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009-340-154
b� Z22-2ALa5' PERMIT#98-0034 BILL, Richard 578 Macedo Rd., Gr i ey Cont: Pomeroy Const. New Single Family 42' PERMIT#9 —1017 MURILLO, Deanna & BILL, R chard 578 Macedo Rd., Gridley Cont: Pomeroy Const. 1 Add Cov.Pnrrh/CF ` p29-24n_i54 99-07 4. BILL, Richard / 578 Macedo Road, Gridley Contr: Pomeroy Construct' n Permit to Complete BP9 ,8-0034 0 151 0 - l o3a - RESIDENTIAL -� �9 7o' 022-240-154 PERMIT#98-0034 BILL, Richard 578 Macedo Rd., Gridley PERMIT NO. Cont: Pomeroy Const. �. New Single Family PERMIT EXPIFt__ 40WNER CONTR. rASSESSOR PARCEL ! LOCATION OFFICE COPY Address 1 GAS f Meter By Dat: ELECTRIC t7 Meter By � { s OFFIL§ COPY N [GA s rDi r; Date�— ByTRICDBy Temp. Power Pole Called PG&E -3 Temp. Elec. Service tY a Called PG&E FTemp. Gas Service �I s Called PG&E '%J0B FINALED ate) Signature V=OK • O = Not OK Not • = t Applicable NoReaMOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK except #'s DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'a 1. Zoning Requirements - Setbacks - Easements i 1. Zoning RequirementsSetbacks-Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils Size-DepthSpacing•Connectors-Steel 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists-Deeldng-BracingStairs-Rails 4. Water, Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectom Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 5. Alum. Awn.; Columns-ConnecbmsSplice-0ecal-Enclosures 6. Gas; Location -Test -Wrap; / /'L'(L / /Nat or/ / L*tL/ /LPG 6. Carports: Windows -Doors 7..Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Data Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements Setbacks Easements 2. Footings; SUB -Spacing -Marriage Line 3. Gas; MH Test DemarKValve•Connector 4. Electricity; MH Test-CrossoversBreakers-Clearances 5. Drain; MH Test-FalWlex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 • ry MISCELLANEOUS" Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'a 1. Zoning RequirementsSetbacks-Easements 2. Footings; Soils Size-DepthSpacing•Connectors-Steel 3. Decks; Girders and/or Joists-Deeldng-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectom Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnecbmsSplice-0ecal-Enclosures 6. Carports: Windows -Doors 7. Electric 8. Frmg.; Sds-Anchors-Studs-RWsTrusses 9. Siding; Nailinga/eneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps-Doora-Landinge 12. Braced Wall.Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.: Receptacles and Lighting, Distance{'FI 5. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal wX-Circulating Equip.+leater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panetboardsans. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TesPWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Olt O = Nbt OK RESIDENTIAL - = Not Afplicable = Not R2 Date NDERFLOOR (Plans) OK except #'s V. ZoningSetbacks-Easments-FloodSlope _OeTtg., Main; Soils-Elec. Gmd. / . Depth rP,4%.7_Ftg. Garage; Soils-Steel-Elec. Gmd/ /' Ftg. Depth Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. S9nW.,alls,-Garage; S*IBlockouts-Wrapped 6a. Hold Downs and Special Anchors Slab, Steel -Wrapped 8. Pi ireplaoe Ftg.Steel D.W.V.; Fall -Fitting -Test -2 Way C/OS est ' 10. UF. faas Pipe; Size Anchors - YASWas Piping; Size 04"Water Pipe; Test Anchors-RegulatorService Test ti 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts.loists Vents-Crippies 15. Access & Ventilation 16. Insulation Date XAY�/"Y Card B-1 Date --PLUMBING (Permit) OK excect #'s Water Pipe; Test & Anchor -Nail Protection 9. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access as Pipe; Sae & Anchors Pool Da — Card B-1 i Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s Fopre & Transformer Clearance ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors Sim Boxes & No. of Conductors Stapled OV"Romex Installed Close to Edge of Studs & C.J. . quip. Ground made up w/Mech Fastners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size GFi ?6.,Sd51eed Wire Size / /ga. Cu or AI-A.C. Wire Size / /ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 3k--Te_rvice-Riser Conductors & Ground -Main Disconect 32.. q 'p. Clearances Panels-Motors-Mech. Epuip. lothes Closet Light -Shower Light -Spa Light V, -Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ,.,MECHANICAL (Permit) OK except #'s LoW ASC. Ducts Insulation & Support ant Fan, Exhaust above insulation ondensate Drain & Overflow, Size & Grade e Fu mance-Vent Access -Comb. Air -Return Air Vent 115 outlet aT Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date /FRAMING (Plans) OK except #'s 467 §I1s Proper Materials & Anchors KW IIs Studs -Nailing Spacing & Braces -Plates -Sound . Bqafing Walls over Girders & Floor Nailing D Stop in Walls (rat pmol) j4elfiT Stops, Furred Ceilings -Stairs -Chasers -Tubs PS,eog-Size & Beams Size &Bearing (Single & Duplex) Cling. Joist-Rftr. Ties=Purlin-roll Brac: TrussShting.-Ring. emplace Ties or Type A Flue -Fireplace Throat clearance A ' Access; Size & Romex Protection -Draft Sto s Bdrw. iindows or Exiting Doors -Sill HgL & Dimensions / . 5►!G5rgtge Fire Protection Framing l S !s s a5@�'roperty Line Firewall & Openings 5&. -'Ext Poors-One 3 -Check Garage 3rd Story, 2 Exits a4!SM, WidUi-Headroom-Rise-Run-Landing-Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers rng Veneer tycco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic: 59. She all • Nailing -Bolts 60. erior / Exterior Wall Panels !Q 144 nsu n -Walls -Ceilings Itration-WallsWtndows Date Card B- Date Card B-1 Dat Card B-1 Date ol,e g. Q u Card B-1 Date'/" '/ v" FINAL (Puns) OK except #'s Steps -Door & Sidelight Protection -Landings W. S etector Fumace; Vents -Clearance -Comb, Air-Conector- I rage; Above Floor-Ducts-Mech. Protection ' t Bedroom Exiting - 6A-@f..L8-BMth Fixtures & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels rs ails r Stove, Clearance -Hearth lec. Outlets at Wood Panel, Int. & Ext. ud. & Appliance; Ground. -Air Gap -Cooking Clearance 73. utiets&Becepticales at Kit. Counter 7 age Fire Door; Swing -Landing -Closure 75. ACA)u6in—Garage-Damper W .; Vents -Clearance -Comb. Air Connector-P.R.V. In Gara ye Floor -Meth. Protection ., E Mach. Equip. Listed for Location ectacles in Garage G.F.I. -Romex Protection nsulation-Foam-Looked in Attic Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clea Looked under Floor Yes Ilowing Instid./Drive 0 Yes o'lWalks 0 Yes o/Planters 0 Yes 83. Stu -Finish A.C. Unit Disconnect, Electrical -Plumbing t___85—Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings at II, Disconnect, Electrical, Plumbing Exteri r Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throught House ass tection —Co rrec' s from Previous Inspections 9 as Test -Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Datq rd B- Date Card B-1 Date a -1 jDate Card B-1 Date rd -1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA * (530) 891-2751 7 County Center Drive - Oroville, CA * (530) 538-7541 OWNER PERMIT NO.. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cotaict this office immediately. A REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA * (530) 891-2751 7 County Center Drive * Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT A routine inspection ��icates that the following violations of butte county Ordinances exist at the above address an compl+d. If y d"should be corrected. Please notice this office when correction of work is ,96 have any questions pertaining to this matter, or need additional explanation, please dontaXthis office immediately. 614- W" � COUNTY OF BUTTE BUILDINGk.,DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 13;// OWNER PERMIT NO. A routine insp flon ind' ' s that the following violations of butte county Ordinances exist at the dres:ca,nd Kate above ad Id be corrected. Please notice this office when correction of work is completed. If yoyflave any questions pertaining to this matter, or need additional explanation, please co isoffice immediately. 4 V e- e a,- '- " "- /— e7 '-- I / . —?— . 3 �— Date Inspector - REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA * (530) 538-7541 CORRECTION NOTICE f�r /1 9 ?—eqe) 3 C/ OWNER PERMIT NO. A routine inspVtion indicates that the following violations of butte county Ordinances exist at the above addreA and should be corrected. Please notice this office when correction of work is �AQpleted'.,4f you have any questions pertaining to this matter, or need additional explanation, Died -,hp cg6tact this office immediately. 1.00 4- f de Why,— 1.2/1-4- rd 02-'-S 12 e A"a -e2 Date 1, — 62q_ REV 10/92 b e 4 -Lu eoj 4- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA �& (530) 891-2751 7 County Center Drive * Oroville, CA *(530) 538-7541 CORRECTION NOTICE OWNER PERMIT A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact thispffrcl immediately. Htv lul!dz COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA * (530) 891-2751 7 County.Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE OW'NER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is compi'bted. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 0 a;ef G Date A, 7 lnsp�ctor REV 10/92 8 :r , C �; COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _ PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT1714 ASSESSOR PARCEL NUMBER 022-240-154 A 5 ZONING BUILDING PERMIT OWNER BILL RICHARD TELEPHONE SO. FT. OCC. BUILDING VALUATION ' nom/ V�/ . OWNERS MAILING ADDRESS 1340 CAMPBELL ROAD, LIVE OAK, CA CONTRACTOR'S NAME POMEROY CONSTRUCTION TELEPHONE 695-0449 CONTRACTORS MAILING ADDRESS 3049 CORINNE COURT, LIVE QAX CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Feez ORIGINAL $ 447.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 578 MACEDO ROAD, GRIDLEYgy Ener Plan Checking Fee $ g $ PERMIT FEE $ 467.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 -102 Solar or heat pump water heater 23.00 Water piping 15.00 % So Each as water heater or vent 15.00' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: jOF Btffbf) ^ 98-0034 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I GI W 1 920.00 PERMIT FEE S r, ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licens is in f 11 force and effect. yy�� License Class - Lic. N8: 7 �y �i G OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADONS. L & ACC. BUDS. 3.5¢FT, NEW REOSID. MULTI.OUTLET 97,50 POWER APPARATUS S SINGLE OUTLET CSR. Ex. Occup. OUTLET OR FIXTURES 20 @''00 aAL @ .w Ex. Occup. oUT D pES,p.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 0� PERMIT FEE $ t4 3'z— WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. __ D e - �J - �% Si ature of Applicant - ❑ Owne �C Contractor ❑ Agent OSHA permit is required for cavations over 5'0"deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE vv TOTAL FEE $ 'O :HAZ. D. FEES IMP FLOOD CDF I PARCEL I PD HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ^ `9`9 By to [ PERMIT EXPIRES ONHITE-D.D.S.•B. (Date) rReceiptNo. C NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVtLOPMENT SERVICES' - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 n PERMIT NO. (Rev. 12/96 APPLICATION AND•PERMIT `� 9- © I ,jy��FSST4(SC JnBER ZONINGA 5 BUILDING PERMIT R HARD BILL TELEPHONE SO. FT. OCC. BUILDING VALUATION 257,356 914 112,888 114!1s L*1 i nsf ROAD, LIVE OAK 0 PUINI � rtTNSTRUCTION TMO-16449 2,288 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 172 532.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 895.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 581.75 PIIIN1�1H�O ROAD GRIDLEY Energy Plan Checking Fee $ 23.00 ' $ PERMIT FEE $ 1 4 .75 LOT NO. SUBDNISIONS NAME PA/ / € MAP ,. PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 9 1 7.00 63.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 1 5 -nn TYPE OF WORK New T Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FOUR BEDROOM HOME Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 6*1-00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service loon oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class , Lic. No. �� � � � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To 1000A 46.00NEW CONST. DWELLING OCCUR NG CC OR ADDNS. ( 8 C.BIDS. SO 3.50FT. 27.05 NO -REStID. M�IDUTCETS @7.50 POWER APPARATUS 8 SINGLE 0 ET CIR. Ex. Occup. OUTLET OR FIXTURE 20 Q 1.00 BAL p .so PPUNS Ex. Occup. ouTLEEDTs RE D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating 1 5-00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. C. X _ ./ II Date • _�� � / 2 Sig ture of Applicant - ❑ Owner ❑ Contractor ❑ A nt An OSHA permit is required for exc 'ations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 o co _. TMP TOTAL FEE $ 1,948.80 HAZ. ,. D. FE IMP FLOOD ,CDF f: PARCEL PD HD SSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate bove for hich fees have been paid. It f By UZ Date �^ PERMIT EXPIRES ON Date Receipt No. 231503 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION *� 7 County Center Drive - Oroville, California 95965 .-: i`-aiephone (916) 538'7541 PERMIT NO. (Rev. 12/96) APPLICATION AND, P-913 IT'"'" ASSESSOR PARCEL NUMBER ZONING "—''�. BUILDING PERMIT OWNER v - TELEPHONE \ SO. FT. OCC. BUILDING VALUATION OWNER MAIUNG ADORES CONTRACTOR'S NAV T LEPMONE /�U'/ CONSTRUCTION LENDER'S MAILING ADDRESS PERMIT FEE 1u 141MGw --7--% 3 01� V Fling FeeT Total Valuation $ f S72 Main Service ARCHITECT OR ENGINEER 23.00 LICENSE NO. Filing Fee $ 46.00 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 6 ACC. BLDS. Plan Checking Fee $ NEW CONS T. 7 " BUILDINGADDRESS - ' Energy Plan Checking Fee $ __ F}—z'tilPAWPERMIT $ FEE $ 7, LOT No. 2 SUBDNISIONSNAME PA%E} _ Oni PLUMBING PERMIT Fling Feel 20.00 I USEOFSTRUCTURE I 6 SF k Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New k— Addition ❑ Re el Q Utilities ❑ I llation 0 Other ❑ Describe Work: VMO LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, i shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X I Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" dep and demolition or construction of structures over 3 stories in height. r /1 Receipt No. 3 1 , �" - 11U<<%. j1 �JHITE-D.D.S.-B.D. CANARY -ASSESS R PINK -IN ECTOR GOLDENROD -APPLICANT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G I W 7.00 23.00 15.00 / 15.00 l s 15.00 f S' 15.00 / r @20.00 Ex. OCCU OUTLET OR FIXTURES PERMIT FEE $ 3 01� ELECTRICAL PERMIT Fling FeeT 20.0 Main Service zo.A OR LESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. 