HomeMy WebLinkAbout024-080-06624-0&--'66 1453-91't—'�e' %
06-1944
024 080-066
.:HAVENS, Ri:(chard
CARLI,FRANK
�35 bbermeyer, Gri" I d 1 e y -q2
; &,/ 535 OBERMEYER, GRIDLEY
(elec serv/sf) 024 -
CA
53 5�
C 1
ofit: OWNER
AG EXEMPT BUILDING
024-080-066 PERMIT#98-0220
HAVENS, Richard FIL�E
535 Obermeyer Rd., Gridley 4
Add 2 Bedrms,Bath,Extend Kitchen(
And Por
024-080-066 99-1425
ch/SF
HAvENS, Richard FIL
535 Obermeyer Road, Gridley
Contr: Owner
I" Renewal of BP# 98-0220
024-08-0-066 00-1333
H H
A�VENS, RICHARD F LE
1� T, GRIDILEY
535 OBERMEYER ROAD,
CONTR: OWNER NO
(0
2 N" RENEWAL OF BP#98-0220
024-080-066 03-3353
HAVENS,'RICHARD '9A�4"
535 OBERMEYER RD, GRIDLEY
NEW DErACHED GARAGE /045-0
a
- 1 _ �_._._ _-�-,.,�-�--- , r� l r
�. .�,
. L'
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or.other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
A
(5�2f R PARQ 0
A.
ZONING
P!��gE NO�
0
DDRI�1'.aq
CrX I t !DC EAR PDAD, GeO;Ls L)ALLC-11 (?1�71495
IQU OF B
6Dl111Q—R4et _q
46t:;� t= IR
USE OF BUILDING A -6r 7f2)6e_-ro rg LA,,uo Akov1_e_.,
SIZE OF STRUCTURE 3–D—, X a SO. FT. V
TYPE OF CONSTRUCTION:
WOODFRAME—X__ STEEL— CONCRETE OTHER (Specify)
��ZNPZ
ROOF COVERING
- Slef�� L
FLOOR TYPE
Ai CEE-_r&�F
ESTIMATED COST OF CONSTRUCTION
s I It DDC)
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
M01
FRON<�0010 SIDES SZ" too REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to co p y with the requirements in effect at that time and before
occupancy. I
Date Signature of Owner _W& A)AAA-A�
The above described AG Building is exempt from a building permit.
FLOOD I 1��L ROOF-- I ISSLIFeI
Receipt No.
MI.— 1.
anager Building ivision
Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
!'�-'�60RDING REQU S B
VALLEY TIT
RECORDING REQUESTED BY
North SUite Title Cornp,111v
Escrow No. 06500418 order N'0'.
2423819-bil
I
AND WHEN RECORDED MAIL. TO
Frank Carli and Paula Carli
16616'Garden Bar
Grass Valley. CA 95949
Recorded I REC FEE 10.00
Official Records I TAX 451. N
COU114 Of I
But e I
CANDACE J. RM I
County Clerk-Recorderl
I
I SA
09:M 19 -Jul -M 1 Page I of 2
1111111111111111111131011111
.1 SPACE ABOVETJ-11� UNE FOR RECORDER'S USE
INDIVIDUAT, an ANT nrl"17, "
The undersigned grantor(s)* declare(s):
Documentary tnmsfer-tax is $451.00 City Transfer Tax is $-0-.
R1 comFuted on full value of property conveyed, or
13 computed on full -�alue less value of liens and encumbrances remaining at time of sale.
0 Unin.-orporated area: E3 Cityof,and
FOR A V'ALUABLE CONSIDERATION, receipt of which is hereby acknowledged.
Ri.chard M. Havens and Christine A. Havens, husband and wife asJoint'renants
/S.
hereby GRANT(S) to Frank Carli and Paula Carli, Husband and Wife asJoint Te'nants;
the following described real property in the LJ nincorpo rated Area, County ofBtrrm State of California:
See exhibit attached. hereto
—4 .
Dated: Rily 7, 2006
I
STATE OFCALIFORNIA
�01JNTY OF Sutter
SS
On 4 3ML.00 before me, K. Sanders, Notary
Pu ly appeared Richard M. Havens and Christine A.
Havens persortally known to me (or proved to me on the basis of
satisfactory evide6ce) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies),
and that by his/her/their si I
. gnature(s) on the instrument the person(s),
ofthe �ntity upon behalf of which the person(s) acted, executed the
instrument
Richard M. Havens
Christine A. Havens
K MOMS'
COMM. #1493582
NWARY PU�1��
SUTTER COUNTY
WITNESS my hand d.o i at s�eal. COMK EXP. 1. ON
Signature_
MAILTAX
STATEMENTSTO: SAME AS ABOVE
111118 Vision Form,S6*034CA Rev. 05/10/96
-5
Title Order Number:
Fite Number: 0401-2423819
Exhibit "A"
Real property in the unincorporatea area of the County of Butte, State of California, described as follows:
0
ALL THAT PORTION OF LOT 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GRIDLEY COLONY NO.
2"1 WHICH MAP-WAS-RECORI)Ea IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE; -
STATE OF CALIFORNIA, ON DECEMBER 26, 1905, IN BOOK 4 OF MAPS, AT PAGE(S) 41, MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
THE EASTERLY 250.00 FEET OF THE SOUTHERLY 300.00 FEET OF SAID LOT 2, GRIDLEY COLONY NO. 2
HEREINABOVE REFERRED TO.
APN: 024-080-066-000
f
t
01� BUILDING DIVISION
COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
�0
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other'horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO.
0
ZONING
OWNER i
U
CA Q 1-1
PHONE NO...
S�D 'g Gz) 3 ct4-el 1/4
OWNER'S ADDRESS
r, --Z iR-1 0 Z-
G 42— A'; S L(Z—
LQCATIO N. OF BUILDING
USE OF BUILDING
.It
I A 67
7126 tg Ako&xc,
SIZE OF STRUCTURE
V
'X
SQ. FT
TYPE OF CONSTRUCTION:
WOOD FRAME —X— STEEL
CONCRETE OTHER (Specify)
TY,PF_OF SIDING
4=-e—
ROOF COVERING
L -Te-
FLOOR TYPE
klc-e- I
ESTIMATED COST OF CONSTRUCTION
AG Buildings shall comply with the minimum
front, side, and rear yard setback requirements of the applicable County ordinances as
followe"
FRONTN.: SIDES J/20611' ;�bpl REAR -e/ )It"'�JIOPM
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to co - ply with the requirements in effect at that time and before
occupancy.
Date 6 Signature of Owner—�A.
Permit Fee -T 1-09-�98 The above described AG Building is exempt from a building permit.
ILI - FLOOD IFICIL I P D ROOFING
I . X
Receipt No. ub k--
Manaber Building Divisiori'
ry)
By
Date 'X 07111"Y'11
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
NI
RESIDENTIAL
(�24-080-066 PERMIT#98-0220
HAVENS, Richard
535 Obermeyer Rd., Gridley
PERMIT'NO. Add 2 Bedrms,Bath,Extend Kitchen
And Porch/SF
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
A
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
V OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements-Sethacks-Easements
1. Zoning Requirements - Setbacks - Easements
2. Footings; Soils-SizL-Dep"pacing-ConriectDrs-SteeI
12. Soils; Special MH Support Sketch
3. Decks; Girders and/or Joists-Decidng-Bracing-Stairs-Rails
3. Sewer. Location -Test -Fall -C/0 -Concrete
4. Wood Awn.; Posts-Beams-Rttrs.-Conriectore
Shthg.-Rfg.-Bracing
4. Water; Location -Test -Easement Needed (Sketch)
5. Mum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Locabon-Clearanoes-Gmd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap; / /'LtL
/ /Nat. or/ /L"tt./ "G
7. Electric
7. Well Clearance & Disconnect
8. Frmg.; Sils-Anchors-Studs-Rttrs-Trusses
8. Utility Clearance
9. Siding; Nailing-Veneer-Skxxx)-Mesh
10. Root; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements- Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line
POOLS (Plans) OK 7cept #'a
3. Gas; MH Test-DemarKlVahe-Connector
1. Setbacks -Easements
4. Electricity; MH Test-Crossavers-Breakers-Clearances
-2. Soils: Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Ste6Connections-Thickness
Dead Men -Lining
6. Water; MH Test -Regulator -Connector
4. Elec.; Reoeptacles and Lighting, Distance-GFI
7. Water and Sewer Connected -C/0 to Grade -HD Approval
5. Elec.; Pool Lighting; 15 Volts -C- Fl
8. Gas and Elec:Wcipy Tagged
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
9. Tie Downs -Type -Installation Cart.
7. Elec.; Bonding; Metal wX-Circulating Equip. -Heater
10. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/V Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
11. Cert of Occupancy
9. Health Department Approval
12. Permanent Foundation Only: License Decal
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'a
1. Zoning Requirements-Sethacks-Easements
2. Footings; Soils-SizL-Dep"pacing-ConriectDrs-SteeI
3. Decks; Girders and/or Joists-Decidng-Bracing-Stairs-Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Conriectore
Shthg.-Rfg.-Bracing
5. Mum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rttrs-Trusses
9. Siding; Nailing-Veneer-Skxxx)-Mesh
10. Root; 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 7cept #'a
1. Setbacks -Easements
-2. Soils: Compaction -Structure Stability
3. Pool Structure; Ste6Connections-Thickness
Dead Men -Lining
4. Elec.; Reoeptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts -C- Fl
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal wX-Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/V Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light NIche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B -I
0
V = OK -
0 = NOOK
= Notftnlicable
* = Not R%dy
Date _ ,ftffFFFL00R (Plans) OK except #'a
0" �eg-Setbacks-Easnients-Flood-Slope
I -R,3 fWNg., Main; Soils-Elec. Gmd.-// J--� Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
RESIDENTIAL (Single & Duplex)
4. Ftg. Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab,
5e; Size Anchors - Yard Gas Pi
ig; Size Test
Test
12. Electric Unqgrground
j.'%'Pi Nem -n- Ducts; Clearance-Matedal-Support-Ins.
(Alpidirrders-Sills-Anchor Bolts-Joists-Vents-Crippies
(IMAccess & Ventilation
16. Insulation
I / ^_� - .- A
Dat!:Z:::/v_99' CardB-1 Dat -Y()5-C a rd B - 1 tat
Date7-o'*_51.9 Card B-1 49 Da Card B-1 go -L
Date PLUMBING (Permit) OK excipt #s' V
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
�.�eceptacles Spacing -Lights & Switches at Doors
%,,�-2�.�ize Boxes & No. of Conductors Stapled
Romex Installed Close to Edge of Studs & CA.
.k�2quip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFII
29. Subfeed Wire Size / / ga. Cu or A&A.C. Wire Size ga Cu or AJ
30. Range Circ. / / ga Cu or Al -Oven Circ. ga Cu or A]
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32. EquipX.4earances Panels-Motors-Mech. Epuip.
33. thes Closet Light -Shower Light -Spa Light
Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #Is
35. A.C. OLpWInsulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #s
--�q,-Sits Proper Materials & Anchors
41. W
,ak Studs -Nailing Spacing & Braces -Plates -Sound
BeaqpgWiills over Girders & Floor Nailing
,��raft Stop in Walls (rat prool)
t,e�WFire Stops, Furred Ceilings -Stairs -Chasers -Tubs
; 45. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
ges-Post Caps -Anchors -Connectors
__:H:a-n
j;;o41-Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng.
48. Fireplace Ties or 1�pe A Flue -Fireplace Throat clearance
c._�A�jc,Access; Size & Romex Protection -Draft Stop -ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Me Protection Framing
L__5a.-Ilrop" Line Firewall & Openings
-59-n. Doors -One 3 -Check Garage 3rd Story. 2 Exits
___54-�Wi th-Headroon-RisL-Run-Landing-Fire Protection
on Roof Overhang-Aiic Vents -Rafter Outriggers
V__56. Siding -Nailing Veneer
Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
lazing Area -Glass Protection -Skylights- lastic
59AShear Wall�Nailing-Bolts . I I I
rif Brace IroKor / Exterior Wall Panels VYV Tl�
61. Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
A - - h -
Card Date Card B-1
Date/1- Carc!13-112nZ�_� 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-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-PR.V
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.Fl.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
a5. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
kCGUNTY 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
i:50 Gl-
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. It you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
�PVL Z-4P_TE XSt:�JA I Al A::: -f
HLV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA * (530) 891-2751
7 County Center Drive - Ciroville, CA - (530) 538-7541
CORRECTION NOTICE
44,4 tv Fe s,
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
44M07 -'/-
C) '-C 19 -L -4 -
Oki,
Ct) f
- 4621 R c H oAj L,,l
AA)- .0 6 0 w S
3 - 15 -
Date lnspeltd—�
REV 10/92
'nx 6
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA 9 (530) 89172751
7 County Center Drive * Oroville, CA * (530) 538-7541
CORRECTION NOTICE
E
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 yl,01"ave any questions pertaining to this matter, or need additional explanation,
please contacythis office immediately.
151
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA * (530) 891-2751
7 County Center Drive.* Oroville, CA - (530) 538-7541
CORRECTION NOTICE
R
a :2- in
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 contac�&s office immediately.
9-d- 3 -9ig, CIO
I I / 02" 't"'le," �r'
Date 44141 7-r- Inspector
REV �/4 `7
COUNTY OFZUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION :
7 County 'Center Drive - Oroville, California 95965 - Telephone (916) 538 -7541/ -Vo PERMIT NO
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-08-0--066
ZONING
A-5
BUILDING PERMIT
OWNER
RICHARD HAVENS
TELEPHONE
846-0897
SO. FT.;- N.00C. BUILDING VALUATION
OWNER'S MAUNG ADDRESS
535 `6BERMEXER ROAD, GRITLEY
'324 R 17,496.
105 1,365.
CONTRACTOR'S NAME
OWNER
TELEPHONE
_100V
96 Q -R 3,936.
REKODEL
CONTRACTOR'S MAILING ADDRESS
35 G -R 1,435.
CONSTRUCTION LENDER
LENDER'S MAJUNG ADDRESS
Fireplace
Total Valuation $ 25.2324'
ARCHITECT OR ENGINEER
ENSE NO.
Filing Fee $ .,20.00
Permit Fee $ 2586-50
ARCHITECT OFLENGINEEWS MAILING ADDRESS
Plan Checking Fee $ 168.03
BUILDING ADDRESS
535- OBERMEYR, ROADo GRIDLEY
Energy Plan Checking Fee $ 23.00
$
PERMIT FEE $ 496.23
LOT NO.
SUBDIVISIONS NAME
IPARCEL MAP
PLUMBING PERMIT Filing Fee 20.0b
USEOFS TRUCTURE
SF TL Duplex 0 Mobilehome 0 Other
SPECIFY
-Each Trap 41 7-00 28.00
Solar or heat pump water heater 1 23.00
Water piping 15.00 15.00
-Each gas water heater or vent 15.00 -
TYPE OF WORK
New 0 Addition OXRemodel 0 Utilities 0 Installation 0 Other 0
Describe Work: Ann 1) 1RVi)nrVVk*0 A.�
____ - _M
KIT A I'm DnD,
Gas piping system 1 - 5 outlets 15.00,
Building sewer . 15.00
Mobile Home I S I G @D20.001
I.
PERMIT FEE 8.00
ELECTRICAL PERMIT I Filing Feei 20.00
' OR
Main Service '..A , F, LE 1 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm ufider 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
La r the following reason:
V01, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING so
A... BLO,,UP 3.50
OR ADDNS. a OCO F -F 15'95
LA
NZ CONST. B MuLT"OuTLET
N RESID. ,Nc,, .,,c,,T, 97.50 0
PO,.W.ELR APUTALRATUS
E 0 ET C..
Ex. Occu OUTLET OR FIXTURES 2* @ 1.00
SAL @ .50
FITX ED A NS O�R.
