yes o Occ. LENDING AGENCY Type Const Subdivision Nae �ar� � Ma Book vl ( Page Lot 10 Pla r� 6 ttel?Droved: _ PERMIT NO. BP 05/,57 BIN # LOCATION AP# 00 % _ 07704 Property Address 583 (q N4S c N Lt 1( City Cross Street CO p /k 74-1 WORKER'S COMPENSATION Policy Number Z 7Z _ OCX-')O 5 Zo, Carrier 5 7--'4i—' FU " 0 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. Footage 70 O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. II Received b)rgw Amount: Z46 at �R'N Bldg I I SRA Receipt #: 83095 r� Sheriff OVER FOR gUBMrTTKL REQUIREMENTS it K:IFORMBUILDING FORMS\BIdoAoolSubRamts.doc Paoe 1 of 2 Date: SMIP Total RF\/ 7_77_nA. COUNTY OF BUTTE-DEPARTMENT'OF DEVELOPMENT SERVICES-IBUILDING DI'VIS�ION - - 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER vO -7 Proposed Building Use: r o -o/ Permit Technician:90M Date: Itps required in order W 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. 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. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Rernaining 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 as- ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr 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 .............................. ❑ �24hanning alifornia Department of Forest plan approval ❑ paid. Sent by: approval for A Use:(B)Parking: C Parcel Chec _ PP () t == () ....r''`te❑0 ontact Land Development about _ Improvements, _ Drainage ........................ 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 .......................................... ❑ 1 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. f ❑ 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 I�' J 1 and hold for pickup I have been informed of the above items and requirements for obtaining a building permit. Applicant: -b roL,:rn � Date: 1. Index permit applicatio for theta'bove items numbered: X Plan Check Letter 2. Additional items required Cv Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, counterby Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ count er�by Date: Contractor, designer, owner, , :advised of�the above data byG❑ j phone, ©mail, rp counter�by Date: Plans reviewed by:+ �� ` Date 7 t i Plans approved byj t Date: ,- Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division JOSHUA TREE SUB D UNIT 2ATCHED AREA ESERYEO 1. LEACHINGLINES 0 BYN DS ALLOw28" FOUND 3/8' RE9AR I I azo' I I I D20.2a' i i IR.UI I SJ)•♦5'!1`E, IR.311 Z, ; / TAGGED R.C.C. 12438 I I I I I I I I I ISPO.YA' ' , I I I 1320.28' ' IS, I S >) ai !)' [, I I T 2` 1R. q TAGGED 2911 L ;203.17' S 11 ♦]'!1` E ' .E as.91 2.88 1 ]i.BO 12. BB 12.89 13.00 IIT, 15' BS.♦e' 199.50' S. - I u r I • • O.z6 AC. • . 2..98' 0.25 AC. ' F^' O.3S C. 2! 00'" Dill '4,'.'o nOG •n l o., • I. 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C. m i • O I'6)>°.e']i 112 n{ 1 2 VT Y 120.3!' 1 '- 0.x5 AL. _I 1 n Y 1 lO -©__ 116.00' I Q LEACH FREE AREA • ' 2 , , 0.23 AC.n S 'o Si1�.20' -I '� Q I u ® SJ)•A6'JA`E YO aJ>°ee ]. "' Q •I i A. Ek1l�IN4 ELL TO U _ - - - --- • W BE Ba...IEL 9q i U9 -30--f- , 1� T - 09..om'♦> Zn O •! I 1•m0.2! AC. ^0 $ III I e 2 SJ °♦fi Ja E I O O i i= < 030 <6']<"Enm' I «Z-'120.]!rT ~ 0.25 AC. b -0 C 0.z©.n ----- 1 .m 6]7•4634`E OI I S3>°♦i]♦'E 116.00 _ • ��-_ _ - WELL1!9.40' T I 10 I]9.A0' T, w ZO i P SL6a _________ ' Y I o n 10 I L7 Q 0.23 C. i 0.25 sL)6' m o. zs a<. 'ne )d 30 I 0.15 at.n I I ' 4)) 8'Je' '- A'n m 1 w 0.23 .<. ^ •- S!1°•6'J♦'E 4]1°AO19`E 931°e0)0 F I537 -46'34'E--- Q --------- c e W© a �Q I1 U Id >0 1 ^ .21 o.n c. ml ; e m o.z> c. m o.z®c. i o.z®c, o.z9 c. Iw m w � w n _ _ m ; m 0 _�__ `� • 4 fi J♦_F„_ : ]��_ 4 •_SJ "._E� I liil°!a.iLt 6 ? - JI GODMAN S37•e6'34'E AVENUE 1 o e6' EDGE OF OUCH LEACH LINE SETBACK AIME NO 'EACH LINES LLOwFA THIN ]O' OF EKISTINO OR-A4E oncH. 1ISS. ood FOUND LARGE NAIL Y ARN A 1 OODYAN b E SITE f LOCATION MAP N.T. S. BASIS OF BEARING THE BASIS OF BEARINGFOR THIS SURVEY WAS ESTABLISHED FROM FOUND MONUMENTS ON THE VEST LINE OF THE HOBARRT SUBDIVISION TAKEN AS... N 37 45'57". W... AS SHOWN ON THE RECORD OF SURVEY IN BOOK 47 OF MAPS AT PAGE 90 IN BUTTE COUNTY RECORDS. NORTH PARK SUBDIVISION PHASE II , UNIT M: A SUBDIVISION OF A PORTION OF LOTS 5 d 6 OF THE HOBART SUBDIVISION, BUTTE COUNTY, CALIFORNIA FOR ALVINCO ROLLS, ANDERSON 9 ROLLS CIVIL ENGINEERS CHICO, CALIFORNIA DECEMBER, 1980 SHEET 2 OF 2 LEGEND / FOUND 5/8" REBAR TAGGED RCE 29113 K FOUND 4"X4" IRON PLATE MELDED TO A 3/4" IRON PIPE, MARKED WITH AN •'%" AND TAGGED RCE 22907 PER SK 70, PM '40 ' ° FOUND POINT AS NOTED e SET 5/8" REBAR TAGGED RCE 29113, EXCEPT WHERE NOTED / CALCULATED POINT, NOTHING SET ♦ FOUND BUTTE COUNTY CENTERLINE MONUMENT, NOT TAGGED IS SET BUTTE COUNTY CENTERLINC MONUMENT, TAGGED RCE 29113 e SET RAILROAD SPIKE WITH PUNCH MARK CURVE DATA P.U.I. PUBLIC UTILITY EASEMENT O R . 20.00' Q R 50.00' Q R = 50.00' Q R = 170.37' Q R = 230.37' p = 90°00'00• p • 5)•12'31' p • 60°41'22' p 12.23'54° p = 13°57.55° B.S.L. BUILDING SETBACK LINE L • 31.42' L 46.43' L = 52.96' L 36-87' L • 56.15' 0 R 20.00' © R = 50.00' ® R QR 23010055' ®R , 230.37' S.D. S70RM DRAIN p 44.24'55" 55.58'14' .41 60'46 3010 p • 16°12'04" L • 15.50' L • 48.84' L • 52.97' L • 121.22' L - 65.14' R.I RECORD DATA PER MAP, BOOK 4 OF MAPS AT PAGE 24, BUTTE COUNTY OFFICIAL RECORDS Q R m 50.00 O R = 50.00' O R = 50.00' Q R = 170.00 I9 R = 200.37' p• 3°21'77" p• 8°35'53" p• 65°07'16" p 22.29'20' p IO°09'59' A.Y RECORD DATA PER MAP, BOOK 66 OF MAPS L • 2.93' L - 7.50'. L = 56.83' L • 66.73' L = 105.50' AT PAGE 2, BUTTE COUNTY OFFICIAL RECORDS O R • 50.00'. QB R • 50.00' Q R 170.37 © R • 170.00 ® R • 200.00- 0.3 RECORD DATA PER PARCEL MAP, BOOK 70 OF MAPS p - 66°17'28' p m 65°07.40" - p • 1]°46'05" p • 7.43'03" p = 30.12'07' AT PAGE 40, BUTTE COUNTY OFFICIAL RECORDS L - 57.85' L - 56.83' L • 52.83' L = 22.90' L = 105.42' Y ARN A 1 OODYAN b E SITE f LOCATION MAP N.T. S. BASIS OF BEARING THE BASIS OF BEARINGFOR THIS SURVEY WAS ESTABLISHED FROM FOUND MONUMENTS ON THE VEST LINE OF THE HOBARRT SUBDIVISION TAKEN AS... N 37 45'57". W... AS SHOWN ON THE RECORD OF SURVEY IN BOOK 47 OF MAPS AT PAGE 90 IN BUTTE COUNTY RECORDS. NORTH PARK SUBDIVISION PHASE II , UNIT M: A SUBDIVISION OF A PORTION OF LOTS 5 d 6 OF THE HOBART SUBDIVISION, BUTTE COUNTY, CALIFORNIA FOR ALVINCO ROLLS, ANDERSON 9 ROLLS CIVIL ENGINEERS CHICO, CALIFORNIA DECEMBER, 1980 SHEET 2 OF 2 A7"W✓ 5 11eUC WO10� Department C o u n t, J. Michael Crump, Director of Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE Project Description: 4 - C, �20U W G(U N cr—� Project Location and/or Parcel Number: 1;_9 Aw�/o �J WA-Y", �f,4(CO I GA By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocati grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 11 Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program s�. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. us E OW'YY Rot Ran Annched Roar Ran Anachad Sonata B.O. !7 OvMer Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental He M ecialist Date PERMIT NO. rly PERMIT EXPIRES ,f OWNER ALVINCO l Vt +• CONTR.. -6 5-69#YSt� r ASSESSOR PARCEL LOCATION 583 Kings Canyon Way lot 106, OFFICE=COPY ,aF . i Address GAS "'Meter' By..c ., r. -Date. .ELECTRIC ; z= Meter By S Date OFFICE COPY 1 1 Address a GAS S :ak 7 �, Meter By K` Date '��c�,�• r ELECTRIC' Meter Byb Date sy �l ,- _ Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Called JOB FINAL - #j Signah i _ J = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES o MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements r 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval _ 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V OK 0 yNotOKT - = Not Applicable Not Ready RESIDENTIAE (Single and Duplex) �E = Date UNDE OOR Plans OK exce t#'s Date FRAMIG (Continued) oning requirements -Setbacks -Ease s 4.-%.✓ 411APEPWrty Line Firewall & Openings tg., Main; Soils-Steel-Elec. G - / ,y1" Ftg. Depth 4$/Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- / /" Ftg. Depth -Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" F . Depth 5f—Ejywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrappe ` 5 .o ding -Nailing -Veneer emwalls, Garage; Steel-Blockouts-Wrap Stu co Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers Firepl ce Ftg. to 5 5 azing Area -Glass Protection -Skylights -Plastic ar Walls; Nailing -Bolts 8. D. -Fitt gs ay Sewer Tes 9. Gas Pipe; Size -Anchors .2- 10. 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. - 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date / Card -BI Date Card -BI Date 1112,1Card-BI - Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINA Plans) OK except #'s Card -BI Date 2 Card -BI Date Date PLU NG (Permit) OK except #'s 5 Steps -Door & Sidelight Protection -Landings 5t./Smoke Detector 1' . ater Ht.; Vent -Access -Combustion Air 5L,.Fvinace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1 . Water Pipe; Test & Anchors -Nail Protection 1 D W:V.; Test-Fttngs & Anchors -Nail Protection - 4edroom Exiting 10—'Shower Pan; Test, First Floor -Tub Access 6 G.F.-Ir& Bath Fixtures & Tub Access s uti & Shower, 2nd Floor -Tub Access al,-*Elec. Trim & Subpanel; Breaker Sizes -Labels 19' Gas Pipe; Size & Anchors 62r'& -Rails 6 Fireplace or Stove; Clearances -Hearth 6 ec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6 it. Fixt. & A liance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 jec. Outlets & Receptacles at Kit. Counter Date ELE RICAL Permit OK except #'s 6%. -"Garage Fire Door; Swing -Landing -Closer 68P--A-9-Duct in Garage -Damper 2 ture & Transformer Clearance -Ins. Protection 2 c. Receptacles Spacing -Lights & Switches at Doors 68. jt tF Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- to'In Garage; Above Floor-Mech. Protection 2 ze Boxes & No. of Conductors -Stapled 7 Ib., Elec. & Mech. Equip. Listed for Location 2 mex Installed Close to Edge of Studs & C.J. 71. Elec..Receptacles in Garage; (G.F.I.)-Rom x Protec. 2 quip. Ground made up w/Mech. Fasteners -Bond Gas &Water 7 sulation-Foam-Looked in Attic es pliance Circuits in Kitchen & Conductor Size -A6--Gild Rails & Deck Construction -Post Caps ee Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 1. ra V t u Crawl Hole Door -Drainage & Wood -Earth Clearance Look d under Floor El Yes 2 . ange Circ. 154 ga. Cu or v n Circ. / / ga. Cu or At, nsulated Neutral ❑Yes o �� 7lowing instld.: Driive� [41ft� E] No; Walks es [D No; Pla ters El Yes bko 28'Service-Riser Conductors & Ground- gin Disconnect 7 uc o ,Brown Finish 2V Equip. Clearances; Panels-Motors-Mech. Equip. 7 Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 39—@Fothes Closet Light -Shower Light 7&wooOVents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. e ; Disconnect, Electrical, Plumbing 8Q,,E-xterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 8 8 entilation throughout House lass Protection Card B-1 Date Card -BI Date Date M HANICAL (Permit) OK except #'s 8 84. orrections from Previous Inspections G Test -Meters Tagged; Gas -Electric &'Sewer Connected -C/O to Grade -HD Approval V. A.C. Ducts; Insulation & Support 32JLaW Fan; Exhaust above Insulation 8 nergy Compliance Certificate -Other Certificates 3a__Qwdensate Drain & Overflow; Size & Grade 34--?Uff'ace-Vent; Access -Comb. Air -Return Air Vent -115V outlet 3&r-ATrrc Access & Platform if Furnace in Attic Card -BI: Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FR ING Plans OK except #'s Comments at Final: 3 ills; Proper Material & Anchors 3 alls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing �3� (syl Droko'Stop in Walls (rat proof) 4Q/f' 'Stops; Furred Ceilings -Stairs -Chases -Tub 4 Fjeader & Beam -Size & Bearing 4V 1-14agers-Post Caps -Anchors -Connectors 4Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shthn_g.-Rfn_g_. 