HomeMy WebLinkAbout016-220-050+ �---------)-
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MIKE LANG 2 �'
13361 Sheep ollow Creek Rd., �h'�C
Permit #1364-88B,P,E,M(new SF)
,t 1776-91B,E�.
LANG, Mike
13361 Sheep Hallow Creek Rd, ico
(new det garage)
04"d51?' 0 41
SIMON, SHER
13361 H ICO,
WO
1 : ` 03-2575
SIMONS, SHERI"r
13361 SHEEP HALLOW CRK ,CfffSQ
DETACHED GARAGE IVINALEM
B08-043350-Q-MOEV 016-220-050
MISCELLANEOUS ';Re -Roo
, REROOF W/COMP (14)
13361 SHEEP HALLOW CREEK RD`•S'
SIMONS„SHERYL ''
ENVIRONMENTAL
HEALTH CLEARARANCE
DATE
1
-1/1
9/15/03
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Sheri Simons
13361 Sheep Hollow Creek Rd.
Chico, Ca. 95973
Assessor Parcel Number: 048-010-050-000
Building Permit Number: 03-2575
Thank you for submitting the plans for your building project. The plans have been reviewed, and
the plan examiner's comments are listed below. Please respond in writing to each item by
completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete
and clear response will expedite the re -check and approval of this project.
NON-STRUCTURAL COMMENTS:
Please return the enclosed school fee form to this office after Chico Unified School District
mpletes the form.
eel�D Please provide a copy of your grant deed and legal description of your property. A Deed
Ndf N �a� Restriction and Notice of Limited Use Facility Document must be recorded for the proposed
00
�� structure. The Grant deed and legal description are needed so I can type and complete the
/form.
3! The plot plan submitted with your application does not correspond with the approved plot
4,9 /plan I received from Environmental Health. Please correlate.
Q/ The flood elevation certificate indicates a base flood elevation of 204.3 ft.. with the lowest
adjacent grade of 201.4 ft. and the highest adjacent grade of 202.4 ft. This indicates the
structure is located in a flood zone and the finished floor height would be required to be 1 ft.
above base flood or at 205.3 ft. How will this be accomplished? If a building pad is
constructed of dirt fill, please provide a compaction report.
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for
Russell. Philo will answer your structural questions.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form
when you applied for your permit.) The counter staff will answer any questions concerning the
Data Sheet.
1 of 2
r
Russell Bloomfield
Plans Examiner
cc:
Philo Hunt, P.E.
Plan Check Engineer
2 of 2
May 27, 2003 '
Sheryl Simons
13361 Sheep Hollow Rd.
Chico, CA 95926
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
Assessor Parcel Nber: 048-010-050
Building Permit Nu ber: 03-1041
Thank you for submitt g the plans for your building project. The planXF.
en reviewed, and
the plan examiner's com ents are listed below. Please respond in writh item by
completing and returning e enclosed PLAN REVIEW RESPONSE Your complete
and clear response will exp ite the re -check and approval of this proje
NON-STRUCTURAL CO NTS:
1. Remainder of building perm\bearin
has been revised to $ 4.24.
STRUCTURAL COMMENTS:
1. Please detail connection of tstrand 31/2" 1/2" LSL loft beam to the exterior
walls. Note that 3" minimuat ends and 1/2" minimum bearing at continuous span
supports.
2. Provide calculations for the ledger sur
specified appear to be over stressed.
3. Please provide the manufacturer's list]
plywood decking on the open deck.
to weather.
4. Please provide copy of welding c rtifi
the loft floor. The (3) 16d nails at 16" o.c.
(an installation instructions for material covering
vide s fficient protection of TH joists from exposure
cate from
posts and brackets. Special in ection in ac
in that will perform welding of steel
with California Building Code Chapter
17 may be required if deter ' ed necessary by the B tte County Building Inspector.
5. Detail E/1 shows the 2x6 rport rafters supported by ngars attached to the eave blockings.
Please specify attachme of eave blockings to the house.
6. The plans and calcula 'ons specify Simpson H10-2 clips a each truss. The trusses have 2x
bottom chords. Si son H10-2 clips have 3 1/8" gap. Pleaclarify.
7. Provide detail sh ing how trusses will be shimmed to provi horizontal bearing as noted
on sheet 2 of t plans.
8. The plans sp cify a slab floor to be placed on 24" of engineere\Pls
flood elevation
certificate ' dicates that 2.9' of fill is required above the lowesgrade..A
compact' n report will be required prior to placement of the slaave been noted
accord' gly.
�1 � �c.9 �/J �i�-✓ S � ;.t .jai 1Ct°�/
1 of 2
•
If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours
of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for
Russell. Philo will answer your structural questions.
Please refer to your Data Sheet for remaining non -plan check items. (You received this form
when you applied for your permit.) The counter staff will answer any questions concerning the
Data Sheet.
Russell Bloomfield Philo Hunt, P.E.
Plans Examiner Plan Check Engineer
cc: Nanerl Jones, Architect
2 of 2
W —mac �US� AiliezoY. � DA c NIRS vAf"r �1
?`S=DE:i AL vC:1 �S=DE:'"- REC-- r
- RFQUI?ED ?p.T_OR TO PE2Y ':' _SSUAN(=
FROM DATA QUESTS BY ?LAN (= E.�1G `IE=SING �-
07== 141 9V rml,2
REQUESTS BY CORREC 'ION YES NO -:"_W.
LCCATION IN BUzILDING WEE =--A0TGE OC=MS :
Wei: N APPcOVM, P?.CC":SS AS rOUOWS :
`Sai= to owner
to contractor
Ca:: and 'hold :or hiccup at zhe of=ice.
Del -ver 4r -_. ae::t insaec:-on.
REST_Sm ?LAN P4ID
c ^,3.00 5 tea_ OO Add=__onal zees Not Rewired
'MIN
Al r
NorthS.tar
Engineering
Civil Engineers • Planners • Surveyors
June 6, 1988
County. of Butte
Department of Public Works
Building Division
7. County Center. Drive
Oroville, CA 95965
Re: Mike Lang Residence, AP -No. 48-01-34.
Gentlemen:
0 O
As requested by Mr. Lang, I reviewed the location for his proposed
residence located at AP No. 48-01-34. The site is adjacent to a
large drainage that*_has a history of flooding at various locations.
Based upon a previous analysis of this drainage for AP No. 48-01-33,
I found that'it generally has capacity to handle a 100 -year storm with-
out overtopping. The location chosen for the residence is situated
near a portion of the drainage that has a well defined channel and the
residence site is higher than the adjacenttop of bank. As such, the
site is not likely to flood. As a precaution against possible flooding
upstream it would be advisable to construct the residence with a finish
floor at least 18 inches above the existing ground level.
Feel free to contact this office if you have any questions concerning
this matter.
Very truly yours,
NORTHSTAR ENGINEERING
'Mark Adams, RCE 34257
Exp.. 9-30-91
MA:d _
cc: Mike Lang��p�-e 'A114.�ez
20 Declaration Drive
Chico, CA 95926
(916)'893-1600
PERMIT NO. 1364-88B,P,E,M
PERMIT EXPIRES
'.OWNER MIKIE LANG
CONTR. OWNER
ASSESSOR PARCEL 48-01-50
LOCATION 13361 Sheep Hallow Creek Rd., Chico
OFFICE COPY
_ Address
GAS
Meter By Date
ELECTRIC_'
Meter By Date
1
t
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
= OK
v
0 = Not OK
}
' Not MOBILE HOMES ,
,
MISCELLANEOUS
= Ready
d
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists-Decking_Bracing-Stairs-Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- --
5. Electric ity;'Location-Clearances-Grnd.-/ / Amp -Concrete
Shthg.-Rfg.-Bracing
6. Gas; Location -Test -Wrap: / /"L"ft.
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
/ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -131 Date -
11..Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -61
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
8. Gas and Electricity Tagged
Dead Men -Lining
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Card -81
Date Card -B1 Date
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
Card -81
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir: Test -Water Supply Test
Card -81
Date Card -131 Date
Card -61
Date Card -131 Date
t
9
=OK
o NotRESIDENTIAL,(and Duplex)
- =
Not Applicable ' le
Not Ready I
Date
UND OOR (Plans) OK except #'s
Date F
MING (Continued)
on etbacks;-Easements-Flood-Slope
.
Han rs-Post Ca s -Anchors- nnectors
Peltig., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46
g. Joist- ftr. Tis Pur' oof gr . Truss-Shthng.-Rfng.
3. Ftg.,@!Lfge; Soils -Steel-/ /" Ftg. Depth
,
ire lace Ties or Ty A Flue-Firep ace Throat Clearance
Aeffg-, Porches & Decks; Soils -Steel-/ /"Ftg. Depth
4
tti Acce�ize & Romex Protection -Draft Stop
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel -Blockouts-Wrapped
raining
7. Slab; Ste rapped
PrPzAerty
Line Firewall & Openings
P' rs- replace Ftg.-Steel
xt. Doors -One 3' -Check Garage -3rd story, 2 e
V? Fall -Fittings -T -2 way C/O -Sewer Test
tairs; Width -Headroom -Rise -Run -Landing it
as Pip4' Size -A chors
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
a ; T - chors-Regulator-Service Test
.
Siding -Nailing Veneer
12. Oectric ound
- np creed -Fd. Vents-Underflr. Access
I nums ; Clearance- Material-Su pprt-Ins.
Glazing Area -Glass Protection -Skylights -Plastic
. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
.
hear Walls; Nailing -Bolts
15. In ulation
,
bsulation-Walls-Clg.
Infiltration-Walls-Wndws
Card -B
Date Z and -Bi Date
Card-B
Date,2 Card -B1 Date
Card -B1
Dateill Card -B1 Date '
Card -B1 .3R
Date) ! Card -B1 Date
Date PLUMBING (Permit) OK except #'s
1 water Ht. - en ccess- mbustion Airr9afifte�
Date
NAL (Plans) OK except #'s
1U/Water Pipe; Test & Anchors-
1
xt. citeps-Door & Sidelight Protection -Landings
1 W.V.; es (ttniA & Anchors -Nail Protection I
6
oke Detector
Shower Pan; est, First Floor -Tub Access t
63.
urnace; Vents -Clearance -Comb. Air -Connector -
In rage; Above Floor-Ducts-Mech. Protection
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
6
room Exiting
. G.F.I. & Bath Fixtures & Tub Access -Spa
le . Trim & Subpanel; Breaker Sizes -Labels
Card -B1
SR, Date / $ Card -B1 Date
airs &Rails
Card -B1
Date Card -B1 Date
ireplace or Stove; Clearances -Hearth
9.
I . Outlets at Wood Panel; Int. & Ext.
Date EL CTRICAL (Permit) OK except #'s
Fixture & Transformer Clearance -Ins. Protection
70Ait.
Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
lec. Receptacles Spacing -Lights & Switches at Doorslec:
Outlets &Receptacles at Kit. Counter
q-2-Gerage Fire Door; Swing -Landing -Closer
ize Boxes & No. of Conductors -Stapled
It Romex Installed Close to Ed f Studs & C.J.
-Z3-A-E
uct in Garage -Damper
al�q2 uip. Ground made up Mech. Faste -Bon A &Water
7
. tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
1arage; Above Floor-Mech. Protection
Appliance Circuts in Kitchen & Conductor Size/G.F.I.
7641
lec. &Mech. Equip. Listed for Location
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
7
c. Receptacles in Garage; (G.F.I.)-R ex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
nsulated Neutral Yes No
I ation-Foam-Looked in Attic Yes
JrGuard
Rails & Deck Construction -Post Caps
IV,Aervice-Risef'Conductors & Ground -Main Disconnect
19.
n. Vents & Crawl Hole Door-Draina Wood -Earth
learance Looked under Floor 9ilbs
quip. Clearances Panels-Motors-Mech. Equip.
lothes Closet Light -Showed Light -Spa Light
Smoke Detector
.
Follows instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑ No
--£�at�o;
Brown -Finish
Card -B1
Card -B1
Date Card -B1 Date
Datei!11Card-B1 Date
8
. A. nit; Disconnect, Electrical, Plumbing
8
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
DateMECHANICAL
�T.
(Permit) OK except #'s
A.C. Ducts Insulation & Support
84.
Wa er Well; Disconnect, Electrical, Plumbing
8 xterior Elec. Trim; G.F.I. Receptacle -Underground
35 Vent Fan; Exhaust above insulationa
ilation throughout House
3 . Condensate Drain & Overflow; Size & Grade
C xga2iarotection
3 Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
ections from Previous Inpections
ttic Access & Platform if Furnace in Attic
est -Meters Tagged; Gas -Electric --A
Water & Sewer Connected -C/O to Grade-HD'Approval .C.
Card -61
Card -B1
Date a' Card -B1 Date
Date Card -B1 Date
9
nergy Compliance Certificate -Other Certificates
9
Roofing Certificate
Card -B1
Date Card -61 Date
Card -B1 ro
Date&- I -W Card -B1 Date
Date F MING (Plans) OK except #'s
.ills, Proper Material & Anchors
Card -B1
Date Card -B1 Date
AS
Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders Floor Nailing
Comments
at Final:
-&
4 raft Stop in ValV (rat proof
Wire Stops, u d Ce s it h e
4 . Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
....-.��.-.,.....-....�..,.-• �-- �• .�c-�.-ops'--'_.� .;T.-.•s._,..,�.-.,�,;,.�r,�.•-.:.ez-...aw-.n..•�.. gr..r�^y�::_.,,••ss._„
-• -COUNTY OF BUTTE - '...7 .•
1--�' DEPARTMENT OF PUBLIC WORKS '
196 Memorial Way, Chico — Phone: 891-2751
7. -County Center.• -Drive; Orovi I le — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
6y-
✓NER J PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
4y ,
r
Inspector Date
t...-o-�__..•�-,r„�.�,-.--.s.-a. ..� �tY.^-A»...;s•'^.`•��+s:;alp'j•tryµ`a�J•.l•r;,�;.„'�'tFvr-Mr:."Y•-'.�y`«+R.SY
COUNTY OF BUTTE f
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico— Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
ae b
co
Inspector Date !�- Z �Z
• tea: � �:e'"'.'x'ry.'.1.. . ,,...:r-i5t. t+.�.r�r..�r 7�-}Ci`f- .� -.. ='Y'. - .. - ^
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751.
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
)1 -
OWNER / PERMIT NO.
—
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
jj
�a
,i
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott. Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
_atter`or need additional explanation, please contact this office immediately.
�nrvww -�
Inspector
� . 0101 f..,i.�c.., "' .t-�. ��S...y � {s.``��-.'1..^.Cti'�.,,r"«.--•-•.=:.wl '�.' : -•--.oma,,,...! `. 0101
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 - -
7 County Center Drive, Orovi Ile — Phone: 538-7541 '
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
i�
OWNE PERMIT NO.
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
whenrrection of work is completed. If you have any question pertaining to this
mat r, or need additional explanation, —pleeaase contact this office immediately.
C:
Sr
"M1 ON NO 1011_,
r /ill
. ti
Inspector—AW—
nspector/4" — Date J t�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751-
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
f1WAICQ oco�T
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when forrection of work is completed. If you have any question pertaining to this
matte , or need additional explanation, please contact this office immediately.
