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017-180-008
TRAVEL TRAILER WITHOUT PERMIT 4/12/93 k Y. 11- 1-08 oQ FLARLRY OHNSON 16 30 Jtte Cre k Island Rd, C ico 582-88BAE,M(new single fam- ily) 011-110-008 02-0825 CARLSON, .IOHNA'ITION 11836 BU"1'1'17CREEK ISLAND RD., CHICO CONT`. BAI ROOFING RL -R001= l % f � _1c� -0z O 08 " SMIT17-180-0H, DAVE OS -13 73 11836 BUTTE CREEK ISLAND RDAICHM O Cont: O'HARA, PATRICK NEW SINGLE FAMILY 1.011° � ,j NOTES RESIDENTIAL PERMIT NO. 017-180-008 05-1373 SMITH, DAVE ' 11836 BUTTE CREEK ISLAND RD, CHICO Cont: O'HARA, PATRICK NEW SINGLE FAMILY SPECIAL CONDITIONS ' CHECKED SRA '* All FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 11 2 3 C q �-� � ©FF' I x JOB FINALED (Date) 9i Signature J=OK 0= Not OK . = NotRdy Oe . =Not Ready MOBILE HOMES Date MOBILE HOME UTfUT1ES (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-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L W P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 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-ConnectoP 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 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI ' 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 OK NotOK Applicable RESIDENTIAL (&ngle & Duplex) Not Ready , _ Date UND FLOOR (Plans) OK except #'s V7 -Setbacks -Easement ood-Slope Ftg., Main; Soils-Elec. d.-/ /" Ftg. Depth 3. Ftg_, Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. SJkmwalls, Main; Steel-Blockouts-Wrapped Downs and D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. F, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test FW 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 t and B-1 ' Date Card B-1 Date `, a5 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s er, Htr.; Vent -Access -Combustion Air Baffle l er Pipe; Test & Anchor -Nail Protection 1D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. st Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELE TRICAL (Permit) OK except #'s Eixture & Transformer Clearance -Ins. Protection . Receptacles Spacing -Lights & Switches at Doors Boxes & No. of Conductors Stapled Romex Installed Close to Edge of Studs & C.J. 2e' -Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Appliance Circuits in Kitchen & Conductor Size GFI ubfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 81- Range Circle/ /ga Cu or Al -Oven Circ_ / /ga Cu or Al Insulated Neutral D Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. ui . Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 3 . Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3 . . Ducts Insulation & Support t Fan, Exhaust above insulation -Condensate Drain & Overflow, Size & Grade rnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 46. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA ING (Permit) OK except #'s 4 Sills Proper Materials & Anchors Walls Studs-Naiiing Spacing & Braces -Plates -Sound 4;- Baring Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs . Headers & Beams -Size & Bearing Date FR NG (Continued) angers -Post Caps -Anchors -Connectors 419. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49._,Fireplace Ties or Type AFlue-Fireplace Throat Clearance attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. nn. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings ._xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Fr Siding -Nailing Veneer 58. Stu o Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. grazing Area -Glass Protection -Skylights -Plastic SX Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls- dows Date .l�- Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector `29.- mace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6i --Bedroom Exiting F.I. & Bath Fixtures & Tub Access -Spa 6 Elec. Trim.�bpanel, Breaker Sizes & Labels rrs 31,-Rmplace or Stove, Clearance -Hearth 7a-Z4ec. Outlets at Wood Panel, Int. & Ext. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter Z5. -Garage Fire Door, Swing -Landing -Closure 7 Duct in Garage -Damper Q. . tr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 74 -Tib.; Elec. & Mech. Equip. Listed for Location 79. ec. Receotacles in Garaoe (F.F.I.)-Romex Protection 89,4n-sulation-Foam-Looked in Attic uarRails & Deck Construction -Post Caps dn. VBents & Crawl Hole Door Drainage & Wood -Earth arance Looked under Floor 0 Yes Eplierwing InstldJDrive 0 Yes O No/Walks O Yes O No/Planters O Yes 0 No BC -Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings �ater Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 8 entilation Throughout House ass otection 9 grmctions from Previous Inspections Test -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates QK Address Posted g, .1m Sprinkler Datel 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: L. i.L'_,C•OUNTY OF BUTTE:{::,:.:.:.:.::' BUILDING DIVISION' f? DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 '3 CORRECTION NOTICE 4 74 REV 4/051 Phone # OWNER PERMIT NO. a £fir A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, tact the Building Inspector as indicated below.(D Vase C'I (,I �4V 6 `� lz_ �t�w► ��-� S (�t , �5 ) `' n� /low h 'Cn1� frv�yi� tr e Ce n i l Nei I Vim, �ll �CI-er t cD PraJkja DY1 d'eJ(-C►Qr 6VI S r�e+j,�✓nrLg rcf 1 I s�� 1` ( (ovA-)bv� +D +i 1- r�F l .. C, 1 I KeCA- V i0,9 -t< 61-L 1L k +CJ' -t_" _1� ZW 4D Vr O 5 � ice( M� `. Y QC� � ✓cS5 �$� S t R ` �y Date Inspector REV 4/051 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 R t PA COUNTY OF BUTTE BUILDING_ DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER 51 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date � � Inspector REV 4/05 Phone #� FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 'r cc I CORRECTION NOTICE i 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional expl 0ation, please contact the Building Inspector as indicated below. Y'A�_ .1 n srz, A U, -z_x e, 4 nS 0 tom'. Date < Inspector. REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Krn, li n, C��-i3-73 OWN R PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. —2 ) In ,Pr. c LA S Cr t j & Lk44 s A �G — , 1sz :1 r T2, Res. -- -_ I Date Inspector __ / _ )UQ'N I JP, REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 4:::�_ r" i a---1-, OS- (> > 3 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date ( Inspector. — cic1r1,— (dGvk P eA REV 4/05 Phone # . 4 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 FT - COUNTY OF BUTTE ' BUILDING DIVISION Esc DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �.� 14 k ��sl�? 3 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the ve address and should be corrected. Please call for re -inspection when correction of wor is completed. If you have any questions pertaining to this matter, or need additional ex annattion, please contact the Building Inspector as indicated below. iv t�Jr� J n. 1 Date �' ' ' Inspector l REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Rpr 22 05 08:34a . Western Woods Ewp Rick 5303431124 ENGINEERED WOOD SYSTEMS Certificate of Conformance Certificate 054093 p.2 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products – Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For.Determining Design Stresses AITC 117-93 – Manufacturing – Standard Specifications For Structural Glued Laminated Timber Of Softwood Species M IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued. laminated timber members were produced iri a-inanufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Ouality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant OA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. by �/I /wa W Thomas G. Williamson ~— Executive Vice President rrv1a1rV4&HL-U WOOL) SYSTEMS is a related corporation of APA — THE ENGINEERED WOOD ASSOGATION 7011 South 19th Sheet - P.O. Box 11700 - Tacoma, WA 98411-0700 Telephone: (253) 565-6600 - Fax Number. (253) 555.7265 inn.. CertainTeed 01 InsulSafe4 Builders Statement Fiber Glass Blowing Insulation Homeowner Name / Jobsite Name )183 6 G4, Cel Home Address 6_/9_0160 Installer/Contractor (sign) Company Name Date Builder (sign) Company Name Date Inspected By (sign if required) Date R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. INSTALLED MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (lbs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 77 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 51/2 11 6.6 151 0.179 43/4 THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. • DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 R -VALUE THICKNESS AREA (SQ. FT.) INSULSAFE 4 (✓) BAGS USED BAITS/ROLLS (✓) CEILINGS I WALLS 9 FLOORS l THERMAL PERFORMANCE—ATTIC BLOWING APPLICATION • In accordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for each R -Value listed. • The maximum net coverage must not exceed