4 Ff eplace Ties or Type A Flue -Fireplace Throat 4 is Access; Size &•Romex Protection -Draft Stop -Ins. Baffles 4 rm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF. BUTTE ,. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 , 7 County Center Drive Oroville — Phone: 5344541 'Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE G-s�-� G OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediatelv. Inspector ii�'- + Date Owner (� _!`►_1.�10_(� Permit No.- ' �IaA_/f ---1' LOCATION ENE R G Y -C E R•T I F ICAT ION ((^, 4W A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material /- (i es)/ Thickness ince' 7�- CEILING Batt or Blanket Type. ��ss Thickness(inches) Loose Fill Type _ Minimum Thicknesi(Inc s) ZZ•' Area covered(ft. FLOOR, ELEVATED Material Thickness (inches) FLOOR, SLAB `- - ���� Material. _ Thickness(inches)_ Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name �,it S/�>,✓ /E(�e Thermal Resistance(R Value) -/-0:2 3 Brand NameJC_11�-.J Thermal Resi ance(R Value) O Brand Name Number of Bags -:?_? Wt. per bag _25- lb. Thermal Resistance(R.Value) ,X -J7 O Brand Name Thermal Resist2Lnce(R Value) Brand Name _ Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in oqx!ance with the State Cad ifornia Energy Requirements. H*k;tns Insu-jAf-ion Co.\ Inc. SIGNAM9,-OF INSTALLATION APPLICATOR #3.78407 STATE CONTRACTOR'S LICENSE NO. Za.- /�1- � DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments Have been installed as required by the State of California Energy Requirements. All equipment; devices and materials are of the quality prescribed or are specifically approved by the State of California. - AL J. -VIAL, INC. .. 455978 ralRM NAML/0'4NLR (Please print) STATE CONTRACTOR'S LICENSB NO. ----- T-- 12-22-86 SIGNATURE OF GENERAL CONTRACTOR OWNER _ DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. Ianunry 1984 JCOUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS _ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANO PERMIT PERMIT N0. , ASSESSORPARCEL NUMBER — S--- •%-5 ZONING R- I BUILDING PERMIT OWNER A/ to TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS O ® 56 CONTRACTOR'S NAM e- ro s- TELEPHONE "/— :� i 0 Co✓ 00 CONTRACTOR'S MAILING ADDRESS G C 4— Fireplace '1 0 "! 000 'CONSTRUCTION LENDER AI UNKNOWN Total Valuation Is co3 /3 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3 5- — ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 36 S --- BUILDING ADDRESS Jr a M N PLUMBING PERMIT Filin g Fee 10.00 Each Trap 3 2.00 j(p — Solar Water Heater 20.00 Water piping 5.00 $ '� LOT NO. /0(0 SUBDIVISIO NAME'_ No. �a / r\ p PARCEL MAP Each qas water heater or vent 5.00 S' Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE CA SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S1 GJWJ 10.00 e TYPE OF WORK New [Z Addition ❑ Rem del ❑ Uti Iities ❑ Instal la 'on ❑ Other ❑ Describe work: Pla�102 jrmasfeted _ Permit Fee $ , OO Contractor ELECTRICAL PERMIT Filing Fee 10.00 'Main service 80000 AMP V OR ORSLESS 10.00 (,, vo ' Main service EA. ADD'L 100 AMP 2.50 y -a NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. SLOGS. II 2Y2�Sq ft a gv • CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ~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.11�1 .7�,�3 � &Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON.RESID, BRANCH CIRCUITS NEW CONSTR (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. ) 20@50C Ex. Occup(o FIXTURES BAL®300 A POR FIXED LNS R Ex. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ (0 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 subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 00-b 6.00 J0 1P Cooling 1— („uv Hood 3.00 vU Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabili 'es, judgments, costs, and expenses which may in any way accrue against Id County in consequer a of the granting of this permit. %� Date Signature of Applicant — Owner ❑ Contractor � Agenttl An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occu. ROUP - I TYPE of C ST. ARCEL PD H ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC 9:��l BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�g-7-E%eS Receipt N -3 WHITE-D.P.W., Y L OW-ASSe SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, GAL`IFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER U ! 1'V e— .Z) , A.. P.. No. 'r/1i1- 7 5^ 1 Proposed Building Use S� Permit Fee Based Upon: Complete Contract Price, L--' DPW Valuation Other (Explain) Building Inspector OZI Date 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. 6. State Energy Forms No. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 53 1, 1io . 9. Letter of signature authorization.. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: . (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name'style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner[]'. 15. Improvements may be required. Contact Land Dev. Sec. of D.P.W. (see address below). 16. Mobilehome Installation Data. 17. Pre -inspection for required. 18. Recorded copy of Agricultural Acknowledgment Statement.. 19. Other 61✓eraU When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. - Deliver w. /inspector. Other Applicant Date GENERAL INFORMATION BUILDING DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Phone: 891-2751 Hours: 8:00'a.m. - 10:00 a.m. Orovi Ile .. 7 County Center Drive , Phone: 534-4541 Hours: 8:00 a.m. - 5:00 p.m. HEALTH DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Phone: 891-2727 Hours: 8:00 a.m. - 9:30 a.m. Oroville 7 County Center Drive Phone: 534-4281 Hours: 8:00 a.m. - 9:30 a.m. Paradise. . . 747 Elliott Road Paradise. . ,747 Elliott Road Phone: 872-2961, Ext. 57 Phone: 872-2961, Ext. 58 Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:30 a.m. PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 916./534-4601 CALIFORNIA ENERGY COMMISSION — 1111 'Howe Avenue, Sacramento - Phone 916/322-3725 LAND DEVELOPMENT SECTION ` DEPARTMENT PUBLIC'WORKS — 7 County Center Drive, Oroville — Phone: 916/534-4339 Orig inal—App(i cant t t. COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION x. 7 COUNTY CENTER DRIVE - OROVILLE; CAr—�FOR.NIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 44, u 1.111 G D A. P. No. ''X -4l — 7 5 1 Proposed Building Use �/ Permit Fee Based Upon: Complete Contract Price !