/V -Z -
Inspector Date /4/�
- - COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS -
196 Memorial Way, Chico — Phone: 891-2751 ^�«
7 County Center Drive, OroviIle — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
4t, 13641-66
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when orrection of work is completed. If you have any question pertaining to this
mat r, or need additional explanation, please contact this office immediately.
ul
Inspector /%� Date—e-
/
SIERRA GLASS
2M Esplanade
C;HICO, CALIFORNIA 95926
�� �� U#306W
�u
TO Mike Lang Construction
Chi co, Ca lif .
INVOICE
INVOICE 16841
NO.
INVOICE
DATE Ayne 2 198
SHIPPE O
TO
OUR ORDER NO.
YOUR ORDER NO.
SALESPERSON
TERMS
SHIPO.EUVIA — PPD. OR COLL.
QUANTITY
DESCRIPTION
PRICE
AMOUNT
3
3040 S. H. Vent Glass only, tempered
•Quo
d
171.00
Item a F230 Grayarc, P.O. Box 2944, Hartford, CT 06104-2944
® Wheeler Group, Inc., 1982
TRIPLICATE S
0
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] 11erl?by cct'I:tfy llcc+ nbovr. itlntalnl:iolt nntl ntl reclltl,red ittltnit nn nbowtl on tho
Ih11, lcl,ln,t 11nl,nrin,�llt: nhhrnv�d I, lrlctn nn:l nt:tlielomtnte hnvtt bottu inntnlleJ nn
tr.�lvirecl I,y t110 quite of CnLLLctrnia 1'suerl;y ttr.11uirentettts•
All t•r1c11.t,1netll, noel t,utl rrl.nln nre (if -
'111"I.1142 -111y L -IIP qualy ur a
itprencribt!d art!'
nl,proved by the ;;ante of Cnlll(irnln.
1' I.ItII tJNlli/U1JNIIt_
(!'Lenne grin S'1'A'1'L C tdlltAC'1' '— "'
Vlt g LICI'sN91: 11U;
S.l(;IJr1'1'U11!s UP lllslll;lt
A, l,Ullt'ItA(;'1'Ult%UIJIJi;It� _
'1.'IIlS Crlt'1'[r1.CA'I'I; 1U1S'I' 111; UIJ r1.1,1; WITH '1'Nt I1U1.1,I)MV I►L!'Alt'l'FII:►�1' 1R1(11t �'p
ItISI'lit;'1'1�N Al'YI(UVAL. AND A COPY SIIAIJ,' Ill; 1'U►'Tf;U WI'1'IIIN '1'lIC 1lUILU1N(1. C,111AL
J:utunry 1111/i iJ � '
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NOS/
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75
APPLICATION -ANO PERMIT LLfJ11
ASSESSOR PARCEL NUMBER A` X01 Z 3
BUILDING PERMIT
OWN R/(`EP ONE
SO. FT. OC BUILDING VALUATION
A 7-f7_,211.
OWNER'S MAILING AD RESS
Y le6
CONTRACTOR'S NAME TELEPHONE
S
CONTRACTOR'S MAILING ADDRESS
Fireplace `Q '
CONSTRUCTION L NDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$d-7 dO
ARCHITECT OR ENGINEERICENSE
NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITE OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ' 3-3&.) 1
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
-
Ra
Each Trap
121 2.00 2-0. C7
Z -L156'
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 Im
Each gas water heater or vent
5.00
USE OF STRUCTURE
SFJvvvv7777nnnn Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home is G W
0.00 ea
TYPE OF WORK
New,4 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ j
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 1.9.00
Main service e0ov OR LESS
100 AMP OR LESS
10.00 Q ��
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full forcnd effe
License No. S Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a)
OR ADONS. ACC. SLOGS.
yzlLsgft
NEW CONSTR TI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS b)
(SINGLE OUTLET CIR,
"
EX. OCCup OUTLETS OR FIXTURES
ioesoe
.200030
FIXED APP LNS. OR
Ex. Occup. OUTLETS (RESID,) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring15.00
Permit Fee
$ ,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
oZ
VE17— SYS
Cooling
oZ
Hood
3.00
Ventilation
permit Fee
_
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s u ty in consequence of the granting of this permit.
X Date Z
Signature of Applicant - Ownen Contractor ❑ Agent
An OSHA permit is required for excavations ov r S'0" deep and demolition or construct-
ion of structures *yet 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
3
CONST.TYPE
JSCHOOA'FLDO ARCe
PD
JVJ
ND 9UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT A OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
f I
/� t�
Receipt No. ' -' ��� ` 9 �' 7 • 7 r
WHITE-O.P.W.. TELLOW-A7el3eOR. PINK-INSP OR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT O .,PYBLIC WORKS - BUILDING DIVISION /
7 COUNTY CENTER DRIVE - OROVILLESCALIFORNIA 95965 - TELEPHONE: 916/538-7541 i
PERMIT APPLICATION DATA SHEET
Permit No. 1
OWNER L� s A. P.-�No. C/ 03/(10)
Proposed Building Use /�x�� Building Inspector Date 9A Gi .
a
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . . . . .
Plot plans in duplicate/triplicate, signed by preparer of plans.
3. Complete plans in duplicate/triplicate, signed by preparer of plans T
4. Complete engineered plans and calcs, with wet signature on plans.
Plans. with Energy Design Compliance Statement. . . . . .
School District "Fees Paid" Stamp on Floor Plan.
-� 77Statement of Intent for Non -Heated and AC Buildings.
f a.* Fees of $ � /6.4 . . . . . . . .
Letter of signature authorizatio
Sanitation approval from Health Dept.
Planning approval for (A) Use: (B) Parking:
12: Certificate of Workmen's Compensation Insurance. . . . . .
13. ; Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑,)
_15. Improvements may be required. . . . . . . , . , , ,
16. Mobilehome Installation Data. . . . . . . . . .
Required p q
17. Pre -inspection for Re . Pre-Inspec. request to s
Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement. -7- 10, -
/ 19 Driveway Permit. 5
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
l�7 �a-
When you issue theermit, process as follows: Mail towner, Mail to contractor.
' � Telephone d ' a��� and hold for pickup at,�G� ice, Deliver w/inspector.
Other
�f r'
Applicant / ���'.l� Date a ��
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior t lermit is_ ssuuan Circle n w item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone _maII unter by date
Plans checked by Date S A3 Plans approved by—a'/Date 2�
is of plans on hold File cabinet AP folder
a. i IZ Z
Copy—DPW �� �`e
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
LAW
Owner 'Location AP#
Plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.K. for:
Clearance for bedroom -qxabdfte EiD Other
NOTE
Sanitarian
Water Supply
Wat - er.Supply
Water.Supply
7-.
Date
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form'per Building)
A. P. Number 4 d' (9l" (;0 Building Department No.
r
School District-GW/66) City Q County '= Jurisdiction
Property Owner Yet ; k e z- Q,V c,
Project Location/Address 3 1 - SKc,ei'P !-iOLLUU-) CRtc`K Rd
Subdivision Lot Number
Residential Development: 7
Sq. Footage
,:2797
of Living MHI Addition (Group R)
Units
Commercial/Industrial:
uilaing uep
Sq. Footage
New Addition (Including Exterior
Roofed Areas)
resentative
-2- /9- kk
Date
*******************************************************************
District 'Id No. 99 U 0—S-1
1 70elk School District certifies that
S, ' �;,-0 ) u
(Applicant Name) (Phone Number)
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.12 6. �?---(e
by the payment of $ S-6
cnool'llistrict xepresenta
PAID
BY
CHECK
N0.
BANK
NO
I I
S
PAID BY CASH
representing 2��/ square feet.
ive Date
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
File Net
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information g/ )
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin. Q_
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Transp.
Land Dev,
Drng. S.I.
Sub. & Pcl. Maps
Permits
Addr
NorthStar
Engineering
Civil Engineers • Planners • Surveyors
June 6, 1988
County of Butte
Department of Public Works
Building Division
7 County Center Drive
Oroville, CA 95965
Re: Mike Lang Residence, AP . 48-01-34.
Gentlemen:
As requested by Mr. Lang, I reviewed the location for his proposed
residence located at AP No. 48-01-34. The site is adjacent to a
large drainage that has a history of flooding at various locations.
Based upon a previous analysis of this drainage for AP No. 48-01-33,
I found that it generally has capacity to handle a 100 -year storm with-
out overtopping. The location chosen for the residence is situated
near a portion of the drainage that has a well defined channel and the
residence site is.higher than the adjacent top of bank. As such, the
site is not likely to flood. As a precaution against _pos_s.ible: floor diin`g
upstream it _wo_uld-b.e_adv sa-ble-to-c-on.s.tr_uct._t�-rPgi-d'en wiwi`t'h A fi-rri .ch'
es above the existing
Feel free to contact this office if you have any questions concerning
this matter.
QROFSESS/p�yq!
Q10
1rn�F��
N
No.C34257
MA: d '-_ OF CAUF�`��
cc: Mike Lang
Very truly yours,
NORTHSTAR ENGINEERING
Mark Adams, RCE 34257
Exp. 9-30-91
20 Declaration Drive
Chico, CA 95926
(916) 893-1600
f�QId,\
RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7185
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
rage door or porch header sizes.
Adequate bracing.
---rU-'Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
11— exits on.three-story dwellings.(Sec. 3303 & see Mezannines 1716).
12�.ttic access and ventilation (Sec. 3205).
•13� Underfloor access and ventilation (Sec. 2516).
N/ —. Wood—stoves, clearances, alcoves & 1 -hour shafts.
Combustion air for fuel.burning appliances.
1ST Nesse requirements on duplexes.
1o e -soils - special foundation design.
��--�e—taining walls requiring design.
nusual shape, size or split level house requiring lateral design.
0r\ "
(31
e.►.e.,,{— ����. C) A., u ff�� use
�� ZO^ie 1✓ r�iN6t�/
6
/Y- w -I
z\ ./c
p�cG,.i -{-D
k-'3rri c-2-
�Q"a5 �/ Plu..r- %YaA e o « P la.• -as P1111
N�1 —eeQ /10�Te/`OL� CLfV 0. l jj y SC S
SAF/ I/
i j.
/, s fe eP oto
&9P
cM,^OC.10--
C.0 t'//
� �1ras.Ji S u�5�
,C&l/ 6-ek
a
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX` & MISC. ONLY)
OWNER lu
GENERAL
goning requirements:, (sideyards
aluation.
PI
Plans signed by designer.
6ergy Design and Compliance.
Existing violations on property.
Bldg. Permit #
A.P. #
and number of permitted living units).
PLOT PLAN
V
� lete parcel size and dimensions.
tbacks, sideyards, easements, etc.
her buildings or structures. N,�{e ON
ing, fills, drainage.
�eSppecial
lod hazard. Gjtt lC�
conditions on creation map or compliance document.
7/85
FLOOR PLAN
1VR
omplete to scale plan with dimensions.
Y. equired windows for light and ventilation (Sec. 1205).
3 ---Required windows for second exit (Sec. 1204).
—4.—Skylights (Chapter 34 & Sec. 5207).
$,,' Human impact glass (Sec. 5406).
6,-,--Iequired room sizes, ceiling heights (Sec. 1207).
7 G.F.C.I.'s in baths, garage -and exterior outlets (Article 210-8).
8C---L-ight fixtures, switches, receptacles, and exterior receptacles for maintenance of
/ .echanical equipment.
9 Locations of water heater, heating and cooling equipment, other electrical or gas
equipment, and -plumbing fixtures.
/Garage firewall, door size, and closer (Sec. 503(d)(3)).
1�! /1'- 3'0" exterior exit door (Sec. 3304(e)).
lY FF replace and wood stove location.
13. Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
1! undation plan complete enough:to construct building.
,_-F--oor construction details complete enough:to construct building.
31evations and wall construction details complete enough to construct
Roofconstruction details complete enough to construct building.
5—F -f -replace construction details and calcs if necessary.
Sufficient data and details to satisfy energy requirements (State Law)
building.
(Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
1�! Exposure I plywood on exposed locations and overhangs.
a -'*'-Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).+
3L--l�u'ardrail details (Sec. 1711 & 3306(j)).
-4--Brtc-k or stone veneer (Chapter 30) .
tprior plaster - weep screeds (Sec. 4706).
Yeoper roof pitch for roof covering (Chapter 32).
7V Rafter ties or bearing ridge beam.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541.
-.
DATE May 23, 1988
Mike Lang RE: Mike Lang.house plan
2802 Ceres Ave.
Chico, CA 95926 A.P. # 48=01-40, Permit #1364-88
With reference to the above subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
L1 We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,' Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
LCL OTHER lan showing orientation of house. Q+ at i%ok'e 4we4 V. /o✓
2_ Srhool`fees & 2nd set of plans. -'-
3- Balance of fees $699.45.
Sanitation;approval, Chico Health Dept.
Recorded Agricultural Statement
etter of intent for 'use of attic space. er owrw a &4A
Engineer to determine 100 year flood level.
8,- Engineered lateral analysis.
9. Plans signed , verify window schedule is correct.
Should you have any questions' concerning the above, please contact this office.
y Yours very truly,
William Cheff
Director of Public Works
�wAaai c�•l� �//
ae r{ d-Gcec
Se►� G/a��g� ' /
.F. Glander
JFG/aj - Chief Building Inspector
Return Lo DPW AGRICULTURAL STA' 1'LMLN'1' UV AUK NUWLL',VUJ M1',N1
FOR REST DENIJAL DEVELOPMIENT
Section 26-8.1. of the Butte County Code
r. equ i.res this acknowledgement be recorded' 1'40T C.OMPi FRIG VVi.TH
prior to. issuance of a building permit. Oi�iiPvAr US C1?;�,;ENT
-7/1q I%
The property described herein i.s adjacent
to land or included within an area zoned
for ,agricultural purposes, and residents
of this property may be subject to incon-----��__
veniences or discomfort arising from the
88_03345
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
and ferL.i-1izers; and from the pursuit
01: agricultural operations including,
but not limited to cu.l.ti.vation, plowing,
�
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
Butte County has established ,i91-ict.il--
tural. zones which have as a priority use for productive agricultural. purposes, and retiidc-nl
w�i.th.in said zones and on adjacent property should be
prepared to accept such �i.nconv(lnirnccl
or disconform from normal, necessary farm operations.
All that real. property situate in the County of Butte, State of California, descrihrd ;is
follows:
Date: K PROPER
SLate of t, ) On this the 1;7_ day of 11 -
SS. the undersignecL Notary Public, perso
County of
S:
19 br_ `o c nus
ly appeared
E] Personally known to me. Proved to me on the batii�
®m®ert®®�+oo®s®ra®®�1m®®a�®®�1�! of satisfacLory evidence.
t1b be the person(s) whose name(s)
w:
' W.J•G®�-�-ING sabscr:i.bed to the within instrument and ack► ledged that _
NOTARY PUBLIC CALIFORNIA eecuted the same for the purposes therei ontaincd. [N WI.'NI?SS
autte County
w My Commission ExplresAug. 19,IMWMEREOF, I hereunto set my hand and off' i .. se�nl
®®temc,m®®evn�a®nB®mme®asmem�,t —
Present A.P. No. Z a - 0 4- o
otary Public
h�:• ` P Si n • • s H' C7
ORDER NO. BU -9
8397
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCEL' I
PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED "BEING
A
PORTION OF THE' N.E, 1/4 OF THE S.W. 1/4 OF SECTION 2, T.22N.
R.1E., M.D.B. & M.", SAID PARCEL MAP WAS RECORDED IN THE OFFICE
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE'OF CALIFORNIA, ON
r=
MARCH 18 , 1987, IN BOOK 107 OF MAPS AT PAGE(S) 11 AND 12.
w
RESERVING THEREFROM AN EASEMENT FOR*INGRESS, EGRESS AND PUBLIC
UTILITIES, LYING WITHIN SHEEP HALLOW CREEK ROAD, AS SHOWN ON SAID
PARCEL MAP.