Ex. Occup. PPRLES,6.) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $ 58.95
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating EX DUM I . 5.00
Cooling
Hood 6.50
Ventilation A c;n o.00
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
Ee I certify that in the performance of the work for which this permit is. issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the iLa"bor Code, I shall
forthi��iyh coTply With Wthoos provisions.
X Date
Signature of Ap lic nt - 111`106ner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories,in height.
Mobile Home Installation Fee 11$
Energy Inspection Fee $ 40
occ
R�3
-7--F
CONST. TYPE
VN
TOTAL FEE $ 696.48
..,
I FEES
C�7
1�11`
FL&OCID
I_VDF
I O"A -
CEL I :P�D
"D I
ISSUE
This permit is hereby issued under the applicable provisions
of the,Butte Couni� Code and/or Resolutions to do work
inclic'�te
Ndeabove for �vhich fees have been paid.
1/18/911
By Date
_-.51/2-8/2n .___�
PERMIT'tiPNE
-S ON
I I _.- - . - (Date)
041,
ReceiptNo. 'A �*54.
WHITE-D.D.S.-B�D. CANARY -ASSESSOR 'PINK -INSPECTOR /GOLDEN ROD:APPLICANT
024:080-666 99-1425
j
HAVENS, Richard
535 Oberineyer, Road, Gridley
Contr: Owner
I" Renewal of BP# 98-0220
od
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-7541 PER - MIT / N 0.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-0,10-D66
ZONING
I A -
BUILDINGPERMIT
OWNER
RICHARD HAWNR
TELEPHONE
I
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACT ROAD GRIMET 9594d
TELEPHONE
CONTMt0A.tiMAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
—Permit Fee 1/2 FEE $ 129.25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
535 OBERM-SR ROADP
Energy Plan Checking Fee $
$
r
PERMIT FEE $ at
LOT NO.
SUSIDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
------- - USEOFSTRUCTURE
SF q Duplex 0 Mobilehome 0 Other SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping — 15.00
Each gas water heater or vent 15.00
---
TYPE OF WORK
New 0 Addition Iff Remodel 0 Ublifies; 0 Installation 0 Other 0
Describe Work:
IST RENEW! OF PENUT 098-0220
Gas piping system I - 5 outlets 15.00.
Building sewer 1500
Mobile Home I S I G 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20-00
800V 0 LE::
Main Service . ORR LE 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as ownerof theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to -construct the project. I . ! - - I I
0 1 am exempt under Sec. Busi6ss 'and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUR so
OR ADDNS. & ACC. BUDS. 3.50Fr.
NEW CONS MULTI -OUTLET @7.50
BRANCH CIRCUITS
_NON-RESIDT
POWER APPARATUS
SINGLE OUTLET CIA.
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
..FIXED A - OR
Ex. Occup. PP=.) E. 5.00
-
Temporary Service 23.00
- Mobile Home Facilities 20.00
Misc. Wiring 23.00
. 11
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
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.)
0 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
k4 workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date-/-
Signature of Applicant Owner 0 Contractor 0 Ag6nt-
An OSHA permit is reqUiredr f6r excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee 1 $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTALF E E, 149.25
CDF
I
PARCEL
I
PO
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
B Y?:) Dat4
PERMIT EXPIRES ON 0 & 5. -Z k
pate)
%- r I -d
ReceiptNo. , 110
;�&
WHITE-D.D.S.-B.D.- * CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
rHAvEN,S,
-066 X00-1333
RICHARD.
RMEYER ROnD, GRIDI..EY OWNEREWAL OF BP#98-0220
u
+� e
r
rHAvEN,S,
-066 X00-1333
RICHARD.
RMEYER ROnD, GRIDI..EY OWNEREWAL OF BP#98-0220
u
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT -
ASSESSOR PARCEL NUMBER
024-080-066
ZONING
A 5
BUILDINGPERMIT
_11V I /'
OWNER RICHARD HAVENS
TELEPHONE
846—M7
SQ. FT. o CC'. BUILDING VALUATION
OWNER'S MAILING ADDRESS
535 OBERNEYER ROAD, GRIDLEY, 95948
CONTRACTOR'S NAME 0W=
TELEPHONE
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
Filing Fee $
20.00
Permit Fee 1/2 ORGINAL $
129.25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 535 OBERMEYER ROAD, GRIDLEY
Energy Plan Checking Fee $
PERMIT FEE $
70,
LOT NO.
SUBDrVtSIOWS NAME
PARCEL MAP
PLUMBING- _F1
PERMIT,.
ling F _20.00
pe
USEOFSTRUCTURE'
SF 0 Duplex 0 Mobilehome 0 Other
SPECFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation [3 Other 0
Describ E,�-warm,\ % —12ND -MEWAL OF 98-0220
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W1
@D20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20-00
\J \A
800V OR UE:: )
Main Service OA OR LE
23.00
LIC NSED,C'ONITR�CTOR'S DECLARATION
I hereby affirm under penalty of p�'rrUr`1(1haLI, I'c \ped "u nder provisions of Chapter
, In
I N _n
'on 3, Jitg
9 (commencing with Sect 7000) f Division Business and Professions Code,
and my license is in full I �,rce, an;yf� t
1 13
License diass)\ - d., ?4 0.
OWNER -BUILDER DECLARATION
I herebyXaim'rw-,�,nd r Aalq��f',eeyry th,4\t I,am exei;pt from the Contractors License
Law for the following reason: U
0 1, as m4ner of the property, or my emp oyees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELUNGffUP.
OR ADDNS. & ACC. S.
—
so
3.50F!".
NZ CONS MULT'_O
RESID.T'
@7.50
PONf.E.RAP=US
S 0 CIR.
Ex. Occup. OUTLET OR FocrURES
20 @ 1.00
BAL @ .50
EX. OCCUP. IED APPLNS. OR
OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
—Misc. Wiring
23.00
PERMIT FEE
WORKERS' COMPENSATION-DECLA.RATION I
I hereby affirm under penalty oi� perjur6y ont, of the 'following. clec�laratic'ns:
0 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee .20.00
Heating
Cooling
Hood
—
6.50
Ventilation
PERMIT FEt $
Policy Number
(The above sections need not be completed H the permit is for work of a valuation
of one hundred dollars ($100) or less.)
EJ' I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
f,"o,
X Date
Signature of Applicant - IItl Owner 0 Contractor 0 Agent
An OSHA permit is required or excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee I $
Energy Inspection Fee $
I
Occ
CONST. rfPE
TOTAL FEE $ 149.25
I
FEES
IMP
I FLOOD
I CDP
PARCEL
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat Labove for which fees have been paid.
By Date 444;
PERMIT EXPIRES ONff
41
ReceiptNo. 4;,1z7W3 ;4
WHITE-D.D.S.-B.D. ' fCKNA*RY-ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT 1
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N
7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 PERMIT NO.
(Rev. 12/96) APPL1cATidNA_N'DPERM1T
ASS ESsOR PARCEL NUMBER
024-08-0-066
ZONING
A-5
BUIL61NGPERMIT
OWNER
RICHARD HAVENS
TELEPHONE
846-0887
SO. FT. OCC. BUILDING VALUATION
324 R 17,496.
OWNERS MAILING ADDRESS
535 OBERMEYER ROAD, GRIDLEY
105 cov 1,365.
CONTRACTORS NAME
OWNER
TELEPHONE
96 C-R 3,936,
REMODE 1,000.
CONTRACTORS MAILING ADDRESS
35 Q -R 1,435.
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
I
Fireplace
Total Valuation $ 25.232.',
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 258.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 168-03
BUILDING ADDRESS
535 OBERMEYER ROAD, GRIDLEY
Energy Plan Checking Fee $ 23.00
__[�7A�
_P��
$
PERMIT FEE $ 496.23
LOT NO.
NAME
MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF CX Duplex 0 Mobilehome 11 Other
SPECIFY
Each Trap 41 7-00 28.00
Solar or heat pump water heater 23.00
Water piping 15-00 15.00
—Each gas water heater or vent 15.00
TYPE OF WORK
New 0 Addition 0 XRemodel 0 Utilities 0 Installation 0 Other 0
Describe Work: _ n ' A rQT1 0 EXTEND
ADD 2 BEDREX)�!S *ND .".11 Ly
AND -PBROI
Gas piping system 1 - 5 outlets 15.00.
Building sewer 15.00 15 no
Mobile Home I S I G I W
PERMIT FEE 7R nn
ELECTRICAL PERMIT Filing Fee 20-00
600 0" LESS
Main Service .VA OR 23.00
LESS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing .�ith 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
La f r the following reason:
V1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, forthe performance of workforwhich this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING
OR ADDNS. ACC. aNSUP. 3.50FT'.- I q -
NEW CONST
NON-RESID. B,Au,,LT',O 97.50
OWER APPARATUS
( I'SIN.LE OUT. ,..
Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00
IBAL @ .50
LFITX.ED APP=. ORA,
Ex. Occup. E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE 99
MECHANICAL PERMIT Filing Fee 20.00
Heating EX D127S i c; nn
Cooling
Hood 6.50.
Ventilation 4 50 Q QQ
--2-
PERMIT FEt $ A A QQ
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.)
11"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
forth,wi comply with those provisions.
X Date :2
Signature of Applicant'- 13 -Owner 0 Contractor 13 Agent A,0(3
An OSHA permit is required for excavations over 60" deep and demolition or 0 btfuction
of structures over 3 stories in height.
, 4 J1141#611—
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
Occ
R
CONST.. PE
TOTALFEE$
N 696.48
E
HAg.
..XEES %P
I FTOD I
rl
I RXCEL I T
IgD
I rTE
This permit is hereby issued under the applicable provisions
utte Coun Code and/or Resolutions to do work
infLaXe e for hich fees have been paid.
i I
5/28/98
/V_�� Date
Byie
PERMIT EXPIRES ON 5/28/99
(Date)
ReceiptNo. a 0 1 1 /V
WHITE-D.D.S.-B.D. CANARY -ASSESSOR 'FANK-INSPECTOR /GOLDEN ROD --APPLICANT
RIK, _j -W 47f
COUNTY OF BUTTE' DEPARTMENT OFDE,, *OPMENTSERVICES-B H -D GDIVISION
U L
7.COUNTY CENTER DRIVE - OROVELLE, 95965 - iELEPHONE (916) 541
PERMIT APPLICA TION DA TA SHEET
OWNER: k14 u 5A2 ASSESSOR PARCEL oc�4 -6 gt7 6 6
t, Proposed liu'dding Ose: Wd Building Inspector: Date: cl 114
At time of permit application, i was Howing data must be submitted prior to permit prociessini andVor issuance:
Date Received By
0 1. All iiems have been submitted ------------------------------ --------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans - -------------------------------------------- Z: --------------
03. Complete plans, 3/4 sets, signed by the preparer of plans - ---------- * -----------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - --------
Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 3-,
vQg.o Energy Design Compliance and supporting documentation - ----------------------------------------------------
T77-Statement of Intent. for Non -Heated and A/C Buildings - ----------------------------------------------------------
0 8. Hazardous Material Form - ------------------------------------------------------------------------------------------
09. Manufactured Home data and installation instructions including Tie Down Specifications ------------ : ------- -
------------ - ----------------
Fees of $ -------------- -
act fees as sho;wn on the attached schedule. .71:) --------------------------- ---
0 12. California Department of Forestry plan approval/fee ---------------------------------------------
0 13. Flood elevation certificate - ----------------------------------------------------------------------------------------
Sanitation and plot plan approval Health Departmen -----------------
cow-2--------------------------
W, - City of Chico plumbing permit - ------------------- I --------------------- --------------------------------------------
�O 16. Plot plan and business license app�oval from the City of Biggs - ----------------------------------------------
0 17. Planning approval for (A) Use: (B) Par�4ng:,. --------------------------
&ainage, ' Legal Parcel - -----------------------
El 18. Contact Land Development about 0 Improvements,El 0
111. 9. Encroachment Permit for driveway (construction approval'prior to occupancy) - -----------------------------
020. Pre -inspection for required. Request to Building Inspector on (Date).,'
El 2 1. Contractor's license information. (�Iumber, Name Style, Classification) - --------------------- -
022. Workers�� Compensation carrier aapolicy number - ---------------------- 1; ------------------------------------
0 23. Owner -Builder Verification (Given to owner El, Mailed to owner El) - ------------------------------------
0 24. Letter of signature authoriz,ation - --------------------------------------------------------------------------------
E125. Recorded copy of Agricultural Acknowledgment Statement - --------------------------------------------------
026. Letter of intent on building use - -----------------------------------------------------------------------------------
027. Manufactured Home utility clearance - ---------------------------------------------------------------------------
1128. Existing violations and/or expired permits - ------------------ ---------------------------------------------------
0433 A, OGrant Deed, 0 M.H. Title, 0 Check to H.C.D $ - ---------------
Other: J0. C - AV, 41— If Je 1:3 - $I- -------
When you issue the permit process as follows 0 Mail to owner 0 a to actor.
XTele. N - Vi office. 11 Deliver with inspector.
0 8'8' P and h ldifoUi&up at
e> r 5-005- k
W J -
pt, Applicant: Date:
Copy of Haz-Mat form sent 0 Health Departm�nt, 0 Fire Department, Air Pollution Date: By:
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Otli Date: _By.
1. Index permit application for the above items numbered: iv�� [,],Plan Check List
2. Additional items required: V -
Contractor, designer, owner, was advised of the above required data by 13 phone, 11 mail, 0 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above wx*-ed data by 0 phone, 11 mail, 13 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by o �hon4'bNail, 13 Buildi�g Division counter, by Date:
Contractor, designer, owner, was advised of the above requV datb9qpP,9V�,Z/jfi,).W&3 Building Di Date:
Plans reviewed by c�- Date: �F . Plans approved by: Da—te:
Sets of plans on hold in 11 Plan Cabinet, C1 A.P. fold&. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Divisio
to ` B.H. USE ONLY
Plot Plan AU&cW
Floor Plan AURd"
Sent to B.D.—�
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
zl"V4�41
5.35 ��cFn c`�c`i2
Owner Location C/1-lALe�Y
Plan A roved for: Sewa Di l/
pp ge sposal Water Supply: Public
Clearance for bedroom moMPhome. Otheri)1 06 3"�Zorrw�� �
iFT��2ctaw� - A -`J D ! N.5 7T41 is 1 ;�Z Rk S %��slL A- -7'e
Hold final for:
Final clearance O.K.
Environmental Health Specialist
�ITcti1
Uay- o ffa- off'
AP#
Private Well
41.1 AJ 6 A
t- CD
L - ��. 9f
Date
BUTTE COUNTY SCHdOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School Distric . t. 411 V
A.P. Number —0
64 (0 Jurisdiction:
Property Owner rd Na V 6 /7
Building Department No.
MCounty
'Property Location/Address
Subdivision Lot No.
Residential Development
EY1
No of Living Mobile Home Addhion
Units Installation
Commercial/Industrial
New Addition
imoor rians reviewea Dy z)cnooi uisinci rersonneii
Distri cation No.
School District certifies that
(Street Address)
(C Ft -Y) (State)
has complied with the requirements of Resolution No.
representing 3cR square feet.
R
School DistFict epresentative
U
Sq. Footage
(Group RI
Sq. Footige
Roofed Areas)
Date
(Applicant)
(Phone Number)
(Zip Code)
by payment of-:$
Fj7
B 2F926 $
[FULL MITIGATION $
Date
Paid by Check # Remarks: 5,90
V
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 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school. fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)d.mm
r6j_"M
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. 1 personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES NO 0
.2. 1 HAVE 2"'- HAVE NOT 0 signed an application f6r a building permit for the proposed wo'rk.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 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
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE:
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be -completed and
returned to our office before we arepermitted to issue thepermit.
nl�wbl
O.B.- i
I OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner-buildee, you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
+ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including'state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providin-- his or her own labor and material person ally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification;, onthe reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
C,
+i rely,
Micel C. Vidira, C.B.O.
2 2 snecl
M ger. 2uildiirng Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Healdi and Safety Code.