/ DPW Valuation Other (Explain) Building Inspector O(' Date '3 —a"Z�- $S At time of permit application,.) was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . . . I 2.., Plot plans in duplicate./triplicate. r` . 11. Complete plans in duplicate./t`riplicate.. . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 53 4 - !!� o , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. .. . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . .4 Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector IDote)l 18. Recorded copy of Agricultural Acknowledgment Statement.' 19. Other r -:. e4-.%./ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle .item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by. Plans approved by Other: pa d Copy—DPW 21 Telephone 'Mail Date �- Date ' Date Other � r T TO: Building Department FROM: Environmental Health,'Chico SUBJECT: Sanitation Clearance Owner Location AP Plann approved for; sewage disposal water supply Hold final for: water supply Final clearance O:K. for: water supply Clearance for e bedroom mebl�re— home. Other Note*** tarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. e ASSESSOR PARCEL NUMBER 7-46-15 ZONING BUILDING PERMIT OWNER Alvinco TELEPHONE SO. FT. OCC. BUILDING VALUATION Transfer OWNER'S MAILING ADDRESS CONTRACTOR'S NAME Al Vial TELEPHONE 891-4757 CONTRACTOR'S MAILING ADDRESS 224 W. Tonea Chico Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is FilingFee $ IX -0o LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - None LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 583 Kings Canyon Way Permit fee $ PLUMBING PERMIT Filing Fee -00 Each Trap 2.00 Chico Solar or heat pump water heater 20.00 LOT NO. 106 SUBDIVISION NAME North Park #2 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [1: Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[] Other ® Describe work: Transfer Contr of Permit #833-85 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee to.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): - J ) I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Co 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.E[ I OR ACDNS. ACC. BLDGS. h¢sgft NEW RESID,CONSTBRANCH NON.R ESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &I (POWER OUTLET CIR. I Ex- Occu 8AL Som p OUTLETS OR FIXTURES 200030 FIXED PR Ex. Occup. OUTLETS IRESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. ❑ 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 0.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 salid County in nsequence of the granting of this permit."" %� Date lv' Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 40.00 occu P. CONST.TYPE FLOO1-7777 ND 99UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC PUBZRKS By Date PERMIT EXPIRES Date 4/24/86 Receipt No. ;Lz� WHITE-D.P.W.. YELLOW-ASSE990R, PINK -INSPECTOR. GOLDENROD -APPLICANT WEgB BRoTHE 389c CO s S pC®NS7, R c HICp, C1LIFpR CUVRON T (916) 891-3351I,4 9,5926 October 31, 1985 Butte County County 1 l r enter 965 i ve Re: Perrniis Nebb Br . others took out at .No Gentlemen. Webb `rth Park Subdivision. haven , t been has permi Brother built. We is at North Par s Constr. to Al ld like to transf Subdivision which Vial Inc er these from Webb Sincerely, Greor We Par' L. Webb 6b Brothers Consturction COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ao— � ASSESSOR PARCEL NUMBER -- -- ZONING BUILDING PER WNE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE S CONTRACO MAILING ADDRESS Fireplace CONST CTION LE14DER NK Total Valuation $ Filing Fee $ 1000 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 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE S Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 DR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 ONTRACTORS LICENSE LAW I declare under pen Ity of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business. and Professions C n y license is in full fo` and effect. License No. Classification 11 ❑ 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.ad , A /Z¢sgft New CCONSTR.MULTI -OUTLET NON.RESID BRANCH CIRG ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200300 DAL03o Ex. Occup. OUT ETS P(RESID )FIXED ALINIS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under enalty 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 again ai County in sequence of the granting of this permit X Date Signature of Applicant — Ownerh Contractor ❑ Agent56 An OSHA permit is required for exc.ions over 5'0" deep and demolition or construct. ion of structures over 3 stories in he Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPe I I FLOOD PARCEL I PD I Ho I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OW -PUBLIC By PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —f S� �� �� rght. Receipt No. __ J`✓,� ✓ �6 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT OTE:—All Ma#etials kWorkmanship Shag lye in -d�ccordance with Recd nized Good Practices and -f a quality prescribed for the Specified use in the jniform Building, Pjumbi g 8i Mechanical Codes and A f e National Electrical ode. Fncc) zee master Mari on file ,f_or s' ud- I +ural details_ M A setback of 5 ft, from the property lines and a setback of 50ft. from the road centerline shall be clear of 7— structures or equipment except for. a 2 ft. eave overhang. this set j plans and esti icafio M A.14 WAY cept on the job -al -Al times i u o J o hake any changes or alterations onsame without written permisson from the Department of Public Works, County of Butte. SITE FLA�I LEGAL DE�{ZIP: IM