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022-350-047
22-35-.x','47 BELINDA CRISMON - 28861.3rd St, lot 27, Pichetta Sub- -'' o--- cgs Permit#1678-89B;P,E,y1(n w single family 022-350-047 06-1460 RINNE, JOHN & BRENDA F IIf�,L. 2886f3RD ST, BIGGS Cont: H&F CONST i Q� REMODEL(120 SQ FT) ki BUTTE COUNTY 00 II ODEPARTMENT OF DEVELOPMENT SERVICES O BUILDING PERMIT APPLICATION 0 o AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 o -:J• -''=pt' o OFFICE #: (530) 538-7541 C- y A FEE WILL BE REQUIRED AT TIME OFAPPLICATION QUN� Website: www.buttecounty.net/dds r7/ /, �7 2 z:_- <�t7 /� "'.*PLEASE PRINT CLEARLY** OWNER INFORMATION Last Na First Nam Address ry� g/ ;> Q ISO City �[ State C Zip4S g Phone I Fax E-mail C N� , P-PLICANT SIGNA TURE — m7 r offic Zoning,, CONTRACTOR Name V Occ. k)Y\ Address /V . I' 0� City ( l State State Zip9r-6 g� Pho _ Z 63 Fax E-mail State License Number ' 56 Clas C N� , P-PLICANT SIGNA TURE — m7 r offic Zoning,, ARCHITECT/ENGINEER Name Ak' Occ. Address L _ � l City Subdivision Name State Zip Phone � /� � 3 `t Fax E-mail If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. State License Number C N� , P-PLICANT SIGNA TURE — m7 r offic Zoning,, APPLICANT INFORMATION Name Occ. Address L _ � l City f I Subdivision Name State 04,) Zip (; Phon � /� � 3 `t Fax E-mail If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. C N� , P-PLICANT SIGNA TURE — m7 r offic Zoning,, use o od Zone SRA I Yes _ o Occ. Pro riy Address C' 1 S Type Const. VA I Subdivision Name Map Book Page Lot # Planner If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT obl/X BP BIN 9 Description or 6 qt.. �_a 6 �f' 'S E, ef«r4 i jW ( W Sq FT- Living Garage ❑ Proposed Change of Occupancy (Note previous use): of Work: 6L"t we . Oben Cov 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`- Amount�_?v91 18 Bldg SRA Receipt #: g" T Sheriff SMIP Other Date: In -/ C% rl o �.�' I " r.3 Total 1'3"" `S PROJECT LO AT ON . AP# J' Pro riy Address C' 1 S CStreet WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Nam Address Description or 6 qt.. �_a 6 �f' 'S E, ef«r4 i jW ( W Sq FT- Living Garage ❑ Proposed Change of Occupancy (Note previous use): of Work: 6L"t we . Oben Cov 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`- Amount�_?v91 18 Bldg SRA Receipt #: g" T Sheriff SMIP Other Date: In -/ C% rl o �.�' I " r.3 Total 1'3"" `S SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3: Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings:, ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or frill plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form > ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) , ❑ 1. Agricultural Buffer clearance and site plan'approval from the Ag Commissioner's office (if required), ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this -process, please contact a Permit Assistant at (530) 538-7541. r EXPIRATION OF APPLICATION , Applications for which a permit has not been issued will expire one year after date of application. In order to renew .action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee .payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:TORMSSUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 I , - X022-350-047 06-14601 RINNE, JOHN & BRENDA IN O T E S 2886 3RD ST, BIGGS ; ._ Cont' H&F CONST ^t REMObEL(120 SQ FT) ���w<`� RESIDENTIAL APN: Permit No. I Owner. Site Address: . Contractor. I Type Pf Permit r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE n DATEJOBTINALED: /o/wr" ti. SIGNATURE: r �I t i i fI r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE n DATEJOBTINALED: /o/wr" ti. SIGNATURE: CERTIFICATE OF COMPLIANCE: RESEDENTL&L (P Project Title • Date Special Remarks s of s) CF -IR COMPLIANCE STATEMENT This certificate of compliance lists the building features and specifications needed to comply with Title 24, Parts l 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 recognizes that compliance using duct design, duct sealing, verification of refrigerant charge and TXVs, insulation installation quality, and building envelope sealing require installer testing and certification and field verification by an approved HERS rater. Designer or Owner(per Business and Professions Code Documentation Author Name: Name: Tit eTirm: TiUeJFim ®`^--'Y\e Y� Adddg=s: Address: 64- 5 7 License #: Enforcement Agency Telephon License # Residential Compliance Forms December 2005 INSTALLATION CERTMIICATE (P!Le 3 of 12) Cn Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. ('rite information provided on this form is rcguired) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a)- . HVAC SYSTEMS: Heating Equipment Equip Type - heat CPC Certified Mfr. Plaine and Model NumS # of Identical Effic=" t (ARM, etc.) (?CF-IRwdw) Dur Location attic etc Dart or pong R-vehte Heating Load B Heating Capacity td6T �Gc rHRCi's-ex tom?' ria l�iEt' s K Cooling EgvontM Equip Type (pkg. heat u CFC Certified Mfr. # of Name and Model Identical Number S Efftctency � (SEER or EER) zCF-i R value) Doct Location at " etc. int R -value Cooling Load Bmft Cooling Capacity tu/hr 2scvlS2Y3 I - > symbol reads greater than or equal to what is indicated on rhe CF -JR value. Include both SEER and EER if compliance credit for high EER air conditioner is clairned. ✓ P9I t, the undersigned, verify that equipment fisted above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the F,ner;t7 Efficiency Standards for residential buildings, and 3) equipment that meds or exceeds the appropriate rcquirements for manufactured devices (from the Appliance Efflciency Regulations or Part 6), where applicable. r installing Subcontractor (Co. Mame) OR General Contractor (Co. Nsme Signature: Date: O �� C'opkes to- RtltLDiNG . pA TMENT, HERS RATER (W APPLI ABLE) BUIL®JNG OWNER AT OCCUPANCY Y Residential Compliance Forms April 200.1 ..a►.,, I,1 a - %-ertincaie Page 1 of 2 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page I. of 8) CF -4R Project Address r Contmctpr Name / Ucense No. Cu"tractorContact Telephone P !t Number Michael McDermott 916-704-2810 HERS Rale Teleohone Sample Group Number CC14-1798390905 Certifying Sig-natureDate CerV&ate Number Firm: Rapoza HVAC Consulting HERS Provider:Ca10ERT8, Inc. Street Address: 1453 34th Ave City/State/Zip: Sacramento ; CA / 95822 dies to: Homeovimer, HERS Provider and Building Department This CF 4R has been registered with the CaiCERTSO registry in accordance