that specified for each R -Value. • The installed insulation must be at or above the specified minimum thickness for each R -Value. • Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value. • This product should not be mixed with other blown insulations or the thermal claims will become invalid. • DANGER: RECESSED LIGHT FIXTURES—TO PREVENT OVERHEATING, DO NOT INSULATE ON TOP OR WITHIN 3" OF SUCH DEVICES. DOES NOT APPLY TO TYPE IC LIGHT FIXTURES OR TO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS. 30-24-233 Builders Statement A Saint-Gobain Company ©2003 CertainTeed Corporation 10/03 Manufacturer Insulation Fact Sheet This is CertainTeed Corporation I nsu Sae 4 Fiber Glass Blowing Insulation CertainTeed Corporation P.O. Box 860 Valley Forge, PA 19482 THERMAL PERFORMANCE—HORIZONTAL OPEN BLOW CertainftedM The following thermal performances are achieved at weights and coverages specified when insulation is installed with pneumatic equipment in a horizontal open blow application: R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain aBags Thermal Resistance (R) of: per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (Ibs.) Should not be less than: (in.) 60 36.5 27 0.986 22 49 29.6 34 0.800 181/2 44 26.4 38 0.712 163/4 38 22.8 44 0.615 143/4 30 18.0 56 0.485 12 26 15.5 65 0.418 101/2 22 13.1 77 0.353 9 19 11.1 90 0.301 73/4 13 7.7 129 0.209 51/2 11 6.6 151 0.179 4 3/4 R -values are determined in accordance with ASTM C 687 and 518. Complies with ASTM C 764 as Type 1 insulation. THERMAL PERFORMANCE—SIDEWALL RETROFIT APPLICATION When installed with pneumatic equipment in sidewalls, the following thermal performances are achieved at the thicknesses, weights and coverages specified. Based on a design density of 1.6 pcf/25.6 Kg/m3. R -VALUE BAGS PER 1000 SQ. FT. MAXIMUM SQ. FT. PER BAG MINIMUM WEIGHT- POUNDS PER SQ. FT. MINIMUM THICKNESS To obtain a Thermal Resistance (R) of: Bags per 1000 sq. ft. of net area: Contents of bag should not cover more than: (sq. ft.) Weight per sq. ft. of installed insulation should not be less than: (Ibs.) Should not be less than: (in.) 29 35.8 28 0.967 7'/4 22 27.2 37 0.733 5'/2 16 19.8 51 0.533 4 15 17.9 56 0.483 31/8 14 17.3 58 0.467 3'/2 READ THIS BEFORE YOU BUY What you should know about R -Values. The chart shows the R -Value of this insulation. R means resistance to heat flow. The higher the R - Value, the greater the insulating power. Compare insulation R -Values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save on fuel. To get the marked R -Value, it is essential that this insulation be installed properly. • • BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior, to its issua'rice;,also requires the applicant for such permit to file a signed state* meni,that he or she is licensed pursuant to the provisions Of, the Contractor's State License Law (Chapter 9 commencing with Section 7000} -of Division 3 of the Business and Professions Code) or that be or she is exempt therefrom and the basis for the:alleged.exemption. Any. violation of - gctipn. 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollais ($500).):. ❑ .1. as 6wher•of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended: or•gffered,for,sale.,.($gc�-7.0.44„Bus'lnGss a-gd,Qrofessipg Code: The Contractors'- State -License. Law does. not apply to an owner of property who builds or. improves, thereon, and. who does such work himself or herself or through his or her own employees, provided that such improvements are not. intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the .property;, am—exclusively contracting with. licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ ; I am Exempt under Article 3 of a Busine s and Pr fessions Code. Dater 7 OS .2.7 owner: WORKERS' COMPENSATION DECLARATION. I hereby affirm under'penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers`. compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: PERMIT NO. BPO51373 Issued Date: 07/27/2005 APN: 017-180-008-000 Site Address: 11836 BUTTE CREEK ISLAND RD. CHI Map Index: . Description: nsf (992) gar (1288) Owner: SMITH, DAVID AND ERIN- 11836 RIN 11836 BUTTE CREEK ISLAND RD::. ; CHICO, CA. 95928 - 530-895-9240 �........ Applicant:..SMITH, DAVI.D..AND,ERIN.:.... :...................,.......... ...,.>. 11836 BUTTE CREEK ISLAND RD. CHICO, CA. 95928 530-895-9240 Contractor: PATRICK O'HARA CONSTRUCTION 848 WAGSTAFF RD. PARADISE, CA. 95969 530-872-5271 License #: 682508 Architect: Engineer: Carrier: Total Square Ft: 2280 S.F. Policy#: Valuation: $95,392.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 7 = Z 7 - d -5 ` Applicant: WARNING:. Faifure 'to secure workers' compensation coverage is unlawful, and. shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorneys fees.!'. - - CONSTRUCTION LENDINC AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: This do thA nrovicions of the Butt fees have been paid. By: Date: PERMIT EXPIRES ON: r7--2 (Date) 7--� ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify. that I have read this application, that the above information is correct, and that I am the owner or the duly authorized gent oflhelpwner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any icial form or d umen of Otte County. I hereby authorize representatives of Butte County -tolenter upon the above mentioned property for inspection purposes. Print Name: �%�V (J ' / 7 Tr`� _ Signature: Date: 7-2-77 OS Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netlidds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance;.; also requires the applicant for such permit to file a' signed statement that he or she is licensed`pursuant to the provisions of, the Contractor's State License Law (Chapter 9 cbmmericing with Section 7000).of Division 3 of the Business and Professions Code) or that he br she is exempt therefrom and the basis for the. alleged.exemption. Any., violation ofSolation 7031.5 by any applicant for a permit subjects the applicant to`a civil penalty -of not more than five hundred dollars ($500).):. ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intendgd, or g§gred,for, sale,.(,Sec„7044„Bustness_a2d,Professipgs_. Code: The Contractors` State- License. Law does. not apply to an owner of property who,builds or. improves thereon,. and who does such work himself or herself or through his or her own employees, provided that .such improvements, are not, intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ - I, as owner of the..property„ am -exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of to Busine s and Pr9fessions Code, Date:' 7-2-7- O S. Owner:4L t;k WORKERS' COMPENSATION DECLARATION I hereby affirm under'penalty'of perjury one of the following declarations: ❑ ( have and will maintain a certificate of consent to self -insure for workers'. compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy # ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ;7-2 7- O .5 Applicant: PERMIT NO. BP051373 Issued Date: 07/27/2005 APN: 017-180-008-000 Site Address: 11836 BUTTE CREEK ISLAND RD. CHI Map Index: Description: nsf (992) gar (1288) Owner: SMITH, DAVID AND ERIN, -• •- 11836 BUTTE CREEK ISLAND�RD'”" c CHICO, CA. - 95928 530-895-9240 Applicant:,.SMITH, DAVID ALVD ERIN „� �-R,, w 11836 BUTTE CREEK ISLAND RD. CHICO, CA. 95928 530-895-9240 Contractor: PATRICK O'HARA CONSTRUCTION 848 WAGSTAFF RD. PARADISE, CA. 95969 530-872-5271 License #: 682508 Architect: Engineer: Total Square Ft: Valuation: Census Code: WARNING:. - Failure 'to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attomey.'sfees—%.. _ . .I.— . . CONSTRUCTION LENDING AGENCY This permit i erel I hereby affirm that there is a construction lending agency for the Resolutio to do v performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Address: PERMIT EXPIRES 2280 S.F. $95,392.00 . 1 �50 1� provisions of the Butte Cnunty CodR enrUor fees have been paid. �? 7� Date: ? ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies,of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized gent of he pwner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any icial form or d umen of utte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: �%f V (J +'�/ 7 ��`� Signature: Date: 7'2-7- 0s Owner O Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834�a BPO5 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION , 1 BIN # Website: www.buttecounty.net/ddls "PLEASE PRINT CLEARLY" OWNER Last Name < J First NameD'4`e '._ Address City CN/LD Stat Zip 9 PhoneO r S �i Z y Fax E-mail' 5yy1177-1 CONTRACTOR Name>�ATR/GK Address 19 City ?H"AgA�1S State Zips, 59 Phon53Q _872 _ 5 Z-7 / Fax E-mail Lic. # $ZSD Class ARCHITECT/ENGINEER Name ff/�/� LJE-lrEll� Address !o y0 Z Sk yw fty City � Stated Zip 7574 Phone ^ 7 3 Fax 87.3- 974- Z E-mail State License Number O APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name l�i4 v,9: . p"/ 7'i-1 Address > f&(0 91,779: City '�' /GD Type Const. State, Zip9,Sg Z$ Phone ys Z yD Fax Fax E-maib 5P-)� /Ti�/Z2Z XOZ—,o CU APPLICANT SIGNATURE X For office use only: Zoning jr-12-51 Flood Zone X I SRA Y!s2 No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP#0 / .7._ X80 — On S Propert AddressCity g��/�iC'/5�,r7 Cross Stre�t WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: N5/-- 9q2 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: v ' Amount �� Bldg L/ g� SRA Receipt #: 0-1 �� Sheriff t� SMIP J Date: Other �P� �b Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS , The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED.' ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate, ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate.' ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 utte County Department of Development Services )NNE CHRISTOPHER, DIRECTOR M Smith, Dave 7 County Center Drive Permit No: Oroville, CA 95965 Project Type: NSF/Gar (530) 538.7601 Telephone APN: (530) 538.7785 Facsimile M 100% 70% Plan Check Fees TO: ' 601.16 FROM: LO $ 601.16 1 SUBJECT: O � DATE: o�UTr 0 0 0 0 0 0 UN WILLDAN Scott Rutherford (530) 538-7160 srutherford a buttecou nty. net Plans Transmittal For Review Per Contract 6/3/2005 Applicant: Smith, Dave Permit No: 05-1373 Project Type: NSF/Gar APN: 017-180-008 100% 70% Plan Check Fees $ 858.80 $ 601.16 $ 858.80 $ 601.16 WILLDAN Fee $ 601.16 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET . OWNER: C % �//L� ASSESSOR PARCEL NUMBER Proposed Building Use: �L` _ C:� - Permit Technician: `S Date: XIte required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ^ 2 �/ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. �� 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. / 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ s , 5. Letter from Engineer or Architect for truss design review. / N 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) /N 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... \❑Erosion Control Plan Required........................................................................ [� ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 1 . City of Chico Plumbing permit........................................................................ 22. Site plan and business license approval from the Cit fggs.............................. 23 -California Department of Forestry plan approval paid. Sertfi�j+'^J� "� /c n - - 24 Planning approval for (A) Use: �(B)Parking: (C) Parcel Check:....✓..... Z a-1 ❑25. Contact Land Development about _ Improvements, _ Drainage ........................ (� 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........ :.................. t ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone /i✓�-� 81 5 1 ?-J-49 and hold for pickup. I have been informgq of the above itemsland requirements for obtaining a building permit. Applicant: Date: 5 -2 5 Q 5 1. Index permit application for th above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: 1, 1 11 JA Date: Structural reviewed b : Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.N. USE ONLY ti Piot Plan Attach e Floor Plan Attae 71 Seem to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 13C/%-%��I�PC��C GSL • f'J / / O 0 ®C/ Owner Location AP# . Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for ✓ dwelling. Other Hold final for: Final clearance O.K. for: NOTE: / 0s��o5 Environmental Health cialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 /SCHEDULE OF RECEIPT OF FEES OWNER ?56^x% I "Y' PROPROSED BUILDING USE f%CST-� . DATE RECEIPT # DATE REC. / A.P. # 4/ -7--/$ 0 ...009 '-- 1. BUILDING PERMIT FEES --- Balance Due ..................... �."Pa-z.e-T --- Additional Fees Due........... $ Nd966% �ised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES C' (paid at School District Office) (form available after Plan Check)_ 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. `r 5. RECREATION DISTRICT FEES PA_RA01S C57 (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) _� '7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 11-5o'717 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Coercial (sq. fig.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during%the plan c4cking,protess. APPLICANT DATE_ J_-,75-0,5_ Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division ' Yellow -Applicant Pink -Owner j9 / G Z (rev. 2/2003) o� Department of Public Works C o u n t y o f B u t t e C C 1. Michael Crump, Director LAND DEVELOPMENT DIVISION p / Storm Water Management Program 7 County Center Drive Oroville CA 95965 ASC/--wn �S (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase Il Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN I ACRE1 6A -1Z _ AD Project Description: i 8 �� �� 7-1-&= C SC Project Location and/or Parcel Number: r-. By signing below, 1, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: , Title: ��W i✓C�� Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 �W I LLDAServing Public �N July 6, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1373 Assessor's Parcel No: 017-180-008 Description: Smith NSF/Gar Willdan Project No: 14353-1684 Dear Mr. Rutherford: 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.wilidan.com Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: # Plans: Two (2) copies sheets 1 though 11, not dated, by Behm Design. # Structural Calculations: Two (2) copies dated 3/14/05, by Wegener Engineering Group. # Energy Calculations: Two (2) copies dated 6/30/05, by Max Ramirez. # Site Plan: Two (2) copies not dated. The plans have been stamped with the Willdan approval stamp and dated. According to our previous letters relating to this project, the superseded plans and documents will be discarded unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. SWI LLDAerving Public �N APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC) • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS) CODE ANALYSIS Specific Use Type of Occu anc Type of Sprinklers Construction Stories 1" Floor Total Sq Ft S9 Ft Dwelling R-3 V -N No 1 992 992 Garage I U-1 V -N No 1 1 1 1288 1 1288 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. 4. The Title -24 -CF -1R -form shall be signed by the designer, owner or other person taking responsibility for the project design and the Title -24 -documentation author (where different). CES 10-103(a)1 and California Residential Manual 1.4.8 SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely` Michael LeBeau Plans Examiner Ricardo Guzman,S.E. Structural Engineer Cc: Alice Mefford, amefford(-buttecounty.net Mark Wegener, 6420 Skyway, Paradise,CA 95969, Fax: 530-873-9762 Dave Smith, 11836 Butte Creek Island, Chico, CA 95928 Email: dsmith222@aol.com Patrick O'Hara, 848 Wagstaff, Paradise, CA 95969 Page 2 of 2 County of Butte 05-1.373 Willdan 14353-1684.PC2.F 77�/1 yWJ BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s)6)1,,7-1190— Building Permit Number Property Owner (s) Project Location /Address Subdivision Name / 7-7q, L57 - Assessable Sq. Ftge Type of Residential Development (check one) - New Development _4 Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) erified by Building Department Comments: 0 FRRPD ❑ CARD RPD 0 DRPD certifies that: 0 F arm rah Applicant NameY one Number � � C�2gg Mailine Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. 04� by Payment of: Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ 4L 4/8 Remarks: Paid b}/Eh�ck No: C/ Paid by Cash: Recreation and Park District Representative et—i—ei fnr rev l.doe Receipt No: 7/ 7 /&r Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District C Wi c U %/ /V / Fle D A.P. Number 0/ 7 � / 80'-- OL08 Jurisdiction: = City Building Department No. County Property Owner Q i T7 -f Property Location/Address >3 L/ Subdivision Lot No. ........................................................................................ Residential Development Q Q Q Sq. Footage / Z No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # '(No foundation inspection) :........................................................................................ Commercial/Industrial Q New Addition Building Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage Date (Including Exterior Roofed Areas) District Identification No. OIL /Y)a o Z�41# 0— Q School District certifies that (Applicant) (Street Address) Is -9,,3 V0 (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 4by payment of $ afof , R representing Q� square feet.1�13 2926 $ v PULL MITIGATION $ `' //0/,0,S School District Representative Date Paid by Check # 1M 7 Remarks: Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees aro paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School Disblct Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fags to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feefonn.xis (3/05)dfbm BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District (.. �'� t, V !