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025-130-040
Ila..,_... ,_: ».,...: ,x:,,�: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO52828 PERMITS BECOME NULL AND VOID 1'YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury.lhat I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/07/2006 APN: 025-130-040-000 the Business and Professions Code, and my license is in full force and effect. �-7 W License Class: License Number: Date: Contractor: "Vale— S """A—n`A Site Address: 1182 ALMOND AVE BIG Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from,the Description: nsf (2186), gar (576), COV (450) Contractors' State License Law for the following reason (Sec., 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DUARTE FAMILY TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1118 ALMOND AVE. the Contractor's State License Law (Chapter 9 commencing with Section BIGGS, CA, 7000) of Division 3 of the Business and Professions Code) or that he or 95917 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 530-868-1630 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their' sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: STEWARD CONSTRUCTION, MARK owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one P O BOX 1060 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of BIGGS, CA 95917 sale.), 530-868-1075 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business + and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: STEWARD CONSTRUCTION, MARK ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: P O BOX 1060 BIGGS, CA 95917 WORKERS' COMPENSATION DECLARATION 530-868-1075 I hereby affirm under penalty of perjury one of the following declarations: C3 have and will maintain a certificate of consent to self -insure for workers'- compensation, as provided for by Section 3700 of the License #: 496738 Labor'Code, for the performance of the work for which this permit �/ is issued. .Ja I have and will maintain workers' compensation insurance, as required by, Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: ❑ 1 certify that in the performance of the work for which this permit.is Total Square Ft: 3212 S.F. issued, I shall not employ any person in any manner so as to Valuation: $163,114.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall . forthwith comply with those provisions. rr Date: Applicant: C/ V6 / WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i reed u , applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.)r Resoluti to do w rk indicat d above r which fees have been paid. performance permit BY Date: Name: —7 PERMIT EXPIRES ON: S '-7� / Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: ►y 1�k` D Signatu t. ! Date: / ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 �T Z T' j( Butte County Department of Development Services N ® T E S 7 County Center Drive, Oroville, CA 95965 I f (530) 538-7601 www.pyttecounty netidds 0UT>f.. AREA 1/ .a CSU Nty• � RESIDENTIAL APN: - 7 05-2828-� '1025-130-p4SALLY Owner. DUARTE, BIGGS e a i ���I MOND AVE, Site Address Cont: MARK STEW ARD AF Contractor. NSF(GAR, COV) Type of Permit: - I OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE ® F F cor-Ki A/ MOP-Tff of 8/ar-6 P/ 51- «g Z S yw i. 6ow-k 714 -OG u 6 DATE JOB FINALE ,0 SIGNATURE: r t I OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE ® F F cor-Ki A/ MOP-Tff of 8/ar-6 P/ 51- «g Z S yw i. 6ow-k 714 -OG u 6 DATE JOB FINALE ,0 SIGNATURE: +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C10-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -CIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S`C A R P O R T S GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs -C nnctrs-S hth g Frmg-Brcng 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel -Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boices-Enclsrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr, Fencing -Alarms 13 Bonding, Diving board or Slide Os 0` Os 0` 011�1 °4P i Pool Drawing = OK 0 = Not OK /. -RESIDENTIAL (Single & Dup�e,x)' � DATE UND RFLOOR.:_, DATE BING - ng-Setbacks'-Easements-Floo S//lo��e FtMa ; Soils-Elec Grnd , Ftg Dpth ��tr, Vehf Acc-Cmbstn Air Baffle 94Wtr Pipe; Test &Anchr-Nail Prtctn •s -3- tg Garage; Soils-Steel-Elec Gmd Ftg Dpth. 5-RDWV; Test Fittings & Anchr Nail Prtctn 4 Ftg.Porches/Decks;'SoilsSteel Ftg Dpth 5&'.S r'Pan; Test, First flr-Tub Ace `S'Siemwalls Main; Steel-Blockouts-Wrapped 5rTest Tub & Shwr, 2nd fir - Tub Acc alls Garage; Steel-Blockouts-Wrapped �Zvffi-s 58 Gas Pipe; Sz &Anchrs j. `+� . and Special Anchrs 59 Fire Sprinkler; Test I , St el Wrapped. 