with the Title 24 & Title 20 of the CCR. _CaICERTS@ is an approved HERS provider by the California Energy Commission HERS RATER COMPLIANCE STATEMENT ". The house was 9 Tested Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -411 until a properly completed and slgned.CF-6R has been received for tate sample and tested buildings. The Installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building.cavities as plenums or platforrri returns In lieu of ducts). New systems where cloth backed, rubber adhesive duct tape Is Installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections eco uIRENENTS FOR DUCT NEW CONSTRUCTION - Duct Pressurization Test Results (CFM @ 25 Pa) M�^� 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct Systarn for Values 1 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 51 - (Only If Applicable) NIA 2 r°1 Fan Flow: Calwlated (Nominal 0 Cooling 0 Heating) or Q Measured 5.67°x5 ® Pam ❑ Fa(I TEST OR VERIFICATION STANDARDS: For Altered Duct System ane!/or HVAC E Enter Total Fan Flow in CFM: 1200 3 At TCef��sw-.... N/A N/A 1^5.1 �wa>lia,ns: Uuct �ys>rem and/or HVAC Equipment Change -Out (- 1 4 Enter Tested Leakage Flow In CFM from CF -6R: Pre -Test of Existing Duct System Prior to Dud System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct Systarn for Duct System Alteration and/or Equipment Change -Out. 68 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 51 - (Only If Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass If Leakage Percentage < 6% [ 100 x { tine 5 / Line 2 )J: 5.67°x5 ® Pam ❑ Fa(I TEST OR VERIFICATION STANDARDS: For Altered Duct System ane!/or HVAC E qulpment Change -Oat, use one of the following four Test or Verification Standards for contnllances 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: ❑ Pass 0 Fall Rand ass ifLeakage to Outside Percentage<= 1095 [ 100 x (Line 7/Line 2 )J:❑ Pass ❑Fail ass If Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 verification by Smoke Test and Vsua€ Inspection 0 Pass 0 Fail ass if Sealing of all Accessible Leaks and Verification by Smoke Test and visual Inspection 0 Pass 0 Fail Pass if One of lines #9 through #12 pawl 1 0 Pass 0 Fail https://calcerts-cOmlcf4r—Print certa£icM.Cfm?jots=0,50323&UseCF4R 1&cert type zd=l... 1/2!2002 INSTALLATION CERTIFICATE (Page 5 of 12) CF -6R Site Address Permit Number - , ✓ 9 THERMOSTATIC EXPANSION VALVE (TXV) Procedurer.for.(ield verification of thermostatic expansion valves are available in RA CM, Appendix RI. ✓ 0 RF.FRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermnctatir. Rmnaminn Valvrc Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity BttAr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement Procedure (outdoor air dry-bulb 55T and above): Proceehiree for Determining Refrigerant Charge using the Standard Method are available in RAC ,, Appendix RD 2. (Vote: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. ?Measured TemnernhirPc Supply (evaporator leaving) air dry-bulb temperature (Tsupplyjdb) Access is provided for inspection. The procedure shall Return (evaporator entering) air dry-bulb temperature (Tretorn consist of visual verification that the TXV is installed on ✓ 0 Yes ❑ No the system and installation of the specific equipment ❑ ❑ Evaporator saturation temperature (Tevaporator, sat) shall be verified. Suction line temperature (Tsuction, db) Yes is a pass Pass I Fail ✓ 0 RF.FRIGERANT CHARGE MEASUREMENT Verification for Required Refrigerant Charge and Adequate Airflow for Split System Space Cooling Systems without Thermnctatir. Rmnaminn Valvrc Outdoor Unit Serial # Location Outdoor Unit Make Outdoor Unit Model Cooling Capacity BttAr Date of Verification Date of Refrigerant Gauge Calibration (must be checked monthly) Date of Thermocouple Calibration (must be checked monthly) Standard Charge Measurement Procedure (outdoor air dry-bulb 55T and above): Proceehiree for Determining Refrigerant Charge using the Standard Method are available in RAC ,, Appendix RD 2. (Vote: The system should be installed and charged in accordance with the manufacturer's specifications before starting this procedure. ?Measured TemnernhirPc Supply (evaporator leaving) air dry-bulb temperature (Tsupplyjdb) °F Return (evaporator entering) air dry-bulb temperature (Tretorn °F Return (evaporator entering) air wet -bulb temperature (Tretum °p Evaporator saturation temperature (Tevaporator, sat) OF Suction line temperature (Tsuction, db) °F Condenser (entering) air dry-bulb temperature (Tcondenser, db "F uperheat Charge Method Calculations for Refrigerant Charqc Actual Superheat = Tsuction, db - Tevaporator, sat OF Target Superheat (from Table RD -2) .F Actual Superheat — Target Superheat (System passes if between -5 and +50F) OF Temperature Split Method Calculations for Adequate Airflow S lit .Method Calculation is not necessa i Adequate Ai ow credit is taken Actual Temperature Split = T return, db Tsupply, db °P Target Temperature Split (from Table RD3) Actual Temperature Split Target Temperature Split (System passes if betweJ- 30F and +3°F or, upon remeasurement, if between -3°F and -100°F) 'F Residential Compliance Forms April 2005 Project L'itr'e Date SEALED DUTCi`S as TXVs (or Altema&e Mem) A 5t ed CF -4R Form must be provided to the building deparinnent for each home for which the following are required. Sealed Ducts; (all donate and certafaa:atierss and HERS mer field `cation ® TX Vs, readily accessible (climate zones 2 and. 8-15 only) ' er NMmg and certification ammd.EIERS ]Later old verification ReWe-MUkt Charge (climate zones 2 and 8-1.5 onus) (Installer testrgg and certification and HERS Rater field 0 Alt 'e to Seated Ducts and Ref t-_1 nt Charge rTX1 s (See Package D Aft=ative Package Features for Project Climate Zone in the RM Appendix B Table 151-C, footnotes 14 OR D No ducts installed. l.7 New ducts fnom existing space conditioning not Exceeding 40& in length. For additions and alterations, duct systems that are not documented to have been pmimAsly seated as confirmed 0 El through field verification and diagnostic testing in accordance with procedures in the Residential ACM MauuaL Manual. No !rater beating calculations we and the system complies auwmaticafly Duct SYstent_s With more than. 40 linear feet in unconditioned spaces shall meet the requirunents of motion I50(m) Check box if system does not meet criteria of "Standard'' ss stem, and does not comply -with