BUTTE COUNTY --- 3UILDING DEPARTMENT APPROVED . .. wT Oto ... WF-llH FAg y- ` su bp. q • 28 -� ^ (�`• _' •RF,SIDEMTTAI~� .1 �, w� FI;I'RGY PLAN CHECK/;[NSPECTION SUMMARY F��I.1 Owner Climate Zone - /� Floor Area �l , - Permit No. �- Compliance path:' MIN Package EIA Q B ❑ C mint System ❑ Budget ger REQ'.D R -VALUE DESCRIPTION INSTALLED ITEMS (1) ;.INSULATION: L l� Roof/Ceiling-,- -� u Wall - - - .ter Slab Floor Perimeter ❑ Raised Floor (2) INF ILT___RAT ION ; -- - ---- , ❑ (A) A vapor barrier is r' eq4ited in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding 1972 ANSI AirInfiltration Standards hall meet the . `� andSshallrbes certified and labeled. E (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: bUTIE COUNTY (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket 3UILDING DEPARTMEN11 (F) Air-to-air heat exchanger (3) GLAZING: APPROVCD Ares Glazing'%F toor-Area'•Single Total Bldg Double 'Triple S•- v�Oldi3, - / v ` �• North _.�j �. - _ � ._ East -- C —� C� South In (> �/, S i West-'---- Skylights - 3 (B) Shading Shading Coefficient Description L� East. 03(, _ [� South - `- West Skylights - 17 (C), -South Overhang'. Length of projection _ ..: ft. 'Description ❑ (D) Aloveable insulation: Al :ea _ ._. f Description - (E,)Type'_1 - _ - Area , -7. �, Ft . 2 HC=X MC= , ?3 Location Type :Area r. =, Ft .HC=�? .; i ° ' R= - MCF- fi�:� Location -. , --r , •�- Type -.Area Fj �.-�- =i��7..Loci r -- z R MCat o i Type _.__ Area Ft. HC= R= MC= Location ❑ Type- _ Area Ft... HC= R= 14C= Location 0 - Type _ - AreaFt. 2 HC= R= HC= Lor ati.on 7/83 t.•j . CORM ❑ (4): MASONRY AND FACTORY -BUILT:' FIREPLACES shall be. equipped with tight fi.ttiug closeable.met—al or glass doors covering the entire.opening of the firebox;.a`combusion air intake equipped with a readily accessible; bpenable, and tight fitting damper to draw air from the outside .of the .building.;..arid, a .tight .fitting flue damper with a readily accessible control. *l (5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM. - --- - - (A) Heating Central Gas Furnace f�.l�y"t.c ='',`;� (brand and model number) SE Btu/hr (heating capacity) [] . Heat Pump _ (brand and modes number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar --tYPe (li.'i. or. air) Collector brand and _ . ft 2- model number.ysolar fraction collector area collector orientation �. colaector,`tilt rated y -intercept rased 'sloe (� Other` --- L --- ---—......_ . {describe). (B) Coaling. Elcc:tri-,c Air. Curidit.ioner (brand and model, number) ' (seasonal:.EER.) _ Btu/hr . (cooling:capacity at 95'F)-.' [] Electric Heat Pump EER _ _ --- Btu/hr (cooling' capacity at 95°F,) : [j Other �--. — ` (describe) ❑ _ (C) A TWO=STAGE THERMOSTAT, which controls the supplementary heat on its. second stage, shall br..required for: heat pumps. �,. .(D) AN AUTOMATIC SETBACK shall ..be provided.for.all'thermostats., except thosecontrolling heat pumps;: [► (E) AN-INTERMIT.TENT IGNITION DEVICE shall be provided for all.gas-fired fan. type central furnaces, gas-fired fan type wall furnaces and gas . coolcii�g ap ianc e.s.'. _ (F) BACICDRAW nAMPERS shall. bri provided for all fan systems exhausting air to..the oLitside. (G) DUCT CONSTRI TION & INSUbATION. All transverse duct, plenum, and fitting joints shall tie.sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of .Section 1005 of the UMC, 1976 Edition. 7 /83;.. 2 [J� (C) PIPE INSULA`1ION. The five t.:et•of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be'insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy.Commission. /('7) LIGHTING- (A) IGHTING(A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent) *1 Submit documentation of sizing he and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: US/, Y Heating: Winter design temperature °, %:levztion IC�C�', heating load /SBTU elevation factor �_ _ x heating load = maximum outlet capacity gas furnace BTU USE ONLY AYS�E 9f�ADGQUA�� Cooling: Summer design temperature (� , cooling loscrz�Ixs t. *2 Submit T..I.P.S.,E. chart or other.approved system (form #5) to document sizing of solar panels: ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 s cN ATURE B /'LDING DES GNER OR APPLICANT 3 �. (6) (f� DOMESTIC WATER S/YLSTEM (A) Gas only - . C' �� Gallons (brand and mod number) (tank size) p Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) p *2 Active Solar (collector brand and model number) (rated y -intercept). (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. [J� (C) PIPE INSULA`1ION. The five t.:et•of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be'insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy.Commission. /('7) LIGHTING- (A) IGHTING(A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent) *1 Submit documentation of sizing he and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: US/, Y Heating: Winter design temperature °, %:levztion IC�C�', heating load /SBTU elevation factor �_ _ x heating load = maximum outlet capacity gas furnace BTU USE ONLY AYS�E 9f�ADGQUA�� Cooling: Summer design temperature (� , cooling loscrz�Ixs t. *2 Submit T..I.P.S.,E. chart or other.approved system (form #5) to document sizing of solar panels: ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 s cN ATURE B /'LDING DES GNER OR APPLICANT 3 a _ ZONE 11 OI:SER :'oL•i•S PERMIT ;`Z0. .._'.. „SSIC,•=D ACTU! L 1. SU? .,.SUL'tTIO:J NONE. 5 5 2. R.AISEJ FLOOR - R-19 _ 3. I 1 Z of �---- I I Orien- I - Floor Area i I Snvl, t Dbl, t ;rp(,i I 1 CEILING; - R-30 cation Floor I (u - I (u I 4. -�- LC 5. NORTH CLAS.-i:C �j '�t 2.4-3.67, � S' 6. E. -ST v...' ZT. ,C C;� 22.3 I East I 1 3.2 I 7. SOUTH CL1ZI::C L1.5 I I up to !.5 I + 2 + 3 j S. IES +Z +z I I !:5- 3.6 I -1 I I D 6.1 I I I I 10. SHADI::C (Exclude Overhang) I 0 1 { 3.7- 5.2 EAST- C. . -1 I X .67-82 Onn. sotmf I ! 0 -.l9 I 0 +1 +2 WTST 1 -6 -5 I 1.8- 8.9 -11 SKYLIGHT .3? -.57 -� 11. HORIZ,31 SOUT. OVERHAcIC. 