ALSO RESERVING THEREFROM THE WEST 15 FEET FOR A NON-EXCLUSIVE
INGRESS, EGRESS AND PUBLIC UTILITY EASEMENT FOR THE BENEFIT OF
PARCELS 1 AND 3, AS SHOWN ON SAID PARCEL MAP.
PARCEL II:
AN EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITIES OVER SHEEP
HALLOW CREEK ROAD, AS SHOWN ON THAT CERTAIN PARCEL MAP ENTITLED,
"BEING A •PORTION OF THE N.E. 1/4 OF THE S.W. 1/4 OF SECTION 2,
T.22N., R.lE., M.D.B. & M.", SAID PARCEL MAP WAS RECORDED IN THE
OFFICE OF' THE RECORDER OF THE COUNTY OF' BUTTE
, STATE OF
CALIFORNIA, ON MARCH 18, 1987, IN BOOK 107 OF MAPS, AT PAGE(S) 11
i AND 12.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED ABOVE.
PARCEL III:
A 60 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY
PURPOSES, OVER ALLISON MEADOW ROAD, AS SHOWN ON THAT CERTAIN
PARCEL MAP ENTITLED, "BEING A PORTION OF THE N.E. 1/4 OF THE S.W.
1/4 OF SECTION 2, T.22N.1 R.lE., M.D.B. & M.", SAID PARCEL MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON. MARCH 18, 1987, IN BOOK 107 OF
MAPS, AT PAGES) 11 AND 12.
PAGE 6
PARCEL IV:
ORDER NO. BU -98397
A 60 FOOT NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY
AS SHOWN ON
PURPOSES, THAT CERTAIN PARCEL MAP ENTITLED, "BEING A
PORTION OF THE NORTHEAST QUARTER OF THE SOUTHWEST
SECTION 21 TOWNSHIP 22 NORTH, RANGE 1 EAST, M.D.B QUARTER OF
PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF PARCEL -
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 15, 1983, IN BOOK
93 OF MAPS, AT PAGE(S) 22.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUN
PARCEL I, DESCRIBED ABOVE. DS OF
PARCEL
A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES
OVER THE EASTERLY 30 FEET OF THE NORTHWEST
SOUTHWEST QUARTER OF SECTION 2, TOWNSHIP 22.NORTH QUARTER OF THE
M.D.B. & M. , RANGE 1 EAST,
PARCEL VI-
A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES,
OVER THE EAST 30 FEET OF THE SOUTHWEST
UTER OF THE
QUARTER AND OVER THE WEST 30 FEET OF THE SOUTHEA T QUARTERUOFWTHE
SOUTHWEST QUARTER AND OVER THE SOUTH 60..FEET OF THE SOUTHWEST
QUARTER OF THE SOUTHWEST QUARTER OF SECTION 2, TOWNSHIP 22 NORTH,
RANGE 1 EAST, M.D.B. & M.
PARCEL VII•
A 15 FOOT NON—EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC
UTILITIES OVER THE WEST 15 FEET OF PARCELS 1 AND 3, AS SHOWN ON
THAT CERTAIN PARCEL MAP ENTITLED
1/4 OF THE S.W. 1/4 OF SECTION 2� "BEING .A PORTION OF THE N. E.
SAID PARCEL MAP WAS RECORDED IN THE OFFICE,
OF.
THE,
RECORDER OFTHE
COUNTY OF BUTTE, STATE OF CALIFORNIA ON '
107 OF MAPS, AT PAGES) 11 AND 12. ' MARCH 18, 1987, IN BOOK
PARCEL VIII:
AN EASEMENT FOR ROADWAY AND PUBLIC UTILITY PURPOSES
THE RIGHT OF USE AND MAINTENANCE FOR SAID PURPOSES OVER A PORTWITH
ION
OF PARCELS 1, 2 AND 3, AS SHOWN ON THAT CERTAIN PARCEL MAP
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE
STATE OF CALIFORNIA, ON FEBRUARY 3, 1986, IN BOOK 102 OF
PAGE(S) 69 AND 70, MORE PARTICU MAPS, AT
LARLY DESCRIBED AS FOLLOWS;
CONTINUED
PAGE 7
�. •St AML R
VOW»��_ ORDER NO. BU -98397
�1
PARCEL VIII: CONTINUED
' BEGINNING AT THE SOUTHWEST CORNER OF SAID PARCEL 3; THENCE ALONG
THE WEST LINE OF SAID PARCELS 3, 2 AND 1, NORTH 00 DEG. 45' 19"
WEST, 725.00 FEET TO A POINT ON THE ARC OF A 50 FOOT RADIUS
CURVE, WHOSE TANGENT AT THIS POINT BEARS NORTH 89 -DEG. 14' 41"
EAST; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE
OF 134 DEG. 24' 55111 AN ARC LENGTH OF 117.30 FEET TO THE
BEGINNING OF A 20 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE
I
ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 44 DEG. 24' 5511AN
'
ARC LENGTH OF 15.50 FEET; THENCE SOUTH 00 DEG. 45' 19" EAST,
PARALLEL TO THE WEST LINE OF SAID PARCELS 2 -AND 3, A DISTANCE OF
625.79 FEET TO THE SOUTH LINE OF SAID PARCEL 3; THENCE ALONG SAID
SOUTH LINE, SOUTH 88 DEG. 49' 13" WEST, 30.00 FEET TO THE POINT
OF BEGINNING. -
PAGE 8
/--44M,
_ ZONE 11
OWNER i�POINTS
PERMIT N0. ` ASSIGNED
ACTUAL
^ 1.
SLAB - INSULATION
19 i
Table 3-2. Rata
VI 2.
RAISED FLOOR - R-19
I U- 1
Area
3.
CEILING - R-30•
R -Value
V
4.
WALL - R-19�
I R -Value Of '
O
5.
NORTH GLAZING
- 2.4-3.6: �•�
�2�
6.
EAST GLAZING
- 2.5-3.6%
I +2 +2 I
7.
SOUTH CLAZItIG
- 1.6-3.6X _
-2-
Z9.
8.
WEST GLAZING
- 2.9-3.6% X11.
7+ I
9.
SKYLICIIT
- 0-1.37.
I
10.
SHADING (Exclude Overhang)
I below 3
I 8.3- 9.7 1
-14. I
EAST
- .66
-17: I
I 3-4
SOUTII
- .19-.42
1-5
I-5
WEST
- .13-.36
112-151
-5 I-
.SKYLIGHT
- 37-.57
I
11.
HORIZONTAL SOUTH OVER11At1G 2'
I-2
12.
HOVABLE INSULATION
- .TONE
i 13-18
13.
INFILTRATION (Standard=0)(Tight-+l2)
-1 1
0 1
14.
THERMAL MASS
SF
-
15.
CAS FURNACE (SE)
71-76%
I 2.3- 2.8
16.
!TEAT PUIrP (EER)
7.5-7.9%
Table 3-12. Movable Insulation
17.
DUAL PACK (SE, SEER)
8.0-8.3/71-76%T•7 30cps
-5 I
WOOD STOVE
I 3.7- 4.2
1 -I1 I
G0.•& WATER
-BEATER
O
ATTIC
+3
-8 I
OTHER •
.
I 5.1- 5.6
TOTAL POINTS
MI Z
Table 3-1.
7/7/8.3
Slab
Floor
Points
19 i
Table 3-2. Rata
I. 22 I
.....................................
I U- 1
Area
r
In=•)ls- I
R -Value
of
Insuistlon
1
I R -Value Of '
thinI
44
a 4 +4
I 0.1- 1'.2
(
I Insulation
Derth,
1 +1
I +2 +2 I
( 2.4- 3.6
_r
1
1 Inches .I
0-2 1
3-4 1
5-6 1
7+ I
( -4 I -3 1
I 1
I
I
I
I;
I below 3
I 8.3- 9.7 1
-14. I
-10 I -8 1
9.6-10.8 1
-17: I
I 3-4
1 0 I I-5
I-5
1-5
I-5
I
I S-7
112-151
-5 I-
3 I
-2.1-1
I
I 8-12
116-191-5
I-2
I-1
1
0 1
i 13-18
I 20 + I
-5 .I
-1 1
0 1
+1 I
19+
1 -19+-
I -3 I
-2 I
-1 I
I I
I I
I 2.3- 2.8
7/7/8.3
Points
Table 3-3a. Ceiling Insulation
Faints
1 ' Glazing Type 1
I I
R -Value of Insulation I
Pointe I
I
19 i
-4 I
I. 22 I
-2
I U- 1
Area
. 38
+2 1
49 I
( I
+4 1
I
Table 3-4a. Wall Insulation Points
-
I
R -Value of Insulation I Pointe
1 19 I 0
24 1 +2
J0 I +3
T--
.-'
- ' '
I Total l
I 2 of
'
1 ' Glazing Type 1
I I
ST.
Dbl,
Trpl,
I Floor
l U-
l U-
I U- 1
Area
10.66
1 0.42-
10.41 1
I
11.10
1 0.65
1 down I
0
44
a 4 +4
I 0.1- 1'.2
1 +4
1 +4 I +4 1
1.3- 2.3
1 +1
I +2 +2 I
( 2.4- 3.6
i -2
I 0 +1 I
1 3.7- 4.8
I -4
1 -2 1 -1 I,
1 4.9- 6.1 1
-7
( -4 I -3 1
1 6.2- 7.3 I
-9 I
-6 1 -5 1
1 7.4- 8.2 1'
-12 I
-8 1 -7 1
I 8.3- 9.7 1
-14. I
-10 I -8 1
9.6-10.8 1
-17: I
-12 I -10
10.9-12.0 I
-19 I
-14 1 -12 I
1 12.t-13.2 I
-22 I
-16 I -13 I
113.3-14.5 (
-24 I
-18 1 -l5 I
1 14.6-15.3 1
-27 1
-20 ( -l7 1
T
T
East-Facine Claztng Pts.
I Glazing Type
Total I
2 -of I Sngl, I Dbl, irpt,.
Floor' I (U - I (u - I (u -
Area 1 1.10) 1 0.65)•1 0.41)1
I�olnts 1 olnt9 I olntsl
4 + 4 '4
up to 1.3 1 +3 1 +4 1 +4 1
1.6- 2.4 1 +1 . 1 .+2 1 +2 1
2.5- 3.6 1-2 I '. 0 1 0 1
3.7- 4.6 1 -5 I -2 I -1 1
4.7- 5.5 1 -8 i -4 I -3 1
3.3- 6.7 1 -10 ( .:: -6 I -5 1
6.8- 7.7 1 -13 :I '-8 i -7 1
7.8- 8.7 1 -15 1 '-10 -8 1
8.8- 9.7 1 -1.7 1 =12 ( -10
9.8-11.2 1 -21 1 .-15 I -13 I
11.3-12.7 1 -25 1 -18 •I -15 1
12.8-14.0 I -23 I -21 I -18 1
14.1-15.3 I -32 1 -24 I -20 I
Table 3-7. South-F3cing Glazing Pro Table 3-10. Shading Coefficient Folnts
I •Clszing :ype
Total
I
I I of I Sngl, Dbl,
I . Floor I (U - I (U -
I Area 11.10) 1 0.65) 1 0.41)1
I 1 olnts I o/nts
wI �otnts_l
I up to 1.5 1 +2 I +2 1 +2 1
I 1.6- 3.6 1 -1 I 0 1 0 1
1 3.7-• 5.2 1 -4 I -2 1 -2 I
1 5.3- 6.5 1 -6 I T 1 -3 1
1 6.6- 7.7 1 -9 I -6 I -5 1
1 7.8- 8.9 1 -11 1 -8 I -7 I
I 9.0-10.0 1 -13 1 -10 ,1 -9 1
1.10.1.-11.5 I -17 I -13 I -ll
( 11.6-13.0 i -21 I -16 I -14 1'
1 13.1-14.5 I -25 ( -19 I -I6 I
114.6-16.0 I -28 I -22 1 -19
I I 1 I I
Table 3-8. West-173cing Glazing Pts.
Claztng Type
I Total I I
I 2 of 1 Sng1, I Dbl, I Trpl,
I Fluor I (11 - I (U - I (U - I
Area 11.10) 1 0.65) 1 0.41)1
I I olnts !Pat ts I olntsl
0 46 +6 +6
I up to 1.3 1 +5 I +6 1 +6 I
I 1.4- 2.2 1 +3 I +4 1 +5
1 2.]- 2.8 I 0 1 +2 I +3 i
I. 2.9- 3.6 I -3 I 0 I +1
I 3.7- 4.2 1 -5 I -2 1 0 1
I 4.3- 5.0 1 j8 I -4 1 -2
I 5.1- 5.6 1 -10 1 ---r-r -4
I 5.7- 6.2 1 -13 I -8 1 -6 1
1 6.3- 6.9 1 -15 I -10 1 -7
1 7.0- 7.6 1 -18 I -12 I -9 I
I `7.7- 8.2 1 =23 I -14 I -I1 1
1 8.3- 8.8 1 -22 1 -16 I -13 I
I 8.9- 9.5 1 -25 1 -18 I -15
9.6-10.1 1 -27 I -20 1 -I6 I
110.2-11.0 1 -29 1 -23 1 -17 1
1 11.1-11.8 1 -35 1 -26 1 -21 I
111.9-12.7 I -38 1 -29 1 -24' I
112.8-13.5 I -42 I -32 1 -27 I
( 13.6-14.3 I -46 1 -35 1 -29 I
114.4-15.2 I -50 I -35 1 -32
I T c by
s
IT-
I Orten-
I 1 Floor Area
Cation
South
I Gat
I I 3.2�-
I
I 0-3.1 I to 6.4 up
Overhano Point!
6.3 i
I
1
I I
T-
1 0 -.19
I 0 ! +1 I +2
(' .20-.36
1 0 I 0 I it
1 .37-.66
( 0 I 0 ( 0
I .67-.82
1 0 I 0 -1
I .83 up
I
I 0
I I I
I South
1 0 1 3.2 16.4 18.0 19.
I
I to I to I to I to I ul
�
13.1 16.3 17.9 I� 9.5_
I 90 -.18
1 0 1 41 I +2 1 +2 14
I .19-.42
1 0 1 0 1 0 1 0 1
1 .43-.66
10 I -1 1 -2.1 c2 -
I .67 up
t
.I
l 0 l TI -4 I -4 I
West
I .1 1 1.6 1 3.2 1 6.4 I S.
I Floor
I to I to I to I to I up
U- l
i 1.5 1 3.1 ( 6.1 17.9 I
I I I I I
0-.12
I 0 1 +1 I +3 I +6 I+
.13-.36
I 0 1 0 1 0.1 0 1
.37-.57
I 0 1 -1 1 -3 1 -6 1-
.58-.e2
I -1 I -3 1 -6 1•-12 I -1
.83 up
I -2 I -4 1 -B 1 -16 I
I I I I t
Skylight
1 .1 1 .8 1 1.6.1 3.2 1 4.
1 0.6 - 1.0 I -2
I to I to I to I to I t•
1. 7 1 1.5 13.1 1 3.9 15•
0-12:
I o I +t IT 43+6
.13-.36
1 0 1 0 1 0 1 0 l
.37-.57
1 0 1 -1 I -3 I -6 I
.58-.82
I -1 I -3 I -6 1 -12 I -.