3 5¢SO. FT. NEW CONS T. MULTI -OUTLET Ex. OCCU OUTLET OR FIXTURES BAL CW .SO OR Ex. Occup. OUTTLEEDTS(RESID.) EA 5.00 —Temporary Service 23.00 Mobile Home Facilities 20.00 ' Misc. Wirinq 23.00 PERMIT FEE $ /70.015A MECHANICAL PERMIT Fling Fee 20.00 Heating X a I .:?n. M G�— Hood 6.50 v I Ventilation I I e -KI -19 /3 PERMIT FEE 1 $ iaa Mobile Home Installation Fee Energy Inspection Fee $�i� occ CONST. PE A TOTAL :z HAZ. ~ D. FEES IMP FLr CDF ppry�{ HD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Date eS'► �� �Y��1�CL}� 3CD� �l COUNTY OF BUTTE DEPARTMENT OF DEVtLOPMENT SERVICES -BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (91.6) 538-75411 v.., .;. / 1 PERMIT.APPLICATIONDATA SHEET OWNER: ( L L %Z C 6i A -re -6 ASSESSOR PARCEL NUMBER: ©� ^ �7 b ''� • •- -- Proposed, -Building Us� Building Inspector: Date: / 7 A�time of permit application, I was advised the following data must be submitted prior t6 -permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .-------------------=------------=------------------------------=-- = `-==,,---------- - pw... plans, 3/4 sets, signed by the prepay plans.---------->--------------------=---------------------------. 'mplete plans, 3/4 sets, i :epreparer of�ans�l ------------------------------ 0 --------------------- ---=" =.; ------ *7. gineered plans, 3/4 sets, with wet signature on p.gineering.must be shown on plans.-------- gineered truss details and layout in duplicate (required prior to plan review) No faxed-"' + ; ------ -------------------------- ----- ergy Design Compliance and supporting documentation. --------------------- -y,- --,----------------- "r & R2d;iN tement of Intent for Non -Heated and A/C Buildings. --------------------------------- --- ;::--;------------ ❑ 8. Hazardous Material Form- ------------------------------------------------------ ----------------------------------- 09. Manufactured Home data d installation instructions including Tie Down Specifications. OFees of - :� ------------=------------------------------------------------------ pact fees as shown on the attached Ahedule- ----------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees- --------------------------------------- ❑ 13. Flood elevation certificate Sanitation and plot plan approval Health Department. ------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs.---------------------------------------- -Planning -----------------------------------:--- .Planning approval for (A) Use: (B) Parking: ------------------- 8. Contact Land Development about Improvements, ❑ Drainage, Legal Parcel. ----------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection fey - required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -• _ (Date) s 1124. Letter of signature authorization. -------------------------------------------------------------------------------- 00— Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------' ❑26. Letter of intent on building use. -==- ------------------------------------------------------------------------- 027. Manufactured Home utility clearance. - ==- ------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. - -------------------------------------------------------------------- 9. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- Other: �� P.L� OG��'�YL2 �i7L n� C, /Yl e c�G! kI Whew -you issue the permit, process as follows ❑ Mail to er, ❑Mail to contractor Telephone �S� and hold for pickup at office. ❑ Deliver with inspector. Applicant: �v Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ' ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: By: 1. Index pemut application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mai , uilding Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, 13Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: //�- Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. �ti� '�O.-' Building Department FROM: Environmental Health SUBJEM Sanitation Clearance Mt PI. Aft.&W R.H. USE MY FW" PLU AnwW Scato&D. 1 —17 A't e-) OL IFQ �vo - Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well 7"— Clearance for bedroom mobile home. Other Hold final for: F-/� S t�M �-A)T —Fo' LA 5 C, (A) I Lt— ic&Oi A 6-14 N-8,fl LYS P,,Q OP Ir Final clearance O.K. for: 7 q,0— NOTE: Environmental Health Specialist Date �IWGIIPI • v{ COUNTY OF BUTTE ' DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 ti SCHEDULE OF FEES DUE OWNER "A P: # PROPOSED BUILDING USE; ,""l-D) !E V 4-1 RC# DATE REC BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... -- Revised Plan Checking Fee ....... $ 5 2. SCHOOL DISTRICT FEES / (paid at District Office) PIC 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ ��(3 1 _ 7-?9- Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. " 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 1 $89.00 (paid at Building Division) " 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE z10. $ 00.00 (paid at Building Division) - aaQ Qa OTHER / At time of permit application, I was�dvised 4Vow 99 es are Arequired to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANTg ., DATE Original -Owner Copy -Building Div. k (Rev. 12/96) LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. M u rz l t—L t, , f� N � o OtfANI A OWNERSI ` n A.P. NAME: ( I C 0-�' NUMBER: PRINT LAST NAME R T COUNTY ZONINGO DESIGNATION:_ 5 FLOOD ZONE: FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP ✓ DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING 2—LOT 2- BOOK PAGE COMPLIANCE WITH OLD SUBDIVJSION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES ✓ NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. X1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of=way/centerline of SEE-- Comply with Zoning code for building setback from road. ,SEE 1' -7 M 9 Fp S �NP�� 4. Maintain a 100 ft. leachfield setback from all existing wells. 1�1 Sic 5. Maintain a GU ft. leachfield setback from 1D1�Iii A G IE W t\ ;J X6. Pay water tender fees in the amount of $ Z -e00 to Battalion Number of the Butte County Fire Department. _ 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. _ 9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings a4mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Peymmnt to be node to the Plbm7k7y Division. 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23. 24. 25. 26. 