Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
018-450-025
N GARY WALLACE J/S Lazy - ,FS -Lane,. a . 2.50'W of PP__ Stilson Canyon Rd, .Chico Contr: Servamatic Solar Systems Permit#3170-81P (solar add'n to v heater )SF 6-- C &q //>A// 11-090-025 01-2765 BR , DAVID 17 LA LN, CHICO CONT: THO S GROARKE\o GARAGE ADD , ON 011-090-025 02-22 BROWN, CHRISTINE & DA AWED 17 LAZY S. LN., CHICO CONT: J.J. HARTER CONST. CONVERT GARAGE TO FAMI M 011-090-025 04-2567 BROWN, DAVE 17 LAZY 'S' LN, CHICO Cont: CARE FREE POOLS POOL MASTER (502-01) S HLAF,'Irvi_n D. 131-72B 98-72P 102-72E Lazy S Lane 200' w. of Stilson Canyon Rd., Chico (LOT 25) MUM: Wakefield Const., Chico 1 (new single family) . 8 A ,4 1 `Y �-0 0 t D I1 A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042567 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/27/2004 APN: 011-090-025-000 the Business and Professions Code, and my license is in full force and effect. LicensepClass : License Number: Site Site Address: 17 LAZY S LN CHI Date: ! rT Contractor. � 7�iLtOTPJ6�GJ Map Index: MASTER #502-01 Description: POOL p ( ) 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 Owner..BROWN DAVID L $r CHRISTINE W 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 17 LAZY S LN the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO CA she is exempt therefrom and the basis for the alleged exemption. Any 95928 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: CARE -FREE POOLS such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 9 ALYSSOM sale. If however, the building or improvements are sold within one WAY year of completion, the owner -builder will have the burden of CHICO, CA 95927 proving that he or she did not build or improve for the purpose of (530) 342-4639 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 Contractor: CARE -FREE POOLS pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 9 ALYSSOM WAY CHICO, CA 95927 Date: Owner: (530) 342-4639 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 380826 ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit sued. Architect: I have and will maintain workers' compensation insurance, as Engineer: 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: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 ❑ 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: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor < rode, interest, and attorney's fees. 2� �` �. Z m permit CONSTRUCTION LENDING AGENCY This is hereby issued under the applicable provisions of the Butte County Cody anrvor I hereby affirm that there is a construction lending agency for the Resoluti ns to# work indicated ab r whic fees have been paid. performance of the work for %which this permit is issued (Sec 3097 Civ.)— BY: Date: Name: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I. hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represetives of Butte County to enter upon the above mentioned property for inspection purpos y/► ///n/ pitaO / ,, Print Name: �' �(y/ Signature: ( /�e—�`� �`J Date: l ❑ Ownerontractor ❑ Agent for Owner 13 Agent for Contractor l SITE PLAN REVIEW APPLICATION Date: / � k AP# QI d ' Qo2 Jt' Permit Number (if applicable) Q ,,,I - a Z7 APPLICANT INFORMATION Parcel Size: . Owners Name: Owners Address: 1Aj 'S V ,� v Telephone No.: I3-.�3yz - Situs Address: Sba Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ® Residential Accessory 60� ❑ Permanent Second Dwe ing ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ Single Family Remodel ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel. ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic El well F-1Agricultural 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 IN Site Plan Stamped Approved . By Date of .1 • J ALL ITEMS CHECKED APPLY TO THE PROPERTY P• Parcel Is Inc ❑ 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.: 0&nQ 7 C05? QC_ Index Date: (P 9 ❑ Sacramento River Reclamation District (Approval must be -obtained from the California 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 ❑ Administrative Permit ❑ Minor Variance ❑ Variance - "'Y ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: 6 P - A-fL ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. '0--- '1 _rr Zoning Code Streets & Highways Fire Prevention Subdivision Map Front SideS 0, t Side Street Rear C l Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. '0--- '1 _rr Applicable Development Fees: Standard Fees Amount Formula ❑ 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) * 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 ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ 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 �( Subdivision Map/Parcel Map: �SOYI Map Date of Recording: (o Lot: ZS ❑ Use Permit/Minor Use Permit Permit Number: Book: 3 ./ Page: Y.2, Date of Approval: 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 -4: w x n 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:UArryslBuilding Permit Site Plan Reviewl.doc We, /RUIN D. SCHLAF and ERA'ESTIN£ J. SCHLAF, husband andkps amens of the land Mnekded WMrn 577L.SOV C INYOV SLBOMSYOV, as shmm on fie orremd/nfp, d7 hereby certify "se ow the any persns Wase cmwW Ir nx soy 47ACts C/a7 6Me to sail end ad ■e arsent M to F-cl OWAm ad neovrdotion of sold MW as Mom Within flh wk d boder bines. We after fcr Wmathn for pub6'e use for Caw* Road purposes LAZY S LANE and Mol Porfln of 57ILSOV C ADV ROAD ore shorn On sold OW Whdn the ca/med border Anes. Nie also offer for "Icalion for public use and do hereby *d7cae for gocfAc pap ses, he h'p/kwbg fa/ RV is of xcy and eamndds lir .yen, gas, Sarco, and dainSe pies, ad /r overload ad &VLrvna Saes for et-cfnr and tem serrxe, logeh r WM m/Y O d yl ogarteJonaes 4Wr0a1nbip thereto, o+,arr, oro' oder Arose sr/As gf lard ybq between Me rear and/or see lines of lots and the Anes desVIVW PUBLIC UnLITY EASEMENT LINE.. fb/ Eas&MM for tight and alr over Mase stops of land ging 1fe MW and/or ode Ines of lots and Me /toes shorn fereon and &Whaled SFnMX L/NE,sold ships M be l60 Open od free of bu/Idinps. . fc/ Easa7V#$ for gn wits and onelempes exterrdnq 20 feet from the center -lines of easements referred to in fol above, and five feet in Wet al the . 1000how shaven A"m by hymnals. IRVIN D SCHLAF ✓£RNESr1NE J SOW-AP 57A7E OF C4L�IA/ ss COUNTY OF BUTTE I On INs2&dGy cfi &4r,N .1964 before ne EOwA,rOy o Not01y Rb/ie in and for Me OwMy of Batte, personally 4Wwred IRVIN O. SCHLAF and ERNESTINE J. SCHLAF, husband old Wife, brpsn M me /o be ore persons whose amts art subscribed to The to-egaiV cerblicate ad aorto/ei¢d to me tont„Nieyy exedAed the sane. Notary Public My eamm/scion expires?66 1, WAL TD? B. GRc4JES, do herabv carlify Ihal I am a RLp";'ed.'Civil' Engineer d the SYae Of Co/fforma, /ha/ the onnexed map Of STILSQN •CAN7@N S7/BD/VIWN condo, ewes n o survey mbe uiadr my wpervfs- hi•Jynpy,, 1966, r/ot it is bre ad compt-te as shown, MnI Me nV—Mts vv- atgENT.£ '..+., and at a' 1te dvnxter and oavpy b'e posflrons shorn and ane wf/fdaTt to eAabla% Me surety to be refromd. w� �. WALTER B. GRIMES f ,stered CN// Enpeea Aa. 7294 I F N. SEELY .R. 401 7OR of the CaATY OF 807E; Slot- d ro LaMe Ob hereby 06111/y ft/ //&v ore aro far he's eyofirs/ Sr/LSOON CANYON SLBLYVIS/CN 06 to ern set forth, a "pad Slane, Gany, A"'poul, a Loco/ hires or .Apeod ass- ess wls collected as lanes, except wes Or ;pada/ assessrents /a yet pojable. Taxes or assessments neuch are o /fen bu/ rot ya payable; / Astimale to born the omavnt of 8 F.H SEb'ZYYi.7R,''Camry 4elor W F. CHAN, DIRECTOR OF PLANNING of he R-A-ING O -IS—V 6F THE MINTY OF BUrlE, Stole of 07/1/OryO, or hereby ter/Ify bbl Me arered fine) rrop Of SMSOV CANYOV ST/RO/V/SfLW cmlrms wbsbnlio/ly with /he -Ws- /aft ehs57n shpn m the reeTI five MOP whir was opproed by /Ns caV lsspn oro f e 1966. . W F ChOANr of P9 /, CLAYTON O CA57LESERRY, URXrOR OF R.BUC NORKS of /he CaATYdB%77E: Sh7,t Of Ofh%ono, do homy cg'Ay Me/ / ha`e eramfned J/e /6al nap o/ S77LSON CANYUN MWW5101V, Moo M is srlstoWlely #& sono os ar eowd On Me 7&171011W Ato on Ale W dry a/teryi Mereaf, Jho/ ant the prow3.ars of Me sura sot, MAP air Of the pdutes of O7fdania ana, ay local od'oarnces aPP1fa'We of Me I/me Of epprow/ V sold Tenla/fve Mao have been canplied writ, ad I an solisferl ft/ mW B Jedmkyly c,,red. i CLA O ais-7L BERRY, Omedoi of Public Rb1ks JJJ I cb leeby cantly Mat On the S7V doy of — 1 1966, lle Burr£ COUNTY BDARD OF S41PERVISORS officioly Oppmced the wba/as an mop of 577L.SO'V'CANYON SUBOf✓/S10N The rcreW of s7lisbo-ay m y fn ', ,he At'dfJors estimated onwnt at lJaT m to Mae Paymerr of taxes w*h ore a hen bot oat yet poyable, was cMnow*dgcd. LAZY S LRVE and #W pwfb7 of SMSOV C41VYOIV RMO arVs o n on sold mop w/tfdm the ca red 47d6r fines, were aaepted w behalf of Me Fbic hr aunty 20d purposes. . . . Owvyn br, o � Re oro@d in the office of the RELIORDER OF B/T7E�1JVTY, State of CalYanao o/ the repcesl d -tea_ 1- a this g_doy vf 1966, 01_44LmImAe; Post // O-doot.g:bi, h, MaD Boni 3/d Po ! f Send f b = Re rOV r n —, STILSON CANYON SUBDIVISION A PORTION OF SECTION 28, T. 2 2 N., R.2 E. , M.D.B. & M. BUTTE COUNTY, CALIFORNIA SCALE I”=100 OWNER 9 SUBDIVIDER .IRVIN SCHLAF IL WALTER S. GRIMES 8 ASSOCIATES VENGINEERS 1338 MANGROVEAVENUE,, GMICO,, VCALIFORNIA SMELT i 01 L SNEUS FEBRUARY, 1966 37,E L1 t OVEf6{pE L01E AS SHOW BY PMYSM:LL EYYX.I E 0 W1M 3 OIWOpiON --��- 1W OE'c," SUIS LE ML0 SETS4tl1 1S 20 � O o,o so ze SnLSO. Ivcra Chico ora LOCATION MAP SCALE 1' -MW o� Ssv� �` BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 .OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER 1Da_ Last Name 6 irst Name D A u Address L z ' S I L fv Fax City ' L U State., Zip Phone. 