60 Yard Gas Piping �. i - rplc Ftg-Steel all -Fitting -Test -2 -way C/0 -Sewer Test as Pipe; Sz AnchrsSz Test Z e1 �l tr Pi ; Test-Anchrs-Rgltr-Service Test DATE IMECPANICAL 12 E ndrgrnd 6 ucts Insultn & Support 1 len s-& Ducts; Clrric-MaterialSupport-Insultn 1 trdersSills-Anchr Boltsaoists-Vnts-Cripples 6 nt Fan, Exhaust abv Insultn 15 Ace & Vntltn 6 Co . densate Drain & Ovrflw, Sz &Grade 16. Insulation 64 urn ee Vent Ace -Comb Air Rtm/Vent 115 Outlet 65 is Ace & Pltfrm if Furnace in attic DATE JFRAWNG 1 ill Proper Materials & Anchrs DATE IFINAL t Steps -Door & SideLt Prtctn-Landings 18:7aihs Studs -Nailing Spacing & Braces -Plates -Sound 19 Bea�g Walls over Girders & fir Nailing 6 Detector 2 raft Stop in Walls (rat proof) Furnace Vnts-Cirnc-Comb; Air-Cnnctr 2 O tops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Meth Prtctn 22'fie ers & Beams-Sz & Bearing 6 room Exiting 2allan Post Caps -An chrs-Cnnctns 7 ath Fxtrs & Tub AccSpa eiling,Joist-Rftr Ties -Purl in, -Roof Brac-TrussShthg 71 ault 7�E#eCTrim & Subpnl; Breaker Szs &Labels 25 Fr le Ties or Type A Flue-Frplc Throat Clrnc 26�A�ic -Ace; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 7 ard/HandraiIs - Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions c or Stove, Cirnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 7,5.F4ec-9trtt is at Wood Pnl, Int & Ext 29 Pr p ne Firewall & Opngs 76' xtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 30-65Do6r—s-0ne 3'7Check Garage 3rd Story, 2 Exits Outlet Rcptcls at Ktchn Counter t ,idth-Hdrm-Rise-Run-Landing-Fire Prtctn rage re Door;Swing-Landing-Closure 32 lywdon Roof Ovrhng-Attic Vnts-Rftr Outrgrs t in Garage -Damper 7 etrHtrcq 33 Siding -Nailing Veneer Vnts-Cimc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace Mech Prtctn; LPG Appince Undr House 3' drain 35`6—lazing Area -Glass Prtctn-SkyLts-Plastic 81_R4rrtU,-Elec 8A-Mech Eqp Listed for Loctn 36 Shear Walls; NailiBolts �}, � � 8�1eG••R-ptcIs in Garage (GFI) Romex Prtctn 8 in Attic race lnt/Ext Akfffpnls (a-t(�-0 G -r F-Rolwr �pt(d1E n -Foam -Looked . Caps 38 Insultn-Walls-Ceilings &f co uard— Rails & Deck Cnstrctn-Post 39 Infiltration-Walls-Wndws sEE Arra 0,, L _� R Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth P Conl7 86 Cirnc Drnge Planters r_1 Yes [:]No 87 Stucco Brown -Finish 88 AC U it-Dscnnct, Elec-Plmb 8nts bv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs 90 Wtr We 1, Dscnnct, Elec, Plmb t Elec Trim, GFI Rcptcl-Undrgrnd DATE JE L E -T R I C A L 4 - Xtr Trnsfrmr Clrnc4ns Prtctn 4TTler-Rcptcls Spacing-Lts & Switches at Doors ru House 47S es & No Of Cndctes Stapled 9 lass ctn 94 from lnspctns 4- Roommex Installed Close to Edge of Studs & CJ orrections previous 4 rnd made up w/Mech Fstnrs 95 Tagged, Gas-Elec 4 Grnd �-Electrode Bond Gas &Wtr �eSstt-Meters 9 Sewer Cnnctd CIO to grade -HD Apprvl 9yEn�e Certs 4�f�✓£�A��pInc Cires in Ktchn & Cndctr Sz GFI Z9.6 4 -MA &7.t3Lbfeed Wire Sz 2 fO ga ❑ CU or 5a&L pint Cert -Other ddress Posted - AC Wire Sz ga ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ ga ❑CU or DAL Oven Circ ga ❑ CU or ❑ AL Ins ed Neutral ❑Yes ❑ No 4009 -Riser Cndctrs & Grnd Main Dscnnct 50 E rocs pnls-Motors-Mech Eqp 51 es Closet Lt-Shwr Lt -Spa Lt 52 oke Detector M COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE V ("'r V,-)- 65-- 2.8Z_9 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ple9se contact the Building Inspector as indicated below. Date 9z z Inspector�qA��L��''�� REV 4/05 Phone # rM FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 CaICERTS - Certificate https://www.calcerts.com/cf4r�rint_certificate.cfin?lots=41801&cert_... x.,410 't 14P4' CF -4R CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING. September, 25 2006 This CF -411 Issued by CaICERTS® is for the home located at: 1182 almond ave biggs ca. 95917 biggs CA, 95917 Certificate Number: CC3-1798382383 .. Date Inspected: September, 21 2006 CalCERTS Rater: John Revilak Furnace: 80 CC2004106 HERS Analyst: N/A ` E Builder/ Developer: Mark Steward Construction R Project: 1182 almond ave biggs ca. 95917 Phase: Phase 1 T Plan Name: 1182 almond ave Lot Number: 001 Specifics about this home: General Information Conditioned Floor Area: 1990 Square Feet Conditioned Volume: 0 Cubic Feet Front Orientation: N/A Number of Stories: 2 Heating and Cooling Systems Heating Equipment: Furnace: 80 Cooling Equipment: N/A: 13 Heating Equipment: Furnace: 80 Cooling Equipment: N/A: 13 HVAC Air Distribution Duct Location: Attic Duct Insulation R -Value: 6 Water Heating System Proposed TY I Size I Fuel I EF I Distribution Water Heating System Actual TY I Size J Fuel I EF Distribution Testino & Verification Results Main System HVAC System Duct Sealing Passed New System HVAC System Duct Sealing Passed The energy efficiency rating of this home is determined using California Home Energy Rating System (C -HERS) rules. The rating considers heating, cooling and water heating and assumes average weather, thermostat settings, and quantities of hot water for a typical household. Actual energy use will vary according to occupant behavior. This Rating Completion Summary is provided only after the features listed have been verified and approved by the CaICERTS Certified Rater shown above. If you have a concern or complaint regarding this report of the services used in obtaining it, you may contact: CaICERTS - Customer Service 11 Natoma St Suite 140, Folsom, CA 95630. 