2' v - 12. ?!f)VAR.E IlISULATIOII 7 -13 I -11 ' LI -6-13 -0 I -2; ! -16 1 -I4 113.1-14.5 13. _:;ril -25 I -19 I -15- 114.6-16.0 I -23 1 -22 I - 15. 'GAS FU?,: - :.CE (SE). )i.-lbq -- ._ 16. HENT FIit:1' (E:.^„ I 19. 1 24 I ii. DUAL _PICK(S - , f.. S:cC)15.0-3,3;71-:u% +2 I 30 +3 1 13. AC-11VE :0111? 60' 1[I17 (i1Ct:E) I 1 19. ZONALLY C&TROLLED ELECTRIC - 1 -.42 0 20. SOLAR 1•:ITH CAS BACKU? (lI1J) of SnglDDITrol Floor (u j 21. OTHER - NO ELECTRIC ((111W)) I Glazing u - I�l Ares 11.10) t 0.65) 10.41)1 I I loolnts L T 3 �/ T :1Sr SHOWN ZERO Y POINTS of s r t I olr.s. _ � 1 C Table 3-1. Slab Floor Points Table 3-2. Raised -- o + + +6-? I to I to I to 1 cs ! u) I up to :.3 I '•5 l +d 1 +6 1 11.5 ! 3.,'• ! 6.3 11.7 I I 1.4- 2.2 F I r or R6tnt Fn-uJa- 13 -value of :nsvlst!on I I c!o•t ! r R -Value of I I OePch T - --------r_ i. I eulatlon I Points I inches 1 0-2 1 3-1 ! 5-6 1 7+ I 1 I I I v 1 2.5- 3,5 3.1- . _SI 1 ! I 1 below 3 I -12 I I- It I -5 I -SI -S ► -S I 3- 4 ' I -8 I 12 - 15 I -S I -1 ( -2 ! _1 I 3 - 7 1 -6 -2 I -1 I 0 i 8- 12 I -4' i 1319+18 i r20 1 3.7- 4.8 -2 -1 I 5.3- 5.9 -_6 ! -I0 S __.;_•) i1 , a.5- 6.1 _7 I -4 { -3 ! fable 3-3a. !Veiling Inau;a[lon Points Table 1-7. Sn:nth-r'.ic t;;� �;1.i:1^v -.� table 3-I0. Shading 7ofnt _c I- --i- __, IrR-Value of Insulation I Pn;ats I 1 I 'Coral 1 Clazin,; Type I- I ( SC by I I I 1 Z of �---- I I Orien- I - Floor Area i I Snvl, t Dbl, t ;rp(,i I 1 I 19 _4 cation Floor I (u - I (u I 22 Arca 12.10) I ).55) I O.tl I otr.ty Ipol,-s T T_-- I 30 I I oin[sl I I East I 1 3.2 I 38 I +2 I I up to !.5 I + 2 + 3 j ( I ; 0-3.1 I to 16.4 up 49 I +4 +Z +z I I !:5- 3.6 I -1 I I D 6.1 I I I I I 0 1 { 3.7- 5.2 I 5.)- 6.5 1 -5 i _ ) -3 ( 6.6- 7 -9 I ! 0 -.l9 I 0 +1 +2 1 -6 -5 I 1.8- 8.9 -11 44 20-,3 0 0 ]-ta, Wall Insulation Poi 1 -8 -7 9'0-10-13 -10 0.1-11. I .)7 ' aTable I 0 - I R=Value of Insulation I Points 7 -13 I -11 ' LI -6-13 -0 I -2; ! -16 1 -I4 113.1-14.5 1 1 .83 up I 0 I -1 I -2 i I I 1 1 I -25 I -19 I -15- 114.6-16.0 I -23 1 -22 I I 1 3.2 16.4 13.9 I) I 11 I 7 -!9 I I I _! ! I South 1 0 I I ► to I to I to I to I 19. 1 24 I _ I 13.1 16.3 17.9 19.5 I 1 Table ]-8. Jest -Facing ;lazln `Prs. I +2 I 30 +3 1 I I I I 0 -.18 1 0 1 +1 I +2 1 +2 I ..• i Glazing T'/pe -� I 1 I Total 1 -.42 0 Ta�13-5. tti-Faelnv Glazlr of SnglDDITrol Floor (u j l '43-•66 D 2 2 57. up -2 -d _ I 5 1 I Glazing u - I�l Ares 11.10) t 0.65) 10.41)1 I I loolnts t I 13.2 1 5.4 I Type I of s r t I olr.s. Wcs; i 111.4 Total ( 1 Z of Sn 1.. I Obi; Floor Urvl•t o + + +6-? I to I to I to 1 cs ! u) I up to :.3 I '•5 l +d 1 +6 1 11.5 ! 3.,'• ! 6.3 11.7 I I 1.4- 2.2 I u m 1 U'- I ! +J i 1 ' +5IObb At ea 0.42- 0;41 . +2 1 +31 o9 1 2.5- 3,5 3.1- . _SI 0 +-7)0.65 11 +06 1I +L +G I 5.0 4 -2S.!_ I _3 -61.2 ' +2 II - : 5?�•32 -i1 1 3.6 D{+11 S.7- o.I2.4- -Z i --43 i II1 .8up --2 I - 8 -15 II 3.7- 4.8 -2 -1 I 5.3- 5.9 -_6 ! -I0 S __.;_•) i1 , a.5- 6.1 _7 I -4 { -3 ! 1 7.0- 7.6 -i3 ! -!2 _c t ' i i 6.2-.7.3 ! -9 I I -5 I I 7.7- 3.2 I -.0 t -14 ! -11 1 Skyl h[ I •1 ( 8 1.1.6 13.2 { ..� .g { 7.4_ p,.2 I -12 I ( I 1 S.3- 3.3 I - 2 ( 1 ' -15 1 -) i' I 1 to I to I to ! to I t, I S.1- 9.7 I -14' I J I -8 I 7.8- I 9.10.8 I' -1.7 f -12 1 8.9- 7.5 I -25 i 1 ¢.b -i^.1 -13 I -15 I I --' 2 1 7 1 t.5 13. 11.9 I 5-- r-T�r- ; -�_ I -10 1 17.9-t2.2 1 -19. 1 -14' I -12 t -10 1 -15 1 'I 10.:_1I.0 :' -2y ' I -w-3 1 -17 0-.12 I 0 I +1 1 +3 I *o I 12 ;1-13.2 I -22 i -16 ! -13 I I 13.3-:4,g 1 1 1 1 11.8 1 -35 1 =26. I _21 I I' 11.9-1'<.7 t7-..3§ 10 1^ 1 0 1 0 1 _5 ! -24 1 -13. r -13 ( 114.5-15.) -<; -20 I -33 I -29 I -24' ! 1 12.8-13.5 1 -42 I -32 .311:57''. SA _17 1 i ; ! -27 I i 13.5-14.3 -45 1 -)5 •83 up -2 1 _4 -s -21 114.4-15.2 1 2 1 -50 I -33' I -3 1 1 1 1 I I :able 3-I1. Ror'zon:a! SOu:1 . able 3-6.. Cast-Facin¢ :lazing Pty• Table 3-9. Skyltnht Points Ovetha^.v Potnt_ _ j-- 1 c^u;h Claztng i-- 1 I Ler.3th Out i Area, : of Floor ' I I Glazing Type I I ! Glazing TyCP I I r=' 1 1 from Wall I Tecal I 1 Z of I Sngl, Dbl, Tz 1;! -al 1 Z of Sngl, Ob:, Trpl� I ft' I ! ! 0-6.1 1 6.4 up 1 Floor I (U - I (U - I Up- ( I Floor I U - I l• I I I Area 11.10) 10.55),1 0.41)1 Area 1 0.66- ! 0.42- 10.41 I 1 0- 0.5 -2 I !Po!nts (points Ipn!nrsl -o 1 1.10 10.65 i down ! ( 0.5 - 1.5 { -2 ,1 -3 I -'-� + * t r p l -� T 1 l u to 1.) I _w I 1. l- 1.9 1 -1 1 up zo 1.3 I +3 1 'I I -I, I '0 I 0 1 1.4- 2.Z 1• 1 2.0 up • 1 0 I 0 1.'•- 2.4 1 +1 I! +2 COD 1 0 I 12 I 2.5- 3.5 I -2 I I 1 -3 I 9- -2. a l -b I -4 ! -J 1 2.9- 1.6 I ' Tabic 3-12. Movable Ins ulaclsn 3.7- 4.6 I -5 I -2 I -1 1 1 I 4.7- 3.5 I _g I -9 I -6 1 -5 1 3.7- 4.2 I -11 I -8 1 -6 I Points T _4 1 -3 I 1 5.7 ! I I 4.3- 5.0 I -14 ( -10 I' -3 I 5.1- 5.6 I I !loveable Insulation l ' 6.8- 7.7 1 -1]0 1 -3 ( _7 I I 1 7.8- I -16 I -12 I -30 ( S. T- 6.2 I -19 ! I Area, Z of Floor I Poin:s 1 I 3.7 -13 { -10 I _9.7 _ _8 I ( -10 I -:2 1 6.3_ 5.9 ( -21 ! -16 I -13 1 I I I -2I 11.8-11'2 7.0- 7.6 -_Z4 -!S -15 .19-13-r 0 11 ...3-12.7 -25 -13 -15 1 1 -20 I-17 .. .5 +Z GLAZING PLAN •5 North Glazing QUANTITY SIZE AREA (SQ.FT.) 1 --�-- x tl b .a) C) x = SQ. 1T (d) x - (e) x ` Total North Glazing = 7 p ( (SQ.FT.) (a+b+c +d+e ) :OTA L iORTH TOTAL BLDG CONVERSION ;TOTAL % AZING FLOOR AREA FACTOR NORTH GLAZING D b . x; 100 = R % ;Q. FT. SQ.FT. 3-7 South Glazing QUANTITY SIZE AREA (SQ.FT.) a x FLOOR AREA .a) C) x = SQ. 1T d) x _ P_) x - Total South Glazing = U, .n (SQ.FT.) (a+b+c+d+e) i OTA L OUTH TOTAL BLDG CONVERSION TOTAL % .AZING FLOOR AREA FACTOR SOUTH GLAZING �0 3) 3 2 x loo = �,.,. J % Q.FT. SQ.FT. 3-9 Skylights QUANTITY SIZE AREA' (SQ.FT.) `) x = Total Skylights' _ (SQ.FT.) (a+b+c) OTA L PLIGHT TOTAL BLDG AZING FLOOR AREA 1 Ll �.ft. SQ. 1T ?'ER ':MIT 1\10. 33 CONVERSION TOTA.t FACTOR• SKYLIGHT GLAZING 100 i % TAKEOFF SHEET 3-6 East Glazing QUANTITY SIZE AREA (SQ.FT.) (a) d x (b) x = (G) x = (d) x' _ (e) x = Total East Glazing = (SQ.FT.) (a+b+c+d+e) �— TOTAL EAST TOTAL BLDG CONVERSION TOTAL % GLAZING FLOOR AREA FACTOR EAST GLAZING '_ : - ?