'Ala 1N3Wd013A30 ,2N- 31me d0 A1W)n' ®3f 113���t LD 7/96 CAWP51 \FORMS.K\BLDGPERM.CLR I RECORDING REQUESTED BY BIDWELL TITLE & ESCROW COMPANY Order if 4-980204 AND WHEN RECORDED MAIL TO Deanna L. Murillo 11315 Wfew kk k.Ir t Oa. , C& lq5g5J • • III(�'II'III�II(III'(IIII�II(II"I 1 9CEP 8-0G5108CEO 1 1 Recorded I REC FEE 10.00 Official Records I Countyy Of I CANDACEuJ. GRUBBS I I I Maureen 12:13PM 09 -Mar -1998 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE AP# 022-240-153/154 Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The undersigned grantor(s) declare(s): Documentary transfer tax is $0.00 - This is an easement deed and value is less than $100. R & T 11911 ( x ) computed on full value of property conveyed, or ( ) computed on full value less liens and encumbrances remaining at time of sale. ( ) Unincorporated area (X ) unincorporated area > and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Deanna L. Smith, AKA Deanna L. Murillo and Antonio Murillo, wife and husband , hereby GRANT(S) to Deanna L. Murillo, a married woman the following described real property in the unincorporated area County of Butte State of California: SEE ATTACHED SCHEDULE C FOR LEGAL DESCRIPTION Dated: February 25, 1998 "D a anna L. Smith AKA Deanna Antonio Murillo ELS . . t e--\ L. Murillo State of California County of fi!L��� I SS. On �-/ —� z2 before me, t—hee undersigned, a Notary Public in and for said State personally appeared �3� M A z-, �,�tl1r�� t 7-H •A- r\\ -To M I(---) M Ll 0& 4� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their. authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted executed the instrument. WITNESS my hand and official seal. L. LEA WAGNER ` 0My COMM. # 1072985 ccNOTARY PUBLIC-CALIFORNIAU) COUNTY OF BUTT:. w Comm. Expires Mat : 1999 woo L. LEA WAGNER D yCOMM. # 1072965 cc QMuy NOTARY PUBLIC - CALIFORNIANCOUNTY OF BUTTE Comm. Expires Sept. 24, 1898 Signature - (This area for official notarial seal) MAI. TAX STATEMENTS TO Same As Above J Exhibit "A" Waterline and Well Easement A non-exclusive 15 foot wide easement to construct, install, operate, and thereafter use a water well, water line and all fixtures commonly used in conjunction therewith, over, under, and across that real property being a portion of Parcel 1 as shown on the Parcel Map recorded at book 117, of Maps at page 99, Butte County Official Records, recorded March 1, 1990; also being a portion of Lot 4, Cradley Colony Number 11 as recorded in Book 6 of Maps, at page 56, Butte County Official Records, located in the Northeast quarter of Section 35, Township 18 North, Range 2 East, Mount Diablo Meridian, in the County of Butte, State of California, more particularly described as follows: Commencing at the Southeast corner of said Parcel 1; marked by a 1/2" rebar with a plastic cap stamped LS 4202 in the center of Macedo Road; thence, North 00°31'37" West, along the Easterly line of said Parcel .1, a distance of 290.00 feet to the Point of Beginning of said easement and being the center of said 15 foot wide strip; thence, leaving said East line, South 89°28'23" West, a distance of 60.00 feet to the terminus of said 15 foot wide strip and easement. r ' This description has been prepared to allow the use of an existing; well located on said Parcel 1 by a residence located on Parcel 2 as shown on the above noted Par�.el Map. If the owner of Parcel 2 develops a well for residential use on Parcel 2, this easement shr,11 terminate. j# �) - 115���� Jeff W. Spence LS 7414 exp. 12-31-2001 0 L.auahlin and Cnmoanv - file. Docvrrentl - 01/07/98 - 9:29 AM SPF�9L�< O� O J .�a iteu_ �' Yom`".•: L A N D O F NATURAL WEALTH A N D B E A U T Y � •. }.qtr. . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE.- OROVILLE, CALIFORNIA 95965-3397 JANUARY 14, 1998 A TELEPHONE: (916) 538-7541 FAX: (916) 533-2140 POMEROY CONSTRUCTION 3042 CORRINE CT LIVE OAK, CA 95953 Re: PERMIT #98-0034 A.P.# •022-2+40-154 With reference to the above subject, attached is: [XX Plan Check List ' [ ] Red Marked Calculations [xx] Red Marked Plans [ ] Other Action Required: • [Xx] Comply with Plan Check List [fix] Resubmit Plans with Revisions As Required ` [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, lip - 'LINDA SEXTON`: a- , Permit Number: Permit Applicant Op 3 `/ Assessor Parcel Number: The above' referenced •'brii0hg-: plans were reviewed `by this ierx. Provide irdditional information and/or make revisions to plains, specificadons armed CalculadOns as follows: G-VOI27 �,�. �� /� • o /P 1 /l, -fie. fivr/1� ��� � f , � '.e �%{J V Y , `��C.G!-V"A/ 4 �J✓� L'/Q�\y' U � ��. -- ,,�Q � lj . • y U ,4 9Ot L amu® 5 6L � cis • ����� � � , If you wish to discuss any requirements, you may contact me at (916) 538-7541 between L 00 P.M. -and 4.00 P.U.;,Monday,through Thursday. *! A -zM�S;rw�-.'.T*`""1-i "'•`*4 :-��`t7"'y_.�,:•'F'v`.'.hf .,,w,,.-:�N•....,�..r„H. .. �t�.,u ..�..h..�•..w ►,...-.,.- .nom ..�,.,-'.:r `v.......�..-.,,,�,. .�� �,.s'•+c'-•. ^'--r. t�'_ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM r . (One form per Building) . r , �s a x~ School District (a /tit 401, /— `-�,r° Building Department No. A.P.'Number Jurisdiction:City ® County Property Owner Property Location/Address S . g //! . C. C. 1 Subdivision } Lot No. Residential Development Commercial/Industrial Building Department Representative f No of Living Mobile Home Units Installation A- JE Sq. Footage • c;? % /4/ Addition t r f (Group R) New Addition moor rians reviewea Dy acnooi uistnct rersonneq District Identification No. 15- 4 Sq. Footage. (Including Exterior Roofed Areas) .7 ?_k Date School District certifies that r (Applicant) (Street Address) (Phone Number) (State) has complied with the requirements of Resolution No. representing �'� square feet. School .9SS (Zip Code) by payment of $ ✓� W B 2926 • S ULL MITIGATION $ Date Paid by Check # Remarks: "tey* roe) X. - Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 6602016), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification -Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on.the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm AND WHEN RECORDED NIAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be' prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described'as follows: �11^�ei a " OJ1d 2 shown avi-W dP.+tai n Petree-i MA p -Q led -y reeard i' --� t 04-41'e e bU yt-i r2eQ,+rde,- (' -1 h� ©� t3vl�f e y e r ' 0a h-�-r n i�?, a�i HP6\ 1, 1 I o on . 11-7 e�' �lrt,os oc P aD�i �1. o . naA _J 6j► ,e. QA2-ftk4 0, rw� AAd " ufi I 06 Sit kriin 2n -tlr t -RLre61 P" Q,val't t�q0 1� ooK 117 p� Date: YR RTY OWNERS: R hQ De Murillo aka tonio Murillo Deanna Smith State of California ) County of Butte ) ' On 01/06/98 before me, , Lynette Garton personally appeared Deanna Smith and Antonio Murillo personalh° known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. � � LYNETTE GARTON COMM. #1023342 ^� 4 NOTARY PUBLIC • CALIFORNIA m ' SUTTER COUNTY Signature eal• I Comm. Expires APR. 17 1968 1 • f A.P.4 98-0007071 Rec Fee 5.00 IHF 2.00 Recorded I COP 1.00 �. Official Records I Cash 8.00 County of I .Butte I Candace J. Grubbs I Recorder I ' 11:36am 8 -Jan -98 I PUBL XX 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be' prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described'as follows: �11^�ei a " OJ1d 2 shown avi-W dP.+tai n Petree-i MA p -Q led -y reeard i' --� t 04-41'e e bU yt-i r2eQ,+rde,- (' -1 h� ©� t3vl�f e y e r ' 0a h-�-r n i�?, a�i HP6\ 1, 1 I o on . 11-7 e�' �lrt,os oc P aD�i �1. o . naA _J 6j► ,e. QA2-ftk4 0, rw� AAd " ufi I 06 Sit kriin 2n -tlr t -RLre61 P" Q,val't t�q0 1� ooK 117 p� Date: YR RTY OWNERS: R hQ De Murillo aka tonio Murillo Deanna Smith State of California ) County of Butte ) ' On 01/06/98 before me, , Lynette Garton personally appeared Deanna Smith and Antonio Murillo personalh° known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. � � LYNETTE GARTON COMM. #1023342 ^� 4 NOTARY PUBLIC • CALIFORNIA m ' SUTTER COUNTY Signature eal• I Comm. Expires APR. 17 1968 1 • f A.P.4 NOTE TO RECORDER: DO NOT RE( -'ORD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: A.A. -1 I . Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). 