.83 up
I -2 I -4 1 -8 I -16 ( -2
I I I I I
I
I
I I
I
Table 3 -ll. Hnrizontal
South
'
Overhano Point!
' Table 3-9.
Sk lfvht
Points
-T South
C1a_Ing
Length Out I Area,
I of floor 1
I
1 Glazing Type
I
I from Wall I
I
I Total
I
1
I ft T
I 2 of
Sngl, I
Dbl, I
Trpl, r
1 1 0-6.3
1 6.4 up I
I Floor
I U- l
U- l
U- I
I I
I ' I
1 Area
10.66- 10.42-
10.41
I
1 0- O.5 -2
-�
11.10 1
0.65 1
down 1
1 0.6 - 1.0 I -2
1 -3 1
( 1.1 - 1.9 1 -1
1 -2 1
1 up to 1.3
I -1 I
O I
0 I
I 2.0 up 1 0
I 0
I 1.4- 2.2
I -3 I
-2 I
-1 I
I I
I I
I 2.3- 2.8
I -6 I
-4 I
-3 I
Table 3-12. Movable Insulation
I 2.9- 3.6
I -9 I
-6 1
-5 I
Points
I 3.7- 4.2
1 -I1 I
-8 I
-6 I
1 4.3- 5.0
I -14 I'
-lO I
-8 I
1 Moveable Insulation l
I 5.1- 5.6
1'-16 1
-12 I
-10 I
I Area, I of floor l
Points I
l 5.7- 6.2
1 -19 I
-14 1
-12 (.
1�1
I 6.3- 6.9
1 -21 1
-16 1
-13 I
I 7.0- 7.6
1 -24 1
-18 1
-15 1
1 0- 5.3 i
0 1
I 7.7- 8.2
1 -26 1
-20 1
-17 1
I 5.6 - 11.5 1
+2 I
I 8.3- 8.8
1 -28 1
-22 1
-19 1
I 11.6 - 17.5 1
+4
1 8.9- 9.5
1 -31 1
-24 1
-21 1
1 17.6 - 23.5 I
46 I
I 9.6-10.1
1 -33 1
-26 1
-22 1
1 `23.6+ I
48
r
Table 3-13. I -W Itratloe Control
Ftrt:'tes points
Con:tol Features i Points
I .
I
I Stand0ard i I
I
17.9 air changes per hr
I _
I
I Tlg1t +12 i I
1 0.6 air changes per he
Table 3-15• CasFurnace 4'ithout
Refrl.,astion Co I' Polnta
rr- I
Seasonal Efficiency I Pol'It a
(SE), t
76 1 0 I
17 - 82 1 +2 I
03 as I ++ I
81 - 9: I +6 I
1 95 up i ±8
I '
!able 3-16.
peat ?-too
Points
'r
7 - l4
I +2 1
Enersv•Effle:eney
I Polnts
I P.atlo
I
(CCR)
5 -
7.9
I
r 46 - 55
8.3
I +6 I
7.4 -
3.7
I +9 I
8.0
- 9.1
I +l2 I
9.2
- 9.6
1 +13 I
1 9.7
- 10.2
1 +t8 I
1 10.)
- 10.9
I +21 I
I 10.9
- I1•5
I +24 I '
I t1.6
- 12.3
I +27
1 12.4
I
- 13.2
; +30
per unit,
!t2 "
0.9
10-19
Table 3-11. Cas Furnace with
Refrlr•ration Coo Inq Points
;7j e(clSent- longi Cas Furnace I
Cooling 1 Sr ;
I
1- -Id)- 9- 93
I 1761 e:i 891 9:1 w I
e.o
I 8.4 - 87 I +tl %j +sl +sl+►o I
_ "T'" wI $41 -+-3T ':1.101+12 I
I 9.' - 9:7 I +sl +s1+101•til+►4 I
I 9.a - t0.3 I +'I►:�I►1±I►ta.t6 I
1 10.4 - 10.9 I+IGi+l21'1:1+141+19
1 11.0 - II.S 1+111.1=I►161+lSltin 1
I I I I I I
7/7/83'
LONE 11
TALL( 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS
MASS DaELLIRG ARIA S9UARE FOOT
A?[1 1.000 1.500 2,000 _1 2.500 , 3,000 , 1,500 4.000 4.SGO -5. 00 -
S�. FT. A 8 C D A 6 C 0 A B C 0 A 8 C D A B C D A •5 C 0 A a C 0 A 6 C 0 1 8 C D
0 i Z 2,,: 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 U 0 0 I'
100• 4 4 4 2 1, 2 • 2 2 2 2 2 2 2 t ! 0 2 f t 0 ! t 0 0 2 2 0 0 2 ; ! 0 J ! 2 0
ISO 6 a 6 4 4 t 4 4 2 2 '2 2 2 t 2 2 t 2 7 2 2 2 ! 2 ! f 2 ! 0 f
1 2C0 e e 6 4 6 6 / t 4 4 4 2 4 4 2. 2 2 2 .2 2 2 2 2 2 2 2 t ! t t ! ! ! J 0
! ! I 2
J58 10 10 a 6 6 6 6 t 6 6 1 ! 4 4 t 2 4 4 2. 2 2 2 2
399 12 12 10 6 e 6 6 4 6 6 6 4 6 6 4 2 4 t 4 2 4 / 7 ! 2 2 t 2 2 ! 2 l !? i 2
.
750 11 1/ It a 10 10 a 6 6 6 6. 4 6 6 6 2 6 4 4 2 4 4 4 2
• 4 1 2 I 4 t I 7 i 2 7 I
100 14 14 12 a 10 10 8 6 B a 6 1 6' 6, t 4 6• 6 4 2 4 4 4 2 4 4 4 4 4 ! 2 7 4 i 2
i
2 4 4 4 ! 4 4 t
$01 IS
IS 16 10 12 12 10 6 10 10' a 6 R 8 6 4 6 6 6 4 6 6 6 t 6 6 4 4 2 6 6
600 22 20 18 12 14 14 I2 '.8 1! 12 10 6 10 10 e 6 8 e 6 1 0 C 6 t 6 6 6 / 6 S.
a 7
199 t4 t1 20 11 18 16 I4 '10 14 14 12 0 10 10 10 6 10 10 8 6 a 9 6 4 8 6. 4 4 A A 5 4, 6 6 ' I
Z30 26 24 2Z 16 70 16 16 10 14 14 12 0 12 10 10 6 10 10 0 6 10 R B 1 e 6 6 , 4 a a 6 4 l
: $03 i8 28 74 16 22 20 18 12 16 16 1.1 10 14 14 12 B 1'i 1Z 10 6 10 10 a 6 a e •ee 4 8 e 6
I 1.0:o 30 50 26 IB ?Z 20 20 14 to 18 16 10 14 14 12 B 12 17. 10 6 It 10 10 6 10 10 8 6 a 8 0 / 1 e t 1
I.;OV .li 77 28 20 t1 24 2t 14 20 20 IB 10 16 16 14 8 14 14 12 8 It 12 10 6 10 10 10 6 1:1 10 a ( 10 e C I
1.200 74 32 30 22 26 26 22 16 22 20 18 12 18 18 14 '10 14 14 12 8 14 12 12 0 Iii It 10 6 10 10 e E In 10 8 6
1,1c0 71 )1 72 22 28 26 24 16 22 22 20 12 18 IB IC 10 lu 14 14 0 14 12 12 8 I! 1! 10 6 12 10 IO C 10 .0 t: 6 I
1.400 3/ 34 72 2t 28 t8 26 .le 24 24 20 14 20 20 16 12 18 16 14 10 14 14 12 6 14 14 12 9 12 I] :C 4 In 10 17 + !
I, SCO 36 34 34 24 70 30 26 18 24 24 22 14 22 ' 20 18 12 18 19 16 10 16 16 14 8 11 11 12 o 17 1: 10 G 17 li 1; u
2.000 74 3/ 72 22 70 70 26� 18 26 26 22 16 22 22 20 14 20 20 la 12 IS 18 16 10 16 16 14• f,I 11 14 1! L i
l 31, 34 30. 12 70 ]0 t6 18 26 26 24 16 24 24 22. 14 12 2t 19 :2 20 20 16 I: 1! 13 16 :V t
2.so0 t .
3,C00 , I 1 74 7t 70 22 ]0 70 26 18 28 i6 24 I6 24 tt 22 11 :: 27 !U it
70 • 32 32 t0 30 30
7,500 26 ld to 2e 24 16 16 t/ 27 ItI 'a :4 i0 11 i
. °� . I 32 3Z 30 20 JO 70 26 18' 79 .18 24 It :4 tb 22 If
4.070 i ; 32 72 28 2U 3V 30 26 It
4.507 i .. - 112 17 21 2
01 IJ_ 3G- 76 •1'I. 1
• s.eol ____ __-_
• ---- - A) I.
33• Concrete Slab: HC -0.93; R•.t7i re
ctor•1.3
i 2. 7 3/4' Thick Common Brick: HC•1.12Si R•.Ili Factor -7.3
. a� 1. Sy' concrete Slab: HC•14.106: P•.458. ►'.ctor•7.1 wood stove 433 poin[s(no back up)
e 1• 8• Solld Filled Clock: 11C•20.67; R•1.93i Factor -6-1 easablanca fan •� 1 point
2. 8' Solid fI11t4 Block With Both Sides Exposed To Conditioned Air.
• , NOTE: Use +11 square foo u9e directly exPoleA to eondlt.loned air
for Thermal Nsss Area: IIC•10.164; R-.96:; Factor -6.1
01 1' Thick Concrete/illet MC•2.SS; R•.OB7i factor?3.7
Table 3-19. Zonally Controlled
• Electric Reslctance ..
I Space Heatinq Points •'. '
C B k• Points
I Points Ear this oensurc will
I be completed after the CIC I
!las approved an Alternative 1
Component Package for Resistance '1
I De4t.
Tatile 3-19. Active Solar Splice
.._ ..#,h C• vnlnt%
Net Solar Fraction I
Points I
r.
7 - l4
I +2 1
15 - 23
I +4 I
24 - 30
I +6 I
+0 I
60-47
I +10
r 46 - 55
I +12 I
56- 63
( +14 I
64 - 71
I +18
72 up
I'
+20 I
Table 3-20. Solar Dater Hcatl•Mt with
.as av
C
r.
Hultlfamll ( er unitpoints)
Mt Soler Fraction (IISF), 2
Floor Area •
per unit,
!t2 "
0.9
10-19
20-29
]0-]9
40-49
50-59
60-69
10-19
600-799
0
+3
+7
+10
+14
+11
+17
+I4
+21
+16
+24
+19
800-999
0
0
+3
+1
+S
+4
+8
+6
+8
+10
+12
+14
1,000-1,499
1,500-1,999
0
+l
+]
+4
+6
+7
+8
+10
2.000 and u
0 '
+t
+2
+4
+5_j
4�6
+7
+9
All others (pe building points)
--TU0-P.94 .0 +5
900-999 0 +4
+10 +14 +19
•+5 +13 +17
+14
-+21
++9 +34
+t6 43,11
1,000.1,199
0
+4
+7
+Il
+IS
4.19
+22 +26
+3
+6
+9
+12
+15 +18 +21
1,20tr1,199
0
+5
+7
+9
+12
+14 +le
1,500-1,999
0
0
+2
+2
+3
+5
+7
+6
+10 +Il
2,000-_',979
+3_
+S
+5
4.7_
+8 +10
] 01:0 nt.d uo
-0
+I
1
Table 3-21• Othtr Vater Peating Pisa.
I System Trp- I Points I
i I ----T
Coo Only i 0
Beat P.•op i 0
I Solar with Electric I
I Re4lstanen Ilnck,ip I
I Heetlnd the Require- I
dents lit Part 2 i 0 I
Eltetrlt Resistance I 1
Only -to I
7/1 '&sv,u,n � tt�k-w
6ojroov,- r('PSI�en.C��•
C. G� .
:-C,
c I
I
or i.
' uvt
-01 .3
-- --- -----
Or
(0.1):1.3 (��� I, J = 11,E &r
sQt5rntG ZOme 3 ve.y, -I. GSZIi< c•�bL-
2mal4s-I c
aAL- 45 alx-,tAC-e. �j �ltie�vells
G ,e -k-4 . -Fru,. +. vrcq,
i' (fie
vJ—
� i IW ;
,.
`1s�zl >= c' 1 e iso :� �.r
• w��� we/S� L2� { Ml� SJR
�,, ` ✓ ,
q7$S C f N�
IQ..64-1 -7.0
I
1
2��� w�l dural • .
1
ue, dal2 @ pc: I
�t�� Vjat Ikq -
S,Q7'I �e 161 5"o_c,l�
�7.a
I
i
ry
wZ. 014 + to
06
14293 _ � I
4-Zl �. Q�OEESS/0
Wa.l 1�r,Ula1.
ahvv,-
� 34-Vb
2vtokoy 6,Dlis.
Tad � �" (1�" � G• it � �Q�Vi A ,�u,'p
0 93 n
o 0421) = 4�L1O tt� �,✓� .
C. OF CAI�F���
�4-
I,
I
35,
4-z- I _-MLk.33�
1kms. IZ � xtp 2t�G.,vr�!
6o C, `I
(03 133)
3/Z
°�►ya� �i �o�--��c�� srVvL)
Q�pFESSICop
W -0 93N
@fid sslpb
-f dal P = 14•� (fl)�17,�) = z o2�-�' � �®�.� �a ����_
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RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM
'Owner x4tw Climate Zone Permit No. /3(a
Floor Area �,/
Compliance path: Package ❑ A C1 11C @ oint System ❑ Budget her M/63! _
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION:
®/ Roof/Ceiling
a/ Wall
❑ Slab Floor Perimeter
Raised Floor Mfg
(2) INFILTRATION:
❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16.
Moll' (B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
[ (C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
�❑ (D) Continuous infiltration barrier•
+ (E) Electrical outlet plate gasket
❑ (F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
Area Glazing %Floor Area Single Double Triple
[ , Total Bldg
*001 North
East
South
West
❑ Skylights
(B) Shading
Shading
CoefficientscriptP n
East "M (*a L43
South
West ��— •• f•
❑ Skylights �—
Qbi (C) South Overhang
Length of projection ft. Description
❑ (D) Moveable insulation: Area ftZ Description
(E) Thermal mass
❑ Type - Area Ft.2 HC= R=
MC= Location
❑ Type - Area Ft.Z HC= R=
MC= Location
❑ Type - Area F _ R=
MC= Location '
13 Type - Area 9
MC= Location'���
❑ Type - Area =
MC= Location
❑ Type e - Area Ft. HC =
MC= Location
7/83
,V Woo' (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
r fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VtNTILATING, AIR CONDITIONING SYSTEM
(A) Heating Q
m/ Central Gas Furnace v
u
U
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump —
(brand and model number)
Btu/hr
(heating capacity at 47°F)
Active Solar
model number
orientation
rated slope
Other
ACOP
type (liquid or air) Collector brand and
ft2
solar fraction collector area collector
collector tilt
(B) Cooling
Electric Air Conditioner
rated y -intercept
(describe)
(brand and model number)
Btu/hr
g.
(seasonal EER)
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
WOOOOO� (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
ae"O^ (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(+� (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976.Edition.