1 of 1 9/25/2006 3:.1ti6 PM i C -r/ -0 &f WtALLATION CERTIFICATE (Pig 3 of 12) CF -6R Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the -building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: gF4u Equip Type heat. CEC C fffied Mfr. Nam and Model Number # of Idin&W Efficiem �,� (� ew-)c zCF-tRvalue Duct Location ami etc Dmor Piping R -value Heating Load -mudw Heeling Capw4 MW 4C -e_ �� Q�� ! ��f -471lf ysoo V /Io z o y, Equip Type heat CEC Certified MG. Name and Model Number # of Identical Systems Efficiency EER) (ZMIRvalue) Dur Lawtion (attietc nae) Rvalue Cooling Load tuft) Cooling Capacity o . o° /4 L Z Y o o -o 1. > symbol reads greater than or equal to what & bxkwed on the CF -IR value Include both SEER and EER if compliance credit for high EER air conditioner is claimed. V a1 I, the undaSigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -IR) submitted for compliance with the FAery E„fciwn SA=&vds for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manus devices (from the Appliance EWIency Regulation or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner 117 y C Sia nature:�1K)A t 0 A e , Date. n � Copies to: BUILDING DEPARTMENT, H%RS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 v ON CFRTIMATE 4 of 12 CF -W Sita Address P9e®itNumber / If Z r10� v �� S -f '7 p 2 �- INSTALLER COWHANU STATENMW FOR DUCT LEAKAGE INKS LLMCOPMIdMCSBrATMMW Tim baftg vm ✓ Nested samal -'E3 Tested at Rough -m IRi.4TAUM VISttAt. 04SPECn= AT FWA1. C WS I RUCMM STAGE: O Removed testanesap* andanererun n r, andveerthattie betweeatheregi d - boat and the interior £mishit waD are property seated - O Ifthe lrouse rain deet leak�e test urea oaf yr rtea air t iaDatled, hwped ftczmewaa poims betweaatheairhaad w=dth*supply andrettnnplemmsstDvefttbattbec poimamprapeft seated. -QhMPed8Bj0hfttDline tmt no cb& backed rubber adhesive deet tape is and O Naw Edshiibafi n systems is£adly ducted (Ie, does nit me ba0d'mg des os p orp rebm in gw of duMl ✓ 0 DUCT MAKAGE RE)UCMIV P tarlleld valla gM a»d dfieeuaiar ofab AIC&ikdgamsndmw Am avmffahAv in Aa[7u_ AnnowAls- Ard 4 NSW COMSIHUCTION: DuaP mTe Tel ResaIta (CFM 25 Pg) Measured Values :x- 1 Enter TestedLeabpFlow mME- 7 Fan Flow: Calc deed (Nammab ✓ O Coaling ✓ 0 Ekatiwi) or ✓ O Measmod 2 dfFaaFlaw is Calcubftdas40D cf nbuxua nberoftans aras21.7 cfnt/(kBMft) xFleatmg /-30 Z ' ia1 of loJtirenter total t arm faafla9v is Cori It ✓ ✓ 3 PassifLeatcage, 6%farFina1cr54%atRou*4w ' - - ElPtsOFat ooa #1 /i�� L 99 ?� ALTFdiA1TO1�-IkwtSyskmandforRVACEqukmmtCbangb4OutR F = N Enter Tested lmkopFlow inCFM EmmPro-Tea ofFxatmg�Sy�PdartaDad •rN: 4 SystemAlteta>iaes aadlor = FnterTested Imbp Flow in CFM frm Find Test of New Duct System or Altered Dint M 5 hrpoct Altemlim=&cr :k FnterReducfioamlAmdmpfwAiteredD=Sysbem 6 mums - �G 3. 7 Enter Tested Imko *Flow is CFMta Ou lu&(only ifA ) ✓ ✓ fintheNew Dud System -Pepsi L=kapPacentep56%for F W Pass Cl Fag 1BSTOR VERWWA21ON STANDABDS: F4AfteredDad System =dAmrHVAC Equi (age- �/ ✓ Oat am Qfdw foffmvbm four Teter VerMeadw for camp6ance.- 9 9 Pass fflAdwge P 515% j100 x j_;______(i ins # 5) / (Lme # 2)]] O Pass O Fall 10 Pass ifLeakup to Outside FWcentsge 510:5 [100x [__(Line # 7) / (Lias; #2)]] O Pass O FAR Pass ifLealma Redaction Pelee 260% [100 x C__(Lw # 6) / (jw # 4)D O Puss O Foo 11 and Val Smoke Test and Vemsl 12 Pass ffSeaft ofallAcce Loft and Veffnatiaa by Sm lm Test ami Vu- adO f= Pass 0 Fag P=ff0AeQflA=#9dhwzb#l2p=� F < =f 0 Pass 0 Fall ✓ 13L the wwwsiga4vet,$rtmttheakm tea h vMMI R, a iac xv►itham, I irenam, fir comgffimc 11' 1, the undembped, aim ce:tify lhatdw newly iumIled or re- ra Au►Dis &9icn SyWmDuds, Pleumw and Fans comply vd&h*mddwyvquhements specified ia Seater -150 (m) ofdw2DD5 Bwl ft m Mdewy MWuds. d77,7710".W. =117, i a U� Copies tw oUROM D13PAffiMl , EMU RAMER(IFAMWAME) BUHJQNG OWIORAT OCCUPANCY. R Cant *aWFmw Sepaemher2005 fqi' A 9 c -e /COn d k17 i; I INSTALLATION CPdt=CAU (Page 4 of 12) CF -6R Site Address I PemitNtmaber J l A% Al 6.7 / 7 1 0 S 2- Y 2 4 INSTALLER COr"LL4NCMATnCMT FOR DUCT LEAKAGE 94STAr LMCOPAPLUNCt3 STAIMPT The buamg wm ✓ Nested at Final +'13 Tested at Ro * -m INSTALLM VIAL RiSPECTM AT FRIAL STAt3E: O Reamwe at lead am sop* and am tetom rear, wdva* diel thespaces bdweeathe register boot and the interior finW*a wA aro properly sealed. O Iftbe house rough -in dM leakage test was cmu uated witbom an air handler insmlled, inspect the eonivewan points between the airhamlw andthe supply and rclumplenums toverIfj►ti ado conneetkm points ampmpaly sealed. 0 Inspect all joints W emote that no do& backed rubber aditeslve duct tape is used O New Di on system is fatty &sled (i e,, does not.