2. Property o,.Nners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday) . � M V ; LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. OWNERS rn r -D— A.P. NAME: I / fJAP_ /LLL) �AIJNiJ NUMBER: � ' 2 L) PRINT LAST NAME FIRST ADDRESS/ LOCATION: Mote --Do 10'C -4L)' COUNTY ZONING 11` DESIGNATION: FLOOD ZONE: FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: i • PARCEL CREATION BY DEEDS OR MAP v .5 AC • DEED INFORMATION: DATE OF CREATION: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION COMMENTS/CONDITIONS: MAP INFORMATION: DEED REFERENCE: LEGAL ACCESS REQUIRED: YES NO YES NO DATE OF RECORDING 2 X LOT 2 BOOK 11-7 PAGE 9 COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. Y1. Maintain a 50 ft. building setback from centerline of road. <<! %r=te / Ji`7 a i=h CC :gT?� j 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ _ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. _ 9. Connect to a public sewer system _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA•Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) — 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ . as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23 24 25 26 AIO 1N-lNdO1I nAK --tNb luny JO AiNncE) 8MzoNdr (136U333?! LD 5197 C:\VW511F0NMS.RN8L0GK M.QA RECEIVED FEB 11 1998 BUTTE COUNTY BUILDING DIVISION RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY o i OWNER: BUILDINGPERMITNUMBER: PLAN CHECKER: G� / ✓ A. P. NUMBER: GENERAL: Zoningrequirements: (side yards and number of permitted living units). Valuation. Plans signed by designer.Proper description of work on application.Existing fLOT violations on property.Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.).Recorded notice of violation. PLAN: Complete parcel size and dimensions. Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on creation map (Noise, S.R.A..; Fire Sprinkle s, Water Tender ees, etc.). F.A.U. & F.A.S. road setback. 8. Building or utilities across lot lines (Record form). LOOR PLAN: Complete to scale plan with dimensions. •' `` ' Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). ` Skylights (Section 2409 & 2603.7). ti _ Glazing in Hazardous Locations (Section 2406). ' Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical.equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and'closer (Section 302:4). - �' •' Minimum of one 3'0" exterior door (Section 1004.6). ' Fireplace and wood,siove location, alcoves and clearance. --•` i moke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. RUCTURAL DETAILS: Conventional Construction - Unusually Shaped Buildings (Section 232.6.5.4). ` Standard bracing or engineered design (Section 2326.11.3). ` Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans* ' Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and calc. if necessary. ag oo d/orx-lr�er-sizes' eights. J' Adobe soils - special foundation design. " Retaining walls requiring design. Special Inspection requirements. Header size. June 1997 3.2 Stairway details: landings, rise and run, head,clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1-hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. lashing at all exterior openings. C.D.F. responsible area requirements. Automatic Fire Sprinkler Systems (Section 310.10) 19. For Inspection Jacket: Flood Hazard/Elevation Certificate SRA Requirements Special Inspection Requirements Automatic Fire Sprinklers June 1997 3.2 Mi Permit Applicant: Richard Bill Assessor Parcel Number: 022-240-154 Permit Number: 98-0034 Dste: January 14, 1998 The above referenced building . plans were reviewed by this office. Provide additional information and/or make revisions to plavi.; specilica dons mid colorations as follows: 1 YOU DO NOT HAVE THE REQUIRED AMOUNT OF NATURAL LIGHT AND VENTILATION IN BEDROOM 1. PLEASE INCREASE YOUR WINDOW SIZE TO A MINIMUM OF.19 SQUARE FEET v2--**' YOU DO NOT HAVE THE REQUIRED NATURAL VENTILATION IN BEDROOM 2 AND THE LIVING ROOM. YOU NEED 11 SQUARE FEET OPENABLE WINDOW AREA IN BEDROOM 2 AND 24/ 12.SQUARE FEET OPENABLE IN THE LIVING ROOM. PLEASE REVISE. ARE YU USING ONE LARGE GARAGE DOOR OR TWO SMALL ONES? IF ONE LARGE, THE 41 14 HEADER IN NOT ADEQUATE. ALSO, IF YOU HAVE 4" PANELS ON BOTH ENDS OF THE GARAGE, ALTERNATE BRACED WALL PANELS ARE NOT REQUIRED AS SHOWN ON SHEET 2. PLEASE REVISE PLANS. ba -/ lw� /(D I COMPUTE 308 SQUARE FEET OF GLAZING IN THIS HOUSE. YOUR ENERGY CALCULA- ONS ONLY ACCOUNT FOR 186 SQUARE FEET. PLEASE INCLUDE ALL GLASS DOORS IN YOUR CALCULATIONS AND ARCHED WINDOWS (AND ANY CHANGES TO WINDOW SIZES DOE TO ITEMS ONE AND TWO ABOVE) AND RESUBMIT ALONG WITH MANDATORY MEASURES SHEETS. I FIND A PROPOSAL' FROM - SPENCER INC. ' FOR 2 HVAC UNITS'. -'IF USING 2, WE NEED TO GET THEM BOTH IN THE PERMIT APPLICATION AND SHOW WHERE THEY ARE'LOCATED ON THE PLANS. ALSO THE ORIENTATION IS NOT CORRECT. w��-/, � � &9%6(JA � YOUR GIRDER TRUSSES (ACCORDING TO THE TRUSS LAYOUT) ARE 8' FROM THE WALLS, �-2I�V�� NOT 10'. PLEASE REVISE ROOF•FRAMING AND FOUNDATION AND FLOOR PLANS TO REFLECT THIS. YOU MAY NEED TO INCREASE YOUR HEADER SIZE OVER THE WINDOWS WHICH THESE GILDER TRUSSES BEAR ON. YOUR OTHER OPTION IS A NEW TRUSS PACKAGE WITH GIRDER TRUSSES AT 10' TO MATCH THE PLANS. I HAVE ADDED INTERIOR BRACED WALL PANELS TO YOUR DESIGN DUE TO THE FACT THAT THE MAXIMUM DISTANCE ALLOWED BETWEEN BRACED WALL LINES IS 34'. PLEASE ADD THEM TO YOUR FLOOR PLAN AND LABEL THEM-GYPBOARD BRACED WALL PANELS MAY BE 4' WIDE ON 2 SIDES OR 8' MINIMUM WIDE IF ONLY ON ONE SIDE. 07-1 YOU NEED AN EASEMENT FOR YOUR WATER LINE BECAUSE YOUR WELL IS NOT ON S PARCEL. I AM RETURNING 2 SETS OF PLANS TO YOU. PLEASE SUBMIT 2 REVISED SETS OF PLANS, 2 REVISED SETS OF ENERGY CALCULATIONS, AND THE TRUSS LAYOUT. If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Thursday. Linda Sexton MM CERTIFICATE OF COMPLIANCE: Residential • Page 1 CF -1R Project Title: POMEROY CONSTRUCTION - 97-6563 Run: 712 10 -Feb -98 Project Address: GRIDLEY POMEROY CONSTRUCTION CALIFORNIA Building Title: POMEROY, MURILLO Build�iln Permit # Document Author: `�� Telephone: 916-671-1008 Plan Check /-Date Compliance Method: CALRES2 1.31a Field Check / Date Climate Zone: 11 GENERAL INFORMATION Conditioned Floor Area: 2914 ft2 Building Type: SFD Single Family Detached Building Front Orientation: 225 deg (South) Number of Dwelling Units: 1.00 Floor Construction Type: Slab on grade BUILDING SHELL INSULATION Component Insul Assembly Type R -value -------- U -value -------- Location/Comments ---------------------------------------- --------------- Wall 13 0.088 Outside Ceiling 38 0.025 Attic Floor 0 0.295 Grade Floor 0 0.722 Grade Slab Perimeter 0 0.550 Unconditioned Slab Perimeter 0 0.900 Outside FENESTRATION Area U- Interior Exterior Overhang Frame Orientation (ft2) value Panes Shading ---------- Shading ---------- and Fins -------- Type -------- ----------------- Window South ----- 120.0 ----- ----- 0.570 2 Std Drape Bug Screen Overhang Metal 'Window East 62.0 0.570 2 Std Drape Bug Screen Overhang Metal Window North 64.0 0.570 2 Std Drape Bug Screen Overhang Metal Window North 60.0 1.280 1 Std Drape None Overhang Wood Skylight 16.0 0.510 2 Std Drape Bug Screen None Metal Window South 40.0 1.280 1 Std Drape None Overhang Wood THERE, MASS Area Thick Type Exposed? (ft2) (in) --------- -------- ----- ----- Floor