I
OVER
PROJECT PROCESSING RECORD
APPLICANT:
OWNER: •
PERNM #:
A. P. #:
WORK DESCRI M
_ DATE DESCRIPTION OF STEP
scc61
too
'SEDENTIAL PLAN CHECKING GUEDE
SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY
OWNER: BU]LDINGPERMITNUMBER. F F - 4�� 6
PLAN CHECKER:
- TOn AT A.P.NUNBER:_e9�e VJ &I - �41a
ZQning Teqwrements: (side yards and number of permitted living units).
2. Valuation.
Plans signed by designer.
Proper description of work on application.
Existing violations on property.
Item on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.).
Recorded notice of violation. 0
PLOT PLAN*
—f.' . Complete parcel size and dimensions.
Setbacks, side yards, casements, etc.
Other buildings or structures.
Grading, fills and/or drainage.
Flood hazard.
Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.).
F.A.U. & F.A.S. road setback.
Building or utilities across lot lines (Record form).
Complete to scale plan with dimensions.
Required windows for light and ventilation (Section 1203).
Required windows for second exit (Section 310.4).
Skylights (Section 2409 & 2603.7).
Glazing in Hazardous Locations (Section 2406).
Required room sizes, ceiling heights (Section 310.6).
G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210).
Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.
Location of water heaters, heating and cooling equipment, other electrical or gas equipment.
Garage firewall, door size and closer (Section 302.4).
Minimum of one 3'0" exterior door (Section 1004.6).
Fireplace and wood stove location, alcoves and clearance.
Smoke detectors (Section 3 10.9. 1 ).
Plumbing fixtures, water closet clearances and shower size.
Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4).
Standard bracing or engineered design (Section 2326.11.3).
Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Rafter ties or bearing ridge beam.
Fireplace construction details and ca1c. if necessary.
Garage door and/or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
Special Inspection requirements.
Header size.
Sheetrock nailing inspection required?
July 1996
3.2
5CELLANFOUS MEMS TO LOOK OUT FOR*
Staimay details: landings, rise and run, head clearance, handrails (Section 1006).
Guardrail details (Section 509).
Brick or stone veneer (Section 1403).
Exterior plaster - weep screeds (Section 2506).
Proper roof pitch for roof covering (Section 150 1).
Roof covering type - (lire hazard).
Foam insulation - protection.
36' halls and stairways.
Living area over garage - complete I -hour separation required on garage side including supporting walls and posts.
Two exits on three - story dwellings (Section 1003).
Underfloor access and ventilation (Section 2317.7).
Attic access and'ventilation (Section 1505).
Combustion air for fuel burning appliances - L.P. G. requirements.
Noise -requirements on duplexes.
Energy design.
Flas&g at all exterior openings.
C.D.F. responsible area requirements.
!114 1,
AW
'7 29
..........
July 1996 3.3
Re: Application and Permit Fee
Havens
98-0220
L A N D 0 F N A T U R A L W E A L T H A N D B E A U T Y
With reference to the above subject, attached is:
[XI Plan Check List
Red Marked Calculations
Red Marked Plans
Other
Action Required:
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 533-2140
AN 024-080-066
Date: 3/4/98
[XI Comply with Plan Check List
Resubmit Plans with Revisions As Required
Return All Original Materials and Revised Plans to the Building Department
Other
Ifyou wish to discuss any requirements, you may contact me at (53 0) 538- 7541 betopeen 1: 00
PM and 4:00 RM, Monday through Thursday.
Linda Sexton
C
Permit Applicant: Havens
Assessor Parcel Number: 024-080-066
Permit Number: 98-0220
Date: 3/4/98
The above referenced building plans were received by this office Provide additional
information andlor make revisions to plans, specifications and calculations as follows:
Please provide a complete floor plan of the existing house.
Please provide a complete roof and ceiling framing plan of the existing structures so
that I know where bearing walls are. If trusses were used, provide a truss layout so
I can see bearing walls.
Please let us know the contract price of the remodel because it did not get included
in your permit application.
You are required to have braced walls per Sec. 2326.11 of the 1984 UBC. Please
show them on your plans.
*A plan check has NOT been done pending the above
Ifyou wish to discuss any requirements, you may contact me at (530) 538- 7541 between 1: 00
PM. and 4:00 PM., Monday through Thursday.
Linda Sexton
E nergy ry ces.
Calculation Se. 1
A, �klt��W''.,i,
1907 Mangrove Aveh'U6; Sultb 'V', Chico, CA 95926
Chico 016) 094-0466 / FAX (916) 8q4 -j422
Installation Requirements for Title 24 Compliance
These efficiency levels must be met or, or exceeded, to obtain final Inspection clearance.
PROJECT NAME - A 449 SF ADDITION- T. CRETE JOB # - 95290
thsulation
&k�i. r ,.I
Typital Exterior Wall ft- 13 With R- N/A
-- AdditioriAlone.
Exceptions
Rigid Ins.ulation
t
Zonal Control Credit per CEC Standeds - NO
vk I FI
0whestic, Hot Water
Quantity - 1 Energy Factorw N/A Exterior MAp R.; ValtJ& 0
icircUlating Pump
AL
- NO
1/4" Hot Water Pipe R-4 Wrap - NO
Hot Water,Recoivery System NO
Whidow-91jecif lcations
Frame ALUMINUM 0 Low4 - NO Gat 17 11111 - NO
NFRC values Operable - L) = .87, Fixed - U N/A, Skylights - U N/A
Sliding Patio Doors - U = N/A, Hinged Patio Doors - U N/A
blEV
5L
__T IF
T
Typi; al Attic I -R(jof ' R.% 30 With R. N/A Rigid. Msuldtl6h
E xceotioris- Addition.alon'll.
L
lvpital Floor It- 19 With R- N/A SlabIdge ihsblation
143-Fxceptiohs- Addition alone.
HeAtItij afid'Air C(indft'o
K"Y 4i,
WSOF A
U'h' One Wit N/A AFUt 1. N!
but-( Location - ATTIC R;64;2
ul � . - '. I
_'t-'Uhit TWo - -�Wt
S Artit "sot -
Duct Location - R- Value -
Zonal Control Credit per CEC Standeds - NO
vk I FI
0whestic, Hot Water
Quantity - 1 Energy Factorw N/A Exterior MAp R.; ValtJ& 0
icircUlating Pump
AL
- NO
1/4" Hot Water Pipe R-4 Wrap - NO
Hot Water,Recoivery System NO
Whidow-91jecif lcations
Frame ALUMINUM 0 Low4 - NO Gat 17 11111 - NO
NFRC values Operable - L) = .87, Fixed - U N/A, Skylights - U N/A
Sliding Patio Doors - U = N/A, Hinged Patio Doors - U N/A
blEV
5L
__T IF
T
f Tf 69 W6kk18ftE& 015�i I Page I
,Pk.dj ect ' Tit i e A 449 SP Res. Addition Date ........
Project ddress�....-:Qaza Obermeyer xoad — W
ehl-Ge G r �ley, CA *v4.50*
Documentation Author... Marty Runnells
Energy Calculation Services
1907 Mangrove Avenue, Suite D
Chico, CA 95926
916'-894-8466
01/09/06
Building Perm
Plan Check / Date
Field Check/ Da
U11 aLe bone6ii ...... i . L.L
C6ntpliafide Methodi ..... MICROPAS4 v4.50 for 1995 Standards by 9nercomp, Inc.
MICROPAS4 v4.50 File-95290EX Program -ADDITIONS
Tiser#-MP!333 User -Energy Calculation Servic Run -2656 SF Exist ing+Addition
Propos
Addition ed Compliance
-gy 'Use
Enei. Ign Margin
(kBtu7sf-yr) Design Des
............ 88.66 74.88 13.78
eriormance
!"e"! Addition complies with Computer P
11
ADDITION WORKSHEET
COMPUTER PERFORMANCE
EkI&iNd
File. NaMei.# i - ;�i ...
R -ilritle. j.� ......
uin
95290EX
2201 SF Existing Res.,
.'i .......
C6fiditi6ned Floor Area ....
�207 sf
StAhdard Design Energy Use,
38.27 kBtu/sf -yr
ojosed Design Energy Use.
�Pftj
10,1.48 kBtu/sf-yr
NEW,�(RkISTINd PLUS ADDITION)
16' Name.
99290ADD
Run Title ... .26,56
SF Existing+Addition
Conditioned Flo�r'Ar"e'a.*ii
- 2656 sf
Standard Design Energy Usei
�6.14 kBtu/sf-yr
Proposed Design Energy Use.
74.88 kBtu/sf -yr
OLOOR-AREA RATIO
Floor
Existing New
Area
Flo_6!r Area Floor Area
Ratio
-2207 2656
0.831
ADDITION DESIGN ENERGY USE FOR NEW (EXISTING PLUS ADDITION)
Floor
New Area Existing Exi sting Addition
*
Standard Ratio Proposed Standard Design
36,14 + 0.831 x (
101.48'-, ;8.27) 88.66
j,
Note: If (Existing Proposed
" Existing Standard) is
--negatiVe, this difference is set to zero.
ADDITION ENERGY USE SUMMARY
Propos
Addition ed Compliance
-gy 'Use
Enei. Ign Margin
(kBtu7sf-yr) Design Des
............ 88.66 74.88 13.78
eriormance
!"e"! Addition complies with Computer P
11
nk-dAtt,60 COMPLIANCE:
F_ - e
Proldct
Pj6jddt Addiess-sai ....
bocumbfitation Author.o.
Climate Zone.i .... so—
Compliance Method ......
v4.50 File-95290AD6 Wth-CTZlIS92 Program -FORM CF -IX
User -Energy Calculation Servic Run -2656 SF Existing+Addition
RESIDENTIAL
A 449 SF Res. Addition
Obermeyer Road *v4.50*
Chico
Marty Runnells
Energy Calculation Services
1907 Mangrove Avenue, Suite D
Chico, CA 95926
916-894-8466 .
CF -lip.
Page 1 -.1
Date ......... 01/09/96
Building Permi
Plan Check / Date
Field Check/ Date
11
41CROPAS4 v4.50 for 1995 Standards by Enercomp, Inc.
MIdROPAS4
User# _MPI�33
GENERAL
INFORMATION
'Conditioned
Floor Are . a .....
' '."
2656 sf. amily
------Si-ngle-F
Detached
Bui ldihq
Construction
Type. ; - - - i -, ,
Type .........
Existing Plus
Addition
deg (S)'
Building
Front Orientation.
Front Facing 160
Number of
Dwel ling Unitsi..
jitimber' of StO ries .......
'&'ConstrucEion Type..,,.
Floo
Raised Floor
-Glazing Percentage ...........
10.8 of floor area
j.09 Btu /hr-sf-F
Average Glazing
U -value ....
BUILDING SHELL INSULATION
r
Cavity Sheathing Assembly
U -Value Location/Comments'
TY156
Type
R -v alue R -value
Wall
n/a
R-13
R-Ii/a
R-n/a
0.088 FRONT,
0.386 F RONT,
LEFT, BACK,
LEFT, BACK,
RIGHT
RIGHT
Wail
n/a
n/a
R-0
R-0
R-n/a
0.330 LEFT, BACK
6 o'
h/a
R-19
R-n/a
R-n/a
0.037 RAISED
0.101 RAISED
FLOOR
FLOOR
plook.
h/a
n/a
R-0
R-30
R-n/a
0.031 TO ATTIC
A66f
kbbf 1".
n/a.
R-19
R-n/a
0.049 TO ATTIC
FENESTRATION
# of. -Interior
Shading/'
Exterior
over
hahg/ Framilig
Area
(8f)
U_ Pan-
Value es
Description
S hading
Fins Type
i "Okiehtation
-
-
.
None Metal
Witid6w
Front (S)
12.0
1.190 1
1
Drapes -Std
Drapes.Std
None
None
None Metal
Wihd6W
Wind6W
Front (S)
Front (S)
32.0
20.0
1.190
1.190 1
I
. Std
Drapes Std
Drapes
None
None
None Metal*
None Metal
Window
Front (S)
(W)
32.0
14.0
lil90
0.870 2
Drapes.std
None
None Metal
None Metal
i Wihd6W
Window
Left
Left (W)
32 . 0
1.190 I
2
Drapes Std
Drapes Std
None
None
None Metal
Window
(W)
Left (N)
Back
16.0
16.0
o.870
0.870 2
Drapes std
None
None
None Metal
None Metal
.Window
Window
tack (N)
16.0
0.870 2
2
Drapes. Std
Drapes Std
None
None Metal
Metal
Wit1doW
Back (N)
(N)
16.0
12.3
0.87 0
0.870 2
Drapes . Std
None
None
None
None Metal
Wihd6W-
'Witid6w
Back
Right (E)
12.0
1.19 0 1
Drapes.Std
Drapes.std
None
None Metal
Metal
1 Window
Right (E)
28io
1.190 1
1.1 90 1
Dra peB.Std
None
None
I Wifidb�w
Ri . ght (E)
28.0
.
CF -1R
Page 2
,v, 'HE 0
RtIFICAp COMPLIANCE: RESIDENTIAL
Date.i ...... 61/09/06
roiect !title..; ....... A 440 SF Res. Addition
MICROPAS4 v4.50 File-95290ADD Wth-CTZ11S92 Program -FORM CF -IR
User#-MP1333 User -Energy Calculation Servic Run -2656 SF Existing+Addition
WATER HEATING SYSTEMS
Number Tank External
in Energy Size Insulation
I I 'D --ty=1 ue
1 -1 . .
."Heater
HVAC,SYSTEMS
Tank,Type
Minimum'
Efficiency
Duct
Location
'Duct
k -value
Thermostat
Type
...gqUipment Type
f
ASPECIAL
41
Furnace
0.750AFUE
drawlspade
R-2.1
R-2.1
Setback
setback
ACPackage
8.00 SEER
0.750 AFUE
Crawlspace
Crawlspace
R-4.2
Setback
Furnace
ACPackage
8.00 SEER
Crawlspace
R-4.2
Setback
WATER HEATING SYSTEMS
Number Tank External
in Energy Size Insulation
I I 'D --ty=1 ue
1 -1 . .
."Heater
Type Distribution Type System Factor tg=
Tank,Type
Standard .53 EF 40 R-0
Storage Gas
,
FEATURE S/REMARKS
f
ASPECIAL
41
to t
a
IlftdAT19-,�Op. COMPLIANCE: RESIDENTIAL
Project Title .......... A 449 SF Res. Addition
Page 3 CF -1k
Date ........ 01/09/96
MICRO - PAS4 v4.50 File-95290ADD Wth-CTZ11S92 Program -FORM CF -IR
ruser#-MP1333 User -Energy Calculation Servic Run -2656 SF ExiBting+Addition
COMPLIANCE STATEMENT
This certificate of compliance I ii6tS the building features and performance
specifications needed to comply with Title -24, Parts I and 6 of the
of Regulations, and the administrative requlations to
California Code individual with
implement them. This certificate has been signed by the
responsibility. When this certificate of compliance is
overall design in multiple orientations,
submitted for a single building r plan to be built Special Features/
any 'shading feature. that is va led is indicated in the
1,�.,Remarks -section. I
: 11 . I DOCUMENTATION AUTAOR';
:DESIGNER or OWNER
Name .... Marty Runnells
im Crete
Company. Energy Calculation Services
,t.iC6mpany.�,Architect Address. 1907 Mangrove Avenue, suite D
Chico, CA 95926
-894-8466
&AhDne 916
Signed
A
ool
Wl
0
6�
MEASURES CHECKLIST: RESIDENTIAL Page 1 MF-ltt
Project Title ..........
?to ect Address ........
)ocumentation Authori..
:limate zone ...........
:ompliance Method ......
A 449 SF Res. Addition
Obermeyer Road
Chico *v4.50*
Marty Runnells
Energy Calculation Services
1907 Mangrove Avenue, Suite D
Chico, CA 95926
916-894-8466
Date ........ 01/09/96
Building Permi
Plan Check / Date
Field Ch_eck/ Date.
11
MICROPAS4 v4.50 for 1995 Standards by Enercomp, Inc.