the Preappmved and dust intron TaPdrements of.Packa a D. -7--WATER HEATING Ili SYSTI FA 0 Check box if system meets criteria of a 'S'tandard" system_ Standard system is one gas-fired rater heater per (1welling a r.w �—r.: uicaiueu�•e Number in S unit_ If the w2ter heater is a sumge q7e, 50 gallons is the maximum capacity and aecirmdation'StfNi9 rs not allowed. tem is 0 Check boc when using Preapproved Alternative Water Heating table, Table 5-4 in. chapter 5 in the aual is E�temal Insulation R -Value Manual. No !rater beating calculations we and the system complies auwmaticafly Check box if system does not meet criteria of "Standard'' ss stem, and does not comply -with the Preappmved ® Alternative. Water Heating table" In this case, the Pmfwniauce Method merit be used and must be included in the submittal.. Cheat box to ��i that a time control is aired far a r�ireuta " -stern fora tear sea►'in ilial ' to units - — !Vater Hie T eel T .., �„�.,. ,a..... Distnbutlon T a r.w �—r.: uicaiueu�•e Number in S t�aE�:I Ram Inpml �y or di€arrII 3y:sienis t Tank Capacity (slims) rar recircuiaitan Enci LeyTank ):actori or 'Ilermal Standby, Efficiency Loss °lei is E�temal Insulation R -Value 7 � q i6 �y -- I ,Yater Heater T Distribution Number T in S Rated input fsw °` Badhr . Tank � Capacity Energy Factor, err ThermalStandby°' Efficiency Tank External Insulation Uss °!m R -Value I For small gas storage water heaters (rated iuPuts of less than or equal to 75,000 Btufhr), etecuic resistance, and Beat primp nater heaters, i ist Eoet& Factor. For WW gas sWm-e water heaters (Mad repot ofd than 75,OW Bft%rj list Rated bpu fits Efficiency and Standby foss. For instantaneares � waw �I� •�', Thermal >z fist. !rated InpQrr ams, Tlzermai Efficiencies_ P1Bt' IIIslllBti©ti (lotchen lines > 3/4 inches) All hot water pines from the Beating sourm to the kitchen fixtures that are 3/, inches or greater in diameter shall be thermally insulated as specified by Section 150 (j) 2 Aor 150 6) 2 E. ResidenW Complicarrce Forms December 2005 CERTMCATE OF C®WLUNCE: RESIDE(Page 4 of 5) CF -1R Project Title Date SPECIAL FEATURES REQiJHUNG WELDING OFFICAL or HERS KA I EX VEWRCA 1102 Indicate which special features are parts of this project The list below only represents special features relevant to the prescriptive method. Category Building Official Verification of Special Features HERS Rater Verification HERS Rater Diagnostic Testing Measure Ducts ❑ lfc 100% of ducts in crawtspaceibasement ❑ yt� crr. Y Buried duns ❑a+a':' Y Diagnostic supply dud Dation, surface area, and R -value ❑ Duct increased R -value ❑ �4 Y Duct leakage ❑t9-�e 4- } Ducts in attic with radiant barriers ❑ tir"Yt, rs{:ice, • _;. �.�a `>i, `j� • Y Less than 12 ft. of dud outside conditioned space ❑°.; Y Non-standard dud location ❑ vY q Supply registers within two ft of floor 0 Envelope ❑ f a.krYT ,., Air retarding wrap ❑ryy Y� vx+Y�y s..aaa. Cool roof ❑ ��� �?�(,i�..r: � % Exterior shades ❑ w p�°�y High thermal mass ❑ ggg may_ y inter -zone ventilation ❑ " ? �::OnbsP'�:' Metal framed walls ❑ t="` �yy:wx"fi _ Non -default vent heights ❑,:`y r* Y Quality insulation installation Q :"N14r Radiant barrier ❑�F.. a-; r: ,�_ ; +`'s" ; �' Y Reduced infiltration (blower door). May also require mechanical ventilation. . ❑�?y Solar gain targeting (for sunspaces) ❑ .:Asaatn .::akt Sunspace with interzone surfaces ❑ f Y Vent area greater than 10% HVAC Equipment ❑ '; r ¢7 F0 �;'.-Tt,...s :tai=lL''�ir' Y Adequate air flown ❑ �1 ¢y`r ' =;z%I Y Air conditioner size ❑aJ �` Y Air handler fan power ❑ Y High EER 13 Hydronic heating systems ❑ f y Mechanical ventilation ❑ M. A Y Refrigerant charge ❑ � §148 ` ,;u;'dj Y Thermostatic nsion valve (fXV) expa r, " Zonal control Water Heater ❑ ,k. MU - �V— Combined hydronic 4 ` xs' High EF for existing water heaters =h:tx Non-NAECA water heater ❑ " Non-standard water heaters (whtunit) Water heater distribution credits Residential Compliance Forms December 2005 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 4 7 County Center Drive • Oroville, CA • (530) 538-7541 :0 CORRECTION NOTICE .: O% OWNER c PERMIT NO. z A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. �• jyY Date_ Inspector REV 4/05 Phone # Ci 4.7 4 4, FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 = OK r o = Nat OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIUC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -00 to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers E E Drawing MISCELLANEOUS DEC KS-COVERS'CARPORTS`GARAGES I Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-0pthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -landings 12 Braced Wall pnls 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enctsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w15'-Crcltng Egp-Htr 8 Elec Gmdng; Eqp w15' Crclbtg Eqp-Pool Ightg Bokes-EnclsrsTrilboards-Insultn to Main Conduit 9 Health Dept Apprvl 16 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide : OK RESIDENTIAL (Single & Duplex) DATE UNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6.1 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIOSewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts J oists-Vnts-C ripples 15 Acc & Vntltn 16 -Insulation aT o'er o` DATE IFR AM I N G 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Watts over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fre Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Class Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Ins ultn Walls -Ceilings 39 Infiltration -Walls -W ndws s` s DATE JELECTRICAL 40 Fxtr & Tmsfrmr CImcans Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w[Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed �re Sz sp ❑ CU or ❑AL AC Wire Sz y. Q CU or ❑ AL 48 Range Circ ga QCU AL 'Oven Circ y, Q CU or ❑AL Insulated Neutral ElYes MN - 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cimcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr USpa Lt 52 Smoke Detector 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Pctctn 56 Shwr Pan; Test; First fir -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFINAL 66 Ext Steps -Door & Side Lt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-CIrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFII Arc Fault 72 Elec: Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap•Cooking CImc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loon 