= bmld"mg cwritim as pteaums or pintf = mums in lien of dusxs). ve 0 DUGT LK4xAGB REDUCITON Pmamkm for APld vmfilaoftn and iffamas6r AHnM lr JPrd 3 NEW CONSTRUCTION: •1111 :�r11' ::.11e� 1 — Dad: Pian TedRes is (CSM @ 25 Pa3 Measured � .II • Values 1 Enter TestedFlawinCFNL- - Fan Flaw: Cakubted (Nominal: v/ EWoofte 0 geWW ave 11 Atsmed 2 IfFan Flow is CWbfided as 400 cfmftn x oftons or as 2L7 cfinkkB&d&) a Heating D O ial% ofBiolltrentwfalaicalcabtedoar faaDowmCTMh= ✓ ✓ 3 Pus ifLeakw Pacentag:56%for Find or<_4%atRou&4n: - e� y, S/v PS Pass 0 Fat? 100 a # 1 /foo. # 2 ALTT�diATit>N3: DectS aad/ar HVAC BowTestedIAdWFlowmCFMfmmltwTegofFxmtm Duct Systmt Paw w Duct System A aad/aar FaterToOd Leakage Fbr in CTM Eram Final Test of New Dmt System or Altered Duct 5 Systain for Dad Eystem. Alseta * and/or t z Enter Redudton in Leakage Ear Altered Duct System ; •s.:J ` 6 Mmes # — if L f 7 EnterlYnW LcabWI Flow im CFM W Oddda (0* ifAppgcable) ✓ ✓ Entin Now Dud 4stem - Pass KLeabp Pace a 6%for FhW .13 Pass O Fait 8 OOz � / Lina#2 TEST OR VBBIFICAIIONSTANIDARDS: For Altered DaetSystem aaWrHVAC Zqoqmmeot Change- ✓ ✓ Out Use one ofMe faftnim Nestor VeMcatim Shindanis for _comidlanca 9 Pus' Praceoluge515% [100 x [---(Lbw#5) / (Line#2)j] 0 Pass O Fail 10 Pass iMcWWWWOubgdo Plarcentage:510% [100 x L—(Liw#7) / Qjae#2)j] 0 Pass O Fail Pass ifl eakap Pjducfm Paccatep 2!60%[100x f_(Line# 6)/ W= #')1] 0 Fess 0 Fail 11 vpdVedficafionbySmwlwTcdwdV-wWkMeWum iz. Pass !fSwftofall Acces0le Leaks and Vedfication by Smoke Test andVisualbgncdm = `- O Pass 0 Fail Pass if Q�.oii#! # 1Z ' r' `= t] Pass 0 Fat1 -1OLthe me,va*dodteatxssna testresallswerepefmmed iacoafivmmwcwAh#wnqdramwa for conqMwwcoftl,&ewdwwwd, dw caiify that tbo newly wdaUcd orrdtoffitt AirA System Dads, Ply and Fans comply wi& MMb:t ty I sped ted m Sectio 150 (m) of*e 2004 Ewa Ems► sftndar& 1.':1: �Ilff. �Ifl rl.11l ::Fill �1 •:IIIc' 1 � 1�1:�' `1 / � f " •1111 :�r11' ::.11e� 1 — IJlf:ll 11 � _a'�����•© � .II • u%J" - f I r • I Copies tee ATG DIWABMAENT, MW (IF AMICABLE) BUHAING OWNER AT OCCUPANCY ReskkwW CgpJZmw Farw Sggwsb r 2005 Y 6;r INSTALLATION CERTIFICATE (Page 3 of 12) CF4R Site Address - Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the -building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS: Healing Equipment EquipTypeName (pkg. heat. CBC Catified Mfr. and Model NumberSystems # of Identical )� 2CF M value Location - em Piping R valine LOW n,/6r capacity ,Q r �. // `o 9-6 3 6 OC Coaft Equoment p Type hent CEC Certified Mfr. Name and Moael Number # of rde eat Systems EM) > ZU-lRvalue Dam Lncatimm atti e0c D= 11 -value Cooling Load tul6r Goofing Capacity r OP^ 3 6 OC 1. > symbol reads greater than or equal to what is iraft wed on the CF -IR valva~ Ltclude both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ 011, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2)equivalent to or more efficient than that specified in the . certificate of compliance (Form CF -IR) submitted for compliance with the Erergy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactut ed devices (from the Appliance AWiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Signature: Date' 1. Copia to: BUILDING DEPARTNINNT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms -Apri12005 09/25/2006 MON 9:37 FAX ®001/001 INSULATION CERTIFICATE Job Number: 7581 MARK STEWARD CONSTRUCTION 1128 ALMOND, BIGGS CA Contractor/Owner Name rob Address (street, city, state) BUT U County Subdivision Name A W Number DESCRIPTION Ob INSTALLATION L ROOF Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): L CEII.IN� Batt or Blanket Type: Fiberglass Brand Name: Knauf 12dekness (inche#. 12 Thermal Resistance (R -value): 38 Loose Fill Type: Fiberglass Brand Name: Kuauf Minimum Installed WeigW t .569 lb Minimum Thickness: 13 inches Ma'daeturees installed weight per square foot to achieve Thermal Resistance (R -Valve): 38 3. EXTERIOR WALL Frame Type_ A. Cavity Insulation Material: Fife ass Thickness (inches): 31/2 B. Exterior Foam Sheathing , Material: Thickness (inches): 4. RAISED FLOOR Material: Fiberouls Thiclnees (inches): 61/4 5. SLAB FLOOR/PERMETER Material - Thickness (inches): Perimeter Insulation Depth Inches: 6. FOUNDATION WALL Material: Thickness (inches): Brand Name: Knad Thermal Resistance (R Valve): 13 Brand Name: Thermal Resistance (R -Value): Brand Name: Knauf Thermal Resistance (R -Value): 19 Brand Name: Thermal Resistance (R -Value). Brand Name: Thermal Resistance UL Value): DECLARATION I hereby certify that the above insulation was installed in the banding at the above location in conformance with the surreal F.aagy Erwie r Sltmulords for residential buildings (T"uie 24, Part 6, California Code of Regulations) as indicated on the Certificate of CoMplianoe, when applicable. , 2, 3&4 Chico Insulation & Fireplam Item Number's Signattue and Date Installing Subcontractor (Co. Name) or hem Number's Signatare and bate General Contractor (Co. Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner BUTTE'COUNTYI PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP052828 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury, that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/07/2006 APN: 025-130-040-000 the Business and Professions Code, and my license is in full force and License Class : Site Address: 1182 ALMOND AVE BIG ,Alicnen/senNumber}� Date: Contractor: V" 1� AK � 1-0A —0 Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: nsf (2186), gar (576), COV (450) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DUARTE FAMILY TRUST to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1118 ALMOND AVE. the Contractor's State License Law (Chapter 9 commencing with Section BIGGS, CA, 7000) of Division 3 of the Business and Professions Code) or that he or 95917 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 530-868-1630 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, acid the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: STEWARD CONSTRUCTION, MARK owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one P O BOX 1060 year of completion, the owner -builder will have the burden of BIGGS, CA 95917 proving that he or she did not build or improve for the purpose of sale:). 530-868-1075 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: STEWARD CONSTRUCTION, MARK ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: P O BOX 1060 BIGGS, CA 95917 WORKERS' COMPENSATION DECLARATION 530-868-1075 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the License #: 496738 Labor Code, for the performance of the work for which this permit is issued. Jar I have will maintain workers' compensation as and -insurance,., required by Section 3700 the Labor Code, for the pe formance•;of Architect: the work for which this permit is issued. My workers' compensation,; insurance carrier and policy number are: Engineer: Carrier: Policy #: Total Square Ft: 3212 S.F. C3I 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 Valuation: $163,114.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i re ed u applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the work for which this is issued (Sec 3097 Civ.) Resoluti to do w rk indicat d above r which fees have been paid. —�� performance of permit BY Date: Name: PERMIT EXPIRES ON: Address:. (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: -�\� Signatu - �7 i Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last NameFirst City 16?DJ (V'L Name Address 1 I 1 N p AV ET City 5 Stat e Zip G� f Phone 3d Fax E-mail State License Number CONTRACTOR Name Address City 16?DJ (V'L State< zipe, Phone (O Fax S E-mail Lic. # 7V Clasf_�_' AfEEIMT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name c Address City City State State Zip . Phone Fax Fax E-mail Planner State License Number AfEEIMT SIGNATURE X For office use only: APPLICANT NAME Name c Address ��,Q , ( 0 (D O City Yes State Occ. I Phone O Fax E-mail Lot # AfEEIMT SIGNATURE X For office use only: Zoning - y Flood Zone (;ross Street 4_ac / ^J SRA Yes No Occ. I Tye Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BIdgApplSubRgmts.doc Page 1 of 2 PERMIT NO. BP 05- 2 6' BIN #615' LOCATION AP# bn � - (�o — �0 Propert Address" � City (;ross Street 4_ac / ^J WORKER'S COMPENSATION Policy Number ,cam Carrier S If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: G6 V Sq. Footage Z 576 L/ J ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: I I I J Bldg SRA Receipt #: _1(2 I I � Sheriff SMIP / I Other Date m 1 ' I Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply, fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer._ NO GRAPH PAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). , ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to . mobile or modular homes) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building.Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs* or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 �.>Fi.+r..��fkiPu-.,'�""n�'�'�.wa-.,�„ra,.,,wW'Y-r.....-;-.,. »i,.., �,--•• .....�...✓v'"".....�..+'.P -. vim.. .. .-. � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI015!' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: l/Y`'cTZ� ASSESSOR PARCEL NUMBER U� 2 ~ 0 L/O Proposed Building Use: Permit Technician: C�-L �j Date: Id- 3 �d Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. \IS I �J 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. `C I N 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. IN 4. Engineered truss details and layouts in duplicate. No faxesl C] 5. Letter from Engineer or Architect for truss design review. `p I n1 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ + 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form / PJ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ,..f, 16. Fire Sprinklers............................................................................................ <,.,.0 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ';; Ei,. • 0 18. Soils Report and/or Engineered Foundation required ........................................... r\❑ 19. Erosion Control Plan Required........................................................................ Bll' 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. \\❑ 23. California Department of Forestry,plan approval ❑ paid. Sent by: ............ ,r ►� 24. Planning approval for (A) Use: Parking: (C) Parcel Check: ............ 0 `�1-o S 25. Contact Land Development about _ Improvements, _ Drainage ........................ 1 N 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Contractor's license information. (Number, Name Style, Classification) ...........:....... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Siggaityfe Nthorization .................................................................... l� 32. Recorded c pf gn ultural Acknowledgment Statement ................:................ 33: Existing violas' � ns n or expired permits... ....................................................... ❑ 34. Deed Restrictio ........................................................::.............................. ❑ 35. 0 Legal descrip Ion, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone Pale U 0 � � and hold for pickup. I have been informed of the b ve '%ms and require ents for obtaining a building permit. Applicant Date: / a 1. Index permit application or th e it num d: - r Plan Check Lette / Resigner, items required i�esigner, owner, was advised of the abov data y � onemail, ❑ counter, by Date:esigner, owner, was advised of the above data by mail, ❑ counter, by Date: 0C owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: fans approved by: Date: D�� Structural reviewed by: Date Structural approved by. Date: ILIX Note transfer by: Date: Yellow: Building Div' ion i TO: Building .Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Slot Plan attechod Heal Man dnschad Sent to 8.0. / Ov4ner Location AP# Plan Approved for: Sewage Dispos eI Water SuNly: f4blic Private Well� Clearance for dwelling. Other Hold final for: 8/96 BALANCE OF FEES SB= DATE:. > PERMIT: %�/-!�,D 2 ASSESSOR PARCEL Bio OWNER'S NAME: // �//twz FEES: (Amount and Purpose): ?S BALANCE -OF FEES: ADDITIONAL FEES: $ REVISED PLAN CHECK $ SHERIFF FEE: $ SRA $ COPIES URBAN AREA FEES $ CSA 87 (North Chico Spec) $ WATER TENDER FEE $ BATTALION # THERM DRAINAGE FEE $ OTHER w� vZF $ YO / 6 OTHER $ 6 VALUATION - IF BALANCE OF FEES OR ADDITIONAL FEES: TOTAL VALUATION: $ s ADDITIONAL VAL. $ (Check one) COUNTY L CITY OF BIGGS (Check one) RESIDENTIAL COMMERCLAI., COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER DV�T_ZF PROPROSED BUILDING USE( - 1. BUILDING PERMIT FEES --- Balance Due ..................... $ A.P.# dZ� �jO —bVO DATE -157 RECEIPT # 1-7 9 O t/ v((6 N --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES 54 15 - 6 ive.n -w W,ivad0C' (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES I COUNTY WIDE (per dwelling) $g CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning Lf yy DATE REC. 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # - $200.00 (paid at Building Division) / 8. SMl(P (�� 1_/V 6 tAl 9. DRAINAGE FEE 10. OTHER 11. OTHER 3,7,0 6 At time of permit application, I was vi ed the abov equired to be paid prior to issuance of the permit. These fees maybe changed dun*n& the 21an the kin rocess APPLICANT DATE l 6 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) School District Aims Building 7t No. LJ J E A'P. Number Jurisdiction: city County Property Owner t)j Prop" Location/Address AlmonA` Ayt gions SA Subdivision Lot No. Residential Development.= ........................................................... : Sq. Footage 19co No of Living Mobile Home Addition/ *Supplemental to (Group. R) Units-^ Installation Conversion Permit # ....................................................................................... .(No foundation inspecdon)-:: Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/industrial Q 0 iSq. Footage New Addition (including Exterior Roofed Areas) Building Department ReprAiktative Date D dct' ist ldentifi8aii8ao School'District certifies that --j (Applicant) (Street (City) has complied with the requirement&V Resolution No. representing 7Z 1 square -feet. School District Representative Paid by Checkp Remarks- ��' (State) 01 (Phone Number) (Zip Code) bypayment of $ JJAB 2926 $ kULL MITIGATION $ -1/2:7 Date y- - - - Notice: You may protest the Imposition of the fun Identified above by submitting a written protest to 1M DhMct, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit' you from challenging the Imposition of the fen In any court action. if, subsequent to the School District Representative signing thli Butte County Schools Impact Fee Certification Form, the School Dh*fd Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environrnental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Itii kr4xict on the school district's schools. White (school district), Yellow (building department), Pink (applicant) fteformids (305Wun AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 