[— MICROPAS4 v4.50 ' Fil�-95290ADD Wth-CTZllS92 Program -FORM MF -IR
User#-MP1333 User -Energy Calculation Servic Run -2656 SF Exist ing+Addit ion
contain these
6owrise residential buildings subject to the Standards must
neasures regardless -of the compliance approach used. Items marked with an
asterisk (*) may be superseded by -more stringent compliance requirements listed
Dn the Certificate of compliance. .. Whej�--tjijs chd(jkliOt is incorporated'into the
ermit documents, the features noted shall'be considered by all parties as
inding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
:1 1 BUILDING ENVELOPE MEASURES
Dedign- Enforce
er ment
(a),i, Minimum R-19 ceiling insulation.
150 (b),ir Loose fill insulation manufacturers labeled R -Value.
*J5o(c)f.,, Minimum R-13 wall insulation in framed walls
1(dod&,,�n6t- apply to exterior mass. walls) -
R�13 raised floor insulation in framed floors;
tfiinfidUM4-8 in concrete raised floors.
- Slab.,edge insulation - water absorption rate no greater
ISO (i)J, �,water vapor transmission rate no greater than 2.0 _YA
tharf.'O. 3%-��.
1J8t thaulation-specified or installed meets CEC quality
standards -A -,indicate type and form.
116 Pe n . es.tration,Products, Exterior Doors and Infiltration/
ex tration.;controlo , .-I I
a, b6ors�.,and windows, be�-vedn conditioned and unconditioned
;SPac!6g,debigned to limit air leakage.
Manufactured.fenestration products have label with
,li-ibirtified U -value, and infiltration certifica - tion.
t_ � -or-, indows weatherstripped; all,joints
gXtt ti .,,doors and w
Itt! ' t..dridAp6iietrat ' ions caulked and sealed. s 14'and 16
�Cdppr barriers mandatory in Climate Zone &)LA
ong,
150(f t Special infiltration barrier installed to comply with
Stc4 151 meets CEC quality standards.
Igo (e) - Installation of Fireplaces, Decorative Gas Appliances
and gas logs -built fireplaces have:
-I. masonry and factory
I.!- al or glass door -
,0 (k �a,4 Closeable, met
Vi�j,�Z'fb -,.,,out Ade -'a i r i�take with damper and control
i�y �_ "PlUe-damper and -control
f_ tc.� L llowed.
2, Ro.cOntiftuoUs burning gas pilots a
I
Page 2 "MF -1R.
LATORY MEASURES CHECKLISTt RESIDENTIAL.
:oject Title& ......... A 449 SF Res. Addition Date ......... 01/09/96
Program -FORM MF -1R
MICROPAS4 v4.50 File-95290ADD Wth-CTZ11S92
User#-MP1333 User -Energy Calculation Servic Run -2656 SF Existing+Addition
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
Design- Enforce-
ment
er
j 10-13t RVAC-equipment, waier heaters, showerheads and faucets
certified by the CEC.
150(1): Setback thermostat on all applicable heating systems.
150(j): Pipe and Tank insulation
1. Indirect hot-water tanks (e., g., unfired storage tanks or
backup solar hot-water tanks) have insulation blanket (R-12
ok;greater) or combined interior/exterior insulation (R-16
or, greater) 'k, -'*non -
2, Fi�st-5feet of pipes closest to water heater tan
recirdulating systems, insulated (R-4 or greater).
3, All buried or exposed piping insulated in recirculating
odctions-of hot water system.
4, Cdoling.fsystem piping below 55 de5rees insulated.
5. Pi�ing-insulated between heating source and indirect
hot water tank. 7-
150WI'I�DUcts and Fans d and sealed to com 1 ith UMC
1. Ducts constructed, installe V wl
sections 1002 and 1004; ducts insulated to a minTmum
installed value of R-4.2 or ducts enclosed entirely within
conditioned space. have backdraft or automatic'dampers.
2. Exhaust fan systems
ilating systems iservinq conditioned space have
3. Gravity vent manually
either automatic or readily accessible,
operated dampers.
1141 Pool and..Spa-Heating Systems and Equipment
1, system is certified with 78% thermal j�fficiency, on-off
switch,.Wieatherproof operating instructions, no electric
resistance heating and no pilot light.
2, system installed-withs
at At least 36 inches pipe between filter and heater for
future solar heating.
b. Cover for outdoor pools or outdoor spa.
31 P001 8 stem has directional inlets and a circulation
pump time switch. ,
115! aas-fired.central furnace, pool heater, spa heater or
iance have no continuously burning.
household cooking appl -electrical cooking appliance
pilot light (Exception: Non
with pilot < 150 Btu/hr.).
I . - I LIGHTING MEASURES
150 W 1 40
",kitchenB
fixtures
I
4
t I
t 1,;
lumens/watt or
and rooms with
IC (insulation
greater for general lighting in
water closets; and recessed ceiling
cover) approved.
Design- Enforce-
er ment
4
�gk zmttlibb SUMMARY
Pro eat Title .......... A 449 SF Res. Addition
Prolect Address ....... 535 Obermeyec Road
&r,� / Cl
Gh+eo I d *v4.50*
bocumehtatioh Author... Marty Runnells
Energy Calculation Services
1907 Mangrove Avenue, Suite D
Chico, CA 95926
9 -894-8466
16
PaY6 1 C- 2R
Date ........ 01/09/96
Building Perm
Plan Check / Date
Field Check/ Date
MLw "onwz. i e . I ......
'Wnbliance Method ...... MICROPAS4 v4.50 for 1995 Standards by Enekcomp, Inc.
tjl�i,i,iMICROPAS4 v4.50 File-95290ADD Wth-CTZ11S92 Program -FORM C -2R
User -Energy Calculation Servic Run -2656 SF Exist ing+Addit ion
MICROPAS4
ENERGY USE
SUMMARY
Energy Use
Standard
Pkop?sed
Compliance
(kBtu/sf-yr)
Design
Design
Margin
Space Heating ..........
12.74
32.53
-19.79
Space Cooling...'i ......
13.56
31'.72
-18.16
Water Heating..;'..i ....
9.84
10.63
-0.79
0.83
9l:ab-;On�-GrAde:Area
0 sf 4f
Wi
Total
36.14
74.88
-38.74
I
Building does not comply with Computer Performance
GENERAL INFORMATION
it
V t, i.!� Conditioned Floor Area ..... 2656 sf
Single Family Detached
Building Type .............. 0
Existing Plus Addition
Construction Type .......
Building Front orientation. Front Facing 160 deg (S)
its ... 1
Number of Dwelling Un
1 idt vj
- Number 'of Building Sto ries.
I
W6athek baEatType ......
ReducedYear
Special
Area
Volume
'w-
r
V16 or Const u&tibn type
Raised,.Fld or
HiBight.Vent
Number'of Building ZoneL ...
2'
.I.J; �4 tj I td, t, v.
Conditioned Volumei ........
23904'cf
Type
��V66tprint Areaz ............
2656 sf
Floor A�ea
2656 sf
0.83
9l:ab-;On�-GrAde:Area
0 sf 4f
Wi
(jlaz'ing Percenta'gei ... ..
10.8 %- of loor area
4041
Average Glazing U -value ....
1.09 Btu/hr-sf-F
Setback
Average Ceiling Height .....
9 ft
BUILDING ZONE
INFORMATION
Floor
# of
Vent,
Special
Area
Volume
Dwell
C ond-
Thermostat
HiBight.Vent
Area
(sf)
Zolit Type (sf)
(cf)
Units
itioned
Type
(ft)
Residence 2207-
19863
0.83
Yes
Setback
2.0
n/a
AbbitioN A
n 449
4041
0.17
Yes.
Setback
2.0 ij
h/a
M&861),k SUMMARY,
Page .2 C - 2
'rolect Tltle� ... A 44,9 SF Res. Addition Date ........ oi/09/96,
MI(�ROPAS4 v4.50 File-95290ADD Wth-CTZ11S92 Program -FORM C -2R
User#-M'P1333 User -Energy Calculation Servic Run -2656 SF Existing+Addition
OPAQUE SURFACES
Area U- Insul Act Solar
tikiace (sf) value-R-val Azm Tilt Gains
Form 3
Reference
Location/
Comments
s t in g
246
386z 0
160
90 Yes None
�RONT,'
407
O�386:0
250
90 Yes None
LEFT
5 book,
�7
0.330 0
250
90.Yes None
LEFT
9 Wall
36
0.386 0
340
90 Yes None
BACK
.0 Wall
481
-0.386 0
0
70
n/a
90 Yes None
0 No None
RIGHT
RAISED FLOOR
.2 Flook
.4. Roof
2207
2207
0;101
0.049 19.
n/a-
0 -Yes -None
TO ATTIC'
bbi'PIOW -New -
i Wall�-. 1 108
0.088 13
160
90 Yes None
FRONT
3, Wall
190
0.088 13
250
90 Yes None
LEFT
6 -Wall-
337
0.088 13
340
90 Yes None
BACK
1 Door
20
0.330 0
340'
90 Yes None
None
BACK
RIGHT,
9 Wall
135
0.088 13
70
n/a
90 Yes
0 No Nonq
RAISED FLOOR
,I Floor
449
449
0.037 19
0.031 30
n/a
0 Yes None
TO ATTIC
.3 Roof
FENESTRATION
SURFACES
# of
Vent
S ' C
SC intetiot
Shading/
Area Pan-
Frame
open
U - Act Glass
Azin T1 t only
Int
Shade Description
Juif ace,
(sf) es
Type
Type
value
t i8ting
.5t
WindoAa.".'� `12 0 1
Metal
Fixed
1.190 160 9Q
1.00
0 . '78 Drapes.Std
2 Window
i
32iO I
Metal
Fixed
1.190 160 go
go
1.00
1.00
0.78 DrApes.Std
0.78 DrapeB.Std-,
3 Window
20.0 1
Metal.
Metal.
Fixed
Fixed
1.190 160
3_2,90 160 go
1.00
0.78 Drapes.Std
4 Window
6 Window
32.0- 1
.32.0 1
Metal
Fixed
1.1.90 250 9()
1.00
0.70 Drapes.std
0.78 Drapes
7 Window
16jO 2
Metal.
sl i d e r
Fixed
9()
0 - W/O 250 90
3.190 70
().88
1. 00
-Std
0.78 Drapes.SLd
L� Window
12..0 1
1
Metal
Metal
Fixed
1.190 70 00
1.00
0.78 Drapes.Std
L3 Window
28.0
Fixed
1.190 70 go
1.00
0.78 Drapes.Std
L4 Window
.28.0 1
Metal*
kDDITION
Wii�&W
"�,NeW
' 14jO 2
Metal
Slider
0.870 250 90
0.88
0.78 Drapes.Std
8 Window
16.'0 2
Metal
Slider
0.870 340 go
o.88
0.88
0.78 Drapes.Std
0.78 Drapes.Std
5 Window
16.0 2
Metal
Slider
Slider
0.870 340 90
0. 870 340 go
0.88
0.78 Drapes.Std
10 window
ji Window
16.0 2
12.3 2
Metal
Metal
Slider
0.870 340 9,0
o.88
0.78 Drapes.Std
I-IvAC
SYSTEMS
Duct
Duct
Duct
System Irype
LIJ iciency
1.0caL i oil
1� value Efficiency
-----------
gkiSTiNG
Vuii�nace
0.750
AFUE
Crawlspace
R-2.1
0.780
0.840
'ACPackage*
6.00
SEER
Crawlspace
R-2.1
ADDITION
VUrhace
0.750
AFUE
Crawlspace
R-4.2
TZ -4.2
0.830
O.B60
ACPackage
8.00
SEER
Crawlspace
z,�
Page 3 C --2R
METHOD SUMMARY
Oi/09 /96
4,.1M1PtUJTER'
===�
A 449 SF Res. Addition
Date ........
project Title ..... o—,
MI S74 v4.50
M P
File-95290ADD Wth-CTZ11S92 Program -FORM C -2R
Run -2656 SF Existing+Addition
I
!CMROPA
P1 gy Calculation Servic
EUser7O�MP13 3S3 User -Ener
7
WATER HEATING SYSTEMS
Number
Tank -External
i n
',In
Energy Size sulation
-Distribution Type System
Facto r (gal) R-�ralue
----------
tank Type Heater Type
40 �-o
Standard 1
.53
Gas
SPECIAL FEATURES/REMARKS
0,0,1r
it(
4,
-Tt
;It
NNW,
t
q ji.
A
00
a
L
R
4 . .
le
octime'nCatilOn Author ...
11mate zone
inmnliahce Method .......
A-449 SF Res. Addition
Obertneyer Road *v4.50*
Chico
Marty Ruftnells
Energy Calculation Services
1907 Mangrove Avenue, Suite D
Chico, CA 95926
916-894-8466
Page 1
-.10 , HVAC
Date ........ u.LlvvIvO
Buildinj Permit #
Plai Ch�ck ( Date
FielU-C-1—ec-R7 —Date
11 - Inc
MICROPAS4 v4.50 for 1995 Standards by Enercomp,
MICROPAS4 v4.50.. File --952 . 90ADD Wth-CTZ11S92 Program -HVAC SIZING
T7---R-MP1333 User -Energy -Calculation Servic Run -2656 SF Existing+A.ddition
11 j.1". : G80ERAL INFORMATION
"'I-' I ploot- Area; -
Volume ......... ...........
0 Vkont orientation .........
Sizing Location; ...........
Latitude ....... i - - i .........
;,�I.('Winter outside Design ......
Winter inside Design--� .....
fl� summer outside'.Desigii ......
Summer Inside Design .......
summei�'Range.-,i,..
Interior Shading Used ......
Exterior Shadihg Used.......
Overhang ' Shading Used ......
-�,-,Lateti�! Load Fraction.
2656 sf
23904 cf
Front Facing 160
CHICO EXP STA
39.7 degrees
27 F
70 F
102 F
78 F
37 F
Yes
Yes
Yes
0.20
C1 IIEATlNG;�ANO COOI,ING LOAD SUMMARY
iption
O,a,q-ue Conduction and Solai .......
GUZifig''Conductio", ..................
GZ"' ' , ... 1.1i .............
1'a' .1119 . S61ar ;'�i '
.1 ei��6 L i Orf. .......
Intd:�Iiij 'Gaiii ........ I., .........
DUC,tP ...... ........
deg (S)
,'Sensible Load.; .... ..........
86o4
a
Latent,Load ......................
MinimUl" Total 1..oad 73778 53.623
j.11g, the se.L(I-Ctioi
a f
Note: The loads show" are. 0111Y 011" ()f "e' 6 such as air -flow
of JAVAC equipment. OLlier i-,elevailt- desig" f actor [1y, availabilit'l Of
design temperatures, coil. sizil
outdoor considered. it is
i ,t. jilso he
requirements, I e t. jjjjj� e I e c t i rig
4af ety III
oversizill(I �, . 11 - I iwl ovt, w
equij)merit- # 1).i I.i I y t i dc
the 11VAC desigliel:'8
the HVAC. equipment.
17337
13407
7483
II/a
9083
*15316
4967,
11/ii
21,00
00V
2049
73778
43019
,'Sensible Load.; .... ..........
86o4
a
Latent,Load ......................
MinimUl" Total 1..oad 73778 53.623
j.11g, the se.L(I-Ctioi
a f
Note: The loads show" are. 0111Y 011" ()f "e' 6 such as air -flow
of JAVAC equipment. OLlier i-,elevailt- desig" f actor [1y, availabilit'l Of
design temperatures, coil. sizil
outdoor considered. it is
i ,t. jilso he
requirements, I e t. jjjjj� e I e c t i rig
4af ety III
oversizill(I �, . 11 - I iwl ovt, w
equij)merit- # 1).i I.i I y t i dc
the 11VAC desigliel:'8
the HVAC. equipment.