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83'lnsultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters DYes oNo 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptd-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061460 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/19/2006 APN: 022-350-047-000 is in full force and -- the Business and Professions Code, and�se effect. ��, U114 tS7a�8 Site Address: 2886 3RD ST BIG License Class :_ Li r: Date: & t! aG' Contractor Map Index: Description: REMODEL 120 SQ.FT. OWN -BU DECLARATION I hereby affirm under pen of perjury that I am exempt from the Contractors' State Lic Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: RINNE JOHN R & BRENDA J permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2886 3RD ST signed statement that he or she is licensed pursuant to the provisions of BIGGS, CA 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 95917 she is exempt therefrom and the basis for the alleged exemption. Any 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 Applicant: H & F CONSTRUCTION Code: The Contractors' State License Law does not apply to an 27 COLLAVE ST owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, WOODLAND, CA provided that such improvements are not intended or offered for 95695 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530)867-4263 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Sec. 7044, Business _ and Professions Code. The Contractors' State License Law does Contractor: H & F CONSTRUCTION not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 27 COLLAVE ST pursuant to the Contractors' State License Law.). WOODLAND, CA ❑ I am Exempt under Article 3 of the Business and Professions Code 95695 (530)867-4263 Date: Owner: License #: 850702 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: A Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: &-l—certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. pp q Date: k 5' Applica RN G: i Ure to secure workers' compensation coverage is to nl ul, and shall subject an employer to criminal penalties and one undred thousand ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION. LENDING AGENCY This permit ishereby issued-unde a applicable provisions of the Suite County Code and/or I hereby affirm that there is a construction lending agency for the Resdlution do work indicate ab ve for which fees have been paid. perform ce f the w9rk P w i i ermit is issued (Sec 3097 Civ.) Name: i /.� / ` By: / / h Date: 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 d o ized 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 ny official f or document of Butte County. I hereby authorize representatives of Butte C unttyy to enter upon the above mentioned property for inspection purpose Print Name:/ KC L`JGt lA SLP Signature: Date: ��{ ✓'�/�� ❑ Owner ontractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 06/19/2006 12:58, 9164144492 MERCY COMM DEL 4 MetaHCQyGmTsa Nen nInioi a ora*ew Share/constru�tlonlwork-write•un form WORK -WRITE-UP PAGE 02/09 Bid Accepted Bid Not Accepted DATE: Mai ch 16, 2006 INSPECTOR: Ale;; Ki lingsworth PROJECT: Big Is NAME: John & Brenda Rinne ADDRESS: 2886 Td Street Biggs, CA. 95917 TELEPHONE: (530)• 321-4106 CONTRACTOR'S NAME: M ADDRESS: TELEPHONE NUMBER: �73 FAX NUMBER( IF ANY) LICENSE NUMBER: 3120 Freeboard Drive, Sults 202, west Sacramento, CA 05691 916-414-4440 (Phone) 316414.4490 (Fax) 06/19/2006 12:58 9164144492 MERCY COMM DEQ This Work Write-up is based on the Program Property R ehat ilitation. Standards, Standard Specifications and Rehabilitation as specified by the p ope. ty owner (s) hereof: All construction work shall be performed according to d e U) uform..Building, Plutnbi-ng, and Mechanical Codes, the Zoning and Electrical coe .es, ; nd all applicable requirements. Where applicable, work shall be in accordance wi th tl: a lead base paint warning regulation and the cost effective energy conservation s1 tu& rds. I .All construction work sb.all be inspected and approved by the )ep:.rtm.ent of Building and Safety Inspectors, property owner(s) and the program Rebol ,ilita tion Specialist. PAGE 03/09 2. The awarded Contractor shall be responsible for completion c f ca.. :h item. specified in this Work Write -Up. Any changes shall be authorized only by tl a in tiation and execution by the owner(s) and Contractor on a formal CHANGE ORDER. whi :h must be approved by tate lending organization. 3.The Contractor shall verify, on job site, all quantities, measure rnien :s or the dimensions, conditions, plans, and working drawings before submitting this Ad. "here will be no Change Order to prices based on mistaken, quantity count, meas- tree- ents or dimensions_ 4.The Contractor shall immediately notify (verbally and in writi ig) t ie Rehabilitation Construction Specialist of any discrepancies on the plans, world ig d •awings, Work Write -Up, and the measurements or dimensions. The Contractor shal l be held responsible for all such verifications. 5. The Contractor shall provide an.d install all necessary bracing to sc .pport and maintain the existing construction in a safe and undamaged condition thr( ughout all phases of demolition, construction and or/reconstruction.. 6.The Contractor shall take any and all precautions necessary to :nsL re that fixtures and materials, which are temporarily removed during any phase of o rash action., are protected from damages, vandalism and /or .theft. Damage to property cau: ed 1: y the Contractor shall be repaired or replaced by the Contractor at his/her own ex )ens 7.There have been no soil tests taken. on this site and, therefore, - he 1i :nding agency is not warranting or guaranteeing any responsibility regarding the bear, ng capacity of the soil and whether or not it is sufficient to support the structure and de, ign. 8. The Contractor shall be fully responsible for obtaining all nec :ssai y permits and licenses as required by the Department of Building and Safety o: the City. 9. Color(s), type, model., style, finish and manufacturer of all fix- arcs. appliances, hardware, and all other products used in the rehabilitation work! hall be approved and/or selected by the property owner(s), and shall be standard in nature un], �ss the owner(s) request(s) custom items at the time the Contractor prepares and E abn, its his bid. 06/19/2006 12:58 9164144492 MERCY COMM DEL PAGE 04/09 10. The discarded floor covering, old doors, lumber, plumbing ; ixtuu -es,roofing, debris, and other construction debris shall be .removed from the job site dail y. The property shall be left in a clean and safe condition at the completion of the job 11. No work shall commence until a Notice to Proceed is execu ed. 12. All work completed on job site to be per manufacturer's spe �ific ation and Standard Trade Practice. 