7/83 2
FORM i
mr-0000,(6) DOMESTIC WATER SYSTEM.-
(A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
❑ * Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(,Describe)
(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
a/000, (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
�7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or,other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature 2 7 °, elevation ZTV heating load 97300 BTU
elevation factor �_ x heating load = maximum outlet capacity gas furnace
Q730a BTU
Cooling: Summer design temperature /02.°, cooling load y//03 BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
* Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 S g TURF 6F BUILDING D' NER OR APPLICANT
3
Oct -10-03 12:36P Paul R. Wellin
RELEASE FORM
October.) 0, 2003
To: Butte County Building Division. Oroville
Froa-n: Sheri Simons ', P
IZ F: Release of permit to Builder
530-894-7364 P-02
64-a / 6 -oo-u
I give 1-1.1y permissioji to have, Pat Conrciy Construr,tion nr,-,Inv nf thcir
representative -s (inClUdinp LJz Eric; -sen) pick up the permits for construction
of my building, '.Me .AFM is: 048-010-050. The permil numbef is: CY-3-1-575.
I have spoken to Miles in your office who has personally confirmed that the
per-mits are ready to pick up today. Th ink you'.
....... ....... -I ............ . ........
Sheri SlIfloris
Owner of property at 1.336 1. Sheep Hallow Crk.. Rd.
RECORDING REQUESTED BY
BIDWELL TITLE & ESCROW COMPANY
Order # 2-181684
AND WHEN RECORDED MAIL TO
I Paul R. Wellin
13361 Sheep Hallow Creek Ri
Chico, CA 95973
AP# 048-010-050
Recorded I REC FEE 13.d
Official Records I TAX 30C 50
Coisnty Of I
BiAte I
CA (DACE J. GRUBBS I
f
! �lyie5
09:00A+i 16 -Apr -1996 I pa' ge 1 of 3
B2 I SPACE ABOVE THIS LINE FOR RECORDER'S USE
Grant Deed
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
The undersigned grantor(s) declare(s):
Documentary transfer tax is $302.50 -
( 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
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
MICHAEL E. LANG and ROXANN R. LANG, husband and wife
hereby GRANT(S) to
PAUL R. WELLIN and SHERYL D. SIMONS, husband and wife as
Joint Tenants
the following described real property in the unincorporated area County of Butte
State of California: SEE ATTACHED SCHEDULE C FOR LEGAL DESCRIPTION
Dated: March 5, 1998
�'
— Z a � I �'- .� Michael E. Lang
State of Californi
County of I SS
On 1 `V`' kk ___ __ before me,
►thee undersigned, a otary Public (in and for said State personally appeared
MX rinA 4 I �_I f\{I\� fJ] N'k�lhh Q. - Wf
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.
C,
RcVann R. Lang
, and
L. Aanestad
M COMM. * 1073948 �D
—0;� NOTARY pCA+OFORMA Vi
B COUNTY OF BUTTE to
My Comm. Expires Oct. 1, 1999
RSignature U(This area for official notarial seal)
MAIL TAX STATEMENTS TO Same As Above
Order No. 2-181684
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
DESCRIBED.AS FOLLOWS:
PARCEL I:
PARCEL 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BEING A PORTION OF THE N.E. 1/4 OF
THE S.W. 1/4 OF SECTION 2, T.22N., R.lE., M.D.B. & M.", SAID PARCEL MAP WAS RECORDED IN
THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MARCH 18, 1987,
IN BOOK 107 OF MAPS, AT PAGE(S) 11 AND 12.
AP NO. 048-010-050
PARCEL II:
AN EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITIES OVER SHEEP HALLOW CREEK ROAD, AS
SHOWN ON THAT CERTAIN MAP ENTITLED, "BEING A PORTION OF THE N.E. 1/4 OF THE S.W. 1/4 OF
SECTION 2, T.22N., R.lE., M.D.B. & M.", SAID.PARCEL MAP WAS RECORDED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MARCH 18, 1987, IN BOOK 107
OF MAPS, AT PAGE(S) 11 AND 12.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED
ABOVE.
PARCEL III:
A 60 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, OVER ALLISON
MEADOW ROAD, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BEING A PORTION OF THE N.E. 1/4 OF
THE S.W. 1/4 OF SECTION 2, T.22N., R.lE., M.D.B. & M.", SAID PARCEL MAP WAS RECORDED IN
THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MARCH 18, 1987,
IN BOOK 107 OF MAPS, AT PAGE(S) 11 AND 12.
PARCEL IV:
A 60 FOOT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT
CERTAIN MAP ENTITLED, "BEING A PORTION OF THE NORTHEAST QUARTER OF THE SOUTHWEST
QUARTER OF SECTION 2, TOWNSHIP 22 NORTH, RANGE 1 EAST, M.D.B. & M.", SAID PARCEL MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
ON JULY 15, 1983, IN BOOK 93 OF MAPS, AT PAGE(S) 22.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED
ABOVE.
PARCEL V:
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE EASTERLY 30 FEET
OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 2, TOWNSHIP 22 NORTH,
RANGE 1 EAST, M.D.B. & M.
PARCEL VI:
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, OVER THE EAST 30 FEET OF
THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER AND OVER THE WEST 30 FEET OF THE
SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER AND OVER THE SOUTH 60 FEET OF THE SOUTHWEST
QUARTER OF THE SOUTHWEST QUARTER OF SECTION 2, TOWNSHIP 22 NORTH, RANGE 1 EAST, M.D.B.
& M.
PARCEL VII:
A 15 FOOT NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITIES OVER THE WEST
15 FEET OF PARCELS 1 AND 3, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "BEING A PORTION OF
THE N.E. 1/4 OF THE S.W. 1/4 OF SECTION 2, T.22N., R.lE., M.D.B. & M.", SAID PARCEL MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
MARCH 18,' 1987, IN BOOK 107 OF MAPS, AT PAGE(S) 11 AND 12.
PARCEL VIII:
AN EASEMENT FOR ROADWAY AND PUBLIC UTILITY PURPOSES ALONG WITH THE RIGHT OF USE AND
MAINTENANCE FOR SAID PURPOSES OVER A PORTION OF PARCELS 1, 2 AND 3, AS SHOWN ON THAT
CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, ON FEBRUARY 3, 1986 IN BOOK 102 OF MAPS, AT PAGE(S) 69 AND 70, MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHWEST CORNER OF SAID PARCEL 3; THENCE ALONG THE WEST LINE OF SAID
PARCELS 3, 2 AND 1, NORTH 000 45' 19" WEST, 725.00 FEET TO A POINT ON THE ARC OF A 50
FOOT RADIUS CURVE, WHOSE TANGENT AT THIS POINT BEARS NORTH 890 14' 41" EAST; THENCE
ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 1340 24' 55", AN ARC LENGTH OF
117.30 FEET TO THE BEGINNING OF A 20 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE
ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 440 24' 55", AN ARC LENGTH OF 15.50 FEET;
THENCE SOUTH 000 45' 19" EAST, PARALLEL TO THE WEST LINE OF SAID PARCELS 2 AND 3, A
DISTANCE OF 625.79 FEET TO THE SOUTH LINE OF SAID PARCEL 3; THENCE ALONG SAID SOUTH
LINE, SOUTH 880 49' 13" WEST, 30.00 FEET TO THE POINT OF BEGINNING.
AP NO. 048-010-050
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
DETACHED ACCESSORY BUILDING
OWNER'S STATEMENT OF USE
Plan review will not be started until this form is completed, signed by the property owner, and
returned to the Butte County Building Division. Attached Accessory Buildings and Additions
will be checked for residential use. Exception: Garages and Carports.
Owner: Slue R 1 N� i7 N S Phone: (99q- 1153 3
Mailing Address
Site Address: SQ�nn�
i
Assessor's Parcel Number: 0.4 ' 6 t b' — n 5 C) Zone:
Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of
this form
GENERAL LNFOR�I�IATION:
1.
Is there a primary dwelling on the property?
Yes ®
No ❑
2.
Is the structure already built, under construction, or under notice of code violation?
Yes ❑
No F]
3.
Will items produced in this building be offered for sale?
Yes ❑
No
4.
Will the public have access to this building?
Yes ❑
No 0
5.
Will any advertising. on or off site, be associated with the use of this building?
Yes ❑
No
SITE CONDITIONS:
6.
Is the structure foundation within 5' of septic tank or 10' of leach lines?
Yes ❑
No
7.
Is any portion of the structure located closer than 20' to your front property line?
Yes ❑
No 10
3.
Do you plan to add a driveway or modify existing access to a county maintained road?
Yes ❑
No
9.
Will the proposed structure encroach within any recorded easement?
Yes ❑
No 91
CONSTRUCTION
FEATURES:
10.
Will this building have insulated floor, walls, or ceiling?
Yes (A
No ❑
11.
Will this building be heated or cooled?
Yes ❑
No
12.
Will this building have a water closet/toilet?
Yes ❑
No
13.
Will this building have a sink?
Yes ❑
No
14.
Will'this building have a water heater?
Yes ❑
No
15.
What type of floor covering will the building have? _ GO V1C C st C. - S WD
16.
What type of wall covering will the building have? S u N^ )0 0&4
1
OVER
1 of 2
PROPOSED USE: (check only one box)
I. ❑ Residential Storage Shed — I will be storing in this building and it will
not be used for any other purpose (no bathroom and no heating or cooling).
2. 0 Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by
exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are
stored or kept." A garage door is required.
3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be
entirely open.
4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport
If you checked ##4, please check the uses below which best fit this building.
❑ GuestHouse ❑ Pool House_ ❑ Studio Apartment ❑ In-law quarters
❑ Recreation Room ❑ Game Room ❑ Study ❑ Library
❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio
❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room
❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room
❑ Private Office ❑ Workshop I ❑ Home Occupancy Z ❑ Other — Use =
1. Darnbe type or Warbltop
2. Mum be approved by the Butte Coutuy Planning Division.
Explanations: This area is for explanation of any "yes" answers on.questions 2-14. Please indicate the question
number before the explanation.
i
16e cmose- its it i h C L. i co
Additional Information:
Plan review will not be started until this form is completed and received. A Plans Examiner will contact the
owner with specific requirements per the use indicated.
I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes
to the use,.or character of use, of this building will require permits from the permitting authority. I understand that
Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale.
O«rler's Name: Please Print 5ke �-� �� M nS
Owner's Signature: Date: Q 2-r. 03
2 of 2
4
c .� � — i _ _ �.`
Dec 17 02 11:39a
p.2
� OWNER -BUILDER VERIFICATION -I
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES NO 0.
2. I HAVE O HAVE NOT ❑ signed an,application for a building permit for the proposed work
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME: Gker ` 5; nip ✓ c,
ADDRESS: k3-3(.( Skkpa <<c CITY:
PHONE: Jig LA — 15 3cA CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have .hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTR.ACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SOCIAL SECURITY NUMBER:_
DATE:
NOTE. This Owner -Builder VeriJrcation is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
Dec 17 02 11:37a
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself; you may protect
yourself from possible liability -if that person applies for the proper permit in his or her name:
Contractors are required by law to 'be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials *and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an. employer. you must register with the State and Federal Governments as an employer and you are
subject to several obligations. including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and These risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure.is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor; only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuildet"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community. or at 1020. N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sinarel ,
�V 4ek` _
Michadl C. Vieiia, C.B.O.
Manager, Building Inspection'
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
� i L
RESI NTIAL
4 1776 -91B -9E,-- .
LANG, Mike Chico
13361 Sheep Hallow Creek Rd,
�- 5-9'L3.AJO (new det garage)
JOB FINALE
Signature
J=OK
O=Not OK
= Not Applicable MOBILE HOMES
' =Not Ready `
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /-Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card
Date
-B-1
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
s'b
a
MISCrELLANEOUS ~J
2
Date -DECKS, ERS CARPO S, G GES, ans OK except #'s
1. Zoninguirements-Se asements
2. Foy gs; Soils -Size -Dep -Spacing-Connectors-STetq-
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports endows=Doors
c
rmc , Sits-Anchors-Studs-Rftrs-Trusses
9
idlr.1gNailing-Veneer-Stucco-Mesh
1 oof; hg -Roofing
1 xt.; Steps -Doors -Landings
Dat jlt Card B-1 &Z Date Card B-1
Dat 3-93 Card B-1 VP Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir.,Test-Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
Not OK
= Not Applicable- RESIDENTIAL. (Single &-Duplex)
= Not Ready
Date "UNDERFLOOR (Plans) OK'except ti's _
Date FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope - 45. Hangers -Post Caps-Anchors'-Corineclors-
_„ 2.- Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing..Joist-Rftr. ties-Purlin'roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 49. Bdrm. Windows or Exitino Doors -Sill Hat. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation '. r'N
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
-- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test. First Floor -Tub Access
--------- ---------------------------------
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------- ------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
--------- --- - ------------------------------- --------- ----
24. Size Boxes & No. of Conductors -Stapled
=---------- - - - ---------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
-------------- - - - --------------------------------- ---------------
26. Equip Ground made 'up w/Mech. Fastners-Bond Gas & Water
--------- -------------------------------------------- -------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------------------------------------------------
28.
----------------------
28 Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size/ ! ga.
Cu or At
---------------------------------------
29. Range Circ / / ga Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
---------- -------------------------------------------------
30.
----------- ----------- -- --- -- -
30. Service -Riser Conductors & Ground -Main Cisconnect
-------- -------------------------------------------
31. Equip Clearances Panels-Motors-Mech. Equip.
------------- ------------- - --- ----------------------- - -- ---- -
32. Clothes Closet Light -Shower Light -Spa Light
--------------- ---- ------------------------------
33. Smoke Detector
---------------------------------------------------------------------------------
-DateDate Card B_1 Date Card -B- 1
-------------- --------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except 4's
34. A.C. Ducts Insulation & Support
--------------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
-----------------------------------
36.
----------------------------
36 Condensate Drain & Overflow: Size & Grade
----- ----- -----------------------------.. - - -- -- - -- - ---
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
--------- ---- ------------------------------------------------ -
38. Attic Access & Platform if Furnance in Attic
------------------------------------------------------------------------------ -
Date Card B-1 Date Card B-1
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39. Sits. Proper Material & Anchors
- - -------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
------------ -------------------------------------------------------------
42. Draft Stop in Walls (rat proof)
----------------------------------------------------------------
-------------
43.. Fire -Stops: Furred- Ceilings -Stairs -Chases -Tub
------ ------------ ------------------------------- --------
44. Headers & Beam -Size & Bearing
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
-------------------------------
53. Stairs: Width -Head room -Rise -Run- Land inq-Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-------------------- --
55. Siding -Nailing Veneer
\_ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
---------- -----------
58. Shear Walls; Nailing -Bolts
59, Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
-------------------- --------
Rate Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ti's
-------------- 61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
----------------------
63. Furnace: Vents -Clearance -Comb. Air -Connector=
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiling
65. G F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel. Breaker Sizes & Labels
----------------
. ............ 67,
---------------67. Stairs & Rails
68. Fireplace or Stove:_ Clearances -Hearth
- 69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
------------------------- -----
72. Garage Fire Door: Swing -Landing -Closer
------------
73. A.C. Duct in Garage -Damper
-------------------------------------------------
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Local
-----------------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
------------------
7-,. Insulation -Foam -Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
'79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor - Yes
----------------------------------
80. Following instld.: Drive 0 Yes 0 No: Walks 0 Yes 0 No:
Planters 0 Yes El No
------------------------------------------- ----
81. Stucco: Brown -Finish --_--- -
82. A.C. Unit: Disconnect. Electrical. Plumbing
----------------------------------
83.