Page 2 14VA
e . . . ... 449 SP Res. Addition
Date ........ ol/09/9
C 0 P A v4.50 File-95290ADD wth-CTZ11S,92 Program -HVAC SIZING
r MPR 1 3 3 3
t#-MP1333 User -Energy Calculation Servic
Run -2656
SF Existing+Addition
HEATING AND COOLING LOAD
SUMMARY BY
ZONE
ZO N
M4.ZONE 'EXISTING'.
j�io'or Area.. ............. ...
.Volumei ........
2207 sf
19863
............... ....
cf
Heating
Cooling
Desckipt�on
(Btuh)
(Btuh)
Opaque Conduction and Solar ......
34039
15059
Glazing Conduction ...............
10628
5932
Glating Solar ....................
n/a
�7814
Infiltration ......................
12561
4127
—Internal Gain .......... .........
n/a
1743
Ducts .............................
5723
1734
I
sensible Load ....................
.62950
36408
Latent Load ......... f .............
n/a
7262
Minimum Zone Load
62 50
43690
ZONE 'ADDITION'
Floor.Area.�,,4 ....... .......
449 E;f
Vol tfine!� , ...............................
4041 cf
Heating
Qooling
Description
(Btuh)
(Btuh)
O�aque Conduc'tfon aii� Solar ......
G Conduction
4509
2278
azihg* ...............
2780
1.551
-Glazing,.!q?larv,,,., t
Ifif ilEratio`h.,
1.269
............. .....
2555
84 0
Ihternal Gain ....................
n/a
357
DucEs.44 ....... ..............
984
315
sensible Load .....................
10829
6611
Lat,�!n�"Eoad. ........
n/a
1322
Minimum Zone Load
3.0829
7933
k;
jRUT8RtT M&I16D SUMMARY Page 1 C -2R1,
roject,.Title; ........ A 449 SF Res. Addition Date ........ Ol/.09/96
Pro ect-Address ........ Obermeyer Road
"! V), 1*,. J . Chico *v4.50*
DocumentationjAuthor ... Marty Runnells Building Perm -1—t -T
Energy Calculation Services
1907 Mangrove Avenue, Suite D Plan Check / Date
Chico, CA 95926 Field Check/ Date
916�894-8466
Climate- Il-
o^mi-%1iA"nP MAthod .... i. MICROPAS4 v4.$O for 1995 Standards by Enercomp, Inc.
-MICROPAS4 v4.50' File-95290EX Wth-CTZllS92 Program -FORM C -2R
tiser#-MP1333 User -Energy Calculation Servic Run -2207 SF Existing Res.
MICROPAS4 ENERGY USE SUMMARY
IEnergy Use
.- (kBtu/sf-yr)
Space Heating ..........
Space Cooling ..........
Water Heating ..........
Total
Standard
Proposed
Compliance
Design
Design
Margin
.12.97
45.04
-32.07
14.11
44.29
-30.3.8
11.19
12.15
- 0. 9`6
38.27
101.48
-63.21
Building does not comply with Computer Performance
0
Vent special
-',-Floor 'it -of. 111 le, 1:1110 s a t I - lejqht Vent Area
Area Vol 11111e Dwell ('01id- f
Zone Type tu ()I lud
9XISTING'. - 2.0 n/a
Residence 2207 3.9863 1.00 Yes Setback
f
Floor d0jj1jtructi on Type.
Raisud F.I(AA,
GENERAL INFORMATION
1
W !Ila '-w
I'dc'-w
Conditioned Floor Area .....
- .
2207 s f
-aj�nily Detached
Single F
Building Type.i ....
Construction Type .....
Existing
Building Front Orientation.
J�ront Facing 160 deg (E
Number of Dwelling Units ...
1
Number of Building Stories.
1.
Weather Data, Type ...........
1.19 Btu/113� -sf-F
0
Vent special
-',-Floor 'it -of. 111 le, 1:1110 s a t I - lejqht Vent Area
Area Vol 11111e Dwell ('01id- f
Zone Type tu ()I lud
9XISTING'. - 2.0 n/a
Residence 2207 3.9863 1.00 Yes Setback
f
Floor d0jj1jtructi on Type.
Raisud F.I(AA,
Number -of Building Zones ...
1
Conditioned,Volume .........
19863'cf
Footprint Area..,
220.7 sf
2207 sf
'GroUnd Floor. Area. .....
sf
�.Slab-on- Grade Area;
Glazing Percentage..e ..... 6
13.5 % of f loor area
Average G1.azihg,U-va1ue ....
1.19 Btu/113� -sf-F
Average Ceiling Height, . - - -
9 ft
ly, vnmw
I NFORMATION
0
Vent special
-',-Floor 'it -of. 111 le, 1:1110 s a t I - lejqht Vent Area
Area Vol 11111e Dwell ('01id- f
Zone Type tu ()I lud
9XISTING'. - 2.0 n/a
Residence 2207 3.9863 1.00 Yes Setback
t)MPUtER MET140D SUMMARY Page 2 C -2R
Project Title ........... A1449 SF Res. Addition Date ........ 01/09/96
MICROPAS4 v4.50 File-95290EX Wth-CTZ11S92 Program -FORM C -2R
User#-MP1333 User -Energy Calculation Servic Run -2207 SF Existing Res.
EXISTING.
Furnace
ACPackage
;;q OPAQUE SURFACES
U__. Insul Act Solar
valpe R-val Azm Tilt Gains
Form 3 Location/
Reference Comments
0.386
0
Area
8uiface
(sf)..
8XiSTING
Existing" -
1
-i Wall, A.,
321
2
Door.
17
1
Wall
.496.
4
Door
27,
None
Wall
404
-6-Door
250
.17
�_,7
Wall
503
.6
Floor
2207
9
Roof
2207
BACK
0.330
0
340
90.Yes
Drapes.Std
None
of
0.386
0
Area Pan -
Surface
Yes
(sf) es
EXiSTING
Existing
1
Window
12.0 1
2
Window
-32.0 1
3
Window
�0.0 I
4
Window,
32.0 1
5
Window
8.0 1
6
Window
8.0 1
1
Window
16.0 1
8
Window-
32.0 1
9
Window
4.0 1
10
Window
16.0 .1
11
Window
32.0 1
12
Window
18.8 1
13
Window-
12.0 1
14
Window
28.0 1
15
Window
28.0 1
Drapes. SLd
Metal
Fixed
1.190
Sybtem Type
EXISTING.
Furnace
ACPackage
;;q OPAQUE SURFACES
U__. Insul Act Solar
valpe R-val Azm Tilt Gains
Form 3 Location/
Reference Comments
0.386
0
160
90
Yes
None
FRONT
0.330
0
160
90
Yes
None
FRONT
0.386
0
250
90
Yes
None
LEFT.
0.330
0
250
90
Yes
None
LEFT
0;386
0
340
90
Yes
None
BACK
0.330
0
340
90.Yes
Drapes.Std
None
BACK
0.386
0
70
90
Yes
None
RIGHT
0.101
.0
n/a
0
No
None.
RAISED FLOOR
0.049
19
n/a
0
Yes
None
TO ATTIC.
FENESTRATION SURFACES
vll�nt
Frame Open
Type Type
SC SC Interior
U_ Act Glass Int Shading/
value Azm 'I'lt Only Shade Description
Metal
Fixed
1.190
160
90
1.00
0.78
Drapes.Std
Metal
Fixed
1.190
160
90
1.00
0.78
Drapes.Std
Metal.
Fixed
1.190
160
90
1.00
0.78
Drapes.Std
Metal.
Fixed
1.190
160
go
1_00
0.78
Drapes.Std
Metal
Fixed
1.190
1.60
go
1.00
0.78
Drapes.Std
Metal
Fixed
1.190
1.60
90
1.00
0.78
Drapes.Std,
Metal
Fixed
1.190
250
90
1.00
0,78
Drapes.Std
Metal
Fixed
1.190
250
90
1.00
0..78
Drapeb.Std
Metal.
Fixed
1.190
250
90
1.00
0.78
Drapes.Std
Metal
vixeid
3-igo
2!i a
!) o
I . c)o
v .'I tj
Drapeo.gLd
Metal
Fixed
1.3.90
340
90
1_00
0.78
Drapes.Std
Metal.
Vi xe d
1.190
'/ 0
go
i.00
o.'/8
Drapes. SLd
Metal
Fixed
1.190
70
"90
1.00
0.78
Drapes.Std
Metal.
Fixed
1.190
"70
90
1.00
0.78
Drapes.Std
Metal
Fixed
1.190
70
go
1.00
0.78
Drapes.Std
11VAC
SYSTEMS
M;
inillium
Duct
Duct
Duct
]�.f f iciency
hocaL ion
1?-valiie Efficiency
0.750 AFUE -Crawlspace
8 . 00 SEER Crawl space
R-2. 1 0.780
R-2.1 ..,.,'0.840
rg, ;Nof o
,% 4
5
T -90b SUMMARY
Page
3
C -2R
,roject Title .......... A
449 SF Res. Addition Date
... 01/09/96
MICROPAS4 v4.50 File-95290EX Wth-CTZ11S92 Program -FORM C -2R
User#-MP1333 User -Energy Calculation Servic Run -2207 SF
Existing Res.
WATER HEATING SYSTEMS
Number
Tank
'External
in Energy
Size
Insulation
Tank Type Heater Type
Distribution Type System Factor
(gal)
R -value
I Storage Gas
Standard 1 ..53
40
R-0
SPECIAL FEATURES/REMARKS
k1l default'efficiencies
for the existing house are from
'able 7-2; Default values
for existing buildings built prior
.,o 19M
rg, ;Nof o
,% 4
5
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Ceder Drive 9 Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATIONAND PERMIT A40_133_31� -,
ASSESSOR PARCEL NUMBER 024-080-066
ZONING A5
BUILDINGPERMIT
I
OWNER
RICHARD HAVENS
TELEPHONE
846-0887
SQ. FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
535 OBERMEYER ROAD, GRIDLEY 95948
CONTRACTOR'S NAME OWNER'
TELEPHONE
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAJUNG ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee 1/2 ORGINAL
$ 129.25
ARCHITECT OR ENGINEEWS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS 535 CIBERMEYER ROAD, GRIDLEY
Energy Plan Checking Fee
PERMIT FEE
1 9.25
LOT NO.
SUBDIVISIONS UWE
1
PARCEL MAP
1
PLUMBING PERMIT
Filing Feel 20.00
LISEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 LItififies; 0 Installation 0 Other 0
Describe Work: 2ND RENEWAL OF BP# 98-0220
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
(020.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
( 800V OR LESS
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWN WILDER DECLARATION
1 hereby affirm un&r penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
El 1, as ownerof theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS.
so
3.50FT.
r C.ONST MULTI.ONCLUET
ID ISRANC,
@7.50
.=AP= US
0 CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
SAL @ .50
..FIXEO A 0"
Ex. Occup. PPM.) E.
5.00
Temporary Service
23.00
—Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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 permitis 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.)
Er -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 370a of the Labor Code, I shall
orthwith comply with those provisions.
D
ksig6n-ature; of Applicant - Owner 11 Contractor 0 Agent
An OSHA permit is requireAf r excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 149.25
IMP
I FLOOD
I COF
PARCEL
PC)
-
-
This permit is hereby issued under
of the Butte County Code and/or
in Zdicat Cabove for which ee have
In ch *f
i
y
PERMIT EXPIRES ON
0
the applicable provisions
Resolutions to do work
been paid.
Dat
ReceiptNo.
I
WHITE-D.D.S.-B.D. - t:ANARY-ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
Attention Property Owner:
'An "owner -builder" building permit has been applied for in your name and bean*ng'y'o*u*r'
signature.
Please.complete and return this information at your earliest opp6ftunity to avoid-_
unnecessary delay in processing and issuing your building Permit. Noluilding
be issued until this verification is received.
I Personally plan to provide the'major labor and materials for construction of the
med property improverni NO[
propi qnt YESI/11
I KkVE� I HAVE NOT[ signed an' fl build' ermit, for the
application or a
npg p
proposed work..
3. 1 have contracted with the following person (firm).- to provide -the -pro
construction:
NAM:
ADDRESS: CITY*.
PHONE: CONTRACTOR'S LICENSE -NO.-F-
4. 1 plan to provide portions of this 'work,: but 1. have hired the following perso.it to
co,ordinate,, supervise, and provide the major work:
NANI:
ADDRESS: CITY:
PHONE: CONTRACTOWS LICENSE NO.
5. 1 will provide. some of the work but I have contracted (hired) the followipg-petsons to
provide the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
7 G D:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
DATE: � - / -_?, — "; 0
N
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
May 1995 2.26
Dear Property Owner:
An *application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner-buildee, you are the responsible party of record
on such a permit Building permits are not.,required to be signed by. property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license munber on all permits
for which they apply.
If you plan to do your own work� wi the c6cccption of various trades that you plan to subcontract, you
should be aware of the fbHowing information for your benefit and protection:
0 If you employ.or otherwise engage any . persons other than
your immediate family, and the work (including
'materials and other i _ s $300 or more for the entire . project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State.ands Federal Governinents as an employer and you. are
ty taxes
sub
ject to several obligations incliding.state and federal income tax withholding, federal social securi
workers compensation insurance, -disabW . insur . ance costs, and unemployment"compensation contributions.
ty
0 �r6 'may be.financial risks*. li ks are especially
FP for"you if you dono * t.carry out these ob gations, and these ris.
serious with respect to worker's compensation bisurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S.- Small Business Administration). For more specific information about your
obligations under State Law, . contact.the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent 'practice of unli . censed persons professing'to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his Or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their ov�ii
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Ovvmcr-Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 9 Telephone (530) 538-7541 PERMIT NO
(Rev. 12/96) APPLICATION AND PERMIT qv-J�w
ASSESSOR PARCEL NUMBER
024-080-066
ZONING
A -S
BUILDINGPERMIT
OWNER
RICHARD HAVENS
TELEPHONE
84600887
SO. FT. OCC. BUILDING VALUATION
OWNEWS MAIUNG ADDRESS
cowa3dirsMEKMEYEK KUAD GKiDLEY 9594b
TELEPHONE
CONTaMMIUNG ADDRESS
CONSTRUCT10N LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE Nu.
Filing Fee
$ 20.00
Permit Fee 1/2 FEE
$ 129-25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
OBERMEY-F-R.
Energy Plan Checking Fee
$
535 ROAD_ GRI -D -LE -TY-
$
PERMIT FEE
$ 1 ZLQ 1) r.
LOT NO.
SUBDIVISION'S NAME
I
PARCEL MAP
PLUMBING PERMIT
-
Filing Fee 20.00
USEOFSTRUCTURE
SF I Duplex 0 Mobilehome 0 Other SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition ff Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work:
1ST RENEWAL OF PERMIT #98-0220
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S
C&120.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20-00
'a UE
Main Service '.".A ORR LE:s'
23.00
7f LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sale compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project,
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To 1000A
46.00
NEW CONST. DW:�ING UP.
... gC
OR ADONS. S.
so.
3.50FT.
=.G.ON5.T. '-a
I. Q=1H C!iRCITS
@7.50
OWER AP� 6RATU
( PSIN.LE . C SIR. )
Ex. Occu . ( OUTI.ET OR FIXTURES )
BAL' 0@ '�'50
LNS OR
Ex. Occup. ( .=PP ES,6.)"
5.00
- Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
-
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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.)
0 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 thos
Signatl.irii of Applicant Owner 0 ontractor OXdren�t I- ,
An OSHA permit is requir;4 Kfor excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation 1
PERMIT FEiE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEEV 1AQ 9r�
I.A
IMP
I FLOOD
I dDF
I PARCEL
PID I
HD
ISSUE
I
-
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BySJJ,,",&4,L, Dat
f
PERMIT EXPIRES ON 7 -2-
I (Date)
ReceiptNo.
WHITE-D.D.S.-Elff. CANARY-MSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your sigmMatize
Please complete and retum this information at your earliest opportunity to avoid unnecessary
in processing and issuing ' your building permit. No building permit will be issued untH ft
verification is received.