No 1712 3.5 Floor Yes 1202 3.5 HVAC SYSTEMS Location/Comments ---------------------------------------- Grade Grade Type Efficiency -------------------------- ---------- Furnace 0.80 AFUE Air cond. -- central split 12.00 SEER . _ 0,0 „r Duct Location --and -R vu$�9,, o� Attic R-4 4� Attic R-4 CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R Project Title: POMEROY CONSTRUCTION - 97-6563 Run: 712 10 -Feb -98 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume Wrap System Name Type Heater Name Heater Type Htrs Factor (gal) R-val ------------------------------------------------- - - - - ------ ------ ----- Standard Gas Standard StandardGas Storage gas 1 0.53 50 0 WATER HEATING SYSTEMS MISC Solar savings Solar system Wood stove Wood stove System Name fraction type boiler? boiler pump? ------------------------------------------------------------ Standard Gas -- -- No No WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- ------------------------- ------ StandardGas 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- ------------- ------ -------- --------- --------- ------- None SPECIAL FEATURES, REMARKS, AND NOTES None COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in Title 24, Parts 1 and 6, of the California Code of Regulations, and the Administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features, Remarks, and Notes section. a CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: POMEROY CONSTRUCTION - 97-6563 Run: 712 10 -Feb -98 DESIGNER OR OWNER LAUGHLIN & SPENCE 1008 LIVE OAK BLVD YUBA CITY, CALIF 95991 530-671-1008 DOCUMENTATION AUTHOR LAUGHLIN & CO 1008 LIVE OAK BLVD YUBA CITY, CALIF 95991 916-671-1008 Ce.r • Signed Date Signe Date ENFORCEMENT AGENCY Name: Title: Agency: Telephone: Signed Date a A COMPUTER METHOD SUMMARY Page 1 C -2R Project Title: POMEROY CONSTRUCTION - 97-6563 Run: 712 10 -Feb -98 Project Address: GRIDLEY POMEROY CONSTRUCTION CALIFORNIA Building Title: POMEROY, MURILLO Building Permit # Document Author: Telephone: 916-671-1008 Plan Check / Date Compliance Method: CALRES2 1.31a Field Check / Date Climate Zone: 11 ENERGY USE SUMMARY (kBtu/ft2-yr) •Energy Use Standard Design --------------- ----------- Space Heating 15.15 Space Cooling 9.73 Water Heating 8.97 Total 33.84 GENERAL INFORMATION Conditioned Floor Area: Building Type: Building Front Orientation Number of Dwelling Units: Number of Stories: Proposed Design 14.96 9.17 9.69 -------- Complies 33.82 Yes 2914 ft2 SFD Single Family Detached 225 deg (South) 1.00 1. Floor Construction Type: Slab on grade Number of Conditioned Zones: 1 Total Conditioned Volume: 26226 ft3 Conditioned Footprint Area: 2914 ft2 Ground Floor Area: 2914 ft2 BUILDING ZONE INFORMATION Floor Vent Vent Zone Area Volume Thermostat Height Area Name (ft2) (ft3) Type Type (ft) (ft2) ---------------------------------------------------- ------ ------ HOUSE 2914 26226 Conditioned CEC Standard 210" 21.2 OPAQUE SURFACES Surface Area U- Insl Tru Slr Construction Type ---------- (ft2) ------ value ----- Rval ---- Azm --- Tlt --- Gns --- Type ------------ Location/Comments -------------------------- Zone = HOUSE Wall 471.0 0.088 13 225 90 Yes W13.2x4.16 Outside Wall 412.0 0.088 13 135 90 Yes W13.2x4.16 Outside Wall 530.0 0.088 13 45 90 Yes W13.2x4.16 Outside Wall 390.0 0.088 13 315 90 Yes W13.2x4.16 Outside Ceiling 2898.0 0.025 38 -- 0 Yes R38.2x4.24 Attic Floor 1712.0 -- 0 -- 180 No Slabl40C Grade Floor 1202.0 -- 0 -- 180 No Slabl40E Grade COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: POMEROY CONSTRUCTION - 97-6563 Run: 712 10 -Feb -98 PERIMETER LOSSES Glazing Fenestration Area Tru Insul Perimeter Length F2 Insul Depth Type ------------------- (ft) Factor ------ R-val ----- (in) Location/Comments ------ ---------------------------------- Zone = HOUSE Type -------- Name ------------ Comments ---------------- Exposed 4010" 0.550 0 0 Unconditioned Exposed 20410" 0.900 0 0 Outside FENESTRATION SURFACES Glazing Fenestration Area Tru Open Frame Charactr Name Type (ft2) ---- ----- Azm --- Tlt --- Type ------- Type -------- Name ------------ Comments ---------------- -------------- Zone = HOUSE FRONT -1 Wind 20.0 225 90 Slider Metal Db1Std FRONT -2 Wind 20.0 225 90 Slider Metal Db1Std FRONT -3 Wind 20.0 225 90 Slider Metal Db1Std FRONT -4 Wind 20.0 225 90 Slider Metal Db1Std RIGHT -1 Wind 20.0 135 90 Slider Metal Db1Std RIGHT -2 Wind 16.0 135 90 Slider Metal Db1Std RIGHT -3 Wind 16.0 135 90 Slider Metal Db1Std ARCH -R1 Wind 10.0 135 90 Fixed Metal Db1Std BACK -1 Wind 12.0 45 90 Slider Metal Db1Std DOOR -1B Wind 20.0 45 90 Fixed ' Wood Door glass DOOR -2B Wind 20.0 45 90 Fixed Wood Door_glass BACK -2 Wind 12.0 45 90 Slider Metal Db1Std SKYLIGHT Skyl 16.0 -- 0 Slider Metal VINYL DOOR -L Wind 20.0 315 90 Fixed Wood Door_glass LEFT -1 Wind 20.0 315 90 Slider Metal Db1Std LEFT -2 Wind 20.0 315 90 Slider Metal Db1Std ARCH -1 Wind 10.0 225 90 Fixed Metal Db1Std ARCH -2 Wind 10.0 225 90 Fixed Metal Db1Std ARCH -3 Wind 10.0 225 90 Fixed Metal Db1Std ARCH -4 Wind 10.0 225 90 Fixed Metal Db1Std DOOR -1 Wind 20.0 225 90 Fixed Wood Door_glass DOOR -2 Wind 20.0 225 90 Fixed Wood Door_glass GLAZING CHARACTERISTICS Glazing Charactr Glazing # of U- SC Gls Interior SC Int Exterior SC Ext Name Type Panes value Only Shade Type Shade ---------------- ------ Shade Type Shade ---------- ------ ------------ DblStd --------- Clear ----- 2 ----- 0.570 0.880 Std Drape 0.780 Bug Screen 0.870 Door_glass Clear 1 1.280 0.880_ Std Drape 0.780 None 1.000 VINYL Clear 2 0.510 0.880 Std Drape 0.780 Bug Screen 0.870 J COMPUTER METHOD SUMMARY Page 3 C -2R Project Title: POMEROY CONSTRUCTION - 97-6563 Run: 712 10 -Feb -98 OVERHANGS Fenestration -------------------------- Above Left Right Name Height Width Depth ------ Glazing Extension ------------------ Extension --------- ------------ FRONT-1 ------ ------ 4'0" 5'0" 2'0" 218" 696" 5816" FRONT -2 410" 510" 210" 218" 2016" 4416" FRONT -3 410" 510" 210" 410" 4116" 2316" FRONT -4 4'0" 5'0" 210" 410" 5710" 810" RIGHT -1 4'0" 5'0" 210" 410" 910" 25'0" RIGHT -2 410" 410" 210" 1'6" 2016" 1416" RIGHT -3 410" 410" 2'0" 116" 3110" 4'0" ARCH -R1 2'6" 4'0" 210" 1'6" 910" 2610" BACK -1 3'0" 410" 610" 116" 3010" 3210" DOOR -1B 618" 310" 610" 116" 4010" 2310" DOOR -2B 6'8" 3'0" 610" 116" 4210" 21'0" BACK -2 310" 4'0" 610" 1'6" 57'0" 510" DOOR -L 618" 3'0" 610" 1'6" 20'0" 3510" LEFT. -1 5'0" 4'0" 610" 1'6" 2910" 2510" LEFT -2 510" 4'0" 6'0" 1'6" 4510" 910" ARCH -1 2'6" 410" 2'0" 2" 616" 5916" ARCH -2 216" 410" 210" 2" 2016" 45'6" ARCH -3 216" 410" 2'0" 1'6" 41'6" 24'6" ARCH -4 216" 410" 210" 1'6" 5710" 910" DOOR -1 6'8" 3'0" 210" 1'6" 3310" 3410" DOOR -2 618" 310" 2'0" 116" 3610" 3110" FINS -------------------------- Left Fin -------------------------- Right Fin Fenestration Exten Dist Exten Dist -------------------------- Fin Fin above to Fin Fin above to Name Height Width ------ ------ Depth Height ------ ------ glzng ----- glzing ------ Depth Height ------ ------ glzng glzing ----- ------ ------------ None THERMAL MASS Vol Cond- Area Thck Heat duct- Construction Insd Mass Name (ft2) ----- (in) ---- Cap ivity ---- ----- Type ------------ Rval ---- Location/Comments ------------------------- -------------- Zone = HOUSE SLAB -COVERED 1712 3.5 28 0.98 Slabl40C 2.00 Grade SLAB -EXP 1202 3.5 28 0.98 Slabl40E 0 Grade SOLAR GAIN DISTRIBUTION Fenestration Winter Summer Targetted Name Fraction Fraction- Thermal Mass Comments ------------ -------- -------- ------------ ----------------------------- None COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: POMEROY CONSTRUCTION - 97-6563 Run: 712 10 -Feb -98 HVAC SYSTEMS Duct Location System Name System Type Efficiency and R-value --------------------------------------------------------------- Zone = HOUSE GasFurn.80 Furnace 0.80 AFUE Attic R-4.2 ACsplitl2 Air cond. -- central split 12.00 SEER Attic R-4.2 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume Wrap System Name Type Heater Name Heater Type Htrs Factor (gal) R-val ------------------------------------------------- ---- ------ ------ ----- Standard—Gas Standard StandardGas Storage gas 1 0.53. 