_ -----------------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
----------------------------------------
84. Water Well: Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
------- ------- - --
86. Ventilation Throughout House
-...---- - ------------------------------- -- --
87. Glass Protection
---------------------------------------------
88. Corrections from Previous Inspections
- - - - - ---------------------------
89.
--- ------ --------- 89. Gas Test -Meters Tagged: Gas -Electric
---------- -----------------------------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. 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:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES r
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
7 Z- 9)
OWNER V PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. Ifyou have any questions pertaining to this matter, or need additional explanation,
please co ct this office immediately.
Date 2 / 9 3 Inspector
REV 10/92
COUNTY OF BUTTE r ::
DEPARTMENT OF PUBLIC WORKS,,—,-
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
-71)6, -
PERMIT
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
i; please contact this office immediately.
<
,! [ r7 r �N S 92P
R
-vim r�►.�.�n� ¢f��.
:7
?7
Y'
L / /
Date 7" %S ' Inspector
.� REV 11/91_ FF .
Cry'.
COUNTY OF BUTTE
BUILDING DIVISION
' 'DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 Comity Center Drive, Oroville, CA - (916) 538-7541
747 ®liott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine irmEmates that the following violations of Butte County Ordinances exist at
The above addkesc and shordd be corrected_ Please notify this office when correction of work
isaompkledL IFyouhmre any questions pertaining to this matter, or need additional explanation,
please cogdoct dib office immediately. ,J
X9J �✓ `� R/�JG e IO�/t GGA
w r4 l bd,
62 AO4 t 4� w �� Rc -/�t .�
T' 2 a v, /1� iro,c ✓<Od�w ,rr ro
Date ,/ Inspector
REV 11111102
1
A�3TE OF TIM
iTu-
Al
1.
`2
® _
ICER IFICATE' 0F= :CON F0.RMANC_E
HE UNDERSIGNED MA NUFA C TURER HEREB Y CER T/PIES .
that the products identified below and on attached sheets Nos. are marked
with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance with applicable provisi.ons of American National Standard
ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and that 'such manufacture has
been at our plant in Drain, OR , which plant has a quality control system
approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and inspected periodically by such Bureau.
The manufacture of these members complies with the manufacturing and fabricating provisions of '
Chapter 25 of the Uniform Building Code.
JOB NAME: Lit13-
JOB LOCAT,ON: la3761,_- St1e p: Hallow Chico -
,.� -
CUSTOMER'S ORDER NO. 9410-D
�_`_ 4.. DATE - MFGR'S ORDER NO.
24F -V4. WE Glue Arch App, Indy Wrap
7,,,�,
SIGNATURE ! 1 i ✓ .0 COMPANY Duca-Lam
TITLE a1; r�, Control ADDRESS POB 297, Drain, OR DATE 1 0-1*;1
AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect
of products which comply with applicable provisions of said Standard, that the adequacy of the quality
control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of
the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC,
said company is capable of complying with applicable manufacturing, and testing provisions of said
Standard in respect of products manufactured at said plant. Conformance with the Standard in respect
:• of any specific -or particular product is the sole responsibility of the manufacturer; AITC's guarantee
hereunder being that the said company is qualified to produce a product meeting the said Standard
and that its plant is periodically inspected and verified by the AITC Inspection Bureau.
AITC FORM IBCA .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
- ' APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
48-01-50
ZONING
` SR3
BUILDING PERMIT
OWNER .
MIKE LANG '342-2010
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
13361 SHEEP HALLOW CREEK RD CHICO
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ QD 61.2
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
13361 SHEEP HALLOW CREEK RD
Permit fee
$006,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
GARAGE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S
10.00 ea
TYPE OF WORK
New [XX Addition ❑ Remodel ❑ Utilities ❑ installation❑ Other ❑
Describe work: ORT (-,ARA(-,F.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR1 OR LESS_10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
{J�
!IX+I I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions ode and my license is in full � force an( effect.
License No. Classification. [TCYJ/�Ylt 1
T -FIXED
❑ , as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.DWELLING OCCUP.8I
OR ACDNS. ( ACC. BLDGS.
,
20Sgft
NEW CONSTR.U TI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS eI
l SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES
200530
APLNS PI
EX. Occup. OUTLETSRESIREA.)
D
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ �3: }g -
Contractor
4�. (o
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
j� I shall not employ any person in any manner so as to become subject
I" to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep hayymmrless the County of Butte against
all liabilit' dg ents, costs, a fises which may in any way accrue
against Id o in conseguenc of t granting of this permit.
X�v~�/
Date D
Signature of Applicant — Owner C tractor ❑ Agent ❑
An OSHA permit is required for ex ovation over S'0" deep nd demolition or construct-
on of structures over 3 stories in h fight. V
Mobile Home Installation Fee $
Energy Inspection Fee $
oC_I
CON TTY E
TOTAL FEE $6-&5-
HAz.
cuA PARK
s
SCHL
FLD/
coF
PAR
PD
l HD• SU
This permit is hereby issued under the applicable provi-
sions of the Butte pounty. Code and/or resolutions to do
work InZed ab ve for which fees have been paid.
DR. OF PUBLIC WORKS
/311)
BY D to
PERM T EXPIRES Date 3 Z
L��/
Receipt No. 93929— /"1/17" 7
WHITE-D.P.W.. YELLOW-ASSf330R. PINK -INS CTOR. GOLDENROD -APPLICANT
i
TO Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
LA745 /33(./ 5 AW4* - c -s-1 1,1 w- / -.ry
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other /
NOTE
. -.'1-YzIZL —/— -- - `—/l 'g/
Saran tarian Date
t t '
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
s• i
PERMIT APRLICA ZION DATA SHEET
OWNER///// ZA'A4 Permit No.
Proposed Building Use QP� 6
�7� Building Inspector—
At
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ....... .
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
jfV_1-_6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions. ...............................................
—1 10. Fees of $ 16-_gE3
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from dmfb Health Department (�_ /.2–
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of 4
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner o, Mail to owner o) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
—tom 26. lettim o,�tni',mt Par itse cA 2t^d door
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone: �%,7 '2010 and hold for pickup at office. Deliver w/inspector.
Other
Applicant Date — �-,/�A
Copy of Hdz-Mat form sent Health Dept. Fire Dept. air P llutxon Date r`
Copy of plans sent ' Health Dept. Fire Dept. Other Date By
.The following data must be submitted ri t permit issuance: (Circle newt item not checked above).
1. Index permit for above items No.
2. Additional items required: f
Contractor, designer, wne , was advised of above required data byJ�phone.—mby-&W--date by- _date- Q12,
Contractor, designer, o r, was advised of above required data by—phone —ma iI—counter by date
Plans checked by IfAA) Date A Plans approved by rW Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW y;..
COUNTY OF BU :,; -TE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
g (% l0 — Gjd
ZON NG
BUILDING PERMIT _
OWNER , nl, Wr '
( (r
yEP�
SQ. FT. OCC. BUILDING VALUATION
OWNE 'S MAILMG ADDRESS
'33(c / • 1
CON' $ACTOR'Lde F_
TELEPHONE
CONTRRWWCTORR'llS((�r/�MAILING ADDRESS
Fireplace
CONSTRUCTI
Np
E�
UNKNOWN
Total Valuation $
z 7
3Z
Filing Fee $
10.00
LENDER'S MAILING ADDRESS
Permit Fee $
_� .15-0
ARCHITECT OR ENGINEER _
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 5heeA P C
Permit fee $
r
PLUMBING PERMIT Filing Fee 10.00
4012 L'?/C^ d
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other v_41eirl
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home ISI G W
10.00 ea.
TYPE OF WORK
Nevy n Addition ❑ Remodel[] Utilities ❑ installation[] Other ❑
Describe work: 6�1gIrIq
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service aOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penaltyof perjury
p i y (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business-
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING O P.ai
OR ADDNS. � ACC. BLDGS. '_
, �20sgft 2 ,
NEW CONSTR MULTI -OUTLET
ON'SESID.BRANCH CIRC ITS
2.50 ea
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
ALO30
.2z01030
Ex. Occup. OUTLETS IFIXED PRESID 1LNS REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
.ion of structures over ' 3 stories height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE ^� /
TOTAL FEE $ 8�
HAZ.
CUA PARK SCHL
FLD
cOF
PAR
PO
I HD.
ISSUE
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
L]
Receipt No. q'3 ` 3--
WIIITE-O.P.W., TELLOW-ASSES R, PINK -INSPECTOR, GOLDENROD -APPLICANT
445
arfc {20 �-
abU%
RESIDENTIAL PLAN CHECKING GUIDE 12/90
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # 1-77(,-9/
OWNER MiVo Lang A.P. # 413 -01 -so
Plan Checker egu,
GENERAL
-1. Zoning requirements: (sideyards and number of permitted living units).
2�. Valuation.
&3:" Plans signed by designer.
4. Proper description of work on application.
-5. Existing violations on property._
(6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
—7. Recorded notice of violation.
PLOT PLAN
L-1.
-3-
4.
0
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map,
ustible, and foundations).
FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
fs
FT.nnR PT.AN
x Complete to scale plan with dimensions.
-2- Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
-&-. Skylights (Chapter '34 & Sec. 5207).
--5: Human impact glass (Sec. 5406).
-6: Required room sizes, ceiling heights (Sec. 1207).NOIJ rAA(bif-Ae E
V7! GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
t-8�, Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
or gas equipment.
-1A-Garage firewall, door size, and closer (Sec. 503(d)(3)).AIL M -No oCcupkhvc'P sepAeAT100
L-1 1 - 3'0" exterior exit door (sec. 3304 (f)..
---Y2. Fireplace and wood stove location, alcoves, and clearance.
-Smoke detectors (Sec. 1210).
-1-4.-Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
-q! Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
-3-- Foundation plan complete enough to construct building.
--4-- Floor construction details complete enough to construct building.
-S. Elevations and wall construction details complete enough to construct building.
'C' Roof construction details complete enough to construct building.
-7-., Fireplace construction details and calcs if necessary.
,8� after ties or bearing ridge beam.
�. Garage door or porch header sizes.
J,O'-Stud heights.
--tr. Adobe soils - special foundation design.
-1-2--Retaining walls requiring design.
J.3—Special Inspection required.
12/90
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
-IT-'Guardrail details (Sec. 1711 & 3306(j).
—3— Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
-57--Proper roof pitch for roof convering (Chapter 32).
An Roof covering type - (fire hazard).
Foam insulation - protection.
8. 36" halls and stairways.
�-z Living area over garage - complete 1 -hour separation required on. garage side
including supporting walls and pests, etc.
—M. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
WAttic access and ventilation (Sec. 3205).
-127 Underfloor access and ventilation (Sec. 2516).
--1-3: Combustion air for fuel burning appliances - L.P.G. requirements.
QW -Noise requirements on duplexes. Nov Foe m Slt2siOMAC -Peri JOKW mENrw ZA
15. Energy design.
aIN-Flashing at all exterior openings.
—+77-CDF responsible area requirements.
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_04L048-010-050?' 03-2575
r PERMIT SiMONS, SHERI
- ' 13361 SHEEP HALLOW CREEK RD CHICO
f DETACHED GARAGE '� " +'
1
yi
.L
r -
F
SPECIAL CONDITIONS
CHECKED
R
BY
A
t, e'FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
c
VERIFY
USE PERMIT CONDITIONS
SUB-STANDARD HOUSING LETTER
t ,-
-
K.
( c
:T.
i
� L
1
1
x JOB FINALED (Date) r
Signature
J=OK
0 = Not Ok
NotApplic
. NotReadyab1e
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Carports; Windows -Doors
EI ric
1.
Zoning Requirements -Setbacks -Easements
�11ng;
M.,
2.
Soils; Special MH Support Sketch
oShthg-Roofing;
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
Card B-1 - 4 Date Card B-1
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Date POOLS (Plans) OK except #'s
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
2.
7.
Well Clearance & Disconnect
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
8.
Utility Clearance
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Date
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected-C/O.to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
'
11.
Cert. of Occupancy
J'
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
,Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8:
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date -Card B-1
ISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
EI ric
r g.; Sills-Anchors-Studs-Rftrs-Trusses
�11ng;
M.,
Nailing -Veneer -Stucco -Mesh
oShthg-Roofing;
d'of;
Steps-Doors-Lanngs
Braced Wall Panels
Date
Card B-1 - 4 Date Card B-1
Date
Card B=1 Date Card B-1
Date POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
a 9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
z
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral 0 Yes EI No
_
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. 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 (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Wal Is -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
83. Following Instld./Ddve 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
R
w.!
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"
-1P- / 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
complete . If you have any questions pertaining to this matter, or need additional explanation,
pleaso,tontact this office immediately.
Date , Inspector
REV 10/92
COUNTY OF BUTTE
j BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751 - ti
7 County Center Drive • Oroville, CA • (530) 538-7541 4
CORRECTION NOTICE
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 contact this office immediately.
1 L, s/
4;,�, J --
Z. L- �-
Z O Xi �.7 " C-
1
Date I I 1 /Z U Inspector _
REV 10/92 ` '
FEDERAL EMERGENCY MANAGEMENT AGENCY
_ NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
hnportanta Read the instructions on pages 1- 7.
SECTION A -
AUG 2 6
O.M.B. No. 3067-0077
Expires July 31, 2002
BUILDING STREET ADDRESS(tnClu Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
STATE
rrcurerc r T utbc.rtrFTION (Lbt and Block Numbers, Tax Parcel Number, — _j r �
Legal Desaiptkm, eta)
BUILDING USE (e.g., Res2erttlal, Non residerrtEal, AddHion,
Amory, etc. Use COmmerrTs section if necessary.)
LATTTUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM. ���4 'e `,' �5 Fj O��
( - - I _I NAD 1927 u NAD 1883 SOURCE u GPS (Typal
" USGS Quad Map l - I Other
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION✓
81. NF1P COMMUNITY NAME & COMMUNITY NUM9ER I Rq rm rArry AIA.IC _ _ --
°u`v'Da` DATE &TEC?IVIBREVISIi DATE ZONES �'" m A . F. FvwnON(s)
34U G - O t? AO, use depth of
Sum- I 3 Q0q. 3
B10. Indicate the source of the Base Flood Elevation (BFE) data or base dept entered in B9.
: Ll FIS Protea L__ J FIRM I—I / Detemtined 7&i OUm (Describe): S �� ('o �n-� t
811. Indicate. the elevation datum, used for -the BFE in B9: � NGVD 1929 u NAVD 1988 Otttar ().
B12' Is the bialdtng lordted m a Go Barrier Rescuuces System (CBRS) area or Otherwise Protected Area (OPA)? Yes Uj No
Desigrraticn Date ; . - 1J
.��....,.. �. - ouu.urIMM ML&VA7WIN INFORMATION (SURVEY REQUIRED)
C1- Building elevations are based au: 1--•(Consbuclion Drawings L-(Builctng Under Construction- Corustrudion.
-A new Elevation Certiiicate win be required when COnshl tion of the building is complete.
C2 Bu(ldmg Diagram Number 1 (Select the building diagram most similar to the bung for which this certitirate is being completed - see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3- Elevatim - Zones A1•,A30, AE, AH. A (with 8FE), VE, V1 --V30. V (with BFE). AR, AR(A, ARAE,AR/A1-A30, AR/AH, AR/AO
Complete Items C3a4 below according to.the building diagram specified In Item C2 State the datum used. If the datum is different from
the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation- Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the dalm conversion.