1. 1 personally plan to,provide the major labor and materials for construction of the pr*ied�
pr rES NO 13
2. 1 signed an, application for a building permit for the proposed wi'k,`
3. 1 ha lowing person (fm�n) to provide the proposed construction: -,,-
NA
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this'work, but I have hired the"f6llowingp"erso'n't'6`
s4pervise, and provide the major work:
�T-
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 wi ' 11 provide some of the work but I have contracted (hired) the followmig persons to p;9vide
the work indicatedi
NAME ADDRESS PHONE TYPE OF WORX
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUM13ER:
DATE:_Oob�
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of fhe�
Cal�fornia Health and Safety Code. This verification must be -completed wd
returned to our office before we are permitted to issue the permit.
OVER
I OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has beea submitted in your name listing yourself as the builder of property.
improvements specified.
For your protection, you should be aware that as "owner-buildee, you are the responsible party oflecord on such
a perinit-Building permits are not required to be signed by property owners unless they are personally perfo '
rming their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible"
z
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license frorn'the city or county. They are also required by law to put their license number on all permits for which they
apply.
if you plan to do your own work, with the exception of various trades that you plan to sub�contrac% you Aduld
be aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your irrimediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors. then you may be art employer.
If you are an employer, you must recrister with the State and Federal Governments as an employer and y-o'u-are
0
subject to several obligations. including state. and. federal income tax.withholding, fiedeml social securit
-y taxes,
workers compensation insurance, disability insurance costs, and unemplo�ynient 69nipensation contrib ons.
There may be financial risks for you if you do not carry out these obligations, and these risks are espectally''.1s'e"Ao'us
with respect to worker's compensation insurance.
+ For more specifc information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information* about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform' their
work personally or through their own employees, without a licensed contractor or subcontractor, only under . limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder building
pennit� erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are hot required to be signed by property owners unless they are performing their own work personally.
information about licensed contrac!qrs; may be obtained by contracting the Contractors State License Board in your
corrununity or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" �n the reverse side of this form so that we can confirm, that you
are aware of these matters. The building permit will not be issued until the verification is returned.
+irely, 2e�?' 6.11-1
Mic el C. Vi4ira, C.B.O.
szer.
M ger, Biuilding Inspection
a
NOTE. This Own er-Builder.rnformation is required by Section 19830 of the Call(ornia Health andSafety Code.
OVER
RICHARD HAVENS ,
535 OBERMEYER ROAD
GRIDLEY, CA 95948
B E A U T Y
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OR6VILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
Re: Building Permit it 98-0220
Expiration Date: 5/28/99
A.P.# 024-080-066
With reference to the above subject, our records indicate that your building permit expires on the above date
and your permit falls into one of the category marked below:
[X] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit
fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional
year from the original expiration date. Should you not renew your permit within 30 days of the
expiration date, all work must cease until a new budding permit has been issued. For your convenience,
we are enclosing a renewal application form and owner -budder form to be completed and signed by
you where indicated and returned to this office together with the fee shown. Please return all ggpies
of the application form.
No inspections have been made on permit work. Inspections are required to verify code compliance.
We ate unable to renew a permit where the work has not been started and inspected prior to permit
expiration. After expiration- of your permit, no work may be started until a new permit has been issued.
A final inspection has not been made on permit work. Final inspection approval is required before
occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until
a final inspection can be made and final approval given. You have 30 days to voluntarily cease
occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you.
If our records are in error or should you have any questions concerning this matter, please contact the
OROVILLE office.
Thank. you for your prompt attention concerning this matter.
YArs very truly,
C. Vielra, C.B.O.
Building Inspection
MCV:lt
Attachments
Chico Office - 411 Main Street, Chico / 891-2751
%�%jLpvs i T %jr ou i i r- - ur-rmn i mr-ri i Ul- Uliz-VIliz-LUPMEN I bEHVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-080-066
ZONING
A-9
BUILDINGPERMIT
OWNER
RICHARD HAVENS
TELEPHONE
SO. FT. Occ. BUILDING VALUATION
OWNEWS MAILING ADDRESS
__[`E_-11ONE
coNTa3&-sGMRMEYEK KUAD GKiDLEY 95946
C6NTRQMZIUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MNUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit Fee
$
Plan Checkin� Fee
$
BUILDINGADDRESS
535 OBERMEYER ROAD GRIDIRTY
Energy Plan Checking Fee
$
PERMIT FEE
LOT NO.
SUBDNtSION*SNAME
I I
PARCEL MAP
— PLUMBING PERMIT
Filing Feel 20.00
USEOFSTRUCTURE
SF I Duplex 13 Mobilehome [3 Other SPECIFY
Each Trap
1 7.001
—
Solar or heat pump water heater
1 23.001
Water piping
15.001
TYPE OF WORK
New 0 Addition EX Remodel 0 Ublifies 11 Installation 13 Other 0
Describe Work:
1ST RENEWAL OF PERMIT #98-0220
Each gas water heater or vent
15.00
Gas piping system I - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S Ca20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Feel 20.00
600V 0 R LE::
Main Service .A OR LE
23.001
—A
/T LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
13 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project,
0 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:
0 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.
13 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.)
C1 I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Da
S,/gXa_tu,e _ofAppri�a_nt - 0 —OwnerE3 Contractor 13!2gt_nt
An OSHA permit is required for excavations over 5'0"deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO i000A 46.00
NFW CONST. %%NG ffUP. so.
OR ADDNS. C S 3.50FT.
�N�O`N-R`ES`ID! - 8=10 97.50
P.0r AP= US
.0 CIR.
Ex. Occup. ourrLET OR FDn`URES "L 13
Ex. Occup. PPR=.) EA,
O.FIXED A - 0" 5.00
Temporary Service 23.001
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
—Cooling
Hood 6.50
Ventilation
PERMIT FEtl $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CO
CONST. TYPEE TOTALFEEV
1 AQ
fAff
IMP
FLOOD
I CDF
PARCEL
I
PO
11D
ISSUE
This permit is hereby issued u�der
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.
Date
(Date)
ReceiptNo.
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I
4#
24-08-66
7
1453-91E
HAVENS, Richard
535 Oberm6yer, Gridley
(elec serv/sf)
OFFICE COPY
Address
GAS
Meter By—'
ELECTRI�
Meter By
Date,
D a
56 �� .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND -FERMIT
ASSESSOR PARCEL NUMBER
24-08-66
ZONING
A-5
BUILDING PERMIT
OWNER
Richard Havens
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
535 Obermeyer, Gridley 95948
CONTRACTOR'S NAME
Mer
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
___rKNOWN
Fireplace
i
s
CON TRUCTION LENDER
None
__
, —
Total Valuation is
Filing Fee
$ 0.00
LENDER'S MAILING ADDRESS
P eu ir nn i t F cc e
$
ARCH -17 -ECT OR L.\I-,INEFP
None
ICENSE NO.
Plan Cher.king Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGiNEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
535 Obermayer, Gridley
Permit fee
$
PLUMBING PERMIT FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF3M DuplexF� Mobilehomef-I Other
SPECIFY
Gas piping system I - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10-00ea
TYPE OF WORK
New D Addition [I Remode I [:] Utilitiesff Instal lation El Other El
Describe work: new service pgnel
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 600V OR LESSESS
100 AMP OR L
10.00 10,00
Main service EA. AOD'L 100 AMP
2.50 2.5n :I
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
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)
Fl I, as the owner, am exclusively contracting with licensed Contract-
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.5d)
OR ADDNS. * ( ACC. EILDGS.
21/2O'sqft
NEW CONSTR. MULTI -OUTLET
NON-RESID, 2RANCH C,1 5 CU' T S
'ITS
2.50 ea
PEWER PF R�TUS
SINGLE OUTLET CIR.&)
Ex. Occup( OUTLETS OR FIXTURES
1.20 0 50C
ALO 300.
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D. ) E A.)
2.00
Temporary service
10.00
Mobile Home Facilities
15-00
Misc. Wiring
15.00
Dre—inanection
.15, Ml 15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
If Consent to Self -Insure.
XI shall not employ an . y person in any man , ner.so as to become subject
too the W_. C. laws of, Cali ' fornia.
Notice to Applicant: If after making this statement, should you become subjec
to the W. C. provisions of the Labor Code,.you must forthwith comply with such
provisions or this permit shal I be deemed,revoked.
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
-
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes. .
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this per it.
" 0 . 115
X I _/J&ULe0q.S Date
Signature of Applicant - Ownerg Contractor E] Agentf-
An OSHA permit is required for eA_ZN'ions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
$
occ
CONST TYPE
I TOTAL FEE $ 52.5
HAL
I CUA I PARK
I SCHL
I FLF7F
I PAR
I PD
HD,
IS
N
Th"s permit is hereby issued unaer the
sions of the Butte County. Code and/or
work indicated above for which fees
IR R OF PUB A C
wzo'oov -
By� 1 �77
PERMIT EXPIRES Date-
applicable provi-
resolutions to do
have been paid.
WORKS
Date
S // y J
Receipt NO. 93609-52.50
WHITE-D.P.W.. YELLOW-ASSrSSOR, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE
DEPARTMENT�16F PUBLIC WORKS
196 Memorial�W?ay, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWM�R
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of wor s completed. If you have any question pertaining to this
. V
matter, or a 11V 2nial explanation, please contact this office immediately.
Dates—,:,)- t—Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO,
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICAVON AND PERMIT
ASSESSOR PARCEL NUMBER
24-08-66
ZONING
A-5
BUILDING PERMIT
OWNER
Richard Havens
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
535 Obermeyer, Gridley 95948
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
_TNKNOWN
Fireplace
CONSTRUCTION LENDER
None
Total Valuation is
Filing Fee
$ 0.00
LENDER'S MAILING ADDRESS -
Permit Fee
$
RCHITECT OR L.N-IINEER
A None 71
C ETTJ S __EN 0.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
535 Obermeyer, Gridley
Permit fee
$
PLUMBING PERMIT FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF19 DuplexF� Mobilehomef_� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e�
TYPE OF WORK
New F1 Addition [I Remode I [:] UtilitiesJR InstallationEl Other 0
Describe work: new seryi re panel
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00 1 n - no
Main service EA. ADD -L 100 AMP
2650 9-sn I
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELL G OCCUP.&)
OR ADDNS.' ( ACC. BIL4DGS
21/20sq it
NEW CONSTR. MULTI -OUT LET
NON * RES I D * BRANCH CIRCUITS)
2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
1.20050t
AL@ 300.
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.)
2.00 1
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
-L 15.00 19 (y)
prp—J nspecti on
1 -19 - nn 15-00
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 Cert if icate
I Consent to Self -Insure.
XI shall not employ any person in any manner so as to become subject
too the W_. C. I aws of Ca I i forn i a.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed.revoked.
Contractor
MECHANICAL PERMIT
Fi ling Fee 10.00
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 ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butt e against
all liabilities, judgments, costs, and expenses which may in any way accrue
agaiMnaid Couinty in consequence of the granting of this pe t
X Date! 'g 'Ti�
Signature of Applicant — OwnerK Contractor E] Agent F�
An OSHA permit is required for adavat-ions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
__r I
CONST TYPE
- I
TOTAL FEE $
sq sn
Z.
I CLIA -I
PARK
I SCHL
I FLD
I CDF
I PAR
JPD
J1HD.JISS
y
This permit is hereby issued unaer tne applicable provi-
si��s of the Butte County -Code and/or resolutions to do
work indicated above for which fees have been paid.
DI!MT , OFP B C WORKS
B y. (_ 1 //#/9
PERMIT EXPIRES Date
Receipt No. 93609-52.50
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
J
COUNTY OF BUTTE - DEPARTMENT Or'PUBLI
7 COUNTY CENTER DRIVE - "0 VILIIE,IGALIF�6A 95.
!10
NORKS - BUILDING DIVISION
- TELEPHONE: 916/538-7541
ERMIT APPLICATi3OWDATA SHEET
Permit No.
OWNER 141d A. P. No. 2 (/- oe- co.�c
Proposed Bui fding Use vcr� --50/t)t�f4u2i.ldlng Inspector FO Date —5—/0
At ti ermit application., I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
All items have been submitted.
2. Plot plans in duplicate/triplicate, signed by preparer of ns ........
3. Complete plans in duplicate/triplicate, signed by prep W of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent'for �on-Heated and AC Buildings ... ...........
8. Engine red truss details and layout in duplicate (required prior to plan check)
9. M10bilehome installation data including manufacturer's installation
,-','instructions ............................. I ...........................
10. Fees of $
11. Chico Urban Area fees paid ........................................
12. Park fees pa'ide ......................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (constryction approval required prior to occupancy)
20. Pre -inspection for required ... Pre-Inspec. request
Building Inspector —(Datp),.
—21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 11, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement ..........
25. Letter of signature authorization ...................................
26.
27.
When
,,you issue the permit,.process as follows: VMai I to oww.--Mail to contractor.
I
Telephone and hold for pickup at —office. —Del.iver w/inspector.
Other
Applicant("--�kle—A4��� Date
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date
Copy of plans sen.t ----HealthDept. —FireDept. —Other— Date— By—
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: AI
contractor, designer, owner, was advised of above required data by—phone--mai I —counter \ by—date
Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date
Plans checked by Date Plans approved by— Date
.Sets of plans on hold in _File cabinet _AP folder
Copy—DPW
TJ Buildina Department
FROM: Environmental Health
r SUBJECT: Sanitation Clearance
M1
Owner Location AP#
Plan Approved for:
Hold final for:
Sewage Disposal _ Water Supply LJell
Final clearance O.K. for:
Clearance for bedroom mobil home. Other
NOTE ***
Water Supply
Water Supply
Sanitarian Date
COUNTY OF BUTTE -r-De�partment 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. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 (halhave not) signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 1 plan to provide portions of -this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. 1 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
Signed:
Property Owner
Social Security Number
Date :5 1 110 1 L9 I
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
4
PRE -INSPECTION
OWNER: &Lrj� 114 VcvvDATE 5
LOCATION: 53S 06ec-M eqep_ lS'r J teq CAA.P. #
CONTRACTOR: V c/?et ZONING
PRE -INSPECTION FOR :. A �W 1.24A (A) J
,)iC--) 4,/y1� Rim- C),1'ai4
-�rP�'c�cr�l�fy iilMyo�ntd,��
DATE TO INSPECTOR J Z
PERMIT HISTORY: NONE AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
UPIED HAS ELECTRIC 5DA S GASS SANITATION FACILITIES
ED -COOLED PERSON CONTACTED
OTHER COMMENTS: +
ACTION OMMENDED:
SSUE E HOLD FOR
OTHER:
BY DATE `,7 '
L "W",
Fra
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovIlle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
.11111,
ASSESSOR PARC -EL NUMBER 0
1,4-5
ZONING
BUILDING PERMIT
OWNERW
TELEPHON E
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILINC�rDRESS
.53 0 8e. r, 4, 1 e-
-Z—ONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADORES
Fireplace
CONSTRUCTION LENDER
I �VA)e_
UNKNOWN
Total Value tion Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS a6ermiewf rrJ1e1j
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
q5 11An
`77 CY
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF`2rDuplexF� Mobilehomen Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home SFG7��
10-00 ea.
TYPE OF WORK
NewE� Addition [] Remodel[] Utilities Ins-tallation[] Other[]
Describe work:&COJ S&5�elyl )OPIVell
L
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00 /0,001
Main service EA. ADO'L 100 AMP
2.50 2,,561
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
El 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)
0 1, as the owner, am exclusively contracting with licensed connaut-
ors. (Sec. 7044)
n I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.1k)
OR ACONS. ( ACC. BLDGS.
21/20sq it
NEW CONSTR. MULTI.OUTLET
D
NON,RESI * BRANCH CI U I TS)
2.50 ea
POWER APPARATUS &J
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
20@50t
BAL030C
FIXED APPLNS. OR
Ex. OCCUP. 0 UTLETS (RESID.) EA.)