3_� Fax If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. E-mail LENDING AGENCY Name CONTRACTOR Name c I`r-Ae� 1Da_ Address P d C 6 City C Stated g_ Zip y Phone 2c� , y�3 J Fax F77]l Lic. #38oJE26 Class APPLICANT NAME ARCHITECT/EN/NEER Name C "% M ASt- L Address 6 City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address P6 't3 a 8co City / 165 State a_ Zip y Phone 3 e(3- Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone Property Address SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPo425�.'9 BIN # OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: "ft\as�;k� 6:b_� I , Sq. Footage (91-5o Z ❑ 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: )G� Amount: 4"'(-7. 47- Bldg Receipt #: 412333 Sheriff SMIP . Other Date: g , It • o 4 -G7.+2 ---Total REV 7-27-04 LOCATION Property Address / 7 L H �5 f LAJ City et -(/C-0 Cross Street WORKER'S COMPENSATION Policy Number 60 is- o3 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 OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: "ft\as�;k� 6:b_� I , Sq. Footage (91-5o Z ❑ 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: )G� Amount: 4"'(-7. 47- Bldg Receipt #: 412333 Sheriff SMIP . Other Date: g , It • o 4 -G7.+2 ---Total REV 7-27-04 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (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). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application 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 7-27-04 Development Services Swimming Pool Drop and Go Building Division To utilize the swimming pool drop and go,you must submit the following: ❑ 3 Site plans ❑ Environmental Health Department site plan approval , ❑ Completed building permit application ❑ Application must be accompanied by a check made out tos Butte County Treasurer .for the full amount of the permit. (See fee schedule below) ❑ For pools that have not been previously mastered, 3 complete sets of plans and calculations designed by an engineer or architect licensed to practice in the State of California are, required. Fee Schedule: Gunite pools (previously mastered plan) Gunite pools (to establish master plan) Fiberglass pools (previously mastered plan) Fiberglass pools (to establish master plan) $467.42 $687.38 $494.91 $604.89 r *A11 writing must be legible* * All items, must be placed in a "Swimming Pool Drop and Go" envelope and submitted to the Chico Environmental Health Department*` The Department of Development Services is not responsible for items that may be lost or stolen from this box. 11 Development Services Swimming Pool Drop and Go Building Division To utilize the swimming pool drop and go,you must submit the following: ❑ 3 Site plans ❑ Environmental Health Department site plan approval , ❑ Completed building permit application ❑ Application must be accompanied by a check made out tos Butte County Treasurer .for the full amount of the permit. (See fee schedule below) ❑ For pools that have not been previously mastered, 3 complete sets of plans and calculations designed by an engineer or architect licensed to practice in the State of California are, required. Fee Schedule: Gunite pools (previously mastered plan) Gunite pools (to establish master plan) Fiberglass pools (previously mastered plan) Fiberglass pools (to establish master plan) $467.42 $687.38 $494.91 $604.89 r *A11 writing must be legible* * All items, must be placed in a "Swimming Pool Drop and Go" envelope and submitted to the Chico Environmental Health Department*` The Department of Development Services is not responsible for items that may be lost or stolen from this box. 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: 0®''y It ASSESSOR PARCEL NUMBER f f ' d G7 e) ' S Proposed Building Use: Counter Technician: 4::�M Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. :6 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) 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 hese must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate . ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required............................................................. I .... I..... ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ gam/ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. I j,/ 24. Planning approval (A) Use:(l�(B)Parking: (C) Parcel Check: 4 a 0 cl- -/ 25. Contact Land Development about _ Improvements, _ Drainage ......................... OJW26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization .................................. .... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ._. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 3Aa • 4"4�,3-f and hold for pickup. I have been informed of the abovitems and requirements for obtaining a building permit. Applicant:'2T�P-v.(gDate:1. Index permit application for the above items numbered:Plan Check Leder 2. Additional items required Contractor, designer, owner, was advised of the above data by irplone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner as advised of theov data by ❑ phone, ❑ mail, 01counter y Date: Plans reviewed by: Date: 0 Plans approved by: -Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Plan Attached qe��— Rom Plan AtucMd YVO Sona to B.D. ,f. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation. Clearance Owner Location j: AP# Plan Approved for: Sewage Disposal X Water Supply: Public Private Well X Clearance for -- weld. Other /.-7 I Hold final for: Final clearance O.K. for: NOTE: r r Environmental Health Specialist + Date r 8/96 NOTES RESIDENTIAL d L 011-090-025 02-2271 ; PERMIT NO., BROWN, CHRISTINE & DAVE - 117 LAZY S. LN., CHICO I CONT: J.J. HARTER CONST. I CONVERT GARAGE TO FAMILY ROOM FEW .' ! . 1'w� W-0 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. f SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Date) Signature CHECKED BY .• I ; J=OK 0 = Not OK . = NotReadyable Card B-1 Date Card B-1 MOBILE HOMES_ . Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / . P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) . 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity. Tagged, 9. Exits 10. License Decals 11. Verify #'s with Office Ext.; Steps -Doors -Landings . 12. Date Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 61 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 4+. = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL -(Single & Duplex) Date UNDEBFLOOR (Plans) OK except #'s v 2." Ftg., Main; Soils -Elea Grnd.-/ /" Ftg. Depth Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Porches & Decks: Soils -Steel-/ /" Ftp. Death Hold49owns and Special Anchors .iB. iers-Fire lace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test �1!1Wer Pipe; Test -Anchors -Regulator -Service Test 1 lectric Underground 1 ums & Ducts; Clearance -Material -Support -Ins. LJA'Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 1 c -cess & Ventilation 16. Insulation Date �j Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date -Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 48. 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Fireplace Ties or Type A Flue -Fireplace Throat Clearance 26. Size Boxes & No. of Conductors Stapled 50. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 52. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No Property Line Firewall & Openings 32. Service -Riser Conductors & Ground Main Disconnect 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 33. Equip. Clearances Panels-Motors-Mech. Equip. 55. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date r� Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 36. A.C. Ducts Insulation & Support C� 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade Brac xterior Wall Panels 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Card B- Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound FINA Plans) OK except #'s 43. Bearing Walls over Girders & Floor Nailing 4. Ex - Door & Sidelight Protection -Landings 44. Draft Stop in Walls (rat proof) 6 . 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brac xterior Wall Panels aZS!-ny -Insulation-Walls-Ceilings V 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date FINA Plans) OK except #'s 4. Ex - Door & Sidelight Protection -Landings 6 . moke Detector om ir- onnector- I ove oor- uc s- ec . 67 RgArQ@qt,5Ni4jMjjZ;=_ 68. .. & Bath Fixtures & Tub Access -Spa 69. Elec els -41 F*rp-pL-Waop4&toye,-64e&rarrcu--MearM�I7 79 FI Outlets 7 74. Kit. - - oo Ing ce EI r (ToGarage Fire Door; Swing -Landing C osur 76rage amper 7. Wtr. tr.• Vents -Clearance -Comb. Air Connect-P.R.V. in , bove Floor-Mech: Protection Ib.; Elec. & Mech. Equip. Listed for Location on nsulation-Foam-Looked in Attic 8 n. VBents & Craw a Door Drainage & Wood -Earth Clearance Looked under floor Cl Yes _ 83. Fo Ing Instld./Drive O No/Walks O Yes ranters 0 Yes Q*m' 8 tucco Brown -Finish 8 It Disconnect De ents Above Roof P - p ce-Fireplace-Clearance to Openings A7 %Aha ETgg.WeII,-qj3eUrffTgtT-ec rica , ng ec. Trim, G.F.I. Receptacle -Underground 86- Glass Protection 91. Co ns 9 s- e ersagge as- ec nc 9 er onnec e - O to Grade -HD Approval Ener ompliance Certificate -Other Certificates 9 ddress Posted 9 Date/, j)1,4 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: - ...- . .... � _ �T•ls-�- ,-ri.-.,..e.,,q,,,a--.-�r�a .,..�-+vM.,�o-.•�.Ws�.nr--w-.r.,-r.... :� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 -Main Street* Chico, -CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 61t4ljv_� Da- ��-1 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances'eicist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. PnP1A_�"_L r'm,,dik W(4 -W 1.IT 2 L �5 -tmww �o huV (o '' a Ion -'r "71r14A A-�_i ')ICX ADb...._...f '4A,... 1f 0'. D.IJR /"_ I A-.- 'j.__ — , ";On i — A, i Date A Inspector 61AW-1642 REV 10/92 l �\ ENERGY INSTALLATION CERTIFICATE Building Owner IJP} V l h Building Permit # Q Z- r Building Location DESCRIPTION ROOF , Material Z Thickness(inches) EXTERIOR WALL Material F CJ Thickness(inches) G Batt or Blanket Type ickaess(inches) 1 - Loose Fill Type Minimum Thickness (Inches) Area covered(ft.2) FLOOR, ELEVATE� Material,_ -- f '� Thickness(inches) S �r FLOOR, SLAB Material Thickness(inches) Width(inches) OF INSULATION Brand Name Thermal Resistance (R Value)__ Brand Name Thermal Resistance(R Value) 77 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) FOUNDATION WALL Material t- - _ Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, 1s consistent with. approved building departmen-t--plans--and attachments and- con - for i req ui ents of Chapter 2-53 of State of California Energ y Requiremen _ L 2 NA► '/OWNE.R STATE CONTRACTOR'S LICENSE NO. S I . _ N AP ICATOR DATE I hereby certify the required features, devices, and equipment, a5 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. BUILDING CONTRACTOR/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. • - (FIRM NAME) SIGNA BU NT C 'T CTOR/OWNER DATE HVAC FIRM NAME/OWNER (Please Print) STATE CONTRA OR'S LICENSE NO. SIGNATURE,/OF HVAC CONTRACTOR/ OWNER DATE THIS CERTIFICATE MUST BE ON FILE WTTH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� IjT�ol (Rev. 12/96) APPLICATION AND PERMIT !� ASSESSOR PARCEL NUMBER 011-090-025 ZONING BUILDING PERMIT OWNER BROWN. CHRISTINE & DAVE TELEPHONE A93-2342490 SO. FT. OCC. BUILDING VALUATION U -R 980C.00 OWNERS MAIUNG ADDRESS 17 LAZY S. LN. CHICO, CA 9999A CONTRACTOR'S NAME J.J. HARTER CONST. I TELEPHONE 349-09114 CONTRACTORS MAILING ADDRESS 64 VALLOMBRO CONSTRUCTION LENDER Fireplace 91800.00 LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 76,135 BUILDING ADDRESS 17 LAZY S . LN . CHICO Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $236.05 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 4 7.00 28.00 USEOFSTRUCTURE SF X] Duplex ❑ Mobilehome ❑ Other SPECIE' Solar or heat pump water heater 23.00 Water piping 15.00 15. QO Each gas water heater or vent 15.0015.00 TYPE OF WORK New ❑ Addition [X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CONVERT GARAC;F TO FAMLJ.Y RnnM Gas piping system 1 - 5 outlets 15.00 15. QQ Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 93.00 ELECTRICAL PERMIT Fling Feel 20.00 600VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. , Business and Professions Code for this reason Main Service 200A TO lOooA 46.00 NEW CONST. DW UNG OCCUP. OR ADONS. ( a ACC. stn S. SO 17 .15 3.5¢sT; LNpµgESID. T. MULTI- OUTLET CIRCUITS 97,50 POWELER APPARATUS a SIN GOUfIET CIR. Ex. Occup. OUTLET OR FDRURES say@':s�o Ex. Occup. OFIx�LE�OSA R DOER 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Ming 23.00 PERMIT FEE $ 37.15 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. // (18 C 0 � XKnLkeof Applicant - wner ❑ Contractor ❑ Agent/ An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stori in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation EX= DUCT 1 15.00115.00 PERMIT FEE $ 39.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE $ 451.70 HAZ. _ D. FEES IMP _ FLOOD X CDF - PARCEL - PD HD - ISSUE X This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By i PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate / / D (DJ to / ` Receipt No. 3 0% % 3 f'�o?� of3A WHITE-D.D.S.-B.D. CANA Y -ASSESSOR INK -INSPECTOR GOLDEN ROD -APPLICANT =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: CPIAI srmje� /D/B� L 6A0 -"j _ ASSESSOR PARCEL NUMBER 'I - Z)9Z — c72S Proposed Building Use: 4,0A,!5e Co'JV Gam$! �� 'Sl t45�7 Counter Technician: � a/ Date: g�ZO D Z Item required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. r2. Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 11V.Engineered truss details and layouts in duplicate. No faxes! ` . Energy compliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑^j?(W4etal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate: (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ig neer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ................................ . ❑ 10. Letter of intent for non-residential buildings...................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other ... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) I!d" 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ . Statement of Intent for Non -heated and A/C Buildings ............................................. 6. Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: Ol, (B)Parking: (C) Parcel Check: Z,'Lr-01 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. (]'�25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: /0 Z 1. Index permit application for the 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 y ❑ phone, ❑ mail, ❑ counter, by Date - Plans reviewed by: Dat : Plans approved by: Date: Structural reviewed by: f : /80 (Agral approved by: Date Note transfer by: Date: Yellow: fluilding Division `,. S. E.H. USU3EONLY x%02 Pian Attached V sam Pian A[9FiSllad9 Sant to ®.D. ��/ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Z 2,--/,? 3ZA/ Owner Location AP# Plan Approved for: Sewage Disposal !!Vater Supply: Public Private Well, Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 n AOL) OF FEES DUE 1. m Ls ! /N �Z AOL) / G� , S PROPOSED BUILDING USE V 0,JL)CA, (r 011/ 1. BUILDING PERMIT FEES --Balance Due ...............................................:........ $ -L51,�� --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $"n 2. SCHOOL DISTRICT FEES V S �/ (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES C44-1 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion #' ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # 11 vq Q OLS- DATE ZSDATE RECEIPT # DATE REC, �y Gusoo At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT t — DATE.Z Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) e I t f iV t i i�aTq t N IRON .E L HEALTf R. !7T _! rr ttt It .-Aub-0-8.2 00 1 ' 1 ..,__:: — — — — ' -- _ — F � _ .. _ M IA r _}y� , # :- i -:�:: .y�• ...CHIC CALIF tic ,. is a ;... 1:.....t s.... • :: r... i : t s. .....a_...» • _•_•' •_—r .tr... ..._....mss... :=:rvv,u.c . _. ...y... { .. ....a._::. ..._..a. ,.. .. ..,! , r e r { '�'.....:t'.'� i�...�;"'. �' - y +C•-�^.axrrr a:�.. 1,,..s,�..�. .,..�.�,..,ie. ...r>.,c. -' -- —._ ( 'f i _ •: _.�. :: .... _... ( Oji• ...:... 17 i I — i.. _�j ........ ; ... ...... l is y ..�. _ p:. ff r' ..... .... .. .... > ..... . ...........i . ... ...,. .... 1d.I .. t. ... _ , is _. � .. ;.. j_ .71 : #... i .-}.:. .. 