� F- ler— % Building Department No. A.P. Number 0/ � '" t �� � aaf� Jurisdiction: Q City EEf County 7 3 Property Owner -�wi ) T%1 , D A VLA a. , Property Location/Address �� L1 �(� � ���� /—S A Subdivision Lot No. .......................................................................................� Residential Development Q Q Q € Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # •(No foundation inspection) :........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior !' Roofed Areas) iz' Building Department✓ Representative Date District Identification No. 0�� 0 o School District certifies that (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. �%�- ~ by payment of $ representing ,� square feet. �13 2926 $ ULL MITIGATION $ d'Z2 -7 0/ School District Representative Date Paid by Check # / � Remarks: Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date tees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental ChWity Act (CEQA), this project may be subject to additional school Nes to fully mitigate Its Impect on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xis (3M5XIMM SITE PLAN REVIEW APPLICATION Date: /22 0� AP# of 7-irO-O©e T Permit Number (if applicable) 0 ,373 APPLICANT INFORMATION Parcel Size: Owners Name: Pad- "� Owners Address: l I ?, 3 rX Telephone No.: Y0 Situs Address: Proposed Use: Residential Qj New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home Residential Accessory Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By Date 0 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY ' I Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: Ap09 ZC Index Date:, A E] Sacramento River Reclamation District (Approval must be obtained from the alifom a Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit El Minor Variance El Administrative Permit ❑ Variance -------------------------------------------------------------------- ❑ Detached Building Use Form ElEncroachment-Permit — -----r ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front � � Side Side Street Rear , 3 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula Check with school district to verify actual fee if pre -application review. 'A final determination will be made at the time of . the building permit. Parcel Created By IS Deeds: Date of Creation: Legal Access Provided: ❑ No Deed of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with Cogty Standayds for Deed Creation:❑ No ❑.Yes , ❑ Yes ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑. Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: :.. Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval:. ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa Page 4 of 5 0 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:U_arryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 '1WF.�r•.4 wr;,.:.s:;K.nr.:,C:}Es. �.a •' • ,�c . I 011-I 10-008 02-0825 CARLSON, .101-INATI-ION 1 1836 13U'I"I'C CRIzLK ISLAND RD., CI-IICO CONT; BAIRD ROOFING RL -ROOF Y • t1 . Y • `• � ,IIII� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 (Rev. (Rev.12/96) APPLICATION AND PERMIT ((,,�� ASSESSOR PARCEL NUMBER/-- j �('-` 0 v f1 1`tJ) ZONING BUILDINGPERMIT OWNER %^I f s ry,2. TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS lylyfU ) 1 J f _ _ A���.l 1' �J,J �Jf.��.�I lli .♦ �� CONT CTOR'S NAME T( PHONE/ CD - TGR'S^MAING ADDRESS , 11 /' 1 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ r7) 17 too ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 641100 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ... Energy Plan Checking Fee $ r $ PERMIT FEE $";t(4, (� LAT NO. SUBDNISIOWS NAME'PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water fter 23.00 Water piping 15.00 Each as water heater vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: y!2 01 Gas piping system t - outlets 15.00 Building sewer 15.00 Mobile Home 1yGl W 11 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ull fo ce and effect. / ? �+,� License Class Lic. No. (/ )�7�j WNER-BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' S ���on insr ancg carrier and policy number are: Carrier /t,� Policy Number - E -_-�&z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort I ith comply with those provisioonns, X - / /� Date 1 Signature of I14pplicant III- ❑ OWnef ❑ Contractor ❑ AgenTT An OSHA p mit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. To Main Service 200A 1000A 46.00 NEW coNsr. DWELLING OcCcuCU p so OR ADDNS. ( & ACC. BLAS. 3.5¢FT. =.EO. SIDMULTI-O=@7,50 POWER APPA Us asINGLEo cIR. 200 1.00 Ex. Occup. OUTLET OR 4URES BAL so FIXI Ex. Occup. OUTLETS PP ID.°ER.A 5.00 Temporary Service 23.00 Mobile Home Facilitiel 20.00 Misc. Wiring 23.00 PERMIT WE $ MECHANICAL PERMI Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Ins&llation Fee $ Energy Inspection Fee $ �oCc j rrPE TOTAL FEE $ 714 1 IVI HAZ. t. Fp etMP 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 �L� Date PERMIT EXPIRES ON 4V-8-01 ate Receipt No. ,3 4i1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 10 GI COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754�n9• (Rev. 12/96) APPLICATION AND PERMIT _ 0 ASSESSOR PARCELNUMBEy'\V _ )/b— v v ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS IL1NGSS ,y / l/'YU�j'wu�T/[N CONI CTOR'S NAME J ' CO 5 TO MAIU AD ESS , / 1 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ 5 4/100 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS L Energy Plan Checking Fee $ $ �1 V PERMIT F E s , LOT NO. SUBDIVISIONS NAME'PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water Veater 23.00 Water piping 15.00 Each gas water heater vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �q Gas piping system 1 - outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "00OR LESS Main Service 20.VA ORLESS 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 fo ce and effect.// 22 License Class Lic. No. 6, /�,CIR 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP so OR ADONS. ( a ACC. BLDS. 3.50FT; NEW ,.,ON- :S,O MULTI -OUTLET BRANCH @7,50 aB10,WE EOP US 20 @ 1.00 Ex. Occup. OUTLET ORF uREs BAL O .50 Ex. Occup. OUTLEETSS ,oD APPoEA 5.00 Temporary Service 23.00 Mobile Home Facilitie 20.00 Misc. Wiring 23.00 PERMIT FjEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' mn�on�suancgcarrier and policy number are: Carrier �� /1XJ Policy Number I—� („ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall 7pith comply with those p ovisions. 7 X Date WISI� Signature of pplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA p mit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMI Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation 4PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ. J!-3 TYPE VB TOTAL FEE $ t HAZ. D. FEES P FLOOD CDF PARCEL PD HD SSUE 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 KJ2/U l�C��-�!.[O / �� �� PERMIT EXPIRES ON -03 Date ReceiptNo. 339q, 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT S lJ 1s PERMIT No. 3582' 88B,P,E,.M PERMIT EXPIRES OWNER LARRY JO NSON CONTR. owner ASSESSOR PARCEL 11-11-08 LOCATION 11836 Butte Creek Island Rd, Chico • r a - e -e cj - Ccxvzec� �►,.� . t~ , y1 Temp. Power Pole Called PG&E 1 Tem . Elec. Service Called PG&E Temp. Gas Service Called PG&E l JOB FINALED (Date) �b Signature =OK 0 = Not OK i• ' MOBILE HOMES MISCELLANEOUS ' = Not Readyable ,. Date MOBILE HOME UTILITIES (Plans) OK except #'s Date IDECKS,COVERS,CARPORTS,GARAGES, (Plans)CK exrept #'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. Electricity; 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 -81 Date Card -131 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME 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 Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -61 Date Card -B1 Date 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 Card -81 Date Card -131 Date Card -131 Date Card -131 Date =OK °- NobApplicable RESIDENTIAL (Single and Duplex) = Not heady'' Date -VND AFIbOR (P. ns) OK except #'s ;4T__. Date F ING (Continued) oni-Setbac`ks;-Easements #loedangers-Post Caps -Anchors -Connectors t n; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Brac.-Tr -S g.-Rfng. Soils -Steel-/ P' Ftg. Depth i or e u ireplace Throat Clearance 4) ., Po es & Decks; Soils -Steel-/ /"Ftg. Depth ttic Access; Size & Romex Protection -Draft Stop- S walls, Main; Steel-Blockouts-Wrappedrm. Windows or Exiting Doors -Sill Hgt. & Dimensions .�Stemwalls, Garage; Steel- Bloc kouts-Wrapped ICYGarage Fire Protection Framing 7 Slab; Steel -Wrapped 8,XPie5- Ftg.