-, x 100 = U % SQ.FT. SQ.FT. 3-8 West Glazing QUANTITY SIZE AREA (SQ.FT.) (a) - 1 x x //(b) _ (c) x = (d) x = (e) x = Total West Glazing = (SQ.FT.) (a+b+c+d+e) ' . TOTAL WEST TOTAL BLDG GLAZING FLOOR AREA x SQ.FT. SQ.FT. CONVERSION TOTAL % FACTOR WEST GLAZING 100 = THERMAL MASS TAKEOFF SHEET "ORM 9 AIT' NO .hermal. mass: Materials which have the. ability to store heatt brick and ceramic tile).. Ypical types are masonry, Thermal mass cannot be insillated groin the interior of the building. (If covered by car- pet, cabinets, or enclosed*.in closets the mass is considered insulated). Thermal mass floors must leave an exposed acid textured surface or design so that carpeting will not occur. (Covering of vinyl or. asphalt tile. and linoleum is permitted). TYPE THICKNESS LOCATION DIMENSIONS AREA _ Entry Floor ' x '',;, Bath #1 Floor ' SQ.FT. Bath #2 Floor ; X ' a .!^'rSQ • � Bath #3 Floor x a --- ySQ•FT• Kitchen Floor x '' _ _'SQ.FT. - F loo r, X x a _ --------SQ Floor r X - ---SQ.FT. _ Fireplace ' x ' o ___._____SQ.FT. Fireplace ' x ' a --=_=—SQ'FT' Bath #1 Counters ! X 1 ------- • FT Bath #2 Counters ' X, o --------SQ'FT. Bath #3 Counters X � - --------5'Q • FT • Kitchen Counters x _ S Q . FT .FT _ Wall Shield ---'=---SQ'• Walls -' ------SQ. FT. Walls - X , ------SQ. FT . Walls ' x a' ------SQ.FT. X SQ.FT. If compliance method proposed is other charts are available), use calculation than the point system (where thermal mass point mass compliance.. methods on reverse of this form to show thermal . ^ � * C A R R J E R - HEAT PUMP AND AIR CONDITIONING * ' * R E S I O -E N T I A L L O A D E S T I M A T E * �����REO EXCLUSIVELY FOR: ESTIMATE PREPARED BY ` ' WGBB HOMES DON FOWLER ` 389 C CONNEBS CT MCCLELLANO A/C ` ' CHICQ CA 95926 k ` . . . JOB NAME: NORTH PARK PLAN 207 CAGE NAME: - DATE ^ PR��AR�D��l8�84' 31012832.1 k^ . . ' OESIGN CONDITIONS i OUTDOOR INDOOR ` SUMMER WINTER SQMMER W�NTER � DRY BULB 103 27 78 7.0 ---- 52 G� 7 ' W����U�� . , ---- � REL. . ' | " l 3 ---- 13 ---- ^.~ � - DARANGE 25 �--- ---- ---- ' G � .DASWING~--~ ---~ ---- ' � ELEVATION- LATITUDE = 40 = 200 *************************************************** ' � | SPECIFICATIONS / ' WINDOW CONSTRUCTION '. WINDOW TYPE: 1- TYPE:-HORIZOPTAL SLIDE GLAZING: DOUBLE PANE STORM WINDOW: NO �"�NG YES LEAKAGE: AVERAGE GLASS COATING' CLEAR ` W�ATHER�TRIrr^ � . . ' INTERIOR SHADING: DRAPES,BLINDS OVERHANGS: NONE O / R, CONSTRUCTION ' ' ' DOOR TYPEl TYPE: WOOD STORM DOOR: NO LEAKAGE^, AVE WSTRIP: YES ' I., 4 WEBS HOMES NORTH PARK PLAN 207 JOB NO. 1. ENTIRE HOUSE — WALL CONSTRUCTION INSULATION R—FACTOR: R-19 WALL U—FACTOR: 0.042 WALL CONSTRUCTION TYPE: 1 WALL CONSTRUCTION: FRAME FLOOR CONSTRUCTION 4' FLOOR TYPE: 1 LOCATION: SLAB PERIMETER: 167 FT AREA: 1.332 SQ FT -EDGE INSULATION: NONE COVERING: CARPET �. CEILING/ROOF CONSTRUCTION CEILING/ROOF TYPE: 1 LOCATION: BELOW VENTED OR UNCONDITIONED SPACE INSULATION R—FACTOR: R-30 AREA: 1332 SQ FT IS ROOF.DARK: YES DUCTWORK -DUCT LOCATION: ATTIC OR OPEN CRAWL SPACE W/Otdf INCH INSULATION LIGHTS & APPLIANCE LOAD (WATTS) 350 'NUMBER OF PEOPLE 4 MECHANICAL VENTILATION (CFM) 100 r 6 �s . WEBB HOMES NORTH PARK PLAN 207 JOB NO, 1 ENTIRE HOUSE- OUSE WINDOW WINDOW AND DOOR SUMMARIES GLASS AREA COOLING HEATING 1 2 3 TOTAL TOTAL LOADS BTU/HR BTU/HR NORTH 60 0 0 60 NORTH 1333 1674 NE/NW. 0 0 0 0 NE/NW. 0 0 t. EAST 12 0 0 12' EAST 663 335 SE/SW 0 0 0 0 SE/SW 0 0 SOUTH 106 0. 0 106 SOUTH 3288 2958 WEST 6 0 0 6 WEST 331 167 t,. HRZNT 14 0 0 14 HRZNT 2267 430 .. TOTAL 198 0 0 198 TOTAL 7882 5565 DOOR AREA l 2 3 TOTAL TOTAL DOOR LOADS r NORTH 21 0 0 21 NORTH 336 457 NE/NW 0 0 0 0 NE/NW 0 0 EAST 0 0. 0 0 EAST 0 0 SE/SW 0 0 0 0 SE/SW 0 0 3 SOUTH 0 0 0 0 SOUTH 0 0 r WEST. 0 0 0 0 WEST 0 0 TOTAL 21 0 0 21 TOTAL. 336 457 WALL SUMMARIES PERIMETER HEIGHT DEPTH NET AREA SHADED ALL DAY NORTH 52 8 0 335 NO NE/NW 0 8 0 0 NO A ; EAST- , 30 8 0 228 NO SE/SW 0 8 0 0 NO .,SOUTH 52 8 0 310 NO WEST 33 8 0 258 NO 4' TOTAL NET WALL AREA 1131 SQ FT TOTAL WALL COOLING LOAD 1637 BTU/HR TOTAL WALL HEATING LOAD 2228 BTU/HR TOTAL BASEMENT HEATING LOAD 0 BTU/HR �.: FLOOR LOADS C-- TYPE 1 --) TOTAL COOLING 0 BTUH 0 BTUH HEATING*' 11292 BTUH 11292 BTUH 'CEILING/ROOF LOADS C-- TYPE 1 --J TOTAL COOLING 2,366 BTUH 2,366 STUN 1,957 BTUH ' HEATING 11957 BTUH i:'#iE9(•iEiEiEdEiF#iE###iEiEiEiFiE#iFiF•1E3E•kiF�E#•kiF#ii•#ic3t9tA•iticteicititat•etisitisititisRiricRr.sitpxR7.s:RxR•xp:? WEBB HOMES NORTH PARK PLAN 207 ".JOB N0. 1 ENTIRE HOUSE - COOLING LOAD ti r • G .. S BTUH BTUH } .—PEOPLE SEN. LOAD 990 LIGHTS & APPLIANCE LOAD 1314 ` INFIL/VENT SEN.'LOAD 4042 COOL CFM -STD AIR ;78 DUCT HEAT GAIN 1849 HEAT PUMP COOLING CFM 934 TOTAL.SEN. LOAD 15411 TOTAL LATENT LOAD 2959 #* GRAND TOTAL COOLING LOAD 20,219 BTU/hr or 1.68 tons#### FLOOR . AREA . , 1`31310 SQ FT/TON . 7-89.35 t COOLING'CFM 778 HEAT PUMP COOLING CFM 934 COOLING CFM/SQ FT 0.58 HEAT PUMP COOL CFM/SQ FT 0.70 `• FROOM TEMPERATURE SWING FACTOR = .83 }. `'':�',a%*iE'#iF**��iE*�iE��'•1E�E�#*�#�iE�'lE��'�3E•��('�.�'�''##'�''g''�'iE#•k##'k''ie�##it''ir•k####�'###�r'A'iFfi'9E�'r.A• HEATING LOAD INFIL.-LOAD 4445 DUCT HEAT LOSS 1913 TOTAL HEATING LOAD 17,85.7 BTU/hr or 1-.4.9—tons# FLOOR - AREA 1330 SQ FT/TON 893.75 HEATING .CFM 250 HEAT PUMP HEATING CFM 668 HEAT ;CFM/SQ FT'. 0.19 HEAT PUMP HEAT-CFM/SQ FT 0.51 ***.LOADS INCLUDE 10% SAFETY FACTOR #�# F,�. �.._u�` '.. 'n yy:. ..n114 .�y. ...V-vr,..-."'G." � -. '.-�i°tirr"^-.,.������ff .tel r trrr•�' ^ _ ,�Y• :t.• r.. ... - ` -' ,� r . -� � i �- _�_ r' _ i. �r � '� '� 'r +.� t . t `i � r r' �r t `i � �. • �� � � ; S f } .l � � i � J� � ` � �� � � � 1 'f ;. • �. - . .. �. 