71 : t { i t _ • ' F,,,, � F I I„• i )S[ .1.n;�..,::.._.a:..r_o-.::�a:....::._S'•..a_.:..:._..,:::...._:_.:y... _.,.;.�:....:..,.i..: .: J:a..., �l t I I .{� _ 1 I I -- , / At, En { t 1 , F ' , l } rl I ( � 1 F , � 1 1 1 t -_-- 1 A I , t ' ' f j ' 1_ I 1' I i- p ici--) ior Lazy 5 Lj DA P�y�t''buftty Weil tal Da Wure - on, J.- 70 rA' 7 feN 6-Ep i r qr4 Lc r) h nn AUb 0 8 L32 CHICOI CALIFORNIA f„ ::* q. 0 1 NOT + RESIDENTIAL ;011-0904025 01-2765 ' PERMIT NC'_ BROWN; DAVID --- -- 17 LAZY S LN, CHICO CONT: THOMAS GROARKE GARAGE ADDITION • °• `fir VVV 1 • .r�SPECIAL,CONDITIONS�'= G 4co r ' a e �r CHECKED' �BY. 1 -SRA. , 9' FLOOD' CERTIFICATE'REQ. -�-� FIRE SPRIN ERS REQ.'.....-� ` ti: r *•Y SPECIAL INSPECTION'ITEMS S '\--V/ERIFY�' a'ti •• .� r ', � .. • USE PERMIT "CONDITIONS•' ,r • '( i. o. 08UB=STANDARD' HOUSINGtL'ETT:ER y "LJ • • . "iJ , tiJ� . - 0 .+ 0.1 JOB FINALED (Date) ��,, :Signature ' • v _ � � ��� � • �� . V=OK 4. 0 = Not OK - = Not Applicable MOBILE HOMES . = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s -ba 1. Zoning Requirements -Setbacks -Easements Well Clearance 8 Disconnect 2. Soils; Special MH Support Sketch 8. 3. Sewer; Location -Test -Fall -C/O -Concrete MISCELLANEOUS Date DECKS, COVW, CARPORTS GARAGES (Plans) OK except #'s I '40 3 X2g Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns- C nnections-Splice- Decal- Enclosures 6. Carports: Windows -D rs 8. FyRp.LSill4JiffcFlorsagtuds-Rftrs-T1ittbses /: :L .0-1 t� 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG -ba 7. Well Clearance 8 Disconnect 8. Utility Clearance 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Pool Structure; Steel -Connections -Thickness Dead Men -Lining Card B-1 Date Card B-1 Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVW, CARPORTS GARAGES (Plans) OK except #'s I '40 3 X2g Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns- C nnections-Splice- Decal- Enclosures 6. Carports: Windows -D rs 8. FyRp.LSill4JiffcFlorsagtuds-Rftrs-T1ittbses /: :L .0-1 t� T11 Me' i v%vU°Z 1Y Braced Wall els Date Card B-1 Date. Card B-1 Date - -ba Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 T11 Me' i v%vU°Z ./ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date Underfloor (Plans) OK except #'s I Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings r 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instid./Drive J Yes ❑ No/Walks D Yes ❑ No/Planters O Yes '] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral I] Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings r 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instid./Drive J Yes ❑ No/Walks D Yes ❑ No/Planters O Yes '] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: .................... COUNTY OF BUTTE . .............. — – BUILDING DIVISION - -- :.DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 - CORRECTION NOTICE 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. tl,i; J11 t `COUNTY OF BUTTE BUILDING DIVISION >'DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751; 7 County Center Drive • Oroville, CA.* (530) 538-7541 CORRECTION NOTICE 7z OWNER PERMIT A routine inspection indicates that the following violations of butte courity.Ordinances existat the; above address and should be corrected. Please notice this office •when.correction of work°is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. � v xi 42 T, .1,,0 may,. nP Date Z� ° v Inspector" ff MA REV 10/92 (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPM,IDNT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telephone (530) 538-75431-2765 APPLICATION AND RERMIT PERMIT NO. ASSESSO151fl.EL01ff 025 �J11 11`J�J� ZONING BUILDINGPERMIT OWNER DAVID BROWN TELEPHONE 893-2342 SO. FT. OCC. BUILDING VALUATION — . OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 32735 CONCOW RD, OROVIT.I.E. 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 9 450.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 76.05 BUILDING ES 17LAZY S LN, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 213.05 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition EX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE ADDITION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE : ELECTRICAL PERMIT Fling Fee 20.00 V OR LE Main Service . OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS In full force and effect. u /� License Class J I C Lic. No. " J q OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions. X �� Date �D ©�_ Signature of Applicant - ❑ Owner @rContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionA"W of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OVnLING OCCUP. 3.5Qso OR ONS' ( MC. LET NEW NON-RESID. NST' UALCC@7.50 POWERAPPARAruS a SINGLE OUTLET CIR. 20 .00 EX. Occup. OUTLET OR FIXTURES DAL_ 1.50 LINS Ex. Occup. ouriEis ..,6°En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ u CONST. TYPE V11 TOTAL FEE $ 251.40 KAZ. _ D. FEES IMP _ _ FLOOD X CDF PARCEL PD HD ISS This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. l QD to l ,/ / to Receipt No.336808/$25140 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Oct -22-01 01:46P P.01 COUNTY OF BUTTE - DEPARTMENT OF DEVELOP/r ')BNT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541D iev, 12/96) APPLICATION AND PERMIT 1 &ERMR No. �lCilaArAncnuwsor ovNln / 0/r - 0q0 - 0 4Z � BUILDING PERMIT !20 W SO. FT. OCC. BUILDING VALUATION QW00MI wwN3 -OKSS — 3 CON" AMP'S NAME .� 11,47-Y, e- C/// 'PERMIT FEE PAI® SRA • • SHERIFF OTHER AMOVNT RECEZVEO "RECEIPT. NUMBER * TO 0E Pur zNM CO#pUTER PERMIT FEE I S ELECTRICAL PERMIT OR Mein Service 0°OV0, =LESS OA LESS Main Service ( aow ro Ex. Occup. ( wTu r on n rruit s Ex. Oceup. Temporary Service Mobile Home Facilities 0 20.00 7.00 23.00 15.00 ---T5–. 00 15.00 020.00 ng Feel 20.00 23.00 48.00 Me". 3 97.50 23.00 20.00 PERMIT FEE 1 S -3!B, MECHANICAL PERMIT I Fling Feel 20.00 a. Mobile Home Installation Fee i Energy tnspectlon ee S oee'OO�r n TOTALFEE a 97/, (0anoo cop rhea ro w etc L Ir— This This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which tees have been pald. By Date PERMIT EXPIRES ON Total Valuation ti Felin ANC►fiICT Oa plpplgl N4SJN0 �DOILIS! Fee Permit Fee OUL.DHO AooaESs Plan Checkin Fee Gp Energy Pian Checking Fee 'a'"o lUeaveprs►au; rnr+cn wr PERMIT FE PLUMBING PERMIT USEOFSTRUCTURE 0 Duplex O AAobllehome 13 Other m water heaterTYPE eTSF heater or ventNew OF WORK 0 Addition Remodel O U6Gties O. IneLaCaponOOtherOm 1 • 5 outlets Describe Work: �Cl /mac e ��Lott Buildin rower V Mobile Home I S I G W 'PERMIT FEE PAI® SRA • • SHERIFF OTHER AMOVNT RECEZVEO "RECEIPT. NUMBER * TO 0E Pur zNM CO#pUTER PERMIT FEE I S ELECTRICAL PERMIT OR Mein Service 0°OV0, =LESS OA LESS Main Service ( aow ro Ex. Occup. ( wTu r on n rruit s Ex. Oceup. Temporary Service Mobile Home Facilities 0 20.00 7.00 23.00 15.00 ---T5–. 00 15.00 020.00 ng Feel 20.00 23.00 48.00 Me". 3 97.50 23.00 20.00 PERMIT FEE 1 S -3!B, MECHANICAL PERMIT I Fling Feel 20.00 a. Mobile Home Installation Fee i Energy tnspectlon ee S oee'OO�r n TOTALFEE a 97/, (0anoo cop rhea ro w etc L Ir— This This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which tees have been pald. By Date PERMIT EXPIRES ON - �rp�siM+� �'..��,+.v"�R�.{•1.�`•�.•Y.b�v `ill..+a!„fT't�dP�<c,�{^�.,�."�-d$...gba�! „• COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: %������• //�U��% ASSESSOR PARCEL N M ER: ��- 0�D - ba Proposed Building Use:—%zBuilding Inspector: /� Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted............................................................................................................. ❑ 2. Plot plans,, 3/4 sets, signed by the preparer of plans............................................................................ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans. All engineering must be shown on plans............................................................................................. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... ❑ 8. Hazardous Material Form.................................................................................................................... ❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. ❑ 10. Fees of $.......................................................................................................... ❑ 11. Impact Fees as shown on the attached schedule.................................................................................. ❑ 12. California Department of Forestry Plan Approval/Fees.................................... K15. Flood Elevation Certificate...................