-Steel Doors -One 3' -Check Garage -3rd story, 2 exits W .; F tings-T - way C/O -Sew r e 5 tairs; Width -Headroom -Rise -Run -Landing -Fire Protection �--as Pipe; Size -An c rs Gu ywood oa.Rdof Overhang-Att' ents-Raft riggers 1� ter Pipe; -Anchors-Regulator-Ser ' est l ing-Nf�r+ Veeer lectric; Underground a e1 t!/ /lJCywowi i 11 - Ir. ss U IAmi s R DiLci GIewance-Material-Supprt-Ins. azing Area -Glass Protection -Skylights -Plastic - r o s- o - - ipples 64463h.W Walls; Nailing -Bolts 16,4arulati r13 ns lation-Walls-Clg. nfiItration-Walls-Wndws Card -B1 ate" and -B1 Date �/ �' Card -B1 Date and -B1 Date Card -B1 Date Card -B1 Date —1a Card -B1 Date Card -61 6ftDate /3 5s - �� Date PLU BING (Permit) except #'s Water H ccess-Comb Air a Date FINA ans) OK except #'s r Pi e' nchors-Naile-P- teetio xt. S Door & Sidelight Protection -Landings W. .; s & Anchor - ail tec . S ke Detector a4awar Pan �First Floor -Tub -Access 60."Furnace; Vents -Clearance -Comb. Air -Connector - !p -Garage; Above Floor-Ducts-Mech. Protection 2% TestTuti agar 9nd Flonr-T b- e, ,.ess 1 as Pipe; Size & Anchors e m Exiting F.. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes -Labels Card-B Da Card -B1 Date - ails Card -B1 SF Date 2 Card -81 Date replace or Stove; Clearances -H lets at Wood Panel; Int. &Ext. Date ELE AL (Permit) OK except #'s . Ki t. & Appliance; Grnd. -Air Gap -Cooking Clearance xture &Transformer Clearance ns. ct ec. Receptacles Spacing -Lights &Switches at Doors lec tlets &Receptacles at Kit. Counter arage Fire Door; Swing -Landing -Closer S' Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. in Garage -Damper ui u w Mech. Fasten -B as & Yater � trarage; Above . Htr.; Vents -Clearance -Comb. Air -Connect Floor-Mech. Protection 2 ppliance Circuts in Kitchen & Conductor Size/G.F.I. pl c. & Mech. Equip. Listed for Location 2 Size / / ga. Cu or AI-A.C. Wire Size / /ga.C7e' Cu or Al ec. Receptacles in Garage; (G.F.I.)-Romex Protec. . Insulation -Foam -Looked in Attic es Mange Circ.u or AI -Oven Circ. / / ga. Cu or Al. Insulated Ne ral Yes No T 78. Guard -Rails & Deck Construction -Post Caps f% /D$1 ervice- on uc ors & Gro' - ainnnect ?0"Ftfn'-NeiAs & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes uip. Clearances Panels-Motors-Mech. Equip. ollowing instld.; Drive] Yes o; Walks ❑ Yes Mrlgo; Planters ❑ Yes ❑ Vo to es Closet Light -Shower Light -Spa Light oke Detector rown-Finish Card -B1 0 Datet- y Card -B1 _Qg Date �. Unit; Disconnect, Electrical, Plumbing Card -61 aE Dat ?D 'Card -61 Date Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date j, MEC ICAL (Permit) OK except #'s C. Ducts Insulation &Support 8 Water , Disconnect, Electrical, Plumbing �terior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House radef� las otection b. A4 Q25�lbrrections from Previous Inpections ` 3 89 gas T Meters Tagged; Gas -Electric Water Sewer Connected -C/O to Grade -HD Approval ergy Compliance Certificate -Other Certificates Card -81 Date Card -B1 Date �! 2 92. Roofing Certificate Card -B1 S Date 2 Card -81 Date L Card -B Date /0-Jq-FjCard-B1 Date Card -B1[//3 Date/0 A3-1 Card -B1 Date Date FR G (Plans) OK except #'s Card -61 Date Card -B1 Date SillsProper Material &Anchors Comments at Final: �� u,�d 4� £ 76ye alls Studs -Nailing, Spacing & Bracing—Plates-Sound 9 'J D top in Walls (rat proof) F' Stops; Furred Ceilings -Stairs • e -Tub 44"Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �J 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 • 35� OWNER .1-1 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 correct! of work is completed. If you have any question pertaining to this matter, o eed additional explanation, please contact this office immediately. 3/y „ -40 ME linspector— Date I G" i 1 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 corgr6tion of work is completed. If you have any question pertaining to this matter,Ar need additional explanation, please contact this office immediately. 0 s ✓l i/li�v Inspector /c COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS r . - 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 matter, or d additional explanation, please contact this office immediately. s i/ Ar!,- -;�e z,F 7�4,--d / 7- f'r , 7 Inspector Da C �f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 M4morial Way, Chico — Phone: 891-2751 7 CountyLpenter Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 z+ CORRECTION NOTICE f J � jz --1�9 R 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, r need additional explanation, please contact this office immediately. i Inspector. /9� Date -&7A'91 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 5 8z 8, 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 correct, f work is completed. If you have any question pertaining to this tter, or d additional explanation, please contact this offic ' �nedi'te �. + J� n Inspector Date 'e- 3S� COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS ` fi 196 Memorial Way, Chico — Phone: 891-2751 / s; 7 County Center Drive, Orovi Ile — Phone: 538-7541�� 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whe I correction of work is completed. If you have any question pertaining to this I ter, or need additional explanation, please contact this office immediately. /2 .40 Inspector a, Date_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 Z 7 County Center Drive, Orovi Ile — 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 matter -or additional explanation, please contact this office immediately. ��.t/rs/ G�� //I/l /lam �/t.i✓ �/��l% > t Inspector Date ` _ 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 OWNER CORRECTION NOTICE 35 ?2- ?!? 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. �7--51'G! /vee./ -/a O wN e /tea k e ivr 0,41 c") Inspector C\A S� 1 I Date ?f COUNTY OF BUTTE t 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 ==Z12XJJ 6� VNER 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. / // r � �� / � .'� i �✓ a �/�t/ alis 7�,� G Q d/ bk GJ7t�l Ve 69V 7 Inspector Date COUNTY OF BUTTE : DEPARTMENT OF PUBLIC WORKS i 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 J� �N 5'9"u 3S J?7 Fly 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. Plaw -5 oto s14 --e- � «�- --f/ tl�' i1ti5joec.4.1 � 4 --/) v; d 4 n') r r e c 4-101-, -5 o! l--,- 7 - SCl , Inspector N. X155e I I &, Dater I- 8 1 • 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 /0WA1,,5 a,c�3) & 7 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. -T'�F---S ,AL ,r,.N^7t"A lelA7'L /1 /,'7 -?—q cl ro trArOe- r/51 iii.?+--.7�::`�*.,.�---',. COUNTY OF BUTTE • r " 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' OWNER'` � PER 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. -rt e .r/GZ-71 s ndtl i1�:�r� �fl 10, �y Go Cl , Inspector Date Z: 3' Building Owner Building Location ENERGY INSTALLATION CERTIFICATE Building Permit # 3&8"Q -U DESCRIPTION OF INSULATION ROOF 7 Material J 67 Thickness(inches) EXTERIOR WALL Material Thick-ies s ( inches ) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, STAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consistent with approved building department plans and attachments and con- forms with requirements of Chapter 2-53 of State of California Energy Requirements FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNA OF IN&ALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, aci shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. /t 40-, UILDING ONTRACT /OWNER (Please Print) (FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO:, / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541CW X APPLICATION AAD' PERMIT UU ASSESSORPARCEL NUMBER //_ // _ .n0 ZONING Q-i� tlj I_J 1 BUILDING PERMIT OWNLERT we arl' ApLI� ON (o alp/ OWNER'S ILING ADDRESS SO. FT. OCC. BUILDINGVALUATION O V CONTRACTOR'S NAME TELEPHONE o c,✓ N e_ /1- CONTRACTOR'S MAILING ADDRESS rya) eT / D ems! S1 Fireplace /000 CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS - Total Valuation $ C1 1741 Filing Fee Permit Fee C> ,3 $ 10.00 $ V3 0-10 ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ 6' $ $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 2 U Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S.0-0 Each qas water heater or vent 5.00 ro USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S Building sewer ga-v 5.00 Mobile Home I S I G JWT 10-00ea TYPE OF WORK NewAddition❑ Remodel Utilities❑ installation El Other ❑ Describe work: CoNCr Penult Fee $ ;L. Contractor ELECTRICAL PERMIT Filing Fee 10.00 � Main service 100 AMP OR0V OR LESS10.00 `� b -•p CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑NON.R I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, 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 { Main Service EA. ADD'L 100 AMP 2.50 OR ADDNST ( DWELLINGS c� �1 '/z2sgft Zp%, NEW C.S,.. TI.OUTLET 2,50 ea ESID .BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXTURES 20050t 