2oOO
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 L3
M �gN pe&,( �zy
it /-6, OD I -G-,
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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 said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner 0 Contractor 0 Agent E)
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation ee
Energy Inspection Fee
Occ
CONST TYPE
I
TOTAL FEE $
HAZ
I CUA I PARK
I SCHL
I FLO
I CDF
PAR
PD
HD.
ISSUE
This permit is hereby issued unaer
sions of the Butte County.Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
tne applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt NO. 0
LWHITE-O.P.W.. YELLOW-ASSE350M. PINK -INSPECTOR. GOLDENROD-APPLI CANT
NOTES RESIDENTIAL
;024-080-066
PERMIT NO. fiAvENs 03-3353�
ICHARD7
535 OBERMEYER RD
GRIDLEY
NEW DErACHE D GARAGH
GD
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ. '
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
jOB FINALED (Date)
Signature
4 =�OK
0 = Not OK
- = Not Applicable
. = Not Ready
Carports; Windows -Doors
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except Ws
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
1
. Zoning Requ i rements-Setbacks- Easements
10.
2.
Soils; Special MH Support Sketch
Ext.; Steps- Doors- Landings
-3.
Sewer; Location -Test- Fall -C/O -Concrete
Date
4.
Water; Location -Test- Easement Needed (Sketch)
Card B-1 Date Card B-1
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ PLPG
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 Ws
1.
Zoning Requirements-SetbacksmEasements
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- Regu lator-Con nector
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 Req uirements-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 Ws with Office
Date
Card B-1 Date*., Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DE5E, C9VERS, CARPORTS, GARAGES (Plans) OK except Vs
Lr Zqmffig Requirements -Setbacks -Easements
leooPootings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks, Girders and/or Joists- Decking- Bracing -Stai rs-Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg- Frg -Bracing
5. Alum. Awn.; Col um ns-Connections-Spl ice -Decal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nai ling -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 ft
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
0 = Not OK
- = NotApplirable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #s
1 . Zoning -Setbacks -Easements -Flood -Slope
Date
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Date
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Date
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, 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/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors- Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance- Material -Support- Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-RR.V.
in Garage; Above Floor-Mech. Protection
Date
Card B-1 Date Card B-1
Date
'Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe &Anchors
23. Fire Sprinkler; Test
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
Date
30. Subfeed Wire Size� /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Date
31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral Q Yes QNo
Date
32. Service -Riser Conductors & Ground Main Disconnect
Comments at Final:
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait- Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Aftic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin- Roff 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 Garace 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Ru n -Landing- Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection -Skylights- Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor- Ducts- Mech. Protection
67. Bedroom Exiting
68. G.Fl. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance- Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-RR.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (FF.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic -----
81. Guard Rails & Deck Construction- Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
83. Following Inst1d./Drive 0 Yes 0 No/Walks 0 Yes Cl No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical- Plumbing
86. Vents Above Roof, Plbg-Appliance--�ireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
4
411 Main Street - Chico, CA - (530) 891-2751 �14
7 County Center Drive * Oroville, CA - (530) 538-7541
CORRECTION NOTICE
-U�
0 3-2?6
OWN�R PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
c'ompleted. If you have any questions pertaining to this matter, or need additional expla.nation,
plea -se contact. this office immediately.
OChv I' J—lz i A— 1,�-w 0 e
P T:- 0 rp-L-&-p
iA
Date Inspector
REV 10192
%
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
V �' �j
OWNER
CORRECTION NOTICE
03-33f�
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be 6or(6cted. 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 immedia(ely.
-V.
REV 10/92
tEINIGINEERED W00b Sy -
ST E M S
F &-h
Certificate of Conf6imance
Cerlificate- 0 5 4 0 7 4
THIS IS TO CERTIFY that the glued laminated timber . pro - ducts identified wiftl a collective mark of
Engineered Wood Systems (EWS) were manufactured in �,"iCcordance with the applicable 8tandards
and associated specifications indicated below:
ANSI Standard A190.1-1992, For Wood Products — Structural Glued
Laminated Timber
NER-4B6 Glued Laminated Timber Combinations And "GAP"
Computer Program For Determining Desigi i. Stresses
AITC 117-93 —Manufacturing — Standard 2pec * ificatlons For Structural
Glued Laminated Timber Of Softwood Spe,,Iies
IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members
were produced in a manufacturing facility subject to regular a6dits in accordance with the Engineered
Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the
manufacturing process and evaluation of the in -plant CiA program with adequate sampling to verify
conformance to industry standards for lumber grade and OlUeline bond quality.
00,0
A%
%0
2 M -,p by
dP L 11 X: ..
00 *X Thomas G. Williamson
Co
Executive Vice President
SNGINEERED Moo S�STEMS 13 & related corporation of APA — THE SNOINEEAED L�UOD A$SOCIArION
7011 South I 9th Street -P.O. BoX 11700 -Tacoma, WA0411-0700
Telephone: (263) 566-6600 - F3x Number: (20) 665-7265
TO 39Vt_:1 ON1 S(J�,"�)M NNT-S-71M T098�68069T LZ:PT Z08t7/8@/L0
1'. 2:0. _:' 000 8: 54RI-I CA. BU'ILDER SUPPLY3 1110.812 P. 1/1
Pmd4ct
Lay-up FlamunrMal I Fb (PSI)
CombInavlon TOsion Zon6 Compression Zone
Stressed In Terlsion Strewed In Tonlipre
ArchItectural 24F -V4 DF 2,400 1,81
Framing 245-1.85 2,400 I's
Premier 1.8E uca 2.400 1';
Premier Plus 2.1 E LIV 31000, 3,0(
NOTES: �b must be adjusted for the volume effect (0,,) using
the following formula:
CV = 0-125/0", (1211)", 1.()
Where: b w1dth of bending member In Inches (In)
d depth of bending member In inches (In)
L length of bending member be * tween points
of zero moment In fast (ft)
x Southern Pirie: 20
All other species: 10
Compresslotl
Parpqndlcule,, to Grain
Fq(psl)
850
Soo
1 740 1 270 2,100.000
2, Uses 24F -V4 DF Jay -up
3. Uses 30E-E2M1 SP lay-up, except 2eF-E2MI SP at
7 1/4" wIdthe
4. Premier Plus 2.115 IJC 7 114m Width. Fb*2800 pai
S. For example: Allowable bending Fb over interior
support on rnultple 6pan or cenfllevara4 bsarn,
^uuwavia
onvar
LOS) _ _I
7*41%ilus
Shear
'Shear
-; u of
7JpzQf
Glulam
C611timriDesign
Stresseis'
AJ10wable Shear
FV (PSI)
Mo
MOE
�onire,166�
240
i,Boo.coa
1250).
195
1,800,000
1218811101ty
240
1,800,000
. � " r (pail Fhx (psi)
0y
1 740 1 270 2,100.000
2, Uses 24F -V4 DF Jay -up
3. Uses 30E-E2M1 SP lay-up, except 2eF-E2MI SP at
7 1/4" wIdthe
4. Premier Plus 2.115 IJC 7 114m Width. Fb*2800 pai
S. For example: Allowable bending Fb over interior
support on rnultple 6pan or cenfllevara4 bsarn,
1. Values applicable to columns of 6" to W in depth
16)
DEPTH
^uuwavia
onvar
LOS) _ _I
- -AlloVW48
le MOMent (1
Glulam
C611timriDesign
Stresseis'
AJ10wable Shear
P:
115%
�onire,166�
Modulus of
115%
1250).
6*
Parallel to Grain
1218811101ty
3,750
3,750
. � " r (pail Fhx (psi)
0y
FF,11 (psi)
MOE (psi)
Comb #3 OF
2,1001
2,300
2,31301
1,800,000
Comb #50 SP
6,740
2,3001
;,400
21300, 1
1.000,000
1. Values applicable to columns of 6" to W in depth
16)
DEPTH
^uuwavia
onvar
LOS) _ _I
- -AlloVW48
le MOMent (1
-1 -LDS) I
El
X1106
WT.
(PLF)
AJ10wable Shear
100%
115%
125%
100%
115%
1250).
6*
3.000
3,450
3,750
3,750
4,310
4,690
101
4.4
7 112"
3.750
4.310
4.690
5.860
6,740
7,330
198
5.6
9i
4,660'
t, 186
4.713 .
..... 5,119
9.450
10,556
34i
383
7.4
2
6,260
6,D40
_'ikii
4 -*7t8
.
"12,886
543
7.�
608
12"
6,000
7,600
16,000
17,250
18,750
i10
ie
13 1/2"
6,750
7:760
8,440
18,980
21,830
23,730
1,153
10.0
24.450
1. ...
- J"Sbd"
"I., k
.. . ..
2-6, 9 6 0
. .. ...
29,300
'.
1,582
.
11.1
26,080
29,990
32,600
1,772
. .....
,P§G ...
... �12,150
34t��._
2,1 qq
12.2
18,
9,000
10,350
11,250
32,700
37,610
40,890
2,734
13.3
19 1/2"
9,750
11,210
12,190
37,770
43."0
-47,210
3.476
14.4
0
3 1/2" Fraiii.ing 24F -1.8E
AJ10wable Shear
(Lbs)
Allowable
Moment -Lbs)
El
WT.
DEPTH 100% 115%
125%
100%
115%
125%
x1 06
(PLF)
7 112"
3,413
3,924
4.266
6,560
7,54-0
8,200
221
6.2
90
4,095
4.713 .
..... 5,119
9.450
10,870
11,810
383
7.4
ib i124-
4 -*7t8
.
"12,886
14.7'00
16,080
608
B.T
6
15,800.
19.32
907
9,9
13 1/2"
6,143
i.061
7,67-8.
21,280
24.450
26.580
1.292
1111
151.
6,825
7.849
8,531
26,080
29,990
32,600
1,772
12A
NOTE: Span raho of Pcla2l Is used to calculate
C., Allomble Moment capecity fleeds,to be adjusted for IDnqer Spans.
0
Notes:
1- SPani are center to center of b6aring.
2. Oesion loads and deflection limits Must be in accorciance with aPPI10able building
Code requiremarlIG for dry-wse conditions.
3, . Pounds per Meal foot loads (including beam w@lghts) shown ate total uniform loads,
controlled b� maxlr)um moment, maximum sheae or deOOCUQn limits of U1 80,
4. Tables based on lateral 'restraint at bearing points and comilnuous lateral support of
ths enmpresslon edge Of all glularn member$,
'S' Volume effects for moment Capacities have been includf)d. See notes pago 3.
6. Glularn root members must he sloped a minimum Of 1/4" per foot for dtainage.
7. For other load O.r span conditions. Use Willamette'& E -Z Calc s3ftware — Page 54.
OIL -lam
Verity hahgLr.capacity with
hanger rnanulaclurar,6
literature.
TECHNICAL SUPPORT TOLL FREE (800) 942-9927
j -eOC-jT z 1; :17, IJ
Y
3.112 �'Fratnlng
24#1.8,C)t,
—
aOam Depth
span
181,
19 1/2'
7 1/2"
-
ell
10 1/2" iT
Type
3pah
-4.486
3,201
31696
L3
1.019
877
1,471 1,902' 2,26.5 .3,oa
'978.
simple
3,201
3,201
3,
649
1,332. 1,970 282
:2-..'
Multiple
.8.
2,355
2,6�20
431
-.1,970
6S2�3 262
623� 860 1,110
109.
2.330
2,736
.373
1,407
650 685
Multiplo
1,793
2,060
207
1,783
431 $87.1 760'. 973 2
Simple
112,
233--7--
�40j' '77-- _8
64
multiple
-g-l-rij—ple
1,314
1,543
217
. J,_31A—
314 429 6- .'' . .
5 1
14'
1,305
1,532
154
a80
270 432' 0
Multiple
1,003
1,178
164
239* 427 1
5
Simple,
-6
16'
1,028
1,208
106
67 1
-1 �87 300 645 ,
451
Multiple.
789
928
129
*..- :,: :, , 97
.187-25.6 4�6 ::.527—
Simple
18,
IS30
7
975
749
76
134' 2 '17 ...326, -'468
Multiple
Simple
�_�3
684
801
65
150 206 270 3463
—7
Multiple
20,
624
614
74
99 243. 349 ..481
123 168. 221
Simple
22
57U
664
:-.'-349
75 122
Multipl
Simple
436
-509
..:.185 266 ."-367
100..
184.'
24'
448
559
235.: 291
67
ultlple
'Simple
366
428
143 77NF-7 -.2 06
"�7
26'
356
455
118 -1 ?45
Multiple
312
364
73 ..-.163 .-,..227
99
2s,
Simple
287
357
133- 169 ;:207
Multiple
268
313
—3()o
58 89 131 182
79 114' 145
30,
Simple
234
-.176
M
!ultiple I
232
271
72 106 148
Simple
32'
248
98 125 154-
Multiple -
203
237
86 121
34'
Simple
160
------------- 80 109 134
Multiple
178
.206.
209
71 100
Simple
136'
134
—173,
95 '117
Multiple
I
158
185
68 83
Simple-
38,
113
148
80 iO3
Multiple
140
164
69
Simple
40'
.91
Multiple
TECHNICAL SUPPORT TOLL FREE (800) 942-9927
j -eOC-jT z 1; :17, IJ
Y
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev.'12/96) APPLICATION ANDPERMIT 4. ::z r 2 R�:7_�
ASSESSOR PARCEL NUMBER
024-080-066
ZONING
A5
BUILDINGPERMIT
OWNER
RICHARD HAVENS 846-0887
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
-U—
OWNERS "UNG ADDRESS
535 OBERMEYER ROAD, GRIDLEY CA 959148
48U 8640.UU
CONTRACTORS NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation 1$ 8640.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
—Permit Fee
s108.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
s 70.20
"MrURRMEYER RD GRIDLEY
Energy Plan Checking Fee
$
PERMIT FEE
$198.20
LOT NO.
SUBDNISION`SN,4ME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.001
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
—Each Trap
1 7.00
Solar or heat pump water heater
1 23.00
Water piping
15.00
—Each gas water heater or vent
15.001
TYPE OF WORK
NewM Addition 0 Remodel 0 Utilities 0 Installation 0 Other 13
Describe Work: NEW DFI"ACHED GARAGE
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G
@D20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
800V OR UE::
Main Service .A OR .
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law, for the following reason:
'7� 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO tOOOA
46,00
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS.
3 5�sa-
3%50FT 16.80
Ntw GUM I. =OUTLET
NON-RESID. C'R ITS
_D7.50
Lc
&FS0,.WGE.RAPPARATUS
. IT. CIR.
Ex. Occup. OUTUFT OR FD(TURFS
'0 0 "00
IBAL@ .50
..FIXED A NS OR
Ex. Occup. PPL.16.) .1
5.00
Temporary Service
-
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.
-
PERMIT FEE
$vqn
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performanceof work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
-
6.50
Ventilation
PERMIT FEt
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
/,lorthwit� comply wit those provisions.
X Date 101)��10a>
Signature of Applicant — 0 Owner 0 Contractor 0 Agent ' I
An OSHA permit is required for excavati - ons over 60" deep and demolition or construction
of structures over 3 stories in height. J. , 1//
Mobile Home Installation Fee
I $
Energy Inspection Fee $
Occ CONST. TYPE
TOTAL FEE $235. 00
—
IMP FLOOD
—1
7-
This permit is hereby issued under
of the Butte County Code and/or
indicated above for whichn ffees hhav
N
Jey
PERMIT EXPIRES ON
0
1 1
CDF PARCEL I PD HD ISrE
1 1
the applicable provisions
Resolutions to do work
been paid.
Datq >
(*-) — I
ReceiptNo.
WHITE-D.D.S.-B.0— CAKIARY-A96f=SS/JR PINK-IM&PECTOR GOLDEN ROD -APPLICANT
M
COUNTY OF BUTTE-DEPARTME;VT VELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, OrovillefdA' 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLI ATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBER
Proposed Building Use: Counter Techniciamc, Date:
Items required in order to apply for a perKit).AII boxes OU,�T be checked OR marked NA in order apply.
,I�F 1. Site plans, 3 or 4 sets, signed by the �roarer of the Par
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped'and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxes!