`................................................................................................Sanitation and Plot Plan Approval �(7(IEnvironmental Health Department.......... City of Chico Plumbing Permit............................................................................................................95-- if ❑ 16. Plot Plan and Business License Approval from the City of Biggs ...................................................... ❑ 17. Planning Approval for (A) Use: �� (B) Parking: ........... 1 1-0 0 ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainagegal Parcel ........................... ❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ................................ ❑ 20. Pre -Inspection for required. Request to Building Inspector (Date) r ❑ 21. Contractor's License Information (Number, Name Style, Classification) ........................................... ' ❑ 22. Workers' Compensation carrier and policy number.............................................................................. �? ❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner)........ ...................................... ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement.............................................................. ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ ❑ 27. Manufactured Home Utility Clearance................................................................................................ ❑ 28. Existing violations and/or expired permits.......................................................................................... ❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, Q Check to H.C.D. $ ..................... ❑ 30. Other .................... Wou issue the permit, process as follows: Q Mail to Owner, Ll Mail to Contractor. Zphone? 3 '� and hold for pickup at _C4�ZC Q office. ❑ Deliver with Inspector. Applicant: 2U/j'3► .P-c.%'Yl r Date: 01 e Copy of Haz-Mat form sent ❑ Health Department, L]Fire Department, L] Air! Pollution Date: Y. Copy of Plans sent Q Health Department, ❑ Fire Department, ❑ Other Date: By: 1. Index permit Application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by: ❑ phone, Q mail, ❑ Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, Q mail, Q Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: Q phone, ❑ mail, Q Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, Q mail, ❑ Building.D' inion counter, By: Date: Plans reviewed by: Date: Plans reviewed by:Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services - Building Division E.H. USE ONLY Plot Plan Attached L", F100F Plan Attached Sent to 6.0 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 6wrier 3tion AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 ............................ BUTTE COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT - Assessor Parcel Number(s) i O9Q } Z Property Owner 41a Q w ,J Project Location/Address L�Q� J ,�.� �✓Y/f� Subdivision .Lot Number(s) Residential Development: (check one) New Development �teration/'Addition Mobilehome(s) Total Number of Dwelling Units Comment e)(15 "/., r- �&t -1 0 - L.1400 Buil='ng Department Representative 15ate Chico Area Recreation and Park District(CARD) certifies that _Non -Residential to Residential (Applicant Name) (Phone Number) J-7 (-Street Address) 1-17A � 12, - (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 payment for dwelling finits @ $1, 89 for total payment of $ CARD Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH RECEIPT NO. by REM/A'�RKS : x Ci, S' Per &wAA e - ( I• 2 ,r�01„ i b 3�... Distribution: White --Applicant Pink --CARD park.fec (form revised 11/90) Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. �""�l�(6.t+T"„a.�.r""r�""�"..ter--.+--t•7 -aif�ri:ar�.'+v^w-.t.w r+�'R+-,P,rb^'�"a„A' it"„?, ,... _ _.+.+ 's'�..�sr., ,H.,r,,... .,,;.. o _� y„ _ „N_.ryl�v-ri-•�'..r+-r f—+r�. BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District t.+ ` J y Building Department No. +d A.P. Number t�" Jurisdiction: 'city 2%TCounty Property Owner Property Location/Address I i� �% t{ S.. L.,4 C w ( Subdivision Lot No. Residential Development .............................. .................................................................................. ®� Sq. Footage 9� No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # .................................................................................................................. '(No foundation inspection): Commercial/Industrial 0 New Addition I Building Department Representative ` Sq. Footage (Including Exterior Roofed Areas) S/ln/�2 Date tmoor clans revieweo by Scnool District Personnel) ; District Identification No. School District certifies that {� • (Applicant) (Street Address) (Phone Number) (City) — (State) (Zip Code) has complied with the requirements of Resolution No. representing l.J square feet. School District Paid by Check # Remarks: t w by payment of $ AB 2926 $ FULL MITIGATION $ dao 0z - Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit ,:you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools'lmpact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (10/98)dmm 0 TITLE 24 REPORT Title 24 Report for: Chris & Dave Brown - 17 Lazy S Lane Chico, CA 95928 Project Designer: J. J. Harter Construction 1464 Vallgmbrosa Ave. Chico, CA 95926 (530) 345-0214 Report Prepared By: Max Ramirez Golden Sun Designs 2530 Zanella Way Chico, CA. 95928 (530) 894-8236 Job Number: Brown, C&D FIJI T� CO40 PEN(J Date: EIVr . '_, TED8/13/2002 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval`a7 d is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2001 Building Energy Efficiency Standards. i*This program developed by EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 By EnergySoft Job Number: Brown, C&D User Number: 4937 il TABLE OF CONTENTS Cover Page Table of Contents Form CF -1 R Certificate of Compliance Form MF -1 R Mandatory Measures Checklist Form C -2R Computer Method Summary 1 2 3 6 8 EnergyPro 3.1 By EnergySoft Job Number: Brown, C&D User Number: 4937 Certificate of Compliance: Residential (Part 1 of 2) CF -1 R Chris & Dave Brown 8/13/2002 Project Title Date 17 Lazy S Lane Chico Project Address Building Permit # Cornerstone D.E.C. (530) 596-4233 Plan Check I Date Documentation Author Telephone Computer Performance 11 Field Check 1 Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 490 f? Average Ceiling Height: 9.0 ft Total Conditioned Slab Area: 490 f? Building Type: (check one or more) X❑ Single Family Detached X❑ Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: (South) 180 deg Number of Dwelling Units: 0.25 Number of Stories: 1 Component Floor Construction Type: ® Slab Floor Const. Frame Assembly Slab On Grade n/a 0.756 R-13 Floor (F. 1 3.2x6.16) Wood 0.064 R-19 Wall (W.19.2x6.16) Wood 0.065 Solid Wood Door None 0.387 R-28.8 Rigid Foam 4' Wood 0.031 FENESTRATION ® Raised Floor Location/Comments (attic, garage, typical, etc.) Covered Slab w/R-0.0 Perimeter Insulation Exterior Floor / Over Open Space Exterior Wall Exterior Door Exterior Roof Shadinq Devices Type Orientation Area Fenestration Exterior Overhang Side Fins SF U- actor S GC Shading Yes / No Yes / No Front . (South) 20.0 0.35 0.32 Bug Screen ❑ Q ❑ a Right (East) 36.0 0.34 0.32 Bug Screen ❑ 0 ❑ 0 Skylight 12.0 0.44 0.35 None ❑ X❑ ❑ X❑ 1:1 El 11 ❑ .❑ ❑ ❑ El ❑❑ El n ❑❑ ❑❑ El EJ F] F1 EJ El El F-1 El El ❑❑ 1:1 1:1 ❑❑ Run Initiation Time: 08/13/02 11:50:58 Run Code: 1029264658 EnergyPro 3.1 By EnerqySoft User Number: 4937 Job Number: Brown C&D Pa e:3 of 11 Certificate of Compliance: Residential (Part 2 of 2) CF -1 R Chris & Dave Brown 8/13/2002 Project Title Date HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUE/HSPF) (ducts, attic, etc.) R -Value Type Comments Central Fumars. 78% AFUE Ducts in Basement 42 Setback HVAC Stem Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location heat pump, evap. cooling) (SEER) (attic, etc. Duct Thermostat Location / R -Value Type Comments Split Air Conditioner 10.0 SEER Ducts in Basement 42 Setback HVAC System WATER HEATING SYSTEMS Rated 1 Tank Energy Fact! 