13. All interior closets and storage areas shall be painted with iur teri(r painting unless otherwise noted. If plans are required for the project, Contracto sha 1 furnish all required plans and engineering not furnished by the owner. 14. All plumbing fixtures shall comply with all water saving co• es. 1.5. Whenever.painted surfaces are disturbed, the contractor sha) ! coi aply with all federal, state and local laws pertaining to Lead -Based paint eonstructior wol k. 2 06/19/2006 12:58. 9164144492 MERCY COMM DE1 PAGE 05/09 1. WORK SUMMARY — Dwelling is a 2 bedroom 1 bath, 904 sq.t. Conventional h, ime ")W),t in 1990. Items to be addressed are: Windows, gutters, floc r co- ter, exterior door, cabinets, countertops, HVAC, bathroom, cei'.ing: and , tree. The contractor is responsible for all safe -work. practices a ider Title 17, California Code of Regulations, Division 1, Chap :er. 8 Accreditation, Certification, and work practices for Lead -1; ased paint and Lead hazards. 2. WINDOW REPLACEMENT Remove existing windows and install vinyl dual pane retrc fit �L windows through out home. Windows shall be Milguard c r eq- ial quality. Bathroom windows shall be obscure glass. Instal; atio, shall. include removal.of old windows from site, and repair of a xy damaged wall surfaces resulting from installation $ 3. _ GUTTERS REMOVE AND REPLACE Remove existing gutters and remove from site. Examine f Gcia Ind eaves for damage or dry rot. Replace all damaged eave an, l fac is boards prior to installing new gutter. Install new 7 inch se, mle,s gutters on front and rear eaves. Install downspouts as requ red :o handle roof run off.. Downspouts shall terminate so as to d rect water away frons home $ 4. FLOOR COVER, VINYL & BASE Remove finish floor covering in the entry, living room, hal wa, kitchen, and bathroom. Clean and prepare surfaces. Instal nes; P ; C FHA approved frill coverage vinyl sheet flooring. Install 4: per manufacturers recommendations. No seems. allowed up to IT , width, except for doorways. Use waterproof adhesive. She �-t gc ods Z by Armstrong Solari:an or approved equai. Color and pattc n to be owner's choice. To include new finish trim and base shoe. Allowance is $1.8.00 per square yard. $ 5. DOOR, EXTERIOR, LOCKS, AND THRESHOLD Remove exterior door to back yard and remove from. site, .'rov de and ir.i.stall new 1-3/4" metal clad door by Stanly or equal. Hardware is to include three butt hinges, new Schlage B se �ics Security Night Lock, automatic door closer, and threshold. Installation to be complete, including weather_g0pping. $ 6. KITCHEN CABINETS q1.;, Remove lower cabinets and dispose of off site. Provide an. [ins :all crew low rise factory made cabinets per existing layout. Ca mine; s to��. . be equal to Economy grade. Cabinets to be set level and pi imb � �� at" Cabiu.ets .to be fastened together and to wall studs with cabi net screws pre -drilled to avoid splitting, Face frames, drawer f •ont; and door frames to be solid oak. Exposed ends, top, sides and c oor 06/19/2006 13:30 9164144492 MERCY COMM DE1 PAGE 03/06 panels to be oak veneer over plywood. Cabinets to be fact )ry finished inside and out, Not modular. Owner to choose co .or. $ 7. COUNTERTOPS, PLASTIC, KITCHEN .UA k w Install new pre -formed laminated plastic countertop with 1 all r ose front and 4" backsplash at contact with all walls or surface 3. Include end caps and calking. Properly secure to base cab: nets + Neatly calk all joints at wall and top. Owner to select color ani l 7% pattern. $ 8. KITCHEN SINK & FAUCET Provide and install new Moen Excalibur stainless steel duE l sink, including crumb cup strainer or owner approved equal. R( plac : pea trap and include all plumbing necessary for complete sink ga installation. Install new faucet to sink. Faucet to be Moen Ch teau, ' builder grade, single lever .faucet mounted on sink. Re -ins :all >� .garbage disposal.• Inclusive of all hook-up's including shu. -off valves. w $ 9. HVAC Install new HVAC unit sized properly for area of dwelling j Installation to be complete including ducting, registers, ret irm: wall lg,. thermostat in central area, ducts, electrical, plumbing, filter. , an, l removal of debris. Repair all affected. surfaces to match e) istir. g as close as possible. Contractor to provide access to furnace -.ger c )de. All work and venting to be complete with furnace operatin. ,. A 11 rn ufacturer instruction books and warranties to be provic ed to owner. To be compliant with new codes. $ 10. _ REMOVE & PATCH WATER COOLER �S7.S• Remove water cooler penetration and patch to best match a xisti n . $ 11. HALL BATHROOM—'. '. Remove existing bathtub, surround, and valves. Inspect pl imb- ng for leaks, and install new low rise shower pan, divertez val• -e w th head and handle, and three piece fiberglass' surround with s liow,-r door. Remove toilet and replace with handicap Azn.encan ; ,tangy lard or owner approved equal. To include new angle stop and i; ,all repairs behind toilet. All work to be done per code. Repai- all affected surfaces to best match existing. 12. ACOUSTIC CEILING Wet scrape interior ceiling of living room and hall way to z :mo re acoustic ceiling. Sand, serape, patch any great imperfectio is, a id apply texture to best match walls. Prime and paint with ova ner selected color. $ J! . TREE TRIMMING — Cut back cottonwood tree to stump,and cut roots back firor��� 06/19/2606 13:30 9164144492 MERCY COMM DEL PAGE 04/06 ti c ;���OP - 1 wA4,r 3040-Y 41 zl a6 dwe!4% �' $ 14. LANDING PAD Remove existing landing pad and remove from site. Rem( Ives gots extending from tree. Teo 94 pour new landingpad for 1 ack door. To be 3'x3' 15. PERMITS 16. TOTAL $ ti c ;���OP - 1 wA4,r 3040-Y 41 zl a6 06/19/2006 13:30. 