50 0 WATER HEATING SYSTEMS MISC Solar savings Solar system Wood stove Wood stove System Name fraction type boiler? boiler pump? ------------------------------------------------------------ Standard Gas -- -- No No WATER HEATER/BOILER DETAILS Rated. Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- ------------------ ------ ------ StandardGas 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- ------------- ------ -------- --------- --------- ------- None SPECIAL FEATURES, REMARKS, AND NOTES None -------------------------------------------------------------------------------- MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance i approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features # noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. - - DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures: • §150(a): Minimum R-19 ceiling insulation. FS�j §I50(b): loose till insulation manufacturer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls ' 3 (does not apply to exterior mass walls). • §I50(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in raised concrete floors. N §150(1) : Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate // � no greater than 2.0 perm/inch. k § 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. —� § 116-17: Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls I. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Manufactured fenestration products have label with certified U -value, and infiltration certification. S7 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. - §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. AV- § 150(f): Special infiltration barrier installed to comply with § 151 meets Commission quality standards. §15.0(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilot lights allowed. Space Conditioning, Water Heating and Plumbing System Measures: §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACOA. v §150(i): Setback thermostat on all applicable heating and/or cooling systems. § 1500): Pipe and tank insulation 1. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R4 or greater) 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 3. All buried or exposed piping insulated in recirculating sections of hot water systems. J 4. Cooling system piping below 55• F insulated. 5. Piping insulated between heating source and indirect hot water tank. • § 150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 601 and 603; ducts insulated to a minimum installed R4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. § 114: Pool and Spa Heating Systems and Equipment. 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: N /A- a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. § 115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Nonelectrical cooking appliances with pilot < 150 Btw%r) Lighting Measures: § 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures are IC (insulation cover) approved. Revised March 1, 1996 'i RESIDENTIAL 022-240-154 PERMIT#98-1017 MURILLO, Deanna & BILL, Richard PERMIT NO. _ 578 Macedo Rd. , Gridley. Cont: Pomeroy Const. PERMIT EXPIW Add .Cov Porch/SF- OWNER orch/SF-OWNER t CONTR. ASSESSOR PARCEL LOCATION a CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E r� ,JOB FINALED(Date) Signature i? C V=OK O = Not OK ` = Nott ReadApply MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1 ing Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /'-'ft. / /Nat. or/ M - t.1 /LPG 7. Electric 7. Well Clearance & Disconnect 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh . 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except#'s B-1 Date Card B-1 and B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements POOLS (Plans) OK except #'s 2. Footings; Size -Spacing -Marriage Line 1. Setbacks -Easements 3. Gas; MH Test-Demand-VaMrConnector 2. Soils; Compaction -Structure Stability 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting, Distance -GR 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 Volts-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Endosures; Conduit Entries -Terminals -Listed 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Tie Downs -Type -Installation Cert. 8. Elec.; Grounding; Equip, w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 10. Exits; Insp.-Sketch 9. Health Department Approval 11. Cert of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date JPECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1 ing Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh . 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 1 Date Date B-1 Date Card B-1 and B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Endosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope RESlbtNTIAL (Single & Duplex) Date EOAAITNG (Continued) angers -Post Caps -Anchors -Connectors Img of ist-Rftr. Ties-Purlin-Toff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ t' Ftg. Depth 55. 4. Ftg. Porches & Decks; Soils -Steel-/ t'Ftg. Depth Siding -Nailing Veneer 5. Stemwalls, Main; Steel-Blockouts-Wrapped 58. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Shear Walls; Nailing -Bolts 6a. Hold Downs and Special Anchors Insulation-Vialls-Ceilings 7. Slab, Steel -Wrapped Dates / 8. Piers -Fireplace Ftg.-Steel Ca B-1 Card B-1 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 16. Insulation Plb., Elec. & Mach. Equip. Listed for Location 78. Date Card B-1 Date Card B-1 Date 80. Card B-1 Date Card B-1 Date 81. PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 18. Water Pipe; Test & Anchor -Nail Protection Stucco Brown -Finish 19. D.W.V.; Test Fittings & Anchor -Nail Protection A.C. Unit Disconnect, Electrical -Plumbing 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Water Well, Disconnect, Electrical, Plumbing 22. Gas Pipe; Sae & Anchors Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Gas Test -Meters Tagged, Gas -Electric 23. Fixture & Transformer Clearance -Ins. Protection 92. 24. Elec. R eptacles Spacing -Lights & Switches at Doors 93. 