DatumC 'w Conversion/Comments S E. v c+ L I.- o C co
t3evation reference mark used�cl � 'D j j Does the elevation reference mark used appear on .FIRM? "Yes M No
❑ a) Top of bottom ttoor (including basement or enclosure) . SR(m)
❑ b) Top of next higtiarflor -213 ft(m) 9 F ESS/
❑ c) Bottom lowest pN
Oofe sbuctural member (v nines city) tk(m) m n ��� Z %• fF
❑ e) Lowest elevation of machi
— R(m) c � yc .
servicing the building C3
(LA) Z (4m) Z.9
❑ g) Highest adjacent grade (HAG) 2 n �(. (`i ft(m)
❑ h) No, of permanent openings (flood vents) within 1 R above adjacent grade xr g J'J
❑ .) Tolal area of all �rsanart ---�
openings (flood vents) in C3h if sq- in, (sq- cm) 4 FOR
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation inibimatiat. -
/ certify #W Hie lrlfaum kw in Sec Ubns A, Q and C on Mis c erahafe rePresents my best eftft to interpret ft data avaggable
I undenWnF(landKnt any false stateynent maybe PWUWU&e. by fine ormWnswiment under 18 uS Code, Section 1001.
CemF�rs NaiuE _-- -
FSA F;nrrn R1 Z1 Al Ir. CA '
-*jnF Pno
�;
_..; .. , .
__ __ . __.-- ----...___.. _.....__.. - ---- �_ ....__ -.: t:...: __ _ .
.._ - _,
PM
In these spaces, copy the cortesponding Infarmation from Section A - :Fac ceE
••• • • STATE ZIP CODE ItNugf6er<:: i"
p
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community of iiclal. (2) insurance acent/comoanv_ and (31 hwldinn nwnrar
5" � a-
• Y ,
BUILDING ELEVATION INFORMATION (SURVEY NOT REQUU2ED) FOR ZONE AO and ZONE A (WITHOUT BFE7
For Tone AO and Zone A (without BFE), complete Items E1 thnrugh E3. If the E(evathn Cerfilkato is bd wmW for use as supporting
ireOrmatbn for a LOIMA or LOMR-F, Section C must be ooftpbW.
E1_ Building Diagram Number V (Select the building diagram rtrost similar to Ura building for which this certificate Is being completed –
see pages 6 and 7. If no diagram accurately represents the budding, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the budding isJ3JQ( fLm)ern (�)
(cheone) the highest adjacent grime.
ck b� above or 1--1 below
E3. For Zorn AO only:. N no flood depth number is available, is the top of the bottom floor elevated in aarordance with the
ordir tance? i! Yes LI 'LI Univwwrl The local official must onmmun s
certify this irnkn nation in Section G.
CTION F PROPERTY OWNER (OR OWNER'S R 'ATIVt 1 [xwncu-A nn u
TM property owner or owners authormed rgxesw Fdm who completes Sections A. B. and E for Zone A twithout a FEMA4ssued or
osnmunity-issUed BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE 21P CODE
SIGNATURE DATE TELEPHONE
COMMENTS
SECTION G -
Tne KKMJ official who is authormed by law or cn*mnc a to administer the' -
he comnnnnity's t=plain ordinance can compile
SecliorrsA. B, C (or t7. and G of this Elevation Certificate. Complete the applicable f6ern(s) and sign below.
G1. L– j The infom>ation in Section C was UM from other documentation that has been signed and embossed by a licensed surveyor.
engineer, or anclntect who is ardhorroed by state or local law to certify elevation frnfonnaBan. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. i—j A community official completed Section E for a budding located in Zone A (without a FEMA4ssued or camunity4ssued BFB or
Zone AO. co
G3."The following irrtonnation (Items G4 -GS) is pumded for comm ndy floodplain management pwposem
LI ISSUED- - ------ ---
157. This permit has been issued for. [--INONConstruction u Substantial Improvement
G8: Elevation of as -built lowest floor (including basement) of the budding' la: _ R(m) Dablrn
G9. WE or On Zane AO) depth of flooding at the budding skis: it(m) Datum
LOCAL OFFICIALS N
'AME n
COMMUNITY NAME TELEPHONE
SIGNATURE
DATE
COMMENTS
_ Check here if attachments
F :RM Fnnn A'! 'A1 AI 1[: QQ
RFRI ArJ=R Al 1 PRFVIAI LC Fr"TTf1PLC
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-79A1 PERMaUO.
(Rev. 12/96) APPLICATION AND PERMIT a25 T1
ASSESSO�P(�E
((��8LJfU1,1g 2050
vv110
ZONING SR -3
BUILDING PERMIT
OWNER
SIMONS, SHERI
TELEPHNE - 1538
894
SO. FT. OCC. BUILDING VALUATION
1440 U 25,920.00
OWNERS MAILING ADDRESS
13361 SHEEP HALLOW CREEK RD CHICO 95973
138 C-794.00
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
176 48
BUILDING ADDRESS
13361 SHEEP HALLOW CREEK
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: DETACHED GARAGE
Gas piping stem 1 - 5 outlets
15.00
Building sewer15.00
Mobile Home S G W
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class LIC. NO.
-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
Main Service 200A TO 1000A
46.00
NEW CONST. ( DWELLING OCCUR
OR ADDNS_NEW
3.5¢FT. 50.4(
CONST. MU ICOUTLS.
NON-RESID.
97.50
OWER APPARATUS
d SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FIXTURES
DAL @ 1:50
OWNER
Ex. Occup. oUT1EEDrsA pa,D °E.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
7 0.40
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
l�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' com sation provisions of section 3700 of the Labor Code, I shall
rthwith co ply ith those provisions.
f�
_ Date U /2—z/03 _
(gnat re of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is require fo excavations over 5'0"deep and d olition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
0
corer TY
$ 538.38
HAZ.
D. FEESCDF
nTA�LEE
✓
P pa
Y/
pp 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.
O Q
163
/ Date _
PERMIT EXPIRES !O
et
Receipt No. r 472-7— 77075
WHITE-D.D.S.-BD. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
b3R j.TA>
�d1
E.H. USE ONLY
Piot Dien Attached
Floor Plan AtUghed��
Scorn to B.D.3 (�•SrlllQ,
Owner Location AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well
Clearance for dwetffmg. Other
120
Hold final for:
Final clearance O.K. for:
NOTE:
,o
_L_�2 -1 0 OP Ae 0\/
Ir
Environmental ealth Specialist O Date
8/96
� •'ti �'�s�'`�� �" , �� { : r ' f�i' :1, aw j�" � >.,�� "K i , :i- y�?.,;..t `,� � �� , ��+,t'o�t'S a%!Yg'R n;�v'A>�>'?�' +' R "f', �'�' x� •71'�i'9p� t� �' � A�IF"x l'�
t yi�,�. A•
COUNTY OF BUTTE -DEPARTMENT OF DEVEL®P> MIT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER:Smov-),r I ASSESSOR PARCEL NUMBER
'Proposed Building Use: :D40 -cd S 14J I `c Counter Technician: g��
1 Date: (J `� 2' G3
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
Plot plans, 3 or 4 sets, signed,yby the preparer of the plans.
Complete plans, 3 or 4 sets, signed by the preparer of the plans.
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
. Engineered truss details and layouts in duplicate. No faxes!
fA5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan,•(D) Tie down or
foundation plans, all in duplicate. -
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in tripficate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet-signed.by the eri_gineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
lood Elevation Certificate, wet -stamped and signed, in duplicate ................................
Plot plan and business license approval from the City of Biggs ....................................
❑ 0. L� Letter of intent for non-residential buildings ...............................
1 etached Accessory Building Form filled out by the owner..N.C.
Hazardous Material Form ...............
3. O
Other t��-,�-�—!� �✓ Q W .-er- /�wi r ....mat
,r -o .4 e
Remaining items needed to issue the permit. (May require additional an revww upon receipt of the following items.)
4. ees as shown on the attached Schedule of Fees Due Sheet .......................................
5 tatement of Intent for Non -heated and A/C Buildings..................................1 ...
anitation and plot plan approval from the Environmental Health Pepartment in
(4-17of Chico Plumbing permit..........p�.�- .. .�CW.j..... 0.4zi........nN4
California Department of Forestry plan approval paid. Sent_ by: ......................
❑ 19. Planning approval for (A) Use: 0 l (B)Parking: (C) Parcel Check: . 0' —r3 a—
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
orker's Compensation Carrier and Policy Number ..............:..............................
Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner)..N............... • , �-
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ .H. Title/Statemen of Pas, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
Other- ,
n issued Telephone and hold for pickup.
� I
I have been infopinned o e aboCee item /and requirements for obtaining a building permit.
Applicant: Date:
1. Index permit application 1
2. Additional items required
Contractor, designeF,�nj
Contractor, designePlans reviewed by:
Structural reviewed by:
Note transfer by:
the
Plan Check Letter
advAe8'l5f th1r;aBovC data by i� hone, ❑ mail, ❑ counter, by _�'4 Date:
advised of the above data by 18'phone, ❑ mail, ❑ counter, by PDate:
Date: 9/1510-3 Plans approved by: DA Date:_
Date: Structural approved by: Date
Date:
Yellow: Building Division
W,
3
COUNTX OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
c SCHEDULE OF FEES DUE
OWNER J A.P. #
PROPOSED BUILDING USE } '� DATE -ZZ-
RECEIPT # DATE REC.
1. UILDING PERMIT FEES - 3;5` %e
Balance Due ....................... $�5g s�rL11Q
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
2. SCHOOL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
_ 3. HERIFF FEES (paid at Building Division)
esidential x $360.00 = $
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
_ 4. URBAN AREA FEES (paid at Building Division)
Residential ................... —x—=$
# Units Amt.
Commercial (sq. ft.) ............ —x—=$
Sq. ft. Amt.
_ 5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion #
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
3- Wz. -z- /
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checkiyg process.
APPLICANT
DAT5/—' P
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 73 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00)
Dec 17 02 11:38a
p.2
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No .building permit will be issued until this
verification is received.
I personally plan to provide the major abor and materials for construction of the proposed
property improvement : YES E3 N01
I HAVE e� HAVE NOT O signed an application for a building permit for the proposed work
I have contracted with the following person (firm) to provide the proposed construction:
NAME: t
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: Com,:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
NOTE: This Owner -Builder Ver[JIcation is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
Dee 17 02 11:37a
p.1
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yoursel& you may protect
yourself from possible liability if that person applies for the proper permit in his or her name:. '
Contactors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to .put their license number on all permits
for which they apply. '
If you plan to do your own work, with the'exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 if you employ or otherwise engage any persons other than your immediate family, and the work (including
materials 'and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 if you are an employer. you must register with'the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks am especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
if the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an•"ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community. or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we tact confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned
Sinc&Ml ,
blichadl C. Vieiia, C.B.O.
Manager, Building Inspection'
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
fill
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31. 2002
• ELEVATION CERTIFICATE
Importanti Read the instructions on pa es 1- 7.
SECTION A- PROPERTY OWNER INFORMATION Fbr•Insumnce.CompanyUse:.
BUILDING OWNERS NAMEMWVNcP
BUILDING STREET ADDRESS (Jlndud� lug Ap • Unit, Suite and/or Bldg. N OR P.O. ROUTE AND BOX NO. ' Comparry.NAIC Number.
33101 E E0A-> area l
qTY STATE C ZIP CODE 3
PROPERTY DESCRIPTION (W and Btock.Numbers. Tax Panel Number. Legal Descriptio, etc.)
APJU
BUILDING USE (e.g.. Residential. Nonresidential. Addition. Accessory. etc. Use Comments section if necessary.)
LATITLIDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: U GPS (Type):: HCl
( W - fa'iF - rYa tet>: or L -I NAD 1927 U NAD 1983 U USGS a ad Map Ower:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAME 83. STATE
Gq
•
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In B9.
�..-I FIS Profile u FIRM t-1 Community Determined 1zq Other (Describe): Te r h. 5 ti 0 s,Ne U p,
B11. Indicate the elevation datum used for the BFE in B9: U NGVD 1929 NAVO 1988 VI Other ( escribe): CChico
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or OtireW Wk. Plntected Area (OPA)? "Yes 'K1 No
Designation Data: N (A
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Ct. Budding elewdtlars are based am WCorustrpction Dmwings' "Building Under Construction" "Finished Construction
'A new Elevation Certificate wig bd `required when construction of the building Is complete,
C2. Building Diagram Number 1 (Select Me building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the btu'lding, provide a sketch or photograph.)
C3. Elevations -Zones Al -A30, AE. AH. A (with BFE). VE. V1430. V (with SFE), AR. ARIA. ARAE, ARIA1-A30, ARIAH, ARIAO
Complete fterrts C3a4 below according tD the budding diagram specifted In Item C2. State the datum used. if the datum is different from
the datum used for the BFE In Section B. convert the datum to that used for the SFE. Show field measurements and datum conversion
calcu atlar. Use the space provided or the Comments area of Section D or Section G. oils , to document the datum conversion.
Oadsn o 4C is yCorhversioNComn�nLs S • E. Qa.%urn a4 LAS &c-tn Cah� CA% A Ch i to T) • P. W .
Elevation reference mark usedOr sc Does the elevation reference mark used ap
84. MAP AND PANEL
85. SUFFIX
86. FIRM INDEX
87. FIRM PANEL
88. FLOOD
89. BASE FLOOD ELIEVATION(S)
-3 MITI)
fL(m)
NUMBER
1
DATE
ED DATE
ZONE(S)
(Zone AO, use depth of flooding)
• e) Lowest elevation and/or equipmaht
G
g
ru1 1°tq�
20 y •
_ 3 it(m)
•
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In B9.
�..-I FIS Profile u FIRM t-1 Community Determined 1zq Other (Describe): Te r h. 5 ti 0 s,Ne U p,
B11. Indicate the elevation datum used for the BFE in B9: U NGVD 1929 NAVO 1988 VI Other ( escribe): CChico
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or OtireW Wk. Plntected Area (OPA)? "Yes 'K1 No
Designation Data: N (A
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Ct. Budding elewdtlars are based am WCorustrpction Dmwings' "Building Under Construction" "Finished Construction
'A new Elevation Certificate wig bd `required when construction of the building Is complete,
C2. Building Diagram Number 1 (Select Me building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the btu'lding, provide a sketch or photograph.)
C3. Elevations -Zones Al -A30, AE. AH. A (with BFE). VE. V1430. V (with SFE), AR. ARIA. ARAE, ARIA1-A30, ARIAH, ARIAO
Complete fterrts C3a4 below according tD the budding diagram specifted In Item C2. State the datum used. if the datum is different from
the datum used for the BFE In Section B. convert the datum to that used for the SFE. Show field measurements and datum conversion
calcu atlar. Use the space provided or the Comments area of Section D or Section G. oils , to document the datum conversion.
Oadsn o 4C is yCorhversioNComn�nLs S • E. Qa.%urn a4 LAS &c-tn Cah� CA% A Ch i to T) • P. W .
Elevation reference mark usedOr sc Does the elevation reference mark used ap
r-0 a) Top of bottom floor (inGudng basement or enclosure)
D If
• 3 fL(m)
o
0 b) Top d next higher floor
0 c) Bottom of lowest hwiztrrtal structural member (V zones only)
-3 MITI)
fL(m)
o,
c
0 d) Atiad�d garage(top of slab)
_
— fL(m)
j
• e) Lowest elevation and/or equipmaht
tu S-
�oflogmachinery
servicing Me
20 y •
_ 3 it(m)
� g
0 4 Lowest adjacent grade (LAG)
D oi"
s" fL(m)
z
0 g) Highest adjacent grade WG)
_a � _
• fL(m)
0 h) No. of permanent openings (flood vents) within 1 R above adp'crft grade -1/tom-;-
0 .) Total area of all permanent openings (flood vents) in C3h
1u sq. in. (sq. an)
pear on the FIRM?_.Yes No
i f -
9
Pf QF G4UF�Q
SECTION. D - SURVEYOR ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor. engineer. or architect authorized by law to certify elevation information.