9164144492 'MERCY COMM DEL PAGE 05/06 1 NOTE 1: No work shall be commenced until a written Notice tc Pro need order is executed. NOTE 2: Lead base paint is prohibited_ NOTE 3: Special attention shall be given to the incorporation of ' coy effective energy standards pursuant to Title 24 CFR. Part 39 Cost Effective Ener ;y Conservation, May 1 Q, 1979. NOTE 4: 'The Project or Program to which the work covered by this contract pertains is being assisted by funds secured from the U.S. Department of .Hc usiz g and Urban Development; therefore, the contractors are required to abide by the -equirements of the Davis -Bacon Act if applicable. They will be required to pay wa; ;es to > laborers and mechanics at a rate not less than the minimum wages specified i i the wage determinations :made by the Secretary of Labor. I, hereby authorize the submi 3sioi t of the attached Work Write-up with my application package for the purpose of ecu: ing loan fluids to accomplish the work described. NOTE: ANY'CHANGES TO SPECIFICATIONS WILL BE DONF IN WRITING BY THE ORGANIZATION'S OFFICE ONLY. Direct all construct on. c uestions concerning the specifications to our Construction Specialist. I have reviewed and approve the attached Specifications and We rk V trite -up. My initials on each page indicate my approval. OWNER OWNER OWNER DATE DATE DATE 06/19/2006 13:30. 9164144492 MERCY COMM DEL SELECTING YOUR CONTRACTOI PAGE 06/06 After you have reviewed the Work Write-up and Specification i (Sl vcs) and signed them as approved, a day and time must be agreed upon to give Cor trac ors an opportunity to look at the items described in the Specs so they may submit , bid . The ".INVITATION TO BID" will be sent to as many as ten contractors in rit'in, them to meet the Construction Specialist at the property at the agreed tim 1. sually . three to five contractors respond to the invitation and will walk through < t th : same time with the Construction Specialist. The Bids are requested to be submi ted :o this office a week later. The Contractors receiving the INVITATION TO BID � re li -.ensed with. the state and will have a CERTIFICATE OF INSURANCE on file at the - ).rganization's office. Some contractors bidding have completed jobs through. this Or gani ,,ation and some have not. You are encouraged to have one or more Contractors of your c ioic : bid the work. If you have a GENERAL CONTRACTOR wbo is licensed and insui ed t tat you would like to consider or use, please submit his name and phone number. to the organization's office. The insurance and license will be verified and, if in good star ding, your contractor will be sent . an .T.NVITATION TO BID. His company name. = y 'al go be placed on the Contractor List for future Bid Invitations. After reviewing the bids this Organization will contact you an I re( uest a meeting at the office to review the bids and you will be given a copy of eacl Co: rtractor's Application which lista, references and phone numbers of jobs the Conn 3cto • has completed. We cannot recommend which Contractor you should use. 'i HIS WILL BE YOUR DECISION. It is recommended that you contact each bidding Contractor 2 ad s take arrangements to inspect job(s) he/she has completed and discuss ih..e Contractor's w )rk with the owner(s) of the property. Your decision regarding YOUR Contractor selection roust be n w iting on the included OWNER'S ACCEPTANCE LETTER �tnd will be kept on file a: the office. I HAVE READ THE ABOVE INFORMATION REG.A'. WTI dG CONTRACTOR SELECTION AND FULLY UNDERSTAND THE SELECTIC N C F A CONTRACTOR IS MY RESPONSIBILITY. Property Owner's Signature Date Property Owner's Signature Date 66/19/2006 12:5E, 9164144492 MERCY COMM DEL Mercy Housing Date: June 19, 2006 TO: Marlee Mattos PHONE: (530) 8685493 FAX: (530) 868-5239 Re: Rinne Write-up Notes: THANKS xlX 7Wffngjworfk yc�w�y,merc:.�nu5in� ,clrg PAGE 01/09 Fax cover sheet FROM: AIo m Killin sworth Ak Ilingsworth@meroyhousing.org PHONE: 915-414-4469 FAX: ' 913-414-4492 # Of page; (in eluding cover): 9 3120 Freeboard Drive . Suite 202 . West Sacramento, CA 95691- 916.414.44 )0 . I ax: 916.414.4490 1360 Mission Street. Suite 300 • Sat) Francisco, CA 94103.415.355.7100. Fa) : 415.355-7101 609 Pacific' Avenue Suite 101• Santa Crux, CA 95060 - 931.471.1914 ..Fax: 83-471 1917 500 South Main Street. Suite 110.0range, CA. 92868.714.550.5080 *Fax: 714.`_ 50.5( 95 Mercy Housing is tong(((( d h o(Cwho(ic S'islers PERMIT NO. 1678-89B,P,E,M PERMIT EXPIRES (0-0 rf D OWNER CHIP BELINDA CRISMON CONTR. owner j ASSESSOR PARCEL 22-35-37 City ggs lot 27, Cit of Bi LOCATION 2886 3rd St, } i i OFFICE COPY Address GAS T DaW Meter By `''^CCr��ll ELECTRIC Meter By Date OFFICE COPY Temp. Power Pi i Address Called PG& GAS Temp. Else. Seri Meter By Date ELECTRIC t Called PGSI Meter By _ Temp. Gas Service Celled PG&E JOB FINALED (Date) ,[/ �v Signature Building Owner Building Location _ ENERGY INSTALLATION CERTIFICATE B;.iilding Permit # 1 DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance,(R...Value) . EXTERIOR WALL. n Material Brand Name DGS Thickness(inches 3.5" Thermal Resistance(R Value) CEILING ... .Batt or Blanket'Type Brand Name Thickness(inches) Thermal Resistance(R Value) Loose Fill Type Brand Name�j,? Q6 X Minimum Thickness(inches) 7.3 °' Number of Bags 2� Wt. per -bag Area covered(ft.2) IOBO Thermal,,Resistance(R•:Value) -3a FLOOR, ELEVATED Material Brand Name Thickness(inches) Thermal.Resistance(R Value). FLOOR, SLAB : Material Brand Name Thickness(inches) Thermal Resistance(R,Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal • Resistance,(R•Value)�_ I hereby certify that the above insula tion was installed in'the above: building, `' is.consistent with.approved building department plans and -attachments and con- ,orms with requireme ts• of Chapter 2-53 of'State of California:.Energy•Requirement FIRM NAME/OWNER STATE CONTRACTOR'S • LICENSE .NO.. ' SIGNATURE OF INSTALLATION APPLICATOR DATE-.' d• . I hereby certify the required features, devises, and equipment, a5 shown�on:the-approved Buildi:ig Department plans and attachments have been installed and cor.form-'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) SIGNATUR OF BUILDING CON ACTOR/OWNER DATE HVAC FIRff NAIL /OWNER Please Print) STATECONTRACTOR'S LICENSE•NO..,; SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION.• .APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 rr= � ��� A '10. 'r = OK 0 = Not OK - = Not Applicable ' = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -131 Date 10. Roof; Shthg-Roofing . Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s. 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date. Card -131 Date r a i r =UK 0 =Not - =,Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UWERFLOOR (Plans) OK except #'s Zgning-Setbacks;-Easements-Flood-Slope Ftg., Main; Soils-Steel-Elec. Grnd.