0 5. Energy compliance design and supporting documentation in duplicate.
0 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.
0 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.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indbix-4 and
returned to the plan review line-up when required items are received.
Date Received By
0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
0 9. Site plan and business license approval from the City of Biggs ....................................
4Letter of intent for non-residential buildings ............................................... * ......
Detached Accessory Building Form filled out by the owner ...................
12. Hazardous Material Form .................................................................
0 13. Fire Sprinklers ................ ............... *** .... .... ** ......
014. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by
0 15. Other
liernaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 16. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
KStatement of Intent for Non -heated and A/C Buildings ...................................
lSanitation and site plan approval from the Environmental Health Departmi _0Z �1�
. City of Chico Plumbing permit ........................................................................
0 20. California Department of Forestry plan approval 0 paid. Sent by: . ......................
0 21. Planning approval for (A) Use: -L> K4B)Parking: _(C) Parcel Check: e>a
0 22. Contact Land Development about 0 Improvements, E) Drainage ....
0 23. NPDES Form ..............................................................................................
0 24. Encroachment Permit for driveway from the Public Works Dept .................................
0 25. Pre -inspection for required ................
0 26. Contractor's license information. (Number, Name Style, Classification) ......................
—#Worker's Compensation Carrier d Policy Number .............................................
Owner -Builder Verification (Ziiven to owner, 0 Mailed to owner) .....................
29� Letter of Signature authorization ....................................................................
El 30. Recorded copy of A6ricultural Acknowledgmerii Statement ....................................
0 31. Manufactured home utility clearance ............. .................................................
0 32. Existing violations and/or expired permits ................. ............................................
0 33. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 34. Other:
When issu�d Telephone 9 4; S Z and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: 0 (t, �,$ �� fl kve,�,, I o /7c) 1,95
.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 El phone, 0 mail 0 counter, by —Date:
Contractor, designer, owne as advised of the above d4aa bv 0 phone, E3 mail: 0! cou by 'Date:
Plans reviewed by: _' MC, Date: Q3 Plans approved by: — Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
63- 535-3
E.H. USE ONLY
Flat Plan Artachad
Flow Man Atpchad
Sent to 8.0!0 --74j—/Z7F
-�2
Owner Location AP#
Plan Approved for: Sewage Disposal--.,. Water Supply: Public Private Well
Clearance for dwelling. Other 00 ?( ZLI --- - a -A ft -A &a—
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
8/96
COUN'TY OFi BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville,� California 95965 , Telephone (530) 538 NO.
Mv. 12/9 6) APPLICATION AND PERMIT
SESSOR PARCEIL NUMBER '019 BUILDINGPERMIT
I - - U�k' � cq SQ. Fr. OCC. kUILDING VALUATION
"T LA --
ow ADORESA,,
—
I
LENDER'S MAJUNG ADDRESS
-Fireplace
Total Valuation
NO.
ARcmrrEcT OR ENWNEER
—Filing Fee
20.00
Permit Fee
ARCWMCT OR ENMNEERS MALM ADDRESS
Plan Checking Fee
s
BULDINGADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO. SUBWASION'S NAME PARCE MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
SF � Duplex 13 Mobliehome 13 Other
Water piping
15.00
SPECFY
Each gas water heater or vent
15.00
TYPE OF WORK
Gas piping system I - 5 outlets
15.00
New 13 Addition 13 e odell 0 utilities 13 13 Ot�h7A
Building sewer
15.001
Mobile Home JSJ GI W1
I C&20.001
Describe Work:
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20-00
0 LESS
H
Main Service = R LESS
0
23.00
Main Service 200A TO IONA
46.00
NEW GONST.
Dw:=G a;osup-
3.505"' C-)
OR ADONS.
...............
3-5
PAID $
NEW CONST*
NON-RESID.
@7.50
PERMIT FEE
asm-.=Tus.
Occup. ovnzr OR FwruRB
20 1.0v
B&L .50
—Ex.
LNS OR
Occup. JPRES.6.) E.
5.00
SRA$
—Ex.
Temporary Service
23.00
P�obile Home Facilities
20.00
Wifing
23.00
SHERIFF $
_Nlisc.
'6
PERMIT FEE
$ 74,
,MECHANICAL PERMIT
Filing Fee 20.00
OTHER $
Heating.
Cooling
Hood
6.50
$
ventilation
PERMIT FEI!
S -3
Mobile Home Installation Fee
Is
$
Energy Inspection Fee ;
Is
=c 'jW' TOYAL FEE $
FLOOD
_VT)('
CDF VbEL
AMOUNT RECEIVED $
I
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or
Resolutions to do
DATERECEIVED o
-work
indicated above for which fees have been paid.
By
Date
RECEIPT 39P7
PERMIT EXPIRES ON
0a ta)
O.B.- I
OWNER-BUIELDER VEREFICATION
Attention Property Owner
An "owner-buildee'building pennit has been applied for in your name and bearing your signature.
Please complete and return this infonnation 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.
�zi personally plan to provide thepmor labor and materials for construction of the proposed
property improvement: YF -SX,-,, NO 13
1 HAVE 8(, HAVE NOT 0 signed an application for a building pennit for die proposed work.
7.
3 1 have contracted with the following person (fum) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE:
CONTRACTOR'S LICENSE NO. *
4. 1 ' plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the n4or work
-CONTRACTOR'S LICENSE No.
5. 1 will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAMEE
SIGNED:
ADDRESS PHONE . TYPE OF WORK
NOTE.- Ais 0"er-Builder Venfication b required by Section 19831 and 19832 of the
California Health and Safety Code. This verifkadon must be conTleted and
returned to our offwe before we are permitted to issue the permit
OVER
0A.— I
I -OWNER BUILDER INFORMATION I
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware did as "owner -builder you an the responsible party of record on such
a permiL Building permits are not required to 6a signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other &an yourseV, you may protect yourself from PDSSI'DIB
Lability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. Iley are also required by law to pin their license number on all permits for which they
apply.
If you plan to do your own wD&, with the exception of various trades that you plan to subcontrac� you should
be aware of the. following information for your benefit and protection:
+ Ifyou employ or otherwise engage any persons other than your.immBdiata flunily, and the woric (Including materials
and other costs) is'S300 or more for the entire project� and such persons are not licensed as contractors or
subc-onumctors, then you may be an employer.
+ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligationk including state and fuleral income tax withholding, federal social security taxes,
wod= compensation inntrance, disability insurance costs� and unemployment compensation contrbutions.
+ There may be financial. risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worimes compensation insurance.
+ For more specific inbirmation about: your obligations under Federal Law, contraict: the Internal Roveane Service (and,
ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the stucture is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personaW or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons pro&ssmg to be contractors is to secure an "owner builder" building
parmit� enmeously implying that the property owner is providing his or her own labor and mmm-W personally Building
permits am not required to be signed by property ow* ners unless they am performing their own work personally.
Mmmation about licensed contraotors may be obtained by contacting the Contractors State License Board in your
community or at 1020 N Stvat, Sam-amentD, CA. 95914.
Plme cornplete the "Owner Builder Verification" on the reverse side of this fbim so that we can confirm that you
are awwe of these mattem The building permit: will not be issued untfl the verification is retumed.
lyJ,
ly
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hfic C. Widira, C3.0.
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er, Building hispection
NOTE: Zhis 0WH4r-BUffda&f0MMfi0H is reqr&ed by Section 19830 of the CaWomia Hea&h andS45* Code.
OVER
Departm�nt of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
DETACHED ACCESSORY BUILDING
OWNER'S STATEMENT OF USE
Plan review will not be started until this form is completed, signed by the property owner, and
retumed to the Butte County Building Division. Attached Accessory Buildings and Additions
will be checked for residential use. Exception: Garages and Carports.
Owner: Phone: N6 - 0 F
Mailing Address 5;s S Ay CA L(F
Site Address: 53S Obelr1w,"'.6A , 6yt�
U
As sessor's Parcel Numbe r: 6.2,L( - Mo — 6 Zone:
Please answer questions 1- 16, and explain any yes answers for questions 2-14 in the space provided on page 2 of
this form.
GENERAL INFO%MATION:
/ .
I.,
Is there a primary dwelling on the property?
Yes Oz
/No E3
2.
Is the Istructure already built, under construction, or under notice of code violation?
Yes
No
V1
3.
Will items produced in tWs building be offered for sale?
Yes F
No
4.
Will the public have access to this building?
Yes 0
No
5.
Will any advertising, on or off site. be associated with the use of this building?
Yes C3
No
SITE CONDITIONS:
6.
Is the structure foundatioii within 5' of septic tank or 10' of leach lines?
Yes
No lux/
7.
Is any portion of the structure located closer than 20' to your front property line?
Yes [-I
No
V''/
S.
Do you plan to add a driveway or modify existing access to a county maintained road?
Yes[3
No
9.
Will the proposed structure encroach within any recorded easement?
Yes C1
Nov
CONSTRUCTION
10.
FEATURES:
Will t his building have insulated floor,
walls, or ceiling?
'
Yes
No
11.
Will this building be heated or cooled?
Yes
No blz,
12.
Will Ns building have a water closet/toilet?
Yes 0
No [D//
13.
Will this building have a sink?
Yes [:1
No
14.
Will this building have awater heater?
Yes C3
No
15.
What type, of floor covering %vill the building have?
16. What type of ivall covering will the building have? [A nk,
OVER
I of 2
PROPOSED USE: (check only one box)
1. E) Residential Storage Shed — I will be storing in this building and it will
not be used for any other purpose (no bathroom and no heating or cooling)'
2. Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by
10exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are
stored or kept." A garage door is Mguired.
3. 0 Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be
entirely open.
4. 0 Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or Carport.
If you checked #4, please check the uses below which best fit this building.
0 GuestHouse El Pool House Studio Apartment [I In-law quarters
Recreation Room 0 Game Room study 0 Library
Bonus Room El Playroom 0 Den El Studio
E3 Artist Studio 0 Hobby Room El Craft Room C1 Sewing Room
C3 Canning Kitchen D Music Room [] Family Room 0 Sun Room
El Private Office El Workshop 1 El Home Occupancy 2 C1 Other — Use
1. Deunbe type of WorbJW
ng
21 hot be approved by the Butte County Plarmi Divisiort.
Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question
number before the explanation.
Additional Information:
Plan review will not be started until this form is completed and received. A Plans Examiner will contact the
owner with specific requirements per the use indicated.
I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any change�
to the use, or character of use, of this building will require permits from the permitting authority. I understand that
Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale.
0-wner's Name: Plea -H-A Vi V,
Owner's Signature: Date: 0
2 of 2
111111111111o�'
L A N D 0 F N A T U R A L W E A L T H A N D B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
Re: Building Permit# 00-1333
Expiration Date: 6-13-01
A.P.# 024-080-066
With reference to the above subject, our records indicate that your building permit expires on the above date
and your permit falls into one of the category marked below:
Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit
fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional
year from the original expiration date. Should you not renew your permit within 30 days of the
expiration date, all work must cease until a new building permit has been issued. For your convenience,
we are enclosing a renewal application form and owner -builder form to be completed and signed by
you where indicated and returned to this office together with the fee shown. Please return all cep
of the application form.
No inspections have been made on permit work. Inspections are required to verify code compliance.
We are unable to renew a permit where the work has not been started and inspected prior to permit
expiration. After expiration of your permit, no work may be started until a new permit has been issued.
A final inspection has not been made on permit work. Final inspection approval is required before
occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until
a final inspection can - be made and- final approval given. You have 30 days to voluntarily cease
occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you.
If our records are in error or should you have any questions concerning this matter, please contact the
OROVILLE office.
Thank you for your prompt attention concerning this matter.
YWrs very truly,
C. Vi6ira, C.B.O.
-, Building Inspection
MCV:lt
Attachments
Chico Office - 411 Main Street, Chico / 891-2751
241
41
30G8
70
1/211 x 10" ANCHOR 13OLT5 G'O.C.
W1 2"X2"X311 G" 5Q. WA5HER5, 1211
FROM END5 AND. JOINT5 OR L15E
5IMP50N MA5 FOUNDATION ANCHOR5.
fLOOR PLAN
5CALE: 1/4"= I' -Q"
* 4" THICK 5LAD
* 12" X 12" FOOTING
"GXGX IOX l0REME5H
*' 1/2" REDAR, 2 RUN5
15RACED WALL PANEI-5 TO 13E 41 X 8',
3/5" APA RATED 5H.EATHING, 51DING
5HALL 13E DOU13LE G HARDBOARD
HORIZONTAL 51DING.'
I GX7 5ECTIONAL DOOR
51
30G5
3 1/211 x 13 112" X DHf- 1.51f GLD
41
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7u
11
0
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Building Permit Number:
Owner Name:
Residential Con truction Remuirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
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.)
COMPLY WITH ITEMS CHECKED BELOW
ImYour parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required.
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1 . Building is anchored to concrete sternwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the I 60 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than I square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 2of 2
Building Permit Number: 03—
Owner Name: H cA ven -5
al Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
Fire sprinklers are required in this structure.
MThe following Parcel map requirements shall be met:
M
0 All structures and equipment including overhangs shall be clear of all easements.
\� A setback of 15 feet from the side and —`5 feet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from tie—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.
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CON53TP uU i iu�
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SHALL COMPLY 'Vit i'l -H CURRENT L�DMM
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Sile LOCATION 63S 05EeAel�llee- P, lkvle
30G5
7d
—241
11211 x 10" ANCHOR BOLT5 GO.C.
W1 2"X2"X3/1 G" 5Q. WA5HER5, 1211
MOM EKID5 AND JOINT5 OR U5f-
51MP50N MA5 fOUNDATION ANCHOR5.
fLOOK PLAN
5CALE: 1/411= 1 1-011
4" THICK51LA13
12" X 12" ffOOTING
OGXGX IOX I0REMf-5H
1/2" RMAR 2 RUN5
bRACED2 WALL-PANEL5 -'TO- �13E W X-5ff
3/6"AM-KATED-5 51DING
5HAEc6E-0Ocf ARD50ARD
HO-RIZONTAL 51DING.
I GX7 5ECTIONAL DOOR
41 3 112" X 13 U-2 . " X DHf- IZE GLB
RICHARD HAVEN5
535 013ERMEYER AVE.
GPIDLEY,,CA 95948
30G,5
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klUILDING DEPA RTMC,k"�-
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P.O. Bo 038
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846.4409
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2X4 STUDS @ I Gil O.C.
2X4 P.T. SILL
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112"0 X 10" FDT 13OLT @ 6-1 O.C.
W121IX21IX311 Gil 5TL. PLT. WA5HE
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2" MINJ_
MUNDATION DETAIL
SCALE: I"= P-0"
2X5 RIDGE
2XG WALL TIES
@ 411, O.C.
4X 12
2XG RAFTERS
@ 2411 O.C.
NAILING: 5d HD GALV. 4" COKNER5, 5" JOINTS, 12 FIELD
WALL/ ROOF NAILING: 5d HD GALV. G"EDGE5, 12" FIELD
TYPICAL 5ECTION fKAMING
SCALE: 1/4"= P-01'
[E- 275 070 p5 ]i
30 YEAR DIMEN51ONAL COMP SHINGLES
15# FELT Q/ 7/1 Go 05D
13LOCKING
DBL. T.F.
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CONCR.ETE FOUNDATION
bWMdchieU' U* ng M enals Warehouse
W
P. 0 k 1038
:ridley, 95948-1038
(530) 846-4�4�
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2XG @ 24" O.C.
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ROOF PLAN
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GABLE ENDS
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RIGHT ELEVATION
SCALE: 1/4"= P-0"
60TTE COON i
RUILDING DEPAh-h%At'-'..�-,-.,
A p p R 0 v F
:--IN. GRADE
Mitche ing ri s are o
P.O. B 1038
ri ey, C 5948-1038
(530)84 09
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REAR ELEVATION
SCALE: 1/4"= P -O"
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LEFT ELEVATION
SCALE: 1/4"= 1 '-O"
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