1� � � } 1 1 . - � ♦ 1,. .. - 4� ... � 1 i � t F � �,. � • . r f ' i + '' i f pp ' � � � � 3 i � --`---r COUNTY OF BUTTE - DEPARTkENT OF PUBLIC WORKS PE 7 County Center Drive - Oroville, CafiTarniaPERMIT NO. T5965 - Telephone: 916.'538-7541 RM / / q APPLICATION,_AND PERMIT ASSESSOR PARCEL NUMBER 007-460-015 ZONING R-1 BUILDING PERMIT OWNER Blake Patrich TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 583 Kings Canyon Way, Chico 95926 CONTRACTOR'S NAME Tom Wilder TELEPHONE 891-6365 CONTRACTOR'S MAILING ADDRESS 271-E. 5th Ave., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ I. (wo OO Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 24.0Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 39.00 PLUMBING PERMIT Filing Fee 15.00 583 Kings Canyon Wav, ChiOC 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 Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition iJ Remodel j_; Uti lities ❑ Installation ❑ Other Describe work: RUWF WO". _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO t00oA> _ 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. License ,�o. �2G6 .76 Classification 13 ❑ 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 OCCUPM OR ADDNS. l ACC. BLDGS. / 3.6$sq.ft. NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76d FIXED APLNS. EX. OCCUp. OUTLETS PRESID )REA.) I 3.01 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® 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. MECHANICAL PERMIT Filing Fee 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 and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X —7-�r/v�+ /ltS �/� �c>�Date r�'7` y 3 g pp ❑ Contractor Agent ❑ Signature of Applicant - ownerse 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $39• 00 HAz I DFEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR �OF" PUBLIC By ,� %pa✓c N' 10 t.-�.IzIi PERMIT EXPIRES Date,! applicable provi- resolutions to do have been paid. WORKS _ Date % ' Receipt No. ! I >> ) !� ^� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t COUNTY OF lb L ENT OF PUBLIC WORKS 7 County Center Drive = California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO� ASSESSOR PARCEL NUMBER 007-460-015 ZONING R-1 BUILDING PERMIT OWNER Blake Patrich TELEPHONE SO. FT. OCC. BUILDING VALUATION I t9 Com 1,080-00 OWNER'S MAILING ADDRESS 583 Kings Canyon Way, Chico 95926 CONTRACTOR'S NAME Tom Wilder TELEPHONE 891-6365 CONTRACTOR'S MAILING ADDRESS 271 E. 5th Ave. , Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER's MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 24.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $39.00 PLUMBING PERMIT Filing Fee 15.00 583 Kings Canyon Way, Chioc Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF D Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New r Addition i_j Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: REROOF W/COMP. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions [Code and my license is in full force and effect. License No. 92-e %� Classification 13 ❑ 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. OR ADONS. 1 ( DWELLING OCCUPM ACC. BLDGS. _37.50 3.64 sq.ft. CONSTR ULTI.OUT LET NEW NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 7651, FIXED APLNS Ex. OCCup. OU LETS (RESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ LContractor 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 Countyof 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. �1 X T'o�' , – W/ 4Q��L Date's y 3 Signature of Applicant — Owner ❑ ContractorAgent ❑ An OSHA permit is required For excavations over 5'�deep and demolition or construct - ion of structures over 3 stories in height.CT Mobile Home Installation Fee S Energy Inspection Fee $ OCC i CONST TYPE I TOTAL FEE $ 39.00 HAz I DFEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees R UBLIC By 4keReceipt PERMIT EXPIRES Date Jr applicable provi- resolutions to do have been paid. WORKS D to r� f No.�3 6 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT s.r i ljprt,�°j�'��('�r�+,..y„"'r� 1S.r7"4`r�'i.`"Tr+Y'.,,►wxr^ 4�; �.:.-.-.-r. > n%. -. ` � + .. -.. Y Yy§ Y, � COUNTY OF BUTTE - DEPARTMENTQ11ir DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 V --; PERM1TAPPLICATION DATA SHEET OWNER ^.1'od l r A. P. No. /-/Z 3 %• �!�� Proposed'Building Use '.Building Inspector IK Date 7} 7'0 At time71. mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 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 . ....................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Foim.................................................. 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 . .......................................... 1.6. 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). . . 20. Pre -inspection for required. .. ; 8..J � Ova - (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 . ..................................................... A 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 ApplicantomftS' �"` 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: t 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 PERFECTION Sales, Service, Installation • Lic. #566654 APPROVED Butte County :nvl ntai Health CS Date v Signature �v ,tom i r.E 06c- Assessor's Parcel Number: 0 0 Owner Name /Address / Phone -No. L HVz, J A ccs,j r_ i ,.r Site Location `) 35 K(9S C-A"Y'oN Contact: Name 42-o � Phone M Eaton rd. Godman hwy 99 PLANNING OlVi.SiO;''4 - LIULOiNG PLAN APPROVAL Use:CV Date: 4 -21 -OT Parking: Landscaping: Other. Signature: Pool shall not be built on any easements. Fence is 5' non -climbable. Any door to pool shat be on alarm 85dBm or greater. Cates shall open outward, self -latching. Chris and Mary Jackquet 583 Kings Canyon way Chico, CA $93-8063/61 "074 Owner Pool General Specifications Size: 30' " 15' Perimeter. Square Footage.370' Depth: 31.6' Filter 36' DE Pump: 2 speed 1 hp whisper Skimmer model: Sta-Rite Deck: 450' Main Drain: Double Light: SAM 4 color Clocks: Digital Electrical by: Perfection Electrical bonding: Perfection Pool Cleaner. Letro Legend Chlorinator: Rainbow Chlorinator Board: no Slide: SR Smith whtie Plaster: white Autofill, SAM light, Slide i PERFECTION fic.05MU Ell 172. E. 20th strut, Chico CA 530,M.0437