I certrfjr trial the hbrmation in SectronsA, A and C on tlriss certificate represents my best eflbrts to Interpret die data available.
1 uriderstarnd trial any false statement may be punishable by fine or imprisonment under 18 U.& Code, Secdon 1001.
CERTIFIERS NAME LICENSE NUMBER
TITLECOMPANY NAME
Ciu i i .c , l nep-rz _ 7V1SZ 6AJ6In-e2R/AUC Grog
FI=UA Fnm Ai Z1 AI it. QQ // CFF R CF sins: PnQ rnrt�rNl 1 nnm RFR Ar�PC At 1 PQf=kAnI LC FnMnhM
IMPORTANT: In these spaces, copy the corresponding information from Section A For- Insurance Company Use:
Pi in nwr. STRFFT Annan -mss n.,�,niaa Ant unit Suite- andior B1da_ No.1 OR P.O. ROUTE AND BOX NO. Policy, Number.
STATE
ZIP CODE
SECTION D - SURVEYOR ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company. and (3) building owner.
Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E3. If the Flevagon Cer0cate is intended for use as supporting
information for a LOMA or LOMR-F, Section C must be completed.
E1. Building Diagram Number __V_ (Select the building diagram most similar to the building for which this certificate is being completed —
see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph)
E2 The top of the bottom floor (including basement or enclosure) of the building is 1=A1 fL(m) Ila�Iin.(cm) %I above or 1._I below
(check one) the highest adjacent grade.
E3. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? 1—I Yes 1—I No I..._,I Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community4ssued BFE) or Zone AO must sign here.
SIGNATURE DATE TELEPHONE
COMMENTS
1-1 Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance W administer the community's floodplain management ordinance can complete
Sections A S. C (or E), and G of this Elevation Certificate. Complete the applicable Item(s) and sign below.
G1. I_I The information in Section C was taken from other documentation that has been signed and embossed by a licensedsurveyor.
engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G21—I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or
Zone AO.
G3.1-1 The following information (Items G4 -G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED I ISSUED CERTIFICATE OF GQMPUU1J- xa.�P
ANANt.:r
I
G7. This permit has been issued for. 1.._I New Construction L _-1 Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is: _ fL(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _ fL(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
I Check here if attachments_
FFIUA From Al 41 At Ir: QQ RFPI AnCC At I PP"111 I.0 1=nM 1N.0
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
L ..
DETACHED ACCESSORY BUILDING
OWNER'S STATEMENT OF USE
Plan review will not be started until this form is completed, signed by the property owner, and
returned to the Butte County Building Division. Attached Accessory Buildings and Additions
will be checked for residential use. Exception: Garages and Carports.
Owner:Phone:
Mailing Address
Site Address:
Assessor's Parcel Number: �W-40> —( id fS'Zone: 1A
Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of
this form.
GENERAL INFORMATION:
1.
Is there a primary dwelling on the property?
Yes JK No ❑
2.
Is the structure already built, under construction, or under notice of code violation?
Yes ❑
No
3.
Will items produced in this building be offered for sale?
Yes [INo�
4.
Will the public have access to this building?
Yes ❑
No
5.
Will any advertising, on or off site, be associated with the use of this building?
Yes ❑
No
G SITE CONDITIONS:
6.
Is the structure foundation within 5' of septic tank or 10' of leach lines?
Yes ❑
No
7.
Is any portion of the structure located closer than 20' to your front property line?
Yes ❑
,j
No
8.
Do you plan to add a driveway or modify existing access to a county maintained road?
Yes ❑
No
9.
Will the proposed structure encroach within any recorded easement?
Yes ❑
No
CONSTRUCTION FEATURES:
10.
Will this building have insulated floor, walls, or ceiling?
Yes go
No ❑
11.
Will this building be heated or cooled?
Yes C3
No
12.
Will this building have a water closet/toilet?
Yes
No e
13.
Will this building have a sink?
YesNo
[:]'
14.
Will this building have a water heater?
Yesm
No4,
15.
What type of floor covering will the building have? 42in �' • �'(, >
16.
What type of wall covering will the building have? _ '^ C$KePS U" 00AP-0>
OVER
1 of 2
PROPOSED USE: (check only one box) —
1. ❑ Residential Storage Shed — I will be storing _ in this building and it will
not be used for any other purpose (no bathroom and no heating or cooling).
2. ❑ Private Garage — "A building or a portion of a building -not more that 1,000 square feet (3,000 by
j exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are
stored or kept." A garage door is required.
3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be
entirely oven.
4. 6' Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport.
If you checked #4, please check the uses below which best fit tho building. __._..... _..._._. _._
❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters
❑ Recreation Room ❑ Game Room ❑ Study ❑ Library
❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio
❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room
❑ Canning Kitchen 0Music Room [3Family Room 13Sun Room
❑ Private Office Wo=R��A
�H�ome upanep�--" ❑Other —Use
1. Dewn'be type orworbhop �
I Must be approved by the Butte &—nnM Division.
Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question
Additional Information:
Plan review will not be started until this form is completed and received. A Plans Examiner will contact the
owner with speck requirements per the use indicated.
I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes
to the use, or character of use, of this building will require permits from the permitting authority. I understand that
Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale.
Owner's Name: Please Print S �e-t' t s vv�O ✓LS
OO wner's Signature:( Date: `" y `03
—
��� y ,ei/ W/
2 of 2
0
Ex. Occup. ( OVftET OR FDRURES
Ex. Occup.( OMU
ccu .IAtU w MESS . . EA V" 5.00
EsID
Tempora y Service 23.00
Mobile Home F cilities 20.00
m�} Wisc. Wiring23.00
SikA PERMIT FEE s S • 9
•
MECHANICAL PERMIT Fling Fee 20.00
Whey. � � Heating
Cooling
�
O Hood
6.50
name Ventilation
P.ERMIT FEt S
Mobile Home Installati ' n Fee S
e Energy Inspection Fee S
Dec CONST. TYPE TOTAL FEE $ j 5
NAZ. D. FEES IMP FLOOD CDF PARC PD ND ' LSSUE
This permit is hereby issued under the applicable provisions
e1Y-46
of the Butte County Code and/or Resolutions to do work
NVIYh indicated above for which fees have been paid.
�-�
By Date
PERMIT EXPIRES ON
(Delo)
I��
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILQ�P!G•DFVISION
U
•
7 County Center Drive • 'Oroville, California 95965 ! Telephone (530) 538=7541
PERMIT NO
APPLICATION AND
PERMIT'- D 3
- /OY (
:ev. 12/96)
ASSESSOR PARCEL Nu►IBER
zO'"No
BU I LDI NG P ERM IT
OWNER •
TELFPMONE
SO. FT. OCC. BUILDING VALUATION
9�jG
�
OWNERS MASJNG ADDRE66
CONTRACTOR'S NAME
fElFP11DNE
L• I. Q
!Td
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
Total Valuation L
rC ,.
LENDERS MAILING ADDRESS
ARCNIiECT OR ENGINEER
LICENSE NO.
Filing Fee S
20.00
Permit Fee S
Plan Checking Fee b
3 -7'5.,6 -0
• .0v
ARCNRECT OR ENGINEERS MAILING ADDRESS
BUILDING ADDRESS
Energy Plan Checking Fee
S
PERMIT qEE =
q • S
LOT NO.
SUBDIVISIONS NAME
PARCEL IMP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap 17
. o o p.o
USEOFSTRUCTURE
Solar or heat pump water he ter
23.00
SF ❑ Duplex O Mobilehome ❑ Other
Water piping
15.00 4
CPM"
Each gas water heater or v nt
Gas piping system' 1 - 5 ou ets 1
15.00
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ U60lies ❑ Installation ❑ Other ❑
Building sewer I
15.00 &I
Moble Home I S I G
@20.00
Describe Work:
PE IT FEE
ELECTRICAL PERMIT
qo^o
Fling Fee 1 20.00
Main Service 22ow R LEss
23.00 3 • o 0
Main Service 2—AD ic-A
46.00
NEw COt6T: OCDS.
OR ADDNS. ( M.W. BL I
3.5¢F.T.NEW p�•
NELLn owl. -M Tw( un.Er 1 I
97.50
Ex. Occup. ( OVftET OR FDRURES
Ex. Occup.( OMU
ccu .IAtU w MESS . . EA V" 5.00
EsID
Tempora y Service 23.00
Mobile Home F cilities 20.00
m�} Wisc. Wiring23.00
SikA PERMIT FEE s S • 9
•
MECHANICAL PERMIT Fling Fee 20.00
Whey. � � Heating
Cooling
�
O Hood
6.50
name Ventilation
P.ERMIT FEt S
Mobile Home Installati ' n Fee S
e Energy Inspection Fee S
Dec CONST. TYPE TOTAL FEE $ j 5
NAZ. D. FEES IMP FLOOD CDF PARC PD ND ' LSSUE
This permit is hereby issued under the applicable provisions
e1Y-46
of the Butte County Code and/or Resolutions to do work
NVIYh indicated above for which fees have been paid.
�-�
By Date
PERMIT EXPIRES ON
(Delo)
Feb 01 02 08:13a P-1'.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICE§ - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (53 538-75410.
(Rev. 12/96) APPLICATION AND PERMIT�
ASSESSOR PARCEL NUMBER / / ^ O / / 0 ^ 0 20NIN0
y` U BUILDING PERMIT
NES oNE FT. OCC. BUILDING ALUATION
OWNERSqG ADDRESS
CONTRACTOR'S MAILING ADDRESS
1
20.00
CONSTRUCTION LENDER
c
LENDER'S MAILING ADDRESS
FirepillIce
Total Uuatlon$
ARCHITECT OR ENGINEER
LICENSE NO.
Filinq Fe
ARCHITECT OR ENGINEERS MAILING ADDRESS
--••..--••••
Permit Fe
Plan Chec6a Fee
euaowG aooaess
7
Energy PIan�Checking Fee
Filing Fee
PERMIT
LOTNO, SUBDIVISIONS NAME
�►`^ 1 (�'1 ii
PARCEL MAP
PLUMBING PERMIT
USEOF UCTURE 3 Ae-
SF ❑ Duplex ❑ Mobilehome❑ that l O
A
Each Trap
Solar or heat pu_*p water he
Water piping
TYPE OF WORK
Now ❑ Addition ❑ Rem/pdel ❑ Utilities Ration ❑ Other ❑
Describe Work: / V \) a z4=0
Each as water heatlir or ver
Gas piping system 1 - 5 outle
Buildingsewer
Mobile Home I S I G \W
(A
5.12-4
oa
C) SL-
"PERA T FEE PAXb
SRA
SHERIFF
OTHER
AMOUNT RECEMb
s�3 zg
� �fZ4.Zg
-)44
a 'IM MIA
NVOAM
" TO COiIrMV1'ER
Z�- P/A ck
PER
ELECTRICAL PERMIT
Main Service 200eoovA OR DR
Mein Service ( 200A TO
$
1
20.00
$
c
FIE $
Filing Fee
20.00
7.00
► r
23.00
15.00 11
15.00
s
15.00
15.00
—
@20.00
FEE !
Filing Fee 20.00
23.00 '__
46.00
3.5¢x°, Ito
tx. OCCU OVnETOR RES t19 �.vo
BAL Q .00
Ex._Occup. o� ETA a ,l 01iA 5.00 _
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
MECHANICAL
Heating
MIT FEE 1 $ ' I I (r — —
AIT Filing Fee 1 20.00
Hood
6.501' I
ventilation
Mobile Home Install
Energy Inspection f
occ CONST. TYPE
HAZ• I 0. FEES
This permit is hereby
of the Butte County
Indicated above for v
By 1
ReceiptNo. PERMIT EXPIRES ON
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
MIT FEE S
Fee $
$
T LFEE$0jrKDjrJSSUE
FLOODCDF • -----
d under the applicable pr'ovPsidns '
a and/or Resolutions to do work
fees have been -paid.
- ...Date
- ere --••
} COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
r
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: f
• N/1 J ASSESSOR PARCEL NUMBER v L1 dl- / o _ o5 0
fj
Proposed Building Use: V \� o (/ J�--g 6/r"� Counter Technician: d`— Date: '
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
e -2 -Complete plans, 3 or 4 sets, signed by the preparer of the plans.
�3�ngineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
p Engineered truss details and layouts in duplicate. No faxes!
2-5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ig neer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
Letter of intent for non-residential buildings.........................................................
1. Detached Accessory Building Form filled out by the owner .....................................
`P❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
1 ees as shown on the attached Schedule of Fees Due Sheet .......................................
CXStatement of Intent for Non -heated and A/C Buildings ...........................................
P6.Sanitation and plot plan approval from the Environmental Health Depa ment in
❑ 1 . City of Chico Plumbing permit .........................../................ . .
alifornia Department of Forestry plan approval paid. Sent by: /q
��..........
Planning approval for (A) Use: C> K (B)Parking: (C) Parcheck:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
10 24. Worker's Compensation Carrier and Policy Number ..............:..............................
�25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been in med of the 4bVye items and requirements for obtaining a building permit.
Applicant: Date:
1. Index permit application for the above i m� umbered: Aay !/ %` 5 Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advise of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: P.& Date: Plans approved by: Date:_
Structural reviewed by: 'Ptf Date: o Structural approved by: Date:_
Note transfer by: Date:
Yellow: Building Division
E.H. U8E ONLY
Rot Rea AttacMd
Floor Ran A Chad
y �
Sent to a.D.`�
03—(6
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
/336/ cS�ej�v
Owner Location AP#
Plan Approved for: Sewage Disposal k Water Supply: Public Private Well
Clearance forg. Other /Soo 4711
zm,.,l ga re&r„-7
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
8/96
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
OWNER f eyox O
PROPOSED UILDING USE V v J
1. BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee .............$
SCHOOL DISTRICT FEES 6 � fe 0.�
(paid at District Office) (Available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential ...................... x $360.00 = $
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... x-=$
# Units Amt.
Commercial (sq. ft.) ............ —x—=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
A.P. # 04ft�-- ®/ 0
DATE q , I L1 .
RECEIPT # DATE REC.
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE I"/ - ZZ— D
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner
(Rev. 6/00)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 •• Telephone (530) 538-7541/ 3 _'P 0•
8
(Rev. 12/96) APPLICATION AND PERMIT ((��
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
800VR LESS
Main Service A 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
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO I000A
46.00
NEW CONST. DWEWNG OCCUP. 3.5Qso
O AD
oNST. (
MULAOCou�rLS.
ET
NON-RESID. c 97.50
POWER SINGLE APPARATUS
a OUTLET CIR.
20 @ 1'00
Ex. Occup. OUTLET OR FIXTURES BAL @ .so
Ex. Occup. oUTE g=-.DE'.5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
kr 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 corn Plfw h those provisions.
X Date i - I if_ 03
Signature of Applicant - �COwner ❑❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
KAZ.
I D FEES
IMP
I FLOOD
I CDF
PARCEL
Po
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
I IDate)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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