6 -Feb -2006 2006-0006077 Has not been compared vith original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date sZ ro PROPERTY OWNERS: I/ n - // A. AUPl%G al/,� 4uate, State of California County of L 1 e� On ,2 - — 20a (o before me, Ww� C l �`� A)o-l- personally v y personally appeared_ <36f t-1- L/ D1 U q,2 Tr aer-senelly known-ta-me (or proved to me on the basis of satisfactory evidence) to be the persono whose named is/afe subscribed to the within instrument and acknowledged to me that h,Oshe/;Xey executed the same in his/her/their authorized capacity(iA, and that by hy/her/thfir signature(p'jon the instrument, the person(4 or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and offici eal. SignatZ4 Seal: WENDY SCHROEDER Commission #1818751 va. NOBS PutAiCo rtlyCalifornia Ch A.P. # My Comm. Exp. OCT. 29, 2009 Title No. 05 -108100 -BEE Locate No. CAFNT0958-0958-0001-0000108100 LEGAL DESCRIPTION EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Lot 9, as shown on that certain Map entitled, Hatch and Rock Orchard Tract, Subdivision No. 1, Butte County, California, filed in the Office of the County Recorder of Butte County, California, on June 9, 1908, in Book 6, of Maps, -at Page(s) 89. EXCEPTING THEREFROM the Westerly half of the Westerly half (with lines parallel to Lot lines); of said Lot 9, as described in that certain Gift Deed from Mike Kucek and Neill Kucek, also known as Nellie Kucek, husband and wife, to John Kucel, Richard D. Kucek, also known as Norman Kucek, and Sally Hoadley, formerly known as Marcella Kucek and Sally Kucek, dated January 15, 1970 and recorded March 11, 1970 in Book 1605 of Official Records, at page 359, Records of Butte County. ALSO EXCEPTING THEREFROM, the North 25 feet thereof, conveyed in Deed to the County of Butte, recorded January 21, 1921 in Book 195 of Deeds, at Page 1. APN: 025-130-040 CLTA Preliminary Report Forth (11/17/04) ENCROACHMENT PERMIT County of Butte Department of Public 'Works f-4 e /) 7 County Center DTivc Orovitle, CA 95965 Phone: (530) 5.39-7681 Pax: (510) 5384356 All infurmutiutt_etce fLgnature must be typed or legibly Ilrinwd Pcrlrtit 0: NOTIFY COUNTY 24 HOURS BEFORE': WORK IS TO BE S1'AR'I"Is0 'r 5 �C A,`cm-,I1-1 , Property Owner's Name: •��qll✓ N,nuhur (Roquired): -� C 7 Phone - - Property Address; PROPERTYr+jp OWNER Mailutg Address (If Di erenl): f/l �s'lv cS" ALAI a�-JIJ Work will ht:mdrbcWf's Name: e ❑Pro performed by: �o"trxetor perry Owucr 1'lutrb: v Address: WORK - Contractor'sLiucrueh ^- Stmill'ouoaflns9renereunently PERFORMED BY 1J°°'�' ���_ � on file Willi Denanuunit � Yes ❑ No Apphcant is; ❑ Property owner Property Owner's Agmt n ' (.nntraaor ❑ (inner: _ 1 / WE, the undersigns =by �1yYo-the �ttnty. rnutte for an encronchmcnt pennit to do the following work under or over the Cuunt rcta . 'nd ht ' y s al)' in cordim with Count ordinances and geael'al lams. -`t Date Signed:C— LOCATION PF,RM IT CONDITIONS (To be filled in by County) For County Use only It"ad 37(ed. 'rime mad Uur aria" or Enunwannent: 'fYpe of -- 1. uFWUMlunent: Site Plans AaneheA Lam., ' AV e . _....— tylyly -ncAt Encroachmell, ❑ Temporary: From 'B-flriveway ❑ Ruadway ❑ Culvert ❑ Hence ❑ Pirx/Pipeline ❑ Sign/Billboard ❑ Outer ❑ YGc "'S�4 PERMIT IS: A GRAN'rkD ❑ DFNIED Conditions: In compliance with the above request, and subject to all terms, cnntlitiuns (including those on page 2nof this permit tbnn) and special conditinns wrilleo bclow,Jtcrmissiun is hcraby grantal. - ...... I. L) Undcrgmund StMcc Alert (U.S.A-) must be notified two working days prior 1t) any excavation. 800-227-2600 2. ❑ All work shall contort to nccnmpanyirtg: ❑ Detail ❑ Plans ❑ Special Conditions 3. ❑ Other Cuudiiions: IN , s4ii , L �3. •b 5%�f r �� P,. �� c.,, rcpt C - / „L L2 6 o f Por, r ,e. i.cT .-A C, -.r.. ^ r t..i Y ALV i.Jc-, ,4 Sf(H!� ( �or'� Tc� 5-31 S'rp5 &I*-CF.f ►-A'* Dote {� ExpirDatu: inn Uatu: Itxued; /v L O� 1 Date Paid %D i1 Cj Paidt/Aee)0 N AQ BY: Mike Crump, Director of Public Works Itoad us J1, cl: Inspeucd Ily Carruncubt: aro Oxed to any numlrcr besides (�JO] 53R•4136, d,"y wn be up 1U-41;10 Isngc 1 of 2 Surety: 2.a 6 -� Check ,,,_ o Receipt 1 No: S •7 2 7 _.... .. _ No.: �,32 13y: ' Inspection ❑ Completed - OK ❑ Couq,loed - Not OK iResuhl: (a Addidoul Comoe"ts Anoehcd nwrm: Yu0506Lr I'd 95Eb Beg OEs sAjoM otjgnd o0 along ebOtOT SO 02 200 "r - SITE PLAN REVIEW APPLICATION . Date: 10- 1 LI -05 AP# Permit Number (if applicable) OS - o� Sc3 `� Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: I )DU►40--k-F , Owners Address: ``l B jkL1A0p0 tAye gi C -6—S Cps q S 9 I -] Telephone No.: g 1 (Q 3 0 Site Address: A-ci'► _apO AvE 13 (&6-S Proposed Use: Residential [New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home Residential Accessory Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Other: Brief Explanation/Issue: Zone: A -L4-0 GP: DEVELOPMENT SERVICES INFORMATION (For Staff Use) rg Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 1A A 1 ❑ Resolved 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: General Plan: Applicable Building Setbacks: 'A. ❑" Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A 'A. ❑" Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: Deeds: Date of Creation: Legal Access Provided: [INo FIYes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: El No ❑ Yes Comments: nv\ -, n I)( I (. V1d-�• <« ►'�c� % (� SI�I3 o ✓' Rnr-'l.