1.20050t FIXED FIXED APPLNS. OR EX. OCCUp- OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 ffz"D Mobile Home Facilities 15.00 Misc. 1Yirin 15.00 9 Permit Fee $ e WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating We,jj Cooling e V GL Hood 3.00 Ventilation Perm it Fee $ a •�fl 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 to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. > X� �a�-" = Date `� / "� Signature o Appli nt — Owner (�] Contractor ❑ Agent ❑ An OSHA permit is required for excav tions over 5'0" deep and demolition or construct- ion of structures over 3 storiesfin hei t. Mobile Home Installation Fee $ Energy Inspection Fee $ D C--0 ;)-,3Butte TOTAL PERMIT FEE $ , DCDUP. tON 9T.TYPC ? J JSCHI�P^71.1,;J MD 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicad above for which JR TO OF PUBLIC By.Date PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / p� c� Receipt No. 0�2 t�7b WMITR-D.P.W., YELLOW-ASe(530R, PIN IN9PCCTOR OOLDlNR -APPLICANT ,L.. w COUNTY OF BUTTE - DEPARiMENT OF6PUBL.IC WORKS - BUILDING DIVISION -'' 7 COUNTY CENTER DRIVE - OROVILLE, OALIFORMA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER kOr-rLA PC /V so /U pA. P. No. /l—�%–Do Proposed Building U e Alec,)s1,c Building Inspector 9,65 Date ��– SRI i 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, j . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of pli�sp-la*ns. 3. Complete plans in duplicate/triplicate, signed by preparer 4. Complete engineered plans and calcs, with wet signature on�plan5. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan:' 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . etter of signature authorization. . . . . . . . . . �0. Sanitation approval from Chico Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification -(Given to owner❑, Mail to owner ❑.) _15. Improvements may be required. . . . . . . . . . . . x_16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to t7. Pre -Inspection for Required. Building Inspector (Date) N 8: Recorded copy of Agricultural Acknowledgment Statement. ��_ Z_ A" 19. Driveway Permit. Foy - Plot plan approval from city of Engineered trusses in duplicate (required prior to plan check). s��s 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. �elephone and hold for pickup atmoffice, Deliver w/inspector. Other ApplicantDaAe Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy–DPW Date FROM: Buildina Department Environmental Health SUBJECT: Sanitation Clearance 7 01 r Owner Location G AP# Plan Approved for: Sewaqe Disposal v Water Supply Hold final for: Final clearance O.K. for: Clearance for bedroom-me-hlle home. Other Water Supply Water Supply ate BUTTE COUNTY SCHOOLS DEVELOPMENT, FEE CERTIFICATION FORM (One Form per Building) A. P. NumberO-DO$ Building Department No. School District r�j(�,n/�/w City Q County Property Owner Project Location/Address Jurisdiction Subdivision Lot Number Residential Development: Sq. Footage 0?1oZ(a # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* District Id No: �07 School District certifies that (Ap aicant Name) (Phone Number) &77CfAQ (Street Address) O 9.s9 yg ( ty) (State) (Zip Code) has complied with the requirements of Resolution No.,3�p —ff by the payment of $,S(� representing square feet. / / Sch6 ,l Distr t R 71iresentative Date PAID BY CHECK NO . ,14 �p D REMARKS BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major 'labor and materials for construction of the proposed property improvement (yes or no) — l 2. I (have/have not) signed an application for a building permit for the proposed wort. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address `� City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work IJ, A AAO VV Signed: G�����% A�0/y/V� O ('V Property Owner Social Security NumberS /= G -may 6 DateXx, /- S2'Sf NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per - witted to issue the permit. 88-1 Rgtur'n to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 374 4 FOR RESIDENTIAL DEVELOPMENT Sect -ion 26-8.1 of. the Butte County Code requires this acknowledgement be recorded prior. to .issuance of a building permit. All that real property situate in the County of Butte, State of. California, descr. ibe(I ;is follows: All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of Section 25, Township 22 North, Range 2 East, M.D.B. & M., and being more particularly described as follows: BEGINNING at the point of the intersection of the Easterly line of said Section 25, with the centerline of that certain 60 foot right of way described in the Deed to Charles R. Fisher, et ux, recorded June 21, 1962 in Book 1186 of Official Records, page 557; thence South 79°48'20" West along the center line of said right of way a distance of 500 feet; thence leaving said centerline South 0°22'30" West to the base of a bluff; thence Northeasterly along the base of said bluff to a point on the Easterly line of said Section 25; thence North 0°22'30" East along the Easterly line of said Section 25 to the point of beginning. TOGETHER WITH a right of way for road purposes and the right of use and maintenance for said purposes over a.strip of land of a uniform width of 60 feet lying within the East half of Section 25, Township 22 North, Range 2 East, M.D.B. & M. and more particularly described as follows: COMMENCING at the East quarter corner of said Section 25; thence South 0°55' West 175.30 feet along the East line of said Section 25 to a point in Honey Run Road; thence along Honey Run Road South 85°59' West 635.61 feet and South 81°12' West 181.85 feet to the true point of beginning for the right of way herein described; thence from said true point of beginning, said 60 foot right of way lying 30 feet on each side of the following line; North -0°55' East 720.29 feet; thence North 75°16' West 96.35 feet; thence North 49°1'20" West 97.72 feet; thence North 12°24'50" West 144.98 feet; thence North 26°39'50" East 133.30 feet; thence North 4°14'20" East 160.15 feet; thence North 28°48'20" East 97.25 feet; thence North 47°48'20" West 208.23 feet; thence North 00°22'30" East 643.91 feet parallel to and distant West 1106.95 feet from the East line of said Section 25; thence North 79°48'20" East a distance of 1126.05 feet to a point in the East line of said Sec- tion 25 and the end of the right of way herein described. Said point is distant approximately 680 feet from the Northeast corner of said Section 25. The property described herein is adjacent 68-037441 ; Rec Fee 7.00 to land or included within an area zoned Cash 7.00 .For agricultural purposes, and residents Recorded ; of this property may be subject to incon- Official Records ; veni.ences or discomfort arising from the County of ;L.4� -to Li1�jS0N use of agricultural chemicals, including, Butte ; but not limited to herbicides, pesticides, Candace J. Grubbs ; and fertilizers; and from the pursuit Recorder ; of agricultural operations including, 12:51pm 2 -Nov -88 ; RB 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLab]:ished ;1gric�nl- Lural. zones which have as a priority use for productive agricultural purposes, and re.-;idrni o-; within said zones and on adjacent property should be prepared to accept such hicOnveiiicnc-c, or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of. California, descr. ibe(I ;is follows: All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of Section 25, Township 22 North, Range 2 East, M.D.B. & M., and being more particularly described as follows: BEGINNING at the point of the intersection of the Easterly line of said Section 25, with the centerline of that certain 60 foot right of way described in the Deed to Charles R. Fisher, et ux, recorded June 21, 1962 in Book 1186 of Official Records, page 557; thence South 79°48'20" West along the center line of said right of way a distance of 500 feet; thence leaving said centerline South 0°22'30" West to the base of a bluff; thence Northeasterly along the base of said bluff to a point on the Easterly line of said Section 25; thence North 0°22'30" East along the Easterly line of said Section 25 to the point of beginning. TOGETHER WITH a right of way for road purposes and the right of use and maintenance for said purposes over a.strip of land of a uniform width of 60 feet lying within the East half of Section 25, Township 22 North, Range 2 East, M.D.B. & M. and more particularly described as follows: COMMENCING at the East quarter corner of said Section 25; thence South 0°55' West 175.30 feet along the East line of said Section 25 to a point in Honey Run Road; thence along Honey Run Road South 85°59' West 635.61 feet and South 81°12' West 181.85 feet to the true point of beginning for the right of way herein described; thence from said true point of beginning, said 60 foot right of way lying 30 feet on each side of the following line; North -0°55' East 720.29 feet; thence North 75°16' West 96.35 feet; thence North 49°1'20" West 97.72 feet; thence North 12°24'50" West 144.98 feet; thence North 26°39'50" East 133.30 feet; thence North 4°14'20" East 160.15 feet; thence North 28°48'20" East 97.25 feet; thence North 47°48'20" West 208.23 feet; thence North 00°22'30" East 643.91 feet parallel to and distant West 1106.95 feet from the East line of said Section 25; thence North 79°48'20" East a distance of 1126.05 feet to a point in the East line of said Sec- tion 25 and the end of the right of way herein described. Said point is distant approximately 680 feet from the Northeast corner of said Section 25. 