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value 1 For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input and Recovery Efficiency. REMARKS LUMNLIANLt 51A1 tMENT This certificate of compliance lists the building features and performance specifications needed to. comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. The undersigned recognize that compliance using duct sealing and TXV's requires installer testing and certification and field verification by an approved HERS rater. Designer or Owner (per Business & Professions Code) Documentation Author Name: Name: Max Ramirez Title/Firm: J. J. Harter Construction Title/Firm: Cornerstone D.E.C. Address: 1464 Vallombrosa Ave. Address: 4006 Peninsula Drive Chico, CA 95926 Lake Almanor, CA 96137 Telephone: (530) 345-0214 Telephone: (53o) 596-4233 Lic. #: (signature) Enforcement Agency Name: Title/Firm: _ Address: Telephone_ (date) (signature) (date) JEnergyPro 3.1 By EnergySoft User Number: 4937 Job Number: Brown, C&D PaQeA of 11 1 Certificate of Compliance: Residential (Addendum) CF -1 R Chris & Dave Brown 8/13/2002 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies ✓u -m a/11 ana: aucyuaa.y N1 ane spewlm JusuuGduun dna avcumemaaon suommea. Plan I Field The HVAC System "HVAC System" has Heating Ducts in the Basement. Supply registers may be no more than 2 feet above the floor. =F= The HVAC System "HVAC System" has Cooling Ducts in the Basement. Supply registers may be no more than 2 feet above the floor. HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS 1aac1 111u.7a ulJa.Y111C11a a11C 11CIu vC11111:d11u1i dnO wagnosuc iesimg orinese measures on a rOrm GF -R. Plan Field EnergyPro 3.1 By EnergySoft User Number: 4937 Job Number: Brown. C&D Paae:5 of 11 1 Mandatory Measures Checklist: Residential (Page 1 of 2) MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter NIA if not applicable. DESIGNER ENFORCEMENT Building Envelope Measures "§150(.): Minimum R-19 ceiling insulation. ® §150(b): Loose fill insulation manufacturer's labeled R -Value. "§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). "§150(d): Minimum R-13 raised floor insulation in framed floors or equivalent. ❑§150(1): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 punch. §118: Insulation specified or installed meets insulation quality standards. Indicate type and form. ® § 116-17: Fenestration Products, Exterior Doors and Infrltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. § 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with Section 151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110 HVAC equipment, water heaters, showerheads and faucets certified by the Commission. § 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA. §150(i): Setback thermostat on all applicable heating and/or cooling systems. §1500): Pipe and Tank Insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R4 or greater) 3. Backup tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined intemal/extemal insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 5. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. EnergyPro 3.1 By EnergySoft User Number: 4937 Job Number: Brown, C&D Page:6 of 11 Mandatory Measures Checklist: Residential (Page 2 of 2) MF -1 R NOTE: Lowfise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (� may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated Into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Instructions: Check or initial applicable boxes or enter WA if not applicable. DESIGNER ENFORCEMENT Space Conditioning, Water Heating and Plumbing System Measures: (continued) a`§ 150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL1819. If mastic or tape is used to seal openings greater than 1/4 Inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions In the cross-sectional area of the ducts. 3. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such a tape is used In combination with mastic and drawbands. 4. Exhaust fan systems have back draft or automatic dampers. 5. Gravity ventilation systems senting conditioned space have eilherautomatic or readily accessible, manually operated dampers. 6. Protection of Insulation. Insulation shall be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind but not limited to the following: Insulation exposed to weather shall be suitable for outdoor service e.g., protected by aluminum, sheet metal, painted canvas, or plastic cover. Cellular foam insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. § 114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof operating Instructions, no electric resistance heating, and no pilot. 2. System is installed with at least 36" of pipe between fitter and heater for future solar, cover for outdoor pools or spas. a. At least 36" of pipe between fitter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional Inlets and a circulation pump time switch. X❑ §115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non-electricat cooking appliances with pilot < 150 Btu/hr) ❑ §118 (i): Cool Roof material meet specified criteria Lighting Measures ® §150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. © §150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/vratt or greater switched at the entrance to the room or one of the aftemative to this requirement allowed In Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. 3,1 By EnergySoft User Number: 4937 Job Number: Brown, C$D Page:7 of 11 Computer Method Summary (Part 1 of 3) C -2R Chris & Davi, Rromn Project Title 8/13/2002 Date Project Address 0111111--n- Building Permit # Cornerstone 17 F C MEET (530) 5964233 Documentation Author C .. .. u , Telephone plan Check/Date Computer Performance Compliance Method (Package or Computer) 11 Climate Zone 1 Field Check/Date Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 28.49 27.34 1.15 Space Cooling 12.27 12.36 -0.09 Domestic Hot Water 0.00 0.00 0.00 Totals 40.75 39.69 1.06 GENERAL INFORMATION Conditioned Floor Area: Building Type: Building Front Orientation: Number of Dwelling Units: Number of Stories: BUILDING ZONE INFORMATION 0 Slab Floor 490 Floor Construction Type: X❑ Raised Floor Single Fam Detached (South) 180 deg Total Fenestration Area: 13.9% 0.25 Total Conditioned Volume: 4,410 1 Slab Floor Area: 490 # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area HVA(: System 4g0 4410 X225_ Conditinnerl Sethark —2 n/a OPAQUE SURFACES Act. Type Area U -Fac. Azm. Tilt Floor 490 0064 _0 is() Yyall 140 0 066 X80 -90_ Wall 140 _0065_ 0 9R r)nnr 20 0-387 0 9_ Wall 156 0.065 90 —90_ Roof 480 0031 1PX) _f1 Solar Gains Y / N Form 3 Reference Location / Comments 1 st Flnor 1 st Floor -tst Finn[ 1st Floor 1st Floor 1 st Floor EnergyPro 3.1 By EnergySofl User Number: 4937 Job Number: Brown, C&D Page:8 of 11 0111111--n- . M. • . . MEET ■ C .. .. u , Location / Comments 1 st Flnor 1 st Floor -tst Finn[ 1st Floor 1st Floor 1 st Floor EnergyPro 3.1 By EnergySofl User Number: 4937 Job Number: Brown, C&D Page:8 of 11 Computer Method Summary (Part 2 of 3) C -2R Chris & Dave Brown 8/13/2002 Project Title Date FENESTRATION SURFACES U- Act. Glazing Type Location/ # Tvve Area Factor SHGC Azm. Tilt Comments J— Window Front (South) Mn X350_ 032 180 _90 Douhle NonMtl Tinted LOW F 1 st Floor 2 Window Right (East) 36.0 0.340 0.32 90 90 Double NonMtl Tinted LOW E 1st Floor 3 Skylight Front (South) 12.0 0.440 0.36 180 0 Double NonMtl Tinted LOW E 1 st Floor INTERIOR AND EXTERIOR SHADING window Overhang Left Fin Right Fin # Exterior Shade Type SHGC Hgt. Wd. Len. Hgt. LEA. REQ. Dist. Len. Hgt. Dist. Len. Hgt. 1 Bug Screen 0.76 2 Bug Screen 0.76 3 None 1.00 EneravPro 3.1 13v EneravSoft User Number: 4937 Job Number: Brown, C&D Page:9 of 11 Computer Method Summary (Part 3 of 3) C -2R Chris & Dave Brown 8/13/2002 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (so (in.) Cap. Cond. Form 3 Reference R -Val. Comments PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location/ Comments Slab Perimeter 72 0.76 0.0 _4 1st Floor HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat Location/ pump, etc.) (AFUE/HSPFxducts/attic, etc.) R -Value Type Comments Central Furnace 78%AFUE Ducts in Basement 4"2 Setback HVAC Sym pipe Pipe Hydronic Piping Insul. System Name Length Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location/ heat pump, evap. cooling) (SEER) (attic, etc,) R -Value Type Comments Split Air Conditioner 10.0 SEER Ducts in Basement 4.2 Setback HVAC Svste WATER HEATING SYSTEMS Rated' Tank Energy Fact! 1 Tank Insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Svst. (Btu/hr) (qal) Efficiencv Loss M) Ext. 1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. REMARKS I EneravPro 3.1 By EnerovSoff User Number: 4937 Job Number Brown. C&D Pane -10 of 11 1 Computer Method Summary (Addendum) C -2R Chris & Dave Brown 8/13/2002 Project Title Date Special Features and Modeling Assumptions The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification to be used with the performance approach. The local enforcement aaencv determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. The HVAC System "HVAC System" has Heating Ducts in the Basement. Supply registers may be no more than 2 feet above the floor. The HVAC System "HVAC System" has Cooling Ducts in the Basement. Supply registers may be no more than 2 feet above the floor. Plan I Field HERS Required Verification These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. Plan Field Run Initiation Time: 08/13/02 11:50:58 Run Code: 1029264658 EnergyPro 3.1 By EnergySoft User Number: 4937 Job Number: Brown, C&D Page: 11 of.11 0 cc a. z eo sp z 5 ED M-INI ^i�, L.j ' 0 0� Z Z z CL X iTi i(Ne Seet F4 oft lercv, ties 3'i C,a r A3.4 Cou4TY AfjTMENT SUILIANG DEP ���v�ED L_ -- C I „;30, Existing Structure 17 Lazy S Lane i Garage Fz_ o o 9 PLA,,J 4 o src�,.