-/ P, _ . r . Ftg., Garage; Soils -Steel-/ /" Ftg. Dept 4. Ftg., Porches & Decks; Soils -Steel-/ /" 5. Stemwalls, Main; Steel-Blockouts-Wrappe 6. walls, Garage; Steel- Blockouts-Wraps j7. Slab; Steel -Wrapped 8. Pi rs-Fireplace Ftg.-Steel 7,20.9 . D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 W Date ,p and -B1 Date Card -B1 at t- and -131 Date Date PLUMBING (Permit) OK except #'s Vf Water Ht. Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchors -Nail Protection lJ . D.W.V.; Test-Fttngs & Anchors -Nail Protection 1 , First Floor-Tub.Access er, 2nd Floor -Tub Access Gas Pipe; Size & Anchors Card -131 Dated Card -131 Date Card -81 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 2;.,Flxture & Transformer Clearance -Ins. Protection "23,Elec. Receptacles Spacing -Lights & Switches at Doors . 4. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C uip. Ground made up w/Mech. Fasteners and Gas 9 Wat 2 Appliance Circuts in Kitchen & Conductor Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 9. Range Circ. / ga. Cu o Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes to 06. Service -Riser Conductors & Ground -Main Disconnect earances Panels-Motors-Mech. Equip. set Light -Shower Light -Spa Light Smoke Detector Card -131 Data -Jo Card -131 Date Card -131 Date Card -131 Date Date ME HANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support nt Fan; Exhaust above insulation Condensate Dain & verflow; S' & Grade 37. Furnace- t; Ac ss -Comb. it -Ret r Vent -115 outlet 38. & Platform if Furnace in Attic Card -131 DatA-,q Card -81 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s ills, Proper Material & Anchors C416,',Walls Studs -Nailing, Spacing & Bracing—Plates-Sound .1•,Bearing Walls over Girders & Floor Nailing A -raft Stop in Walls (rat proof) KZ re Stops; Furred Ceilings -Stairs -Chases -Tub • Header & Beam -Size & Bearing Date FRAMING (Continued) FJangers-Post Caps -Anchors -Connectors ' 44f.. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. r Type A Flue -Fireplace Throat Clearance 14. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions L-SrGarage Fire Protection Framing L51`Property Line Firewall & Openings 16r6t. Doors -One T -Check Garage -3rd story, 2 exits _5g Srairc w��rn_uPad room -Rise- Run- Landing- Fire Protection 4. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer ip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic ' s . . lading -Bolts 9. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Data"- % Card -81 Date Card -B1 Date Card -81 Date Date FJNAL (Plans) OK except #'s 61 xt. Steps -Door & Sidelight Protection -Landings 2. S eke Detector Furnace; Vents -Clearance -Comb. Air -Connector- • -1a GaragerAbeve Floor-Ducts-Mech. Protection P6CBecroom Exiting F.I. & Bath Fixtures'& Tub Access -Spa 6. Elec. Trim & Subpanel; Breaker Sizes -Labels 6 . Fi,epface or Steve; Clearances -Hearth -69_-Ft-a -Wood Panel; Int. & Ext. LT. K' ixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter 42. Gafage Fire or; Swing -Landing -Closer i Garage -Damper 4. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- -t+fl-6erage Abfte Floor-Mech. Protection I lec. & Mech. Equip. Listed for Location ,Elec. ceptacles in Garage; (G.F.I.)-Romex Protec. nsulation-Foam-Looked in Attic ❑ Yes ck Construction -Post Caps wl Hole Door -Drainage & Wood -Earth Cle rance Looked under Floor ❑ Yes ollowing instld.; Drive s ❑ No; Walks:--bYes ❑ No; Planters ❑ Yes o '�'f2. A." --hit; Disconnect, Electrical, Plumbing 43,3'vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. nect, Electrical, Plumbing 5. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House d87 --f lass Protection rrections from PrevioysMpections Gas Test -Meters T ed; Gas -Electric pw-wer & Sewer Connected -C/0 to Grade -HD Approval -LAT.-Energy Compliance Certificate -Other Certificates 8�-Reofmg ertificate Card -B1 Date Card -131 Date 6Card-B1 Date Card -81 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE - DERARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION.AND PERMIT ASSESSOR PARCEL NU ER 2-- ZONING BUILDING PERMIT OWNERCA / V/V TELEPHONE SO. FT. O BUILDING UATION Al- AH OWNER'S MAILING A RESS CONTRACTOR'S NAME , TELEPHONE CONTRACTOR'S MAILAG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ '10.00 LENDER'S MAILING ADDRESS or v f � to Permit Fee a ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L Cgs i//T /' �h A t ([�/ . Permit fee = PLUMBING PERMIT Filing Fee 10.00 C. Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION nNAME ` / e CL Ar, PARCEL MAP 9 Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Gas piping .system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 0.00ea TYPE OF WORK Newt' Addition Remodel[] Utilities[] Installation[] Other ❑ Describe wo k: utry, Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ,� Jr Main service e00V OR LESS 10.00 100 AMP OR LESS CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.8J , oR ADONS. ACC. BLDGS. / /20sgft NEW CONS TR. TI.OUTCIRC LET ITS '2,50 ea NON-RESID .BRA CN POWER APPARATUS &) (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20050t e ALe 30 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service Of0.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 1 Cooling 6� Q Hood 3,00 g,to Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai ounty in consequen a of he granting of this permit. XDate Signotu a cf 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OccUP, �3 CON9T.TYPC scNo FLOOD PARCCL D 39U This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. J!:TO OF PUBLIC WORKS z �y By Date ��✓ PERMIT EXPIRES Date - Receipt No. WRITE -D. r. W., TCL LO W-Aee lS 9011, PINK -INSPECTOR. GOLDCM ROD-APILICANT COUNTY OF BUTTE - DEPARTMENT"OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALFFOFiNIA 9%965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER o. :52- P 77 Proposed Building Use 41 Building Inspector Date,!Yza�4 At time of permit application, I was advised the following data must be submitted prior to permit processing a d/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings ....:......... 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. ' City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... B� �di"ngeInspe tort to (Date) 20. Contractor's license information (No., Name Style, Classification) ....... A 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ........ r25. -Recorded copy of Agricultural Acknowledgment Statement ...:........ . Letter of signature authorization ..................................... i 26. When •ou issue the permit, process as follows: Mao, to owner. Mail to contractor. Telephone - and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by --p C-41— Date (0-17-69 ._Sets of plans on hold in File cabinet L:::�AP folder Copy—DPW COUNTY OF BUTTE - Depaftment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) YES 2. I (have/have not) T.IArr, signed an application for a building permit for the proposed work. 3. I plan to .provide portions of this c,ark but I have contracted with the followina�jencv g psa Eia�a� to provide tie --}weed construction technical assistance to coordinate and suxr�ise the major work. Name Communit-v Housi na TbinrnvPmP�,f Address _ 429 Normal Ave_ City Chico, Ch. Phone 891-6c)31 Contractors License No. 390764 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name N/A Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Buttacavoli Industr. lol5.Yuba Str. Yuba Citv, CA 741-2619 Insulation Caldwell Ent., P.Q. Bax 787, Gridley, CA, 95948 846-4142 Cabinets & Coun-er oc Coleman Concrete Constr., 91 Lone Tree Pd., Oroville, CA 534-3303 Cumberland Plumbing,40 Oakvale Ct., Oroville 534-0589 inq Foothill Electric, •5887 Orrin Lane Paradise, CA 877-1357 E ec ica Fox CO., 3995 Olive Hca . Oroville, CA, 533-2730 H ea _n Trojan Truss Co. P.O. Box 85, Orland, CA, 95963, 865-23•o russes Signed: /. e f';t_4 (_hcc +*h_vPL Property Owner 6 Social Security Numbler � - Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and reru reed to our office before we are per- mitted to issue the permit. When. recorded mail to:. Chico Housing Improvement 429 Normal Avenue Chico, CA 95928 ATTORNEY-IN-FACT AGREEMENT I/We hereby appoint the Community Housing Improvement Program and/or any of its authorized agents as my/our attorney-in-fact for the purpose of executing any notices of completion, waivers of liens and/or stop notices and/or release of liens and/or stop notices and building permits relating to that certain real property described as follows: All that certain land situate, lying and being in the County of d , State of California, described as follows: Lot 27 of Pichotta Sbdivisicn , as shown on that certain map filed for record in the office of the county Recorder of the County of Butte , State of California, on Jaiiary 15 , 1988 , in Book 10B of Maps and Surveys, at page _59 Date Owner Belinda C.ymm Date Owner STATE OF CALIFORNIA On this 14th day of April in the year County of BUIM 1989 , before me Linda F. Wilson , a Notary Public, State of California, duly commissioned and sworn, personally appeared Belinda Crismon personally known to me or proved to me on tie basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that (s)he executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the County of Butte OFFICIAL SEAL on the date set forth above in this LINDA F. WILSON certificate. • NOTARY PUBIfC • CAUFORNIA B=UTTE My Cornu. Expires Feb. I5 is92 otary • Public State of California My commission expires 2/15/1992 . ,.-.L3'�'-�:�j' ��::��',y,';�,�{��:.f"^"-.-{"yarn:elrt,,.nn-.:-c,:•r.:.�,. .-,..r."'ir�wi7t.,,=*°i�tllt':f+asMr�'iR,r�-n.ITi_•.,,•f,,�'c 'L,.� _ •�. BUTTE:COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form pei Building) A.P. Number�"" �,j �j Building Department No. ,School District City E2�ounty Q Jurisdiction o Property Owner Project Location/Address 6VV Subdivision �r"l �c Lot Number 2-7 Residential Development: Sq. Footage (9//. # of Living MHI Addition (Group R) Units r •r a �• _. l 3 ... »-_Gommercia—Industri-al"`:""" p ,O Sq. Footage New Addition (Including Exterior ' Roofed Areas) Building Department Representative:"A.,. Date (Floor Plans reviewed by School District Personnel) District Id No.— `i o. Q Tr �`ie.c/ School District certifies that (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $1o2-�5" representing- 4?// square feet. School District Representative Date PAID BY CHECK NO.Q4 REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district i SCHOOL.FEE (8/88-) 67- - 0 - .. 1j BUTTE OOUNTY BiALDING DEPARTMENT APPROVED -P 6- t-3 o �p See Master Plan. on file for building . plans. PLAN PLAN No, NOTES: COMMUNITY IMPROVEMENT -PROGRAM MI. I --t.. Ir 429 NORMAL AVE, c** ... co AP NO. L 0 T - NO 27 OWNER:j,--�' I DATE :4,1AN Gc)- I SCAT, : I" = ?Qt -,q-- r2-- '""Ic-aLe Of Compiiance: Resident' Al Climate Zone 11 NOCUtnentvLjoa M - P - Building PCYMiL Checkzd By/ D&14 Enforcement A gency Use oftiv 3UMDING DATA Gl= Area % Glass !�onditioned Floor Area ISO Tb NumberofStories North Fast 14 — V ed Floor Numberof units South 6-11 C -2 �eSingle Family Detacf4i (SFD) 1 Single Family Attached (SFA) Addition Alone West i(est -I Multi -Family (MF) F-Xisting Building Existing Skylight �Kylight ....... -Plus -Addition Total ype/Covering MILD ING SHELL INSULA =rnponent Insulation LOcation/Comrnents -"pe R -Value (attic, to 28MIM rV7T;e-*1 -#- I .jYaU .............. ffau ............. =0of ............. =of ... * ... -,:oo r ........... ............. iiab Edge ..... ;LAZINrG iiazing Area -AUV3CCL Ule. Ple Shading Devices G12SS T)Te interior Exterior Overhang (sinek- double) (roller blind. etc.) Ah.4— — , -J�tL jo2l�F: �11-) Ama Thickness -4 �'u211 OcItchen. bah, etc.) r / AT" Framing Type Ei=E rVAC SVS`T-E—MSMiniM--U�M --------------- Duct ype Uumw:e, air Efficiency Location Duct widitioner, heat Dump) (SF- SEER.HSPF). (,ttic, e Output .tc.) Manufacrum 11-Valu'll!: (Btuh) Z -- c- —C2LNM 4; V1rNT ,PiAximurn Furnace Heating Output: ------ Btuh j()T WATER SYSTEMS Tank Manufacrumr/Model # I i'LUIAL, FEATURES/RE-MARKS (Add extra sheets i WorT-h =st =st WULh VUL i(est &St* �Kylight ....... VERRAL MASS ype/Covering -AUV3CCL Ule. Ple Shading Devices G12SS T)Te interior Exterior Overhang (sinek- double) (roller blind. etc.) Ah.4— — , -J�tL jo2l�F: �11-) Ama Thickness -4 �'u211 OcItchen. bah, etc.) r / AT" Framing Type Ei=E rVAC SVS`T-E—MSMiniM--U�M --------------- Duct ype Uumw:e, air Efficiency Location Duct widitioner, heat Dump) (SF- SEER.HSPF). (,ttic, e Output .tc.) Manufacrum 11-Valu'll!: (Btuh) Z -- c- —C2LNM 4; V1rNT ,PiAximurn Furnace Heating Output: ------ Btuh j()T WATER SYSTEMS Tank Manufacrumr/Model # I i'LUIAL, FEATURES/RE-MARKS (Add extra sheets i -A*