25. Size Bo s & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date EOAAITNG (Continued) angers -Post Caps -Anchors -Connectors Img of ist-Rftr. Ties-Purlin-Toff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 55. P oof Overhang -Attic Vents -Rafter Outriggers Smoke Detector Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glaang Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-Vialls-Ceilings 62. Infiltration -Wall sVii ndows Dates / 1 Date Card B-1 Dale� Ca B-1 Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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: 05/27/99 00:07 FAX 530 891 8580 LOERKE INSUL. CO LOERKE INSULATION CO., INC. Macado RQ Gridley lbO1 INSULATION CERTIFICATE _ CountVnns�onNumbe DESCRIPTION OF INSTALLATION Uffffi-.O 19 Material _...._ Thickness (ink hes) 2. CEILING Brand Name Thermal Resistance (R -Value) Batt or Blkuhket Type FiQe['OlassBaits _ Brand Name Johns Manville Thickness ('inches) 13" _ _ Thermal Resistance (R Value) R38 Loose Fill Type Fiber9lass Brand Name Johns Manville Contractorls min. installed weight/ft sq.=659 _ .tb. Minimum Thickness 16.25' inches. Manuf wWWs installed weight per square foot to achieve Thermal Resistance (R Vakw) R38 3. EXTERIOR WALL MaterialFi6erolass Ba4ts Brand Name Johns Markle Thickness (inches) 3.5" Thermal Resistance (R Value) R13. _ 4. RAISED FLOOR Material Fiberglass Batts Thickness (inches) 5. SLAB FLOOR / PERIMETER Material _ Thickness _ Perimeter Insulation Depth (inches) . 6. FOUNDATION WALL Material Thickness (inches) _ DECLARATION Brand Name Jahns MamriNe Thermal Resistance (R Value) . Brand Name — Thermal Resistance (R-Vadm) Brand Name Thermal Resistance (R -Value) he�y Certify that the above insuladon was installed In the building at the a location in con=70 Regufahon Energhr x S for n tlal bdhnos�4,Parf 6, Cadfornia of R ) utt9k:ated GBrtiliicate of com ance, wr►ere C.t_.8499150 LOERKE INSULATION CO., INC. W—M WS' gnature, ate � I� General '�u6ee�ii o ams r General ConfrecorCo. N�the) Or nen e�sh gnaturs,Date— n gg Su oontracmr ami or General Contractor (Co_ amo) Or owner Item s Sipnatuie, Date sta rhe r(Co: Name r Genenat Contractor (Co. arae) Or OWW COUNTY OF BUTTE- DEPARTMENT OF DEVEIOPMENTSERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PER IT NO. (Rev. 12'/96) APPLICATION AND PERMIT � k' Z,�QJ z ASSE$Sp@i�ARCEt�NU'Mm S4 ZONING A-5 BUILDING PERMIT GWNEIMALNNGAA MURILLO/BILL, RICHARD TELEPHONE SO. FT. OCC. BUILDING VALUATION 168 my 91R4 OWNEq'S�1vtl1(LjNG�A,QQij CELL ROAD, LIVE OAK ' 13 CONTRACTOR'S NAAMEE1�1i POMEROY TELEPHONE ' 695-0449 CONTRACTORS MAILING ADDRESS 3049 CORINNE C7, LIVE OAK 99953 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILD1JFC ffRMCEDO ROAD, GRIDLEY � � �j Ener Plan Checking Energy g Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD COV PORCH 12 X4//98-0034 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home s G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service COOV OR LESS R LESS zooA 0". 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. '2410 �,7 b OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO ,000A 46.00 NEW NST. DWELLWEE COING OCCUP. OR ADDNS. ( a ACC. sLDs. SO 3.5¢x: NON-RESID? ANLCTI11 G�ClELI7 @7.50 APPARATUS a SINGLE OUTLET CIR. Ex. OCCU . OUTLET OR FIXTURES BA2L@''� L Q .50 Ex. Occup. OUTLEE°TSA AESIo,oE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1^.� X L✓ ___ Date Lv Z� n re of Applicant - ❑ Owner 10 Contractor ❑ Agent An HA permit is required for excavations over 5'0" deep and demo ition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 0 v HAZ. D. FEES IMP FLOOD CDF CEL PAL PARCEL PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. %' /t� By Dat PERMIT EXPIRES ON Z / ate Receipt No. 236984 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �r.r. ..,yA rr' • 'nwA�" `"4 'A"''�"'�'s,:r at• ♦`T+'R'.+ f'y,E``X"'".. . �. 1: �r �,,.i`' -,,, . .. -.., - ,. °• 3:+e.. !`�;.k (fi. j j r. a: r ,u iii-. � i4, COUNTY OF BUTTE DEPARTMENT OF DEi,�OPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: V - *l D i 1 ASSESSOR PARCEL NUMBER: Pa 4M- (�_v - Proposed Building Use: Building Inspector: Waijin Date:- At time of permit application, I 4as ad ' ed the following data must be submitted prior to permit roces ing and/or issuance: Date Received By ❑ 1. All iiems have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ----------------------------------------- --------------- 0 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- 4. Sanitation and plot plan approvaID Health Department.-------------------------------------------.�' 15. City of Chico plumbing permit. -- ---------------------------------------------------------------- 0 16. Plot plan and business license approval from the City of Biggs. ------------------------ -------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: 1:118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---- 020. Pre -inspection for required. Request to Building Inspector on 1321. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- E122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑ 24. Letter of signature authorization 112 5. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use.----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- i ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant.Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- (Date) When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. Telephone 1061 � � and hold for pickup at Dmvj office. ❑ Deliver with inspector. Applicant: !,J ( Date: a 5L Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ' ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: \ Date: By: y 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENTSERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calif-oroia 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING '— BUILDING PERMIT OWNERj11��� TEzLd SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS t aa l CoCTOR'9 NAM T NE �=a CONTRACTOR NG 1 S�` j� 1 1 CONS TRUCTIOT4 LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. EllM Fee $ 20.0 ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS Permit Fee S S Plan CheckingFee S Energy Plan Checking Fee S ^ S PERMIT FEE $ / TAT No. SUBDIVISION'SNAMIE PARCEL NAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF K,Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23,00 Water piping 15.00 TYPE OF WORK New O Addition ! Remodel Q Utilities ❑ InslaUation Other O Describe Work: ' \ `r Each as water heater or vent 15.00 Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G W §20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service 000V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby'affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect, License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penaltyof perjury Nthat I em exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 4 I. should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date _ Signature of Applicant - ❑ Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5'0• deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 48.00 NEW CONST.DWELIlNO , SO OCCUP3.5¢FT: NR ADDNS. ( NUALaFco� NON. ON REsio. @7.50 vowER APPARATUS 8 SWGLE oLmET CIR. Ex. Occup. OUTLET OR FIXTURES e�L®'00 PEAPPLMDOERwI Ex. Occup.OESI5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEE S Mobile Home Installation Fee S )IUEE Energy Inspection Fee S occ CONST. TYPE �y �T�O?TFEE $ HAz. D. PEESD coP. PARCEL Po HD This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. ro Receipt No, WHITE-D.D.S.-B.D. CANA Y• S SSOR PINK -INSPECTOR GOLDENROD -APPLICANT