- F-/3/&10 (5 A) alkf 4cic - - - - -- - 7�— Lo I I 1 1 1 1 1 i 1 1 1 ) rRevc4 Sky fi�h+ IDOO IRS NO G1 oaf- j-.1AW La� Pi BUTTE-00UNTY BUILDING DEPARTMENT ___ • -- � �, 41,E � �, t.1r„��� 3�/-L/ x8 Ta-G SuQ t`Liv� ZXt Toy s r`s y 4'c j I N 5 u L. A-F'i `o.v \ dq y, q f 57-'�-A __ -� .�------ - - -----�•-;tib-_-::_•�;r-- .. 2-X (c WA l/ !o ZX6 WAi� , t roc,. 2X� AT : �.y N L Ft o o p !. ��►M r �I i Z�c �IS� BUTTE 'Co'OUNTY BUILDING C EPARTMEN Al? 0- f .112 PO a1v oll-oqo-oa5- S L�oYF RECEIVEIL OCT 2 6 BUTTE ( BUILDING co- r,,:: �;� e - y V44 Y- ZA v SS PP6? p4os- 0 AGf y Fo- 7 (:' A7e -IC- 1 se4c- /0'1,9 / dwf!� u BUTTE 2 m r4 U L. fc'%; 1.2 A P P 0 V IdOra 5c l y� At 1� Lazy S Ln PAC,F;?- dwrox;nrQf� hcjr'-On sxp +, *c IRQJLDIAIG r)2` `:r � I 4. SP�'R ,a t //ic%/oi^Cl/,- -e ae / m, y 3/Q /�tJ�d nCrG IP'1yY�-/a�4ar ,.70t-- SCo_ /F , 0 Pic F CCXfly or r �� . s S� ro �•� ,! WA ea-d�P�S sgUc • 6? 1.4 /6'/DCgy 41 I 4T -- - SCA Aff 19 ...) i 7-fn� -►-I., 3l /CD r slsc>ck %i GOV e 4 } L M� v _�i y �L• 4 ' j�J/ / ��A 1Y Yd- P\GAU� r 0 a SS 10 4t. 17 /-/7 d,90r S, CL 7 r-) me -/C, I sec`I /On'q I doors VA, 4e'ld ',b F 10 pb ���� Environmental Health '�% s Top, OCT2 6 2001 Chico, CA / �,-'�-BJH ,"Cit 1,10- pki--) ior Lazy 5 Ln Environmental ijealij) OCT 2 6 2001 Chico, CA APPROVEU Me Count fIt :: q.0 f .— ...�....r.�.,:yawm]•' «..---w. .. ,e,r�. ..-._ - _..�---.- �.�.s..�.as+.-�-�w,..e-.,.,.,h,�y,�xw+�.ras*wY�e+'a�{�y�r'�"e�..�ura.p,'.�,:;��A'.�.-.�,.� �..... , r .,.+. -r.-..-fir IL �P k j j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive- Oroville, California 95965 - Telephone 916/534-4541 f ; ` r, APPLICAT40N AND PERMIT ASSESSOR P[�RCEI-OBER J ' I ZONING --BUILDING PERMIT DwN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S (--- Vd TjL, QHy N/' CO TRACTOR'S Mf ILING ADDRE�S-SS 7( �` / r r awl L /,4/-'Y, j i� .i Ei _L / 1/Z/G �� :`!. ii CONSTRUCT N LENDER -�— UNKNOWN /A) AJ X//C r Fireplace Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDR S Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL NJ.P.DDRESS , •i/,' '� c - L f )ti' .<'"�. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF IJ'- Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [` Describe work: A." `{f--- Permit Fee $ (�(� Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR LES Main service 10000 AMP ORS SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. / 20 sq ft CONTRACTORS LICENSE LAW nder penalty of perjury (check one): I de7111am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effec . t! y License No. 35b �i "► Classification �� y. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I. UTLET 2.50 ea NON-RESID, BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS e� NON-RESID. SINGLE OUTLET CIR. so a zsc Ex. Occup oUTLETs OR FIXTURES BALe1 IXED AP LHS. OR Ex. Occup.(ouTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mise. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): [—] P6 permit is for $100.00 (valuation) or less. P�;K`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. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to leave, indemnify and eR harmless the County of Butte against all liabilities, uldgments, costs, a d expenses which may in any way accrue agains sad C my 'n -c,. sequence of the granting of this permit. k, / Date ` Zd— Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep on/demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ !�rQ. 0 V OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte CountsCode and/or work indicated above for which DJ13ECTOR OF PUBLIC 4, ir , (V By�. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS 1 Date rj5 j' % Receipt No, � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT PERMIT NO. SZ zi� — ASSESSOR P CEL BER — I -71- ZONING BUILDING PERM T OwN ^ TELEPHONE SQ. FT. OCC.1 BUILDIN ALUATION OWNER'S MAILINGADDRESS CO TRACT I'S NAME G/�� `�(// �✓ /OLA•-YH CON/LTA✓RRIAA/CTTOORI'S.M,'I`LI, G/A�DDRE G Q �vjl�f�[jT /_L 5I�t L/vG c`T l�Q Fireplace Total Valuation Is CONSTRUC N 4,EjlDE,R� ���� UNKNOWN Filing Fee $ 10.00 -ie— LENDER'S MAILING ADDRP / D,A Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BuIL ADDRESSs ( PLUMBING PERMIT Filing Fee 10.00 r�7 !N (�0,V �0Fra/V Each Trap 2.00 Repair drainage or vent piping 5.00 C-14-1 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other Describe work: r 157-a A -Pb Permit Fee $ Q`490 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.1%) OR ADDNS. ACC. BLDGS. 20 sgft CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Businessgo and Professions Code and m license is in full force and effec y if IV- 3�� (fL`C � - License No. -Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTP- •OU LET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. I B¢ Ex. OCCUR(OUTLETS OR FIXTURES BAL@1 Ex. QCCup.�OUTLETIXED SPLNS (RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T permit is for $100.00 (valuation) or less. FI have placed on file with the County of Butte Building Department �fra 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. Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to ave, indemnify and harmless the County of Butte against all liabilI es, gments, costs, a d ex enses which may in any way accrue agains s d C ty ' sequence of th granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep an demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ��_0a OCCUP. GROUP TYPE OF CONST. PARCEL PD Ho ISSUE This permit is hereby issued under sion of the Butte County Code and/or wo ndicated above for which D TOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date f_ �1 J!-5�-� Receipt NO. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT - 'i T U .T o. 0 0 0 0 _y 0 0 c�U Zy Building Permit Number: t� Owner Name: OvoW n Residential Construction Requirements III IMPORTANT I This set of plans and specifications MUST be kept on the job site at all times and it is on same e without written permission from the unlawful t Y � o make an changes or alterations Building Division, County of Butte. 1 materials an ccordance with recognized good practices lu a ' d workmans p shall be in and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code 2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) 1 ( amca COMPLY WITH ITEMS CHECKED BELOW designated 100 -year flood plain. Finish floor, electrical, Your parcel lies wrthui a design Y �' elevation _.._ p above the el _ . one foot abo V.A.C. equipment and services shall be a minimum of o 0 H. 0 h swn on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required win fiance with the flood elevation Note: We will normally accept the following as compliance requirements: Building is anchored to concrete stemwall system with conventional anchor bolts. 1. g ear flood ve the 10 0 2. Building plate on top of stemwall to be one foot or more abo Y elevation. (Plate height less than 24" above grade, or engineered design required). , ventilation, plumbing and air conditioning equipment and 3. Electrical, heating facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent with a total net area of not less 1square inch for every square foot of enclosed walls rea. 5. The bottom of the openings shall be no higher than 1 foot above grade. openings may be screened or covered with other devices that will permit 6. The ope g Y w . automatic entry and exit of floodater. i I I I Page 2of 2 Building Permit Number:—�SZa7 Owner Name: W n Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure. 0 The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of 5 feet from the side and -6 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION ~ ��~ DEPARTMENT OF DEVELOPMENT SERVICES { 7COUNTY CENTER DRIVE ! OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (53D) 53S-7541 October 6, 1999 FAX: (530) 535-2140 Re: Swimming Pool Safety Act Clarification Of Enforcement In Butte County Effective Date: January 1, 1998 To Whom It May Concern, In December of 1997, just prior to the affective date of the Swimming Pool Safety Act, (see back page) we initiated a letter of explanation, and a mailing to all pool contractors in Butte County. Due to the poor wording of the Act itself, a number of questions have arisen concerning compliance with the Act and how to enforce it. We have revised our letter to describe how enforcement will occur in Butte County, and are again conducting a mailing to notify pool contractors. This revised letter should clarify several common questions or problems concerning our enforcement of the Swimming Pool Safety Act including: 1. In our review of legislative considerations, we discovered that when accommodation was provided to allow exit alarms on doors providing direct access to the pool, it was assumed that a conforming perimeter fence was already in place. However, in many cases there is no pre-existing pool or parcel enclosure, and unless the residence is one side of an enclosure which entirely surrounds the pool, installation of exit alarms alone does not constitute compliance. 