88.-x3t.41 Date: 11/1/88 PROPERTY OWNERS:. State of California) On this the 1st 'day of November �1988 before m(.,, ) SS. the undersigned Notary Public, personally appeared County of Butte ) Larry K. Johnson and Melba Johnson ❑X Personally known to me. E] Proved to me on the basis WVIVOTARY OFFICIAL SEAL of satisfactory ev:i.dence. KATHLEEN PUI IC MA CLUNG to be the person(s) whose name(s) are PUBLIC - CALIFORNIABUrM'CpU1VTl subscribed to the within instrument and acknowledged t h;�[. they__ omm. expires 1UL 20, 1992 executed the same for the purposes therein contained: I.N WITNI?SS WHEREOF, I hereunto set my hand and official. seal: - Present A. P.- No.011 Notary .Pub is END OF DOCUMENT iI. I•- 1 V RESIDENTIAL PLAN CHECKING GUIDE• (S.F. , DUPLEX.: & MISC. ONLY) 7/85 Bldg. Permit # OWNER /�. �� Lli /�L N �a�� A.P. # GENNEERA L 1/ oning requirements: (sideyards /aluation. V�/ Plans signed by designer. Energy Design and Compliance. Existing violations on property. and number of permitted living units). PLOT PLAN e— Complete parcel size and dimensions. 2! Setbacks, sideyards., easements, etc. �Ot er buildings or structures. ading, fills, drainage. Flood hazard. NC See o%i 6,/Special conditions on creation map or compliance document. FLOOR PLAN' � omplete to scale plan with dimensions. $/ Required windows for light and ventilation (Sec. 1205). .4e --`Required windows for second exit (Sec. 1204). -4--S4zy-ights (Chapter 34 & Sec. 5207) . �. Human impact glass (Sec. 5406). V:5-equired room sizes, ceiling heights (Sec. 1207). e G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for 3meehanical equipment. maintenance of 9.,cations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 14r///Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). 1 Fireplace and wood stove location. 1�Smoke detectors (Sec. 1210). STRUCTU DETAILS 1. Foundation plan complete enough -:to construct building. F�Ftoor construction details complete enough:to construct building. levations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. -'"M —place construction details and calcs if necessary. tn/ Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR V. Exposure I plywood on exposed locations and overhangs. -2-- Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). -3—Guardrail details (Sec. 1711 & 3306(j)). rick or stone veneer (Chapter 30). /terior plaster - weep screeds (Sec. 4706). 6/ Proper roof pitch for roof covering (Chapter 32). -;w--R-after ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELL'A'NEOUS ITEMS TO LOOK OUT FOR (CONT'D) Garage door or porch header sizes. ' Adequate bracing. �.9- Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. _1a--T'wo exits on three-story dwellings (Sec. 3303 & see Mezannines lgwo"' Attic access and ventilation (Sec. 3205). -13-.---Underfloor access and ventilation (Sec. 2516). J * Wood stoves, clearances, alcoves & 1 -hour shafts. l0e." Combustion air for fuel burning appliances. Noise requirements on duplexes. ]��Adobe soils - special foundation design. L&—. Retaining walls requiring design. on garage side 1716). _1,9 --'Unusual shape, size or split level house requiring lateral design. �! r�Ics-se_ S GI�.e.�(� i�e� COUNTY OF BUTTE i BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 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 //(f,) -fog 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 notify this office when correction of work is corr.plIeted. Byou have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 7 lig v r— 1 i r� Date L Inspector �_ f REV 10W ' r _ 1 i r� Date L Inspector �_ f REV 10W ' -Yjj 07 s _ri -Yjj 07 w a W > 9 O o 4 a a 4- 0 D TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance OBOwner Location AP# Plan Approved for: Sewaqe Disposal _ ✓ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for _ bedroom m6b4F&e home. Other NOTE *r* Date Sanitarian BUTTE COUNTY DEVELOPMENT SERVICES Complaint Form Complaint Date: �4 � �Lg--5 A.P. # Owner: 4 R rZoning: Address: Supervisorial District: Taken By: Complaint Location:,. VIOLATION TYPE: COMPLAINT• BUILDING PERMIT HISTORY ON FILE: NONE FIELD INFORMATION: TENANT: Address: Description of Violation: OTHER COMMENTS: Approximate Building/Mobile Home Size: Approximate Building/Mobile Home Age: Under Construction Built by/for: Present Owner Has Power Has Gas Written Notice Given & Attached Describe Action Taken: ACTION RECOMMENDED: Information Only, File 30 Day Letter 10 Day Letter, By: HEALTH PLANNING CAUTION• Yes No AS FOLLOWS: Previous Owner Occupied Has Sanitation Facilities Person Contacted Hold for Days Complaint Unfounded Other Date: COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• BUTTE COUNTY DEVELOPMENT SERVICES Complaint Form Complaint Date: Owner: _>rgy Address: N � �'-�(o ?-)L TE C.�-6G • I5. �D s , _ q-l� A.P.,* 0(1-110— COO Zoning: ep--5 Supervisorial District: 16(ZO Taken By: I AOW complaint `l llk �E GILL .I SLftµO r4 -D, VIOLATION TYPE: BUILDING HEALTH PLANNING COMPLAINT: TtAr\1 CL —F2A I L.M (A -ARS -MEA -H-) S"ME/{-H-) BL=. I Y-1 6l L,( V C D 0 _gip-'- hU Z MOS. 1 Jou.W. CAUTION: Yes No / PERMIT HISTORY ON FILE: NONE AS FOLLOWS: FIELD INFORMATION: TENANT: Description of Violation: Address: OTHER COMMENTS: Approximate Building/Mobile Home Size: Approximate Building/Mobile Home Age: Under Construction Built by/for: Present Owner Previous Owner Occupied Has Power Has Gas Has Sanitation Facilities Written Notice Given & Attached Person Contacted Describe Action Taken: ACTION RECOMMENDED: Information Only, File Hold for Days 30 Day Letter Complaint Unfounded 10 Day Letter Other By: Date:. = f tits vo (4 376 vYACz 4 /Y 4 -AC ot Sit &9 AC. U \70 05 Z 11925 't. Or (4 ---*L Ic 3 6 f. 6.5 DRIVE 4 960.9 I Im 3-2 ROGER ??0 Z57AC .22 22 3 42 59 2 PM 53.81 ! PM42-3 /V N,O 4 .32 �14 5.26 183 0 h91. \28) , I . AC "9 1 Joe, - 14 -w - 276.19 r 15 &57 4. 29 30 \ - 39 1 %p3r.4, 6 4.75AC4 O -Y7 51 PM 42 MOR 39, JUNE 1972 PM 55 AIOROI, AM RCH 1976 (PcI I ak) PM -44 MOR.99, JAN. 1973 06 Assessor's Map No. County of Butte, Calif REVISED: 2-95 -S. 44 COR. Certificate of Compliance: Residential Documentatlon Author Telephone Climate Zone 11 355 —IN# Building P it #/ ' Cltedcr:d Enforcement Aaencv Use only BUILDING DATAGlass North Area % Glass q 9 1/_3 Conditioned Floor Area Number of Stories �_ East Sol_ _ZZ_ Stab/Raised Floor � Number of .Units South 1q3 _(g, 2_ [ VSingle Family Detached (SFD) [ ] Addition Alone West _ u r 41 " q (] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total 17 3 BUELDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garages typical, eta.) Wall .............. BUTTE COUNTY Wall .............. BUILDING DEPARTMENT Roof ............. � ` ` R Roof ............. APP R 1f E l.J Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (roller blind. etc.) (shadescreen, eta.) (yesh►o) (metal/wood) North qW North ( ) East ( ) East ( ) South ( ) /y3 _ Sou Lh ( ) West ( )� West ( ) Skylight....... 6_ THERMAL MASS Type/Covering Area Thickness HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Ski *vee cs '7 N10 A,,C Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage Ras, etc.) Capacity (or approved equal) Special Feature(s) S as SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these meaaues regardless of the compliance approach used Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checltliSt only. DESCRJP71ON I DESIGNER I ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed wilts R -I 1 weighted average (does nes apply to exterior mass walls). 12.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor uansmission rate no greater than 2.0 pemu(toch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed 12-5352(e): Special infiltration barrio installed to comply with 12.5351 moots CEC quality standards. . 12.5352(d): Installation of Fueplaces 1. Masonry and factory -built fireplaces have a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. ' HVAC and Plumbing System Measures 12-5352(g) and 2-5303: Space conditioning equipment siring: attach calculations. 02.5352(h) and 2-5315: Setback dwirostat on all applicable heating systems. ' §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. 