- o., I a r, r_ -I ---I- ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to:ElMeet Parcel size required by zone E] Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: 3 Page: SITE PLAN REVIEW APPLICATION Permit Number (if applicable) ojv��_ � _ Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Site Address: Proposed Use: W Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel-. ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial.Addition ❑ New Industrial ❑ Industrial Addition Oth Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: Parcel Size: ❑ Commercial Remodel ❑ Industrial Remodel [?/Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) Zone: GP: [] Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval v ❑/Resolved By Date 6 d f' 1 Butte County Deparilnent o.fDevelopinent S'elvrces °�`'Tr�° .° 7 County Center Drive ° ° Orovilie, CA 95965 ° ° (530) 538-7601 Telephone (530) 538-7785 Facsimile c�UN�y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 0 I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building. Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence -to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: L APN: C)25-- 1 3-D Building site address: A(__"`WD Permit No.: N�bs 262-b I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the abo -referenced building permit application and my signature below: o 4 SIGNATU E OF APPLICANT DATE 4 .—.,_,, A --I;", dp"/FiIP KFonns/BldePermitwithoutCleaances 020705 Department of Public Works :, `� B U t .. t o -�Il� C o u n t o f ,t>- Y I r,. LAND DEVELOPMENT DNISION J. Michael Crump, Director Storm Water ManagementPra%ram ;'• \ ® 7 C6unty Center Drive Oroville. CA 95965 (530) 538-7266 p 'Uc WOF�s (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THA�d ACRE F Project Description: NS Project Location andlor Parcel Number: n Z< By sighing below, L the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. r----\ Signed: Title: Date: 1 .- --� �-1-�� s6 ff4 }} 111r II! �.I f� I lid 2006-0006077 1 ,-•,, ^ Recorded I REC FEE 10.00 A� WHEN RECORDED MAIL TO: Official Records I i County of I C�Of a COPY 1.00 BUTTE COUNTY BUILDING DIVISION But 1 7 COUNTY CENTER DRIVE CNW J. 6}tOBS I OROVILLE, CA 95965 County Clerk-Recorderl I I KL 02:43PN 06feb-2806 I Plage i of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The propertydescribed herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this -property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. 1 All that real property situate in the County of Butte, State of California, described as follows: �✓ Date 2 lal, PROPERTY OWNERS: ,/ r_ A"I State of California County of Z217t_l E:. On 2 - 26Z 6 before me, Ww� 9k' -6-a"0 k-/v� y A�/i c— personally appearedy[/J,9 ,Q(! k� �Q6��Li/ D/,/, j2 7-Z�- personal! lnewn-to-me (or proved to me on the basis of satisfactory evidence) to be the person whose name(p) is/a/e subscribed to the within instrument and acknowledged to me that h,0she/0ey executed the same in Vs/her/thAir authorized capacity(i$), and that by hJ4/her/th it signature(p°on the instrument, the person(4 or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and offici eal. Signat Seal: WENDY SCHROEDER Commission #161751 0 a Notary Public - Californiarni Butte U My Comm. E p OCT. A.P. 4 0 5 )�o - 09P 29.2 9 -= I Title No. 05 -108100 -BEE Locate No. CAFNT0958-0958-0001-0000108100 LEGAL DESCRIPTION EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Lot 9, as shown on that certain Map entitled, Hatch and Rock Orchard Tract, Subdivision No. 1, Butte County, California, filed in the Office of the County Recorder of Butte County, California, on June 9, 1908, in Book 6, of Maps, -at Page(s) 89. EXCEPTING THEREFROM the Westerly -half of the Westerly half (with lines parallel to Lot lines), of said Lot 9, as described in that certain Gift Deed from Mike Kucek and Nelli Kucek, also known as Nellie Kucek, husband and wife, to John Kucel, Richard D. Kucek, also known as Norman Kucek, and Sally Hoadley, formerly known as Marcella Kucek and Sally Kucek, dated January 15, 1970 and recorded March 11, 1970 in Book 1605 of Official Records, at page 359, Records of Butte County. ALSO EXCEPTING THEREFROM, the North 25 feet thereof, conveyed in Deed to the County of Butte, recorded January 21, 1921 in Book 195 of Deeds, at Page 1. APN: 025-130-040 CLTA Preliminary Report Form (11/17/04) i t� 1 1 i s DATE SCALE DRAWN x JOB SHEET ! OF SHEETS .._.ua�, All t j STI x All — _ ------ --- -- lL1__ — A;d EN (job �, 1�Q'