2. The 1994 Uniform Building Code, Appendix Chapter 4, Division 1, and the 1997 Uniform Building Code, Appendix Chapter 4, Division 1, specifically allow the use of chain link fencing - as pool barrier material. In Butte County we will continue to allow the use of 11 gage, 2-114 inch mesh, chain link fencing as pool barrier material. Other types of fencing will be considered on a case by case basis, based upon the requirements of the Swimming Pool Safety Act. Please call for clarification prior to installation. 3. All access gates through the enclosure shall open away from the swimming pool, and be self- closing with a self -latching device placed no lower than 64 inches above the ground. This includes large gates for vehicle access. Should you have further questions concerning this matter, please contact this office at the address or phone number listed above. Sincerel*Mager, . ieira, C.B.O. Building Inspection I J. L— -- LLIFOfZN1A HEALIM AND SAFETY CODE SECTION 115920-115927 5920. SW&MUNG POOL SAFETY ACT .5921. As used in this article the following terms have the foUowing meanings: a) "Swimming pool" or "pool" means any structure intended for swimming or recreational bathing that contains water over 18 inches deep. "Swimming pool' includes in -ground and aboveground struchires and includes, but is not limited to, hot tubs, spas, portable spas, and non-portable wading pools. b) "Public swimming pool" means a swimming pool operated for use of the general public with or without charge, or for the use of the members and guests of a private club. Public swimming pool does not include a swimming pool located on the grounds of a private single-family homes. c) "Enclosure" means a fence, wall, or other barrier that isolates a swimming pool from access to the home. d) "Approved safety pool cover" means a manually or power -operated safety pool cover that meets all of the performance standards of the American Society for Testing and Materials (ASTM), in compliance with standard F1346-91. e) "Exit alarms" means devices that make audible, continuous alarm sounds when any door or window, that permits access from the residence to the pool area that is without any intervening enclosure, is opened or is leis ajar. Exit alarms may be battery operated or may be connected to the electrical wiring of the building:. , 15922. Commencing Jamsary 1, 1998, except as provided in Section 115925, whenever a construction permit is issued for :instruction of a new swimming pool at a private single-family home it shall be equipped with at least one of the following safety atvres: a) The pool shall be isolated from access to a home by an enclosure that meets the requirements of Section 115923. b) The pool shall be equipped with an approved safety pool cover. c) The residence shall be equipped with exit alarms on those doors providing direct access to the pool. d) All doors providing direct access from the home to the swimming pool shall br equipped with a self-closing, self - latching device with a release mechanism placed no lower that 54 inches above the floor. e) Other means of protection, if the degree of protection afforded is equal to or greater than that afforded by any of the devices set forth in subdivisions a) to d), inclusive, as determined by the budding official of the jurisdiction issuing the applicable building permit Any ordinance governing child access to pools adopted by a political subdivision on or before January 1, 1997, is presumed to afford protection that is equal to or greater that afforded by any of the devices set forth in subdivisions a) to d), inclusive. 115923. An enclosure shall have all or the following characteristics: a) Any access gates through the enclosure open away from the swimming pool, and are self.closing with a self -latching device placed no lower than 60 inches above the ground. b) A minimum height of 60 inches. c) A maximum vertical clearance from the ground to the bottom of the enclosure of two inches. d) Craps or voids, if any, do not allow passage of a sphere equal to or greater that four inches in diameter, e) An outsi& surface free of protrusions, cavities, or other physical characteristics that would serve.as handholds or footholds that could enable a child Mow the age of five years to climb over. 115924. Any person entering into an agreement to build a swimming pool shall give the consumer notice of the requirements of this article. 115925. The requirements of this article shall not apply to any of the following a) Public swimming pools b) Hot tubs or spas with locking safety covers that comply with the American Society for Testing Materials Emergency Performance Specification (ASTM -ES dinance for swimming poo S 13-89). p or1 safety that c) Any pool with the jurisdiction of any political subdivision that adopts an includes requirements that are at least as stringent as this article. d) An apartment complex, or any residential setting other than a single-family home. 115926. This article does not apply to any facility regulated by the State Department of Social Services even if the facility is also used as the private residence of the operator. Pool safety in those facilities shall be regulated pursuant to regulations adopted thereof by the State Department of Social Services. 115927, Notwithstanding any other provision of law, this article shall not be subject to further modification or interpretation by any regulatory agency of the state, this modification or interpretation by any regulatory agency of the state, this authority being reserved '=ci jvelp to local Jw sdictions, as proc6 fed for in sub ivision (e) of Section 114922 and subdivision (c) of Section 115924. x VAt. n PLANNING DIVISION BUILDING PLAN APPRO Use Date La oy i Parkin Lerid=pInT. 00 V) 5r .r GENERAL SPECIFICATIONS SIZE 2 5x40 AREA 76 0DEPTH 3'6�70 SHAPE C U S TOM PERIMETER I( 0 USTOM TEMPLATE NO. '''�� C I_---9 TILE SIZE x 6 w TILE COLOR 0 TS COPING N 0 D C C k ROCK SALT COPING COLOR NO WELL POOL CAPACITY .311[000 GALS. i-- Q PUMP CAPACITY I I 0 G. H,P. O a ,' MOTOR N.P. I 112- �r JUM P � R O CIC FILTER 48 SO. FT. FILTER RATE 1 I 0 G,P.M. $I r o TURNOVER CJ 1/3 HRS. 40- 0 o) .. VACUUM LINE & SKIMMER 2 22-5 LEACH FIELD RETURN LINE 2 MAIN DRAIN I I 2 F I 1007 GAL TANS SKIMMER -MODEL 2 U-3 1 S/23/72 1 �O �. C NT BACKWASH To DIS LINE Vic! _ _ s-� 6 (� 30 OF Y2" FILL LINE I ANTI -SYPHON VALVE A I I IC_F I LL 1 ,� -,•,, SII M O U T HEATER SIZE N 1 l7- ® BTU 1 I N 0 - 7d RES Q GASLINE BY., VENTED BY. �I j �I O C LIGHT .�QO PRnPo5 �>J CLOCK 2 2O 1I •X�NStoN� LOUNGE AREA � ELECTRIC BY: C F P ; ABANDONED ELECTRICAL BONDING BY. C F P 0 WELL POOL CLEANER POOL ;. VAC d' NOTE: CHLORINATOR No S TEPEIqBOARD-SIZE NO -COLOR ,., I� t'I I 9"� i �OI� _ �.� __ 0 1001 O Q/\�� y�7�/� . BOARD SUPPORTS _ L�� Y S L N LADDER -Model C1 'paps SLIDE H ISI O C0I0r___NL_(X a r N 01 �q�p�STR C�y n ... p^ yin &- CH g..� / .. � t�•, � - a e 'a.s : �':..:4t^� � I �� 1 d L���.e �.-�+,".S$.�"�e.,Ftu,ary�� D .VES -,. q' B PLUMB r✓o ENT • . ,, 0 STU �PCORPF �I, � �,:�.L;B� L� WITH ,_,. �T �l of a �O� � �, �,�� ,.. d5,,:. s,. ASAP <.. ❑..:OTIC. �NEC,L .., _. �-� ;. &COPING OF Ise�°� +.,. �,. _,.:a. t ,, TILE K Y. F .. -, DEC B C P TREES, ETC. N O ,; OWNER. CONCRETE REMOVAL BY: N O �� PERMIT OFFICE • RAISED BOND BEAM SCALE 1/8 — 1 0 ' TH TO DETERMINE APPROXIMATE ELEVATIONSALES OFFICE i,O I OF POOL ON DAY OF EXCAVATION. ves ❑ No HEIGHT -WIDTH D P LAST ER �G REY PHONE NO. MGR. OWNER. JOB NO. SALESMAN.. :DATE POOL AREA TO BE FENCED PER COUNTY MAP BOOK NO. SWIMMING, POOL N A 5 OR CITY ORDINANCE. GATES TO BE SELF F PO SSI3LE PEBBLF TEC DAVE ANDD CHRI5 BROWN CLOSING AND SELF LATCHING. LEGAL DESCRIPTION NAME I$ JI BY OWNER 17 LAZ Y LN AP 011-090-025 OWN. BY ADDRESS OWNER CHICO CA WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR 7 DAYS. LOT N0: CROSS STREETS DO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY. TRACT NO. PHONE 8()3,,,Z3 42—Bus. PHONE RES DO NOTWHEN FILLING. USE RUBBER HOSE H BdOK PAGE BLOCK POOL AS IT WILL MARK PLASTER. PRINTS CARE -FREE POOLS MAILING ADDRESS _ #9 Alyssum Way C— Chico, California 95928 BIII Bell Contr. Lie. #380826 Phone 342 Je o N 90202 l it I ,I