62-5316(b): Exhaust systems have dampercontrol:. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62.5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception p: Pipe insulation on steam and steam condensate return dt recirculating piping. §2-5318(d): Swimming Pool Heating t 1. System has: L on/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. ! 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures r 12-5352(j): Lighting - 25 lumcns✓watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Name: ThlelFum: Address: Telephones: Lic. A: (signature) (date) Documentation Author Name: Tttk/Fum: Address: Building Owner Name: Zu i,— H S-[ `� • a� a Gf !�j GJ Titk/Fum Address: , Telephone: d C/ (signature) (date) Enforcement Agency Name: Atency: Tekphone: 1. Ceiling Insulation 2. Wall Insulation -70 Number of stories Single- R -value One Two Three R-0 -103 49 32 R-19 -8 -4 -2 R-30 -2 -1 -1 R38 0 0 0 U -value 0 0 0.80 -153 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 .4 0.04 -4 -2 -1 0.02 4 2 1 O.CO 11 5 3 2. Wall Insulation -70 46 Single- Single - 38 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 0 0 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 .14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation In Floor Number of stories One Two Three -17 -8 .5 3 .2 -1 0 0 0 3 1 1 -144 -70 46 -120 -58 38 -95 -46 30 -69 34 -22 -43 -21 -14 -17 -8 -5 -11 -6 -4 -6 -3 -2 .1 0 0 4 2 1 10 5 3 Controlled Ventilation Crawlspace -14 -48 Number of stories -64 R -value One Two Three R-0 -11 .7 -5 R-5 4 -4 3 R-11 -2 -2 -2 R-19 -i -2 -2 4. Slab Edge Insulation 40 - 37 Number of Stories -14 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -58 -20 -12 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inriltration (Air Leakage) Specification Ploinx Standard 0 6. Glass Heat Loss Total -14 -48 -69 -64 U -value 16 Percent -42 -59 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 46 -14 .7 0 7 14 24 43 -12 -5 1 8 14 23 40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 '0` 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) -14 -48 -69 -64 Effective Percent Glass 16 -12 -42 -59 (Percent Sim x SC) na Effective -10 35 -50 - % Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 .1 -2 -4 -2 0 na = not allowed 3.5 2 5 16. Shading (Shade Closed) Etfwdve Percent class (Percent &In= x SC) %Gleu Nor11 East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 35 -50 -46 na 12 -8 -29 -40 -37 na 11 .7 -26 -36 33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 35 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mase Stories Attached ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 .2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5- 3 7 8 10 11 11 5.0 4 7 9 . 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 t 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 - 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 1-6. Wall Family Family Multi Mase Detached Attached Family 0.00 0 0 0 1 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 i 1.60 10 13 11 1.80 10 12 12 0.90 2.00 10 11 13 11 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other. 6 5 4 3 2 2 12. Cooling Systi m SEER (assumes ducts in attic) Som of 7-10 -25 or -24 to -14 to -4 to Sum of 1-6. 16 or SEER less -15 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 -7 0.95 8.71 . 20 18 15 13 11 8 12.0 15 Effective SE or HSPF 11 9 (SE or HSPF x duct efficiency) `13.0 20 Effective -25 or -24 to -14 b -4 to +6 b 16 or SE HSPF less -15 3 +5 +15 more 0.30 2.75 -73 -84 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 33 0 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other. 6 5 4 3 2 2 12. Cooling Systi m SEER (assumes ducts in attic) Som of 7-10 Zonal Control Adjustment 1 10 8 7 6 4 3 No Cooling System Installed Stories One -5 .4 -41 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached -25 or -24 to -14 to -4 to +6 to 16 or SEER less -15 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 .9 -7 -6 -5 -4 -3 _ 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 `13.0 20 17 14 12 9 6 30% WSB Effective SEER -16 -12 -10* (SEER x dud efficlency) POU -18 _ -12 -9 Sum of 7-10 -6 IG Effective -25 or -24 to -1410 -410 +6 lo 16 or SEER less -15 .6 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 -,. 9 7 5 10.0 22 19 16 13 10 7• 11.0 26 23 19 15 12 8 12.0 30 26 22 16 - '14 9 , 13.0 33 29 24 20 ''15 t 10 Zonal Control Adjustment 1 10 8 7 6 4 3 No Cooling System Installed Stories One -5 .4 -41 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Interior Mass/CFA t TT►x 2 Mss Ce ling Insulation • Unit Size (sQ 2. Water 3. 1199 1200 1700 2200 2700 Heater Credit or 10 to to or Type Type less __1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8_ 5 4 3 _ 3 SE None -37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 30% WSB -25 -16 -12 -10* -8 6514 POU -18 _ -12 -9 -7. -6 IG None -5 -3 -2 -2 -2 1.1 Solar 7 5 4 3 2 25 POU 3_ 2 1 1 1 IE None -28 -19 _ 14 -11 -9 10% Solar 8 5 4 3 3 1.4 POU -10 -6 -5 -4 -3 2.9 Multi -Family (Individual 3.3 units) 3.7 4 4.2 4.4 Unit Size (sQ 4.8 Water 5.2 699 700 1200 1700 2200 Heater Credit or to to lo or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 2.8 WSB 9 4 3 2 2 4.3 POU 9 5 3 2 2 SE None -45 -23 -15 -11 .9 1.7 Solar 2 1 1 0 0 3.2 HWR -23 -12 -8 -6 -5 4.7 WSB -25 -13 -8 -6 -5 __PQU 0.9 .23 -12 8 -6 -5 IG None -8 -4 .3 -2 i -2 3.6 Solar 6 3 2 1 1 5.1 POU 1 0 0 0 0 E None 30 -15 -10 -8 -6 24 Solar 18 9 6 4 4 3.9 POU -8 -4 .3 -2 -2 Interior Mass/CFA t TT►x 2 Mss Ce ling Insulation • e: % 2. Wall Insulation 3. Raised Floor Insulation ,l Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) R -value [0] a. North b. East c. South d. West e. Skylight 8. t1.7.utK•4.21 TYPL 1'lU1SS (URIC a 4.2, to: exposed slab) IcarpetN .lobi ex - 0% 5% 10% 1S% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 6514 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125• OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.8 3.8 4 4.2 4.4.4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 S 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 '24 21 29 3.1 3.3 3.5 17 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 /3 1.7 1.9 21 23 2.5 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 S.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 23 2.S 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.16 3 65% 1.1 1.3 1.5 1.7 1.9 22 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 22 2.5 21 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 52 5.4 5.6 58 '62 64 75% 1.3 1.5 1.7 1.9 21 23 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 MY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.4 5.6 S.8 6 6.2 64 66 05% 1.4 1.7 1.9 .&.6-2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 90Y. 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95Y. 1.6 1.8 2 2.2 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.8 3.8 4.1 4.3 4.S 4.7 4.9 S.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.8 6.8 7 72 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 60 6 6.2 6.S 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 S.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 .Point System Summary: Climate Zone 11 . SCORE CARD .' 1• .. -- Measures -1, Ce ling Insulation • e: % 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) R -value [0] a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Standard (double] U -value [0.65] 4o Total Glass [ 161 % Glass SC Eff. % Glass ,t/.3 x 77 = 3.3/ �.7 X =2,079 L.3 X = •8S/ 3.q x = 3.003 Q X = 6 % Glass S� Eff. % Glass 14.3 x G = 2ftTE( X7 X = 1.791 i• 3 X = 4/• 1118 X = 2, S'i'ft o X = m TYPE 1 MASS AREA = �Q InteriorM'13s/CFA COND. FLOOR AREA TYPE 2 MASS AREA 8 CO Exterior Wall Mass ND. L OR AREA X = _2� SE or HSPF Duct Efficiency [0.78) Effective SE or [0.72/6.6] HSPF [0.56/5.15] NQV,) X = SEER [9.5] Duct Efficiency [0.74) Effective SEER [7.03] . Co Type [SG] Credit [none] Point Scores 0 Sum 1-6 0 *!y 4_ 6 _y E Point Total: O or - -930 R -value 1381 U -value [0.030] R 13 or R -value [I I) U -value [0.098] or R -value [ 19] U -value [0.037] Or R -value [0] F2 factor [0.77] - Standard (double] U -value [0.65] 4o Total Glass [ 161 % Glass SC Eff. % Glass ,t/.3 x 77 = 3.3/ �.7 X =2,079 L.3 X = •8S/ 3.q x = 3.003 Q X = 6 % Glass S� Eff. % Glass 14.3 x G = 2ftTE( X7 X = 1.791 i• 3 X = 4/• 1118 X = 2, S'i'ft o X = m TYPE 1 MASS AREA = �Q InteriorM'13s/CFA COND. FLOOR AREA TYPE 2 MASS AREA 8 CO Exterior Wall Mass ND. L OR AREA X = _2� SE or HSPF Duct Efficiency [0.78) Effective SE or [0.72/6.6] HSPF [0.56/5.15] NQV,) X = SEER [9.5] Duct Efficiency [0.74) Effective SEER [7.03] . Co Type [SG] Credit [none] Point Scores 0 Sum 1-6 0 *!y 4_ 